Stress and Health最新文献

{"title":"A Systematic Review of Interventions to Support Health, Wellbeing, and Job Satisfaction for Emergency Call Handlers in the Ambulance, Police, and Fire Services.","authors":"Emily Louise Phillpotts, Rhian Meaden, James Byron-Daniel, Sarah Voss","doi":"10.1002/smi.70233","DOIUrl":"10.1002/smi.70233","url":null,"abstract":"<p><p>Emergency call handlers (ECH) in ambulance, police, and fire services experience high levels of occupational stress which can have adverse health consequences. To systematically review interventions to support the health, wellbeing and employment of ECH working in the emergency services. Following PRISMA 2020 guidelines, academic databases and grey literature were searched [Last search: 06/02/25]. Studies of any design assessing physical or mental health or employment outcomes were eligible. Screening and quality appraisal were conducted independently, with data extraction completed and cross checked by two reviewers. The JBI family of tools was used to assess quality and risk of bias. Twelve studies met the inclusion criteria and were narratively synthesised into four categories: psychoeducation and resilience training, residential recovery programme, organisational wellbeing initiatives, and multicomponent interventions. Sample sizes ranged from n = 9 to n = 4020. The majority of interventions identified aimed to improve mental health, while physical health and employment outcomes were less frequently assessed. There was significant heterogeneity in study design which limited comparability between the studies. Most studies included a mixed sample of ECH and first responders and the methodological quality of included studies was variable. Some studies employed rigorous designs (e.g., RCTs), whilst others relied on observational methods. The included studies also demonstrated organisational barriers to the delivery of interventions in these settings. There was limited evidence for the effectiveness of interventions for supporting health and wellbeing or reducing stress amongst ECH. There is a need for role-specific interventions for ECH. SYSTEMATIC REGISTRATION: This systematic review was registered on PROSPERO: CRD42025639271.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70233"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129190","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}

{"title":"The Mid-Term Impact of a Hedonic Aroma on Psychophysiological Indicators in Women With Breast Cancer Undergoing Chemotherapy: A Randomized Controlled Trial.","authors":"Marta Pereira, Célia Moreira, Alberto C P Dias, Pawel Izdebski, Cristina Nogueira-Silva, M Graça Pereira","doi":"10.1002/smi.70230","DOIUrl":"10.1002/smi.70230","url":null,"abstract":"<p><p>The study investigated the impact of essential oils on women undergoing chemotherapy (CT) treatment for breast cancer (BC), comparing an experimental group (EG) exposed to hedonic aromas with a control group (CG) receiving standard CT. A total of 112 women were randomly assigned to either a control group receiving standard chemotherapy treatment or an experimental group receiving an additional essential oil intervention during two consecutive chemotherapy cycles. The primary outcomes were quality of life (QoL), anxiety, and depression whereas the secondary outcomes were emotional distress, need for help, treatment beliefs, treatment side effects, illness perceptions, self-efficacy for coping, working memory, and cortisol. Mixed-effects models were used to analyse the differences between the two groups over time, more precisely, from the first CT session involving essential oils (T1) to two sessions later (T3), with a 6-week interval. Although no significant between-group differences were found for the primary outcomes, variations emerged in the patterns of association between these measures and several secondary outcomes over time. Specifically, in the EG, the association between baseline and subsequent anxiety remained stable, whereas this link weakened in the control group (CG). At T3, the adverse impact of higher anxiety on QoL and chemotherapy necessity beliefs was weaker or absent in the EG compared to the CG. Physiologically, higher pre-session salivary cortisol at T3 was linked to better QoL only in the EG, suggesting a normative acute stress response, whereas the CG showed attenuated reactivity. Other secondary outcomes, such as cognitive function and treatment side effects, did not differ significantly between groups. These findings suggest that essential oil inhalation may help stabilise anxiety levels associated with chemotherapy and contribute to QoL. These findings have relevant clinical implications.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70230"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197821","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":"Childhood Trauma, Perceived Stress, and Developmental Trajectories of Sleep Problems in Adolescents.","authors":"Yadi Zeng, Wei Lü","doi":"10.1002/smi.70213","DOIUrl":"10.1002/smi.70213","url":null,"abstract":"<p><p>Both childhood trauma as a stressful event and perceived stress as stress appraisal increase the risks of sleep problems, particularly among adolescents. However, how childhood trauma and perceived stress exert a combined effect on the development of sleep problems in adolescence remains unclear. The present study investigated the heterogeneous developmental trajectories of sleep problems among adolescents, and whether childhood trauma and perceived stress sequentially or interactively affected the heterogeneous trajectories of sleep problems. Altogether 197 adolescents completed the Childhood Trauma Questionnaire at T1 (Nov. 2021), the Perceived Stress Scale at T2 (May 2023), and the Pittsburgh Sleep Quality Index at T1, T2, and T3 (May 2024). Results revealed three heterogeneous trajectories of sleep problems, including the low group, the high-increasing group, and the moderate-increasing group. In addition, higher perceived stress rather than childhood trauma independently predicted a greater likelihood of being in the high-increasing group or moderate-increasing group relative to the low group. Perceived stress mediated the relationship between childhood trauma and the heterogeneous trajectories of sleep problems. However, the interaction effect of childhood trauma and perceived stress on the heterogeneous trajectories of sleep problems was non-significant. These findings suggest that childhood trauma and perceived stress sequentially rather than interactively affect the heterogeneous developmental trajectories of adolescent sleep problems.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70213"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702540","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}

