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Exploring the Role of Psychological Stress in TAKOTSUBO CARDIOMYOPATHY: The 'Broken Heart' Syndrome. 探讨心理应激在TAKOTSUBO心肌病中的作用:“心碎”综合征。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70182
Ghada Shahrour, Fatma M Ibrahim, Mohamed Hussein Ramadan Atta
{"title":"Exploring the Role of Psychological Stress in TAKOTSUBO CARDIOMYOPATHY: The 'Broken Heart' Syndrome.","authors":"Ghada Shahrour, Fatma M Ibrahim, Mohamed Hussein Ramadan Atta","doi":"10.1002/smi.70182","DOIUrl":"10.1002/smi.70182","url":null,"abstract":"<p><p>Takotsubo syndrome (TTS), or 'broken heart' syndrome, is an acute, reversible cardiomyopathy classically linked to emotional stress. Although physiological mechanisms have been extensively described, the psychological stress profile of patients with TTS remains incompletely synthesised. This study aimed to systematically review and meta-analyse observational studies examining psychological stress-related factors in patients with TTS compared with cardiac and non-cardiac control groups. We searched PubMed/MEDLINE, Embase, PsycINFO, Scopus, and Web of Science from 1 January 2011 to 31 March 2024 for observational studies of adults with TTS that used validated psychological assessments and included a cardiac or non-cardiac comparison group. Two reviewers independently screened studies, extracted data, and assessed risk of bias with the Newcastle-Ottawa Scale. Random-effects meta-analysis pooled odds ratios (ORs) for study-defined binary psychological endpoints, and comparator-group subgroup analyses were treated as main analyses. Sixteen studies met the inclusion criteria, comprising 1133 patients with TTS and 1396 controls, including 1061 cardiac controls and 335 non-cardiac controls. Across studies, patients with TTS showed higher rates of acute emotional triggers, lifetime mood and anxiety disorders, trauma history, maladaptive personality traits (e.g., neuroticism and Type D personality), and broader psychological distress, including posttraumatic stress symptoms, sexual distress, and reduced quality of life. The pooled OR for overall psychological morbidity/stress exposure was 6.50 (95% CI: 3.14-13.49), with substantial heterogeneity (I<sup>2</sup> = 84.1%). Comparator-category subgroup analyses showed larger effects against acute coronary syndrome/acute myocardial infarction controls than against healthy volunteers alone. TTS is strongly associated with both acute emotional stressors and chronic psychological vulnerability, supporting models that conceptualise the syndrome as an extreme stress response of the cardiovascular system. These findings reinforce the value of routine psychosocial assessment and stress-focused interventions in the care of patients with TTS.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70182"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977145","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}
引用次数: 0
Profiles of Childhood Abuse and Biopsychosocial Outcomes in Adulthood: A Nationally Representative Sample Analysis. 儿童期虐待和成年期生物心理社会结果的概况:全国代表性样本分析。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70183
Yuxiao Zhao, Jingyi Liu, Wenhong Cheng, Xiaoning Sun
{"title":"Profiles of Childhood Abuse and Biopsychosocial Outcomes in Adulthood: A Nationally Representative Sample Analysis.","authors":"Yuxiao Zhao, Jingyi Liu, Wenhong Cheng, Xiaoning Sun","doi":"10.1002/smi.70183","DOIUrl":"10.1002/smi.70183","url":null,"abstract":"<p><p>The study explored the profiles of childhood abuse and biopsychosocial outcomes in adulthood, as well as early predictive factors. Data were drawn from Wave I (ages 11-21 years) and IV (ages 24-33 years) of the National Longitudinal Study of Adolescent to Adult Health dataset (N = 5112). Latent profile analysis (LPA) was employed to identify distinct patterns of childhood abuse and biopsychosocial outcomes (cardiometabolic risk, depressive symptoms, and socioeconomic functioning) in adulthood. Multinomial logistic regression was subsequently utilised to examine the predictive roles of early demographic factors, lifestyle behaviours, and parent-child relationships in adolescence. LPA identified five distinct profiles: low risk-adaptive, low risk-psychosocial maladaptive, medium risk-biopsychosocial maladaptive, high risk-adaptive, and high risk-psychosocial maladaptive profiles. Compared with the high risk-adaptive profile, being female and having a lower family income predicted membership in the medium risk-biopsychosocial maladaptive and high risk-psychosocial maladaptive profiles. Reduced sedentary behaviour and higher maternal closeness and warmth emerged as significant protective factors for resilient development. These findings reveal the diverse biopsychosocial outcomes associated with childhood abuse of varying severities. We also emphasise the critical need for tailored interventions that reduce sedentary time and enhance parent-child emotional closeness across different social backgrounds to foster resilience in the face of childhood adversity.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70183"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984310","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}
