Stress and HealthPub Date : 2025-04-01Epub Date: 2024-12-03DOI: 10.1002/smi.3515
Yifan Liu, Guangdong Zhou, Yuchen Huang, Yan Sun
{"title":"The Longitudinal Relationship Between the Symptoms of Depression and Perceived Stress Among Chinese University Students.","authors":"Yifan Liu, Guangdong Zhou, Yuchen Huang, Yan Sun","doi":"10.1002/smi.3515","DOIUrl":"10.1002/smi.3515","url":null,"abstract":"<p><p>Depression is one of the most common mental disorders. Perceived stress is a significant trigger and has adverse effects on depression. The complex longitudinal relationship between perceived stress and depression at the symptom level has significant implications for clinical intervention but is understudied. In our study, 823 students (67% female, median age 20.38, IQR 19.42-21.43) from a university in Tianjin were randomly sampled and completed measures of PHQ-9 and PSS-10, while 393 (65% female, median age 20.42, IQR 19.46-21.45) were followed up at three points, six months apart. The longitudinal relationships were estimated using cross-lagged modelling and cross-lagged panel network modelling. Among them, 49 students (59% female, median age 19.48, IQR 18.76-20.12) participated in resting-state functional magnetic resonance imaging (fMRI) scans. Cross-lagged analyses showed that depression and perceived stress predicted each other at the global level. At the dimensional level, depression and perceived helplessness were mutually predictive, while depression and perceived coping did not. In the cross-lagged panel network analyses, we identified symptoms in the top 20% of Bridge Expected Influence as bridging symptoms, specifically 'Guilt' (PHQ6) and 'Felt nervous and stressed' (PSS3). Notably, 'guilt' consistently demonstrated the highest Bridge Expected Influence across all time points and showed the strongest predictive power for perceived stress. We found that fALFF in the left superior frontal gyrus (SFG) mediated the association between \"guilt\" and perceived stress. Our findings elucidate the bidirectional relationship between symptoms of depression and perceived stress, identifying guilt is the most critical symptom of depression for the followed perceived stress, with SFG activity mediating this association.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3515"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trajectories and Influences of Depression in Adolescents: A Latent Profile Transition Analysis Study.","authors":"Yuelian Dai, Lin Shen, Shenghao Zhang, Zhentong Wu, Jiaqi Zhang, Qi Li, Jing Xiao","doi":"10.1002/smi.3528","DOIUrl":"https://doi.org/10.1002/smi.3528","url":null,"abstract":"<p><p>Depression has become increasingly prevalent among adolescents, posing significant challenges for mental health professionals. While most studies on depression adopt a cross-sectional perspective or a variable-centred approach, these methods often fail to illuminate the developmental trajectories of depression in individuals. We employed Latent Profile Transition Analysis (LPTA), a person-centred approach, to analyse longitudinal data from a large adolescent sample (N = 978; M<sub>age</sub> = 16.26, SD = 0.89; 52.2% females). This study aimed to identify distinct subgroups of depression and observe transitions between these groups over time, considering stress, anxiety, and rumination as covariates to predict these transitions and aid in the development of targeted interventions. We identified three distinct subgroups: 'low/no depression', 'moderate depression', and 'high depression'. Individuals in the low/no depression and moderate depression groups displayed a predominant tendency toward stability rather than change. Conversely, individuals in the high depression group showed a high probability of transitioning to the moderate depression group. Stress, rumination, and anxiety were significant predictors of transitions into more severe depressive groups. Notably, the predictive power of rumination diminished over time. This study relied solely on self-reported measures, which may introduce response bias. This study reveals dynamic trajectories of depression among adolescents using a person-centred approach, emphasising the importance of closely monitoring those in the moderate depression subgroup. Stress, anxiety, and rumination emerged as crucial predictors of transitions in depression severity, underscoring the need for targeted early interventions.