{"title":"Stress Mindsets Forecasting Students' Mental Health Trajectories: Evidence From an EMA Study.","authors":"A-A Journault, K K Singh, T Maddala, J Calrson, S Behera, J P Jamieson","doi":"10.1002/smi.70201","DOIUrl":"10.1002/smi.70201","url":null,"abstract":"<p><p>Although stress mindsets have been proposed as important determinants of how individuals respond to stress, little is known about whether naturally occurring stress mindsets prospectively predict mental health trajectories. Stress mindsets-beliefs that stress is either debilitating or enhancing-are promising but understudied predictors of mental health trajectories in college students. Using the Pandora Bio mobile ecological assessment app, 120 college students completed baseline measures of stress mindsets and repeated assessments of depression, anxiety, distress, flourishing, and social well-being over 8 weeks. Pre-registered multilevel models suggested that baseline stress mindsets predicted depressive symptom trajectories only: higher endorsement of a stress-is-enhancing mindset was associated with more favourable depressive symptoms trajectories over time. Exploratory analyses indicated these associations were direct and persisted when accounting for baseline anxiety and demographics. Findings suggest stress mindsets are a small but meaningful predictor of depressive symptom trajectories and highlight the potential of ecological screening tools for detecting emerging risks and delivering real-time interventions to students who need them the most.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70201"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426168","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}

{"title":"Burnout as Social Information: How Coworker Burnout Level and Coworker Burnout Consistency Interact With Mastery Goal Orientation to Affect Work Performance.","authors":"Catherine K Lam, Xu Huang, Jeanne H Y Fu, Wing Lam, Ziguang Chen","doi":"10.1002/smi.70204","DOIUrl":"10.1002/smi.70204","url":null,"abstract":"<p><p>Previous research has suggested that employees tend to 'catch' burnout from their coworkers and then to perform less satisfactorily. This burnout contagion mechanism cannot, however, explain why some individuals are able to take preemptive actions to defend themselves against a vulnerable environment. Using a social information processing perspective of the conservation of resources theory, we theorized that coworker burnout (i.e., the average burnout level of all team members, excluding the focal employee) serves as a social cue that guides individuals regarding the amount of effort they should put into their work in order to maintain a high level of work performance. The results revealed that coworker burnout was negatively related to employee work performance through reduced work effort when most coworkers (rather than a few) within a work group experienced high levels of burnout (i.e., there was a high consistency of coworker burnout) and when the focal employees had low levels of mastery goal orientation. This negative indirect relationship was buffered when either the coworker burnout consistency was low or the employees' mastery goal orientation was high. This conditional, indirect linkage between coworker burnout and employee work performance, via work effort, maintained its significance even after controlling for the burnout contagion mechanism (i.e., the extent to which the focal employee caught coworker burnout).</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70204"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521575","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}