引用次数: 0
Developmental Dynamics of Parent-Child Relationships and Depressive Symptoms in Chinese Early Adolescents: Longitudinal Mediating Role of Perceived Stress. 中国早期青少年亲子关系发展动态与抑郁症状:知觉压力的纵向中介作用
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70180
Jiayu Han, Die Wang, Jinqian Liao, Bowen Xie, Cheng Guo
{"title":"Developmental Dynamics of Parent-Child Relationships and Depressive Symptoms in Chinese Early Adolescents: Longitudinal Mediating Role of Perceived Stress.","authors":"Jiayu Han, Die Wang, Jinqian Liao, Bowen Xie, Cheng Guo","doi":"10.1002/smi.70180","DOIUrl":"10.1002/smi.70180","url":null,"abstract":"<p><p>While the association between parent-child relationships and adolescent depressive symptoms is established, their developmental trajectories, particularly their co-developmental dynamics, and underlying mechanisms in Chinese early adolescents remain underexplored. Grounded in depression personality susceptibility theory, this study examined the longitudinal changes in these variables and tested perceived stress as a key mediator. A sample of 604 Chinese early adolescents (N = 604; Mage = 13.88) was followed across three waves over one year. Parallel process latent growth curve modelling and longitudinal mediation models with random intercepts were applied to analyse the data. Across three waves over 1 year, Parent-child relationship quality demonstrated a linear decline during early adolescence, whereas perceived stress and depressive symptoms demonstrated a linear increase. No significant association was observed between parent-child relationship quality and depressive symptoms at baseline or rates of change. Predictive effect at the between-person level was not significant, and T1 parent-child relationships did not predict T3 depressive symptoms at the within-person level. Perceived stress had a significant mediating effect at the initial level, rate of change, and between-person level. At the within-person level, T1 parent-child relationship quality predicted T3 depressive symptoms through T2 perceived stress, supporting longitudinal mediation. These findings highlight the mediating role of perceived stress, clarify the temporal relation between parent-child relationships and depression, offer theoretical support for adolescent depression alleviation and practical insights for school-based prevention.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70180"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788542","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}
引用次数: 0
Positive Childhood Experiences Can Moderate the Impact of Adverse Childhood Experiences on the Developmental Trajectory of Sleep Quality Among Adolescents. 积极童年经历可以调节不良童年经历对青少年睡眠质量发展轨迹的影响。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70181
Liurong Zhang, Cui Li, Jun Wang, Haoxiang Geng, Wenqi Su, Xingyue Wang, Jia Meng, Wenjin Hu, Shaodi Ma, Xinyue Wang, Wei Wu, Liang Sun, Qirong Qin, Mingchun Chen, Yehuan Sun, Guangbo Qu
{"title":"Positive Childhood Experiences Can Moderate the Impact of Adverse Childhood Experiences on the Developmental Trajectory of Sleep Quality Among Adolescents.","authors":"Liurong Zhang, Cui Li, Jun Wang, Haoxiang Geng, Wenqi Su, Xingyue Wang, Jia Meng, Wenjin Hu, Shaodi Ma, Xinyue Wang, Wei Wu, Liang Sun, Qirong Qin, Mingchun Chen, Yehuan Sun, Guangbo Qu","doi":"10.1002/smi.70181","DOIUrl":"10.1002/smi.70181","url":null,"abstract":"<p><p>The effects of adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) and its interactions on the development of sleep quality in adolescents were unclear. To investigate the effect of ACEs and PCEs on the developmental trajectories of sleep quality in adolescents and to examine the potential moderating role of PCEs on the effects of ACEs. This study was conducted based on Anhui Child & Adolescent Healthy Growth Cohort. Latent class growth analysis (LCGA) was applied to capture the developmental trajectory of sleep quality. Logistic regression analyses were conducted to determine the effects of ACEs and PCEs exposure on sleep quality trajectories. Interaction analyses were performed to explore the moderating role of PCEs on the impact of ACEs. A total of 877 adolescents were included in this study (mean age: 11.31 ± 1.63, 51.1% were boys). Adolescents with ACEs exposure showed higher risk of poor development of sleep quality and there was a positive dose-response relationship. Adolescents with a pattern of 'high ACE