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e3528"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristic Structure of the Relationships Among Depression, Maladaptive Cognition, and Internet Addiction and Its Temporal Evolution in University Students: A Network Analysis.","authors":"Yu Tian, Hongjun Ding, Yanfang Li","doi":"10.1002/smi.70000","DOIUrl":"https://doi.org/10.1002/smi.70000","url":null,"abstract":"<p><p>This study explored the structure and temporal evolution of the relationship among depression, maladaptive cognition, and internet addiction (DMI) among university students by focusing on topological and dynamic properties in a network analysis. A 3-year longitudinal survey was conducted with 873 university students (M<sub>age</sub> = 18.32, SD = 0.74). The results of network analysis showed \"compulsive internet use and withdrawal symptoms\" as part of internet addiction and \"depressive emotions\" as part of depression were the core characteristics in the DMI relational structure. Additionally, \"compulsive internet use and withdrawal symptoms\" was most pronounced for freshmen, whereas \"depressive emotions\" were most pronounced for sophomores and juniors. These findings suggest that interventions addressing DMI among university students should not only focus on the key aspects of \"compulsive internet use and withdrawal symptoms\" and \"depressive emotions,\" but also consider differences between students at different years of study.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70000"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tingzhong Yang, Sihui Peng, John L Oliffe, Weifang Zhang
{"title":"Geographical Disparities of Uncertainty Stress and Life Stress Among University Students: A Study Across All Provinces in Mainland China.","authors":"Tingzhong Yang, Sihui Peng, John L Oliffe, Weifang Zhang","doi":"10.1002/smi.70009","DOIUrl":"https://doi.org/10.1002/smi.70009","url":null,"abstract":"<p><p>The study objective was to investigate geographical variation of uncertainty stress and life stress among university students in China. Respondents comprised 11,954 students from 50 universities and 31 provinces in China's mainland. Respondents completed the extended version of Global Health Professional Student Survey (GHPSS) on Tobacco Control in China, which added additional health, mental stress, and behavioural items on original version, and regional variables were retrieved from the National Bureau of Statistics database. Both unadjusted and adjusted methods were used in the logistic regression analysis. The prevalence of high uncertainty stress was 19.60% (95% CI: 15.90%, 23.30%), while the prevalence of life stress was 8.60% (95% CI: 7.20%, 10.70%). The prevalence rates varied significantly across the 31 provinces. The random parameters for uncertainty stress and life stress were statistically significant at the 0.01 level, with values of 0.2593 and 0.3971, respectively. The geographical distribution revealed two high uncertainty stress zones between the east coast and the middle area, as well as in the west area from south to north. High life stress, on the other hand, was concentrated in the central area. Multilevel logistic regression showed province level per capita disposal income of households partly contributed to uncertainty stress (OR = 0.52, 95% CI: 0.36, 0.94) and life stress (OR = 0.59, 95% CI: 0.52, 0.89). These findings underscore the importance of environmental contribution to mental stress among university students. Given that college students' mental stress is high, there is a need for environmental measurements to prevent and address multiple perceived stress in students.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70009"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Longitudinal Effect of Depression on Generalised Pathological Internet Use and the Mechanisms of This Effect: A Four-Wave Follow-Up of Chinese University Students.","authors":"Yu Tian, Hongjun Ding, Shizheng Cao, Yanfang Li","doi":"10.1002/smi.70011","DOIUrl":"https://doi.org/10.1002/smi.70011","url":null,"abstract":"<p><p>By employing the cognitive-behavioural model and self-control theory, the present study investigated the longitudinal effects of depression on GPIU. Although numerous cross-sectional studies have investigated the association between depression and generalised pathological Internet use (GPIU), debates persist regarding the longitudinal effects of depression on GPIU. Moreover, little is known regarding the longitudinal mechanisms underlying this association. A total of 912 university students with an average age of 18.36 years (standard deviation = 0.82 years) at the time of the first survey participated in the study. They completed four assessments spaced 6 months apart over a 2-year period. The results indicate that (i) depression can predict GPIU over time; (ii) depression can predict GPIU through the mediating effects of perceived social support, maladaptive cognitions, and self-control over time respectively; and (iii) depression can predict GPIU through sequential mediating effects of perceived social support to self-control over time. Additionally, the associations among studied variables were more suitable for male, urban registered residence, and low family income students. These results have implications for interventions targeting GPIU.