{"title":"Instrumental Reminiscence and Coping Strategies in Older Adults Exposed to Armed Conflict in Colombia.","authors":"Juan C Meléndez, Tatiana Navarro, Jesus González-Moreno, Maria Fernanda Reyes, Encarnacion Satorres, Iraida Delhom","doi":"10.1002/smi.70210","DOIUrl":"10.1002/smi.70210","url":null,"abstract":"<p><p>Older adults exposed to prolonged sociopolitical violence often experience chronic stress that may undermine adaptive coping processes. Instrumental reminiscence, which focuses on recalling past experiences of successfully managing adversity, has been proposed as a strategy potentially associated with greater coping flexibility in later life. This study examined whether participation in an instrumental reminiscence programme was associated with changes in coping strategies among older adults registered as victims of armed conflict in Catatumbo, Colombia. A quasi-experimental controlled design with repeated measures (pre-intervention, post-intervention, 2-month follow-up) was conducted with 64 community-dwelling adults aged 60 years and older (intervention n = 37; control n = 27). The intervention consisted of 8 weekly 90-min instrumental reminiscence sessions, while the comparison group received psychoeducational sessions. Coping strategies were assessed using the Coping with Stress Questionnaire. Linear mixed-effects models were used to examine Group × Time interactions. Significant interactions were observed for problem-solving focus, positive reappraisal, social support seeking, overt emotional expression, negative self-focus, and avoidance (all p < 0.001). Compared with controls, the intervention group was characterised by higher post-intervention scores on problem-solving focus, positive reappraisal, social support seeking, and avoidance, and lower scores on overt emotional expression and negative self-focus; these differences were maintained at follow-up. No significant effects were found for religious coping. Participation in the instrumental reminiscence programme was associated with changes in multiple self-reported coping strategies among older adults exposed to chronic conflict-related stress.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70210"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521621","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}

{"title":"Associations of Perceived Effort-Reward Imbalance and Family Relationship Quality With Workplace Violence and Harassment Exposure Among Married Female Workers: A Decision Tree Analysis.","authors":"Marhaba Kiyum, Zhongqiong Huang, Tongshuang Yuan, Chengbin Zheng, Songli Mei","doi":"10.1002/smi.70214","DOIUrl":"https://doi.org/10.1002/smi.70214","url":null,"abstract":"<p><p>Workplace violence and harassment exposure among female workers is a critical occupational safety and public health concern, yet the hierarchical interplay of occupational, work stress, and family factors remains understudied. We conducted a cross-sectional study of 10,042 married female workers in China. Latent profile analysis (LPA) was used to identify family relationship profiles, and a chi-square automatic interaction detection (CHAID) decision tree was used to examine how occupation, perceived effort-reward imbalance (ERI), and family relationship profiles differentiated workplace violence and harassment exposure. The main findings were as follows: (1) LPA identified a high-harmony profile (75.73%) and a low-harmony profile (24.27%), and 14.29% of participants reported workplace violence and harassment exposure; and (2) occupation was the first splitting variable, perceived ERI further differentiated exposure levels across occupational branches, and family relationship profiles provided additional differentiation in selected subgroups. The model achieved a classification accuracy of 85.7% and an area under the curve (AUC) of 0.707 in the validation set. These findings indicate that occupation, perceived ERI, and family relationship profiles jointly distinguish subgroups of married female workers with different exposure levels and may inform targeted prevention measures that consider both occupational and family contexts.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70214"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801227","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}