levels' exposure (OR: 3.74, 95% CI: 2.02-6.91) were more likely to experience poor sleep quality development. In contrast, adolescents with a pattern of 'high PCE levels' (OR: 0.50, 95% CI: 0.31-0.80) were less likely to experience poor sleep quality development. Moderate to high levels of PCEs exposure (3-7 PCEs) can significantly moderate the adverse effects of ACEs on sleep quality development. This study suggests that ACEs exposure adversely affects the development of sleep quality among adolescents, while PCEs can moderate this effect. These findings highlight the urgency of early screening and intervention for ACEs and emphasise the importance of implementing various strategies in early life to promote PCEs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70181"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845819","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}
引用次数: 0
The Psychosocial Imprint of Childhood Adversity: How ACEs and Stress Shape Life Satisfaction and Social Connectedness. 童年逆境的社会心理印记:ace和压力如何塑造生活满意度和社会联系。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70187
Shermeeka Hogans-Mathews, Affan Ghaffari, Erica Miller, Ransome Eke, Rasheda Haughbrook, Courtney Harold, DanTasia Welch, Ericka Horne, Manasicha Wongpaiboon, Ashley Ige, Deja Austin, Giovanna Mompremier, Profilia Nord, Kaleigh Wingate, George Rust, Yaacov Petscher, Eugenia Flores Millender
{"title":"The Psychosocial Imprint of Childhood Adversity: How ACEs and Stress Shape Life Satisfaction and Social Connectedness.","authors":"Shermeeka Hogans-Mathews, Affan Ghaffari, Erica Miller, Ransome Eke, Rasheda Haughbrook, Courtney Harold, DanTasia Welch, Ericka Horne, Manasicha Wongpaiboon, Ashley Ige, Deja Austin, Giovanna Mompremier, Profilia Nord, Kaleigh Wingate, George Rust, Yaacov Petscher, Eugenia Flores Millender","doi":"10.1002/smi.70187","DOIUrl":"10.1002/smi.70187","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) and stress are associated with both mental health and chronic medical conditions later in life. Social and psychosocial determinants of mental health, including social connectedness measures (i.e., emotional support and social isolation), and life satisfaction, can serve as protective or risk factors shaping overall mental well-being. The purpose of this study was to examine the links between adverse childhood experiences, stress, and three psychosocial outcomes: emotional support, social isolation, and life satisfaction in US adults along with determining whether these relationships varied by race and sex. Cross-sectional data were obtained from the 2022 Behavioural Risk Factor Surveillance System dataset. The main predictor variables were ACEs reported stress levels, race/ethnicity, and sex. The outcome variables measured were social isolation, life satisfaction, and emotional support. Survey procedures were used to build the multiple logistic regression models to measure the association between predictor and outcome variables. Adjusted odds ratios (OR), 95% confidence intervals (CI), and p-values were computed. When controlling for covariates, both the ACE count category and stress demonstrated a statistically significant association with all three outcome variables (i.e., life satisfaction, social isolation, and emotional support). When controlling for ACE count category and stress levels, race and sex both demonstrated a statistically significant association with social isolation and emotional support. Our study demonstrated that ACEs and chronic stress are significantly associated with lower life satisfaction, increased social isolation, and reduced emotional support. Racial and sex differences persisted even after adjusting for covariates. Our findings underscore the lasting psychosocial effects of early adversity and the need for culturally sensitive interventions, community-based support systems, and early prevention programs to promote long-term well-being.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70187"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165369","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}
引用次数: 0
Heart Rate Variability, Parental Stress, Child's Challenging Behaviour and Advanced Glycation End Products in Parents of Children With Chronic Conditions. 慢性疾病儿童父母的心率变异性、父母压力、儿童挑战行为和晚期糖基化终产物
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70185
Marija Ljubičić, Ivana Kolčić
{"title":"Heart Rate Variability, Parental Stress, Child's Challenging Behaviour and Advanced Glycation End Products in Parents of Children With Chronic Conditions.","authors":"Marija Ljubičić, Ivana Kolčić","doi":"10.1002/smi.70185","DOIUrl":"10.1002/smi.70185","url":null,"abstract":"<p><p>Child's challenging behaviours can pose complex, highly stressful demands on parents. Such chronic stress may affect autonomic regulation, particularly vagal