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70011"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance Use is Associated With College Students' Acute Parasympathetic Nervous System Responses to Challenge.","authors":"Danny Rahal, Violet F Kwan, Kristin J Perry","doi":"10.1002/smi.70002","DOIUrl":"10.1002/smi.70002","url":null,"abstract":"<p><p>College students use substances for varied reasons, including to cope with stress. The parasympathetic nervous system (PNS) regulates bodily functions to promote energy conservation (the 'rest and digest' response), and individuals differ in their physiological sensitivity to challenge. It remains unclear whether greater PNS responses (i.e., declines in PNS activity, termed vagal withdrawal) to challenge could suggest difficulty regulating and thereby confer risk for using substances in community samples. We hypothesised that lower resting PNS activity and greater PNS responses to a challenge task would be associated with more frequent substance use (i.e., alcohol use, binge drinking, cannabis use). College students (N = 152; Mage = 20.5, SD = 3.2; 73.8% female) reported their past month frequency of substance use and completed a laboratory-based challenge task while having an electrocardiogram administered to derive respiratory sinus arrhythmia (RSA), a measure of PNS activity. They watched a 4-min neutral video (resting baseline) and then traced a star with their nondominant hand while only seeing the mirror reflection of their hand (challenge). Higher resting RSA was related to more frequent cannabis use. Individuals with larger declines in RSA from the video to the task (i.e., greater PNS responses) tended to use each substance more frequently. RSA recovery from the task was not related to substance use. Taken together, college students who are more physiologically responsive to challenge may use substances more frequently, potentially as a means of coping. Biofeedback interventions can be investigated for reducing college students' substance use risk.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70002"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vânia Sofia Carvalho, Yolanda Estreder, Maria José Chambel, Filipa Castanheira
{"title":"Telework During and After COVID-19: The Role of FSSB and Boundary Management in Teleworkers' Well-Being.","authors":"Vânia Sofia Carvalho, Yolanda Estreder, Maria José Chambel, Filipa Castanheira","doi":"10.1002/smi.70019","DOIUrl":"https://doi.org/10.1002/smi.70019","url":null,"abstract":"<p><p>Telework gained popularity during the COVID-19 pandemic. However, for this flexible work arrangement to be a favourable option nowadays, specific conditions may be necessary such as supervisory support (FSSB) and boundary management strategies. Nonetheless, telework conditions during COVID-19 may have differed from those after the pandemic. Drawing on border theory and the conservation of resources theory, FSSB is framed in this paper as an important contextual resource for teleworkers' well-being. Furthermore, boundary management strategies (i.e., boundary control and enacted work-family segmentation) are explored as linking mechanisms between FSSB and teleworkers' well-being. Study 1, with a cross-sectional design, captured telework during COVID-19, and Study 2, with a daily design, captured telework after COVID-19 with the moderating role of frequency of daily changes in the workplace, that is, telework and in-house work. Consistent findings were observed across both studies indicating not only the critical role of FSSB for teleworkers' well-being (i.e., burnout and work engagement) but also the boundary management strategies as mediators. Moreover, Study 2 reveals that the fewer the changes in the workplace, the more FSSB are needed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70019"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Falling Asleep on the Job: The Efficacy of a Short App-Based Mindfulness Intervention to Improve Sleep Quality and Quantity Within the Workforce.","authors":"Carole Daniel, Clémence Leyrat, Elodie Gentina, Jessica Mesmer-Magnus, Rebecca Guidice, Sebastien Bailly","doi":"10.1002/smi.70017","DOIUrl":"https://doi.org/10.1002/smi.70017","url":null,"abstract":"<p><p>Quality sleep is among the most important determinants of psychological and physical well-being. Insufficient sleep quality and quantity directly affect individuals; in turn, they indirectly affect the productivity, viability and safety of workplaces. Sleep issues also represent a global health concern for people and workplaces around the world. In addition