{"title":"Motivational and Behavioural Physical Activity as Differential Correlates of Well-Being Following Mass Trauma: A Three-Group Study of Direct, Vicarious, and Non-Exposed Individuals.","authors":"Gil Zukerman, Adilson Marques, Hagit Bonny-Noach, Riki Tesler, Avi Zigdon, Orit Shapiro, Ofer Frish, Liat Korn","doi":"10.1002/smi.70211","DOIUrl":"10.1002/smi.70211","url":null,"abstract":"<p><p>Regular physical activity is associated with improved mental health, yet its role following mass trauma-and the differential contributions of motivational versus behavioural components-remains insufficiently understood. Drawing on stress-buffering and self-determination frameworks, this study examined whether value-based motivation for fitness and weekly vigorous physical activity are differentially associated with well-being as a function of trauma-exposure severity. A cross-sectional design was used with three groups (N = 306): survivors of the October 7, 2023 Nova music-festival attack (direct exposure; n = 74), university students assessed in 2024 (vicarious exposure; n = 82), and students assessed in 2022 (pre-event, non-exposed; n = 150). Measures included value fitness commitment (VFC), weekly vigorous physical activity (WPA), subjective happiness, somatic complaints, and PTSD symptoms (directly exposed group only). Group differences were examined using ANOVA/MANOVA. Associations and moderation effects were tested with correlation analyses and Hayes' PROCESS models controlling for age and family status. Directly exposed participants reported lower subjective happiness and higher somatic complaints than comparison groups. WPA was associated with fewer somatic complaints in the full sample and with lower PTSD symptom severity among directly exposed participants. VFC was associated with greater subjective happiness and fewer somatic complaints among directly exposed participants. Moderation analyses showed that the inverse association between VFC and somatic complaints was significant only in the directly exposed group, whereas WPA-well-being associations were not moderated by exposure level. Both motivational and behavioural physical-activity indices were linked to better well-being following trauma, but through partially distinct and context-dependent pathways. Value-based fitness commitment functioned as a protective resource specifically under conditions of severe trauma, consistent with stress-buffering and psychological-flexibility models, whereas actual vigorous activity showed a more general association with reduced somatic distress and PTSD symptoms. Low-cost, scalable physical-activity-related interventions that target both engagement and motivational processes may support post-trauma recovery.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70211"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563758","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}

{"title":"The Association Between Mindfulness and Perceived Stress: A Meta-Analysis.","authors":"Nicola S Schutte, Adam J Rock","doi":"10.1002/smi.70209","DOIUrl":"10.1002/smi.70209","url":null,"abstract":"<p><p>This study consolidated the association of mindfulness with perceived stress found across studies. A meta-analysis examined the relationship between mindfulness and perceived stress in 56 samples, which included a total of 24,494 participants. The weighted effect size of r(55) = -0.40, 95% CI [-0.36, 0-44], p = 0.0001, showed that greater mindfulness was associated with less perceived stress. Studies assessing mindfulness using the Mindful Attention Awareness Scale or the Five Facet Mindfulness Questionnaire showed substantial effect sizes, as did studies assessing stress using the Perceived Stress Scale. Even though the present meta-analysis does not show causality, the results suggest a possible bidirectional relationship between mindfulness and perceived stress. The nonjudgmental awareness comprising mindfulness may facilitate an appraisal of life events and challenges that results in events and challenges as being perceived as less stressful. Lower perceived stress may free cognitive resources that promote mindfulness.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70209"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474101","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}

{"title":"Working Through Your Emotions: Exercise Repairs the Experience of Positive and Negative Emotions Through Cognitive Emotion Regulation After a Recalled Stressor.","authors":"Juriena D de Vries, Keri A Pekaar","doi":"10.1002/smi.70212","DOIUrl":"10.1002/smi.70212","url":null,"abstract":"<p><p>Exercise is suggested to help regulate emotions; however, its role in the underlying cognitive emotion regulation process-starting with a cue, cognitive actions to modify emotions, and desirable emotional changes-has not yet been demonstrated. This study therefore investigates whether (a) exercise up-regulates positive emotions and down-regulates negative emotions after recalling a stressor; (b) cognitive emotion regulation strategies mediate these effects; and (c) this process is more pronounced in emotionally intelligent (EI) individuals. University students (N = 134) recalled a stressor and were randomly allocated to one of three 30-min tasks during which they reflected on this stressor: (a) exercise; (b) puzzle-solving (active control); or (c) rest (passive control). EI was measured at the start (T0). Four different types of emotions-activated and deactivated, both positive and negative-were measured before (T1) and after (T2) after the 30-min tasks. Cognitive emotion regulation during the tasks was measured immediately after (T2) the 30-min tasks. Results show that participants in the exercise and active control condition reported higher positive activated emotions at T2 than passive controls. Exercisers used more cognitive emotion regulation strategies compared to active and passive controls, explaining their higher positive and lower negative activated emotions at T2. EI had a minor influence on the proposed process. Altogether, this study suggests that exercise optimises the cognitive emotion regulation process, which helps to repair emotions after a stressor.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70212"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13452950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698359","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}