to pharmaceutical aids, effective and accessible interventions need to address the underlying problems, as might be achieved by behavioural therapies or structured, cognitive interventions like mindfulness-based programs. The time intensity and relatively high costs of such tactics has limited their widespread adoption though. With a sample of 606 full-time working adults, the current study tests the potential effectiveness of a short, inexpensive, app-based, self-help mindfulness meditation programme for promoting sleep quality and quantity. Using a longitudinal randomised experimental design, the authors compared the utility of a 10-day mindfulness programme with a passive control group, as well as with an active control group that engaged in 10 days of mind-wandering exercises. Sleep benefits emerged immediately after the 10-day intervention but seemingly wore off about three months later. Acknowledging the interactions between sleep, depression and anxiety, we also measured the two latter variables. We also find that the intervention was effective on depression, but not on anxiety. These insights offer implications for both research and practice.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70017"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the Intricacies of Social Mobility Trajectories and Perceived Stress in Post-Reform China.","authors":"Yaxin Lan, Lei Jin","doi":"10.1002/smi.70010","DOIUrl":"10.1002/smi.70010","url":null,"abstract":"<p><p>Among transitional societies, the impact of rapid and widespread intragenerational social mobilities on stress remains understudied. This empirical research explores the intricate relationship between various social mobility trajectories and perceived stress within the dynamic context of contemporary China. Drawing upon data from the China Health and Nutrition Survey spanning from 1991 to 2015, this study advances beyond conventional methodologies that typically categorise social mobility as either upward or downward. It employs the Growth Mixture Model to discern six latent mobility trajectories: 'Fall into Poverty', 'Rise from Rags', 'Middle Class', 'Fall from Grace', 'Upper Middle Class' and 'Elite.' The resulting findings then reveal the diverse impacts of these distinct mobility trajectories on perceived stress, emphasising gender-specific patterns. Among men, those categorised as 'Elite' and 'Fall from Grace' report lower perceived stress levels in comparison to the middle-class reference group, while individuals in the 'Fall into Poverty' category exhibit the highest stress levels. Conversely, for women, the 'Upper Middle Class' and 'Elite' categories are associated with lower stress levels, with 'Upper Middle Class' women experiencing the least stress. The findings unveiled in this study shed light on the multifaceted nature of social mobility and its consequences for stress within a rapidly changing society. These insights hold significant implications for public health interventions, underscoring the necessity of a more nuanced theoretical framework for understanding the stress experiences of Chinese residents amidst societal transformation.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70010"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ting Zhou, Zihe Lin, Sha Sha, Tengfei Tian, Sixiang Liang, Li Zhou, Qian Wang
{"title":"Cognitive Emotion-Regulation and Depressive Symptoms in a Group of Healthcare Workers During the COVID-19 Pandemic: A Person-Based Approach.","authors":"Ting Zhou, Zihe Lin, Sha Sha, Tengfei Tian, Sixiang Liang, Li Zhou, Qian Wang","doi":"10.1002/smi.70013","DOIUrl":"https://doi.org/10.1002/smi.70013","url":null,"abstract":"<p><p>This study aimed to identify profiles of cognitive emotion regulation strategies and to examine the association between emotion regulation profiles and depressive symptoms using a sample of healthcare workers under the impact of COVID-19. A total of 3477 Chinese healthcare workers participated in the online survey. Latent profile analysis was used to identify cognitive regulation patterns using nine strategies. Depressive symptoms were compared among cognitive regulation patterns. The results yielded three cognitive emotion regulation patterns: regulators with low controllability of emotions and events (RLCEE, 65.5%), regulators with high controllability of emotions and events (RHCEE, 33.0%) and high regulators (HR, 5.4%). The HRs reported the highest level of depression symptoms, followed by the RHCEEs and RLCEEs. The results illustrated a significant association between depressive symptoms and emotion regulation profiles in healthcare workers under the impact of the COVID-19 pandemic.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 1","pages":"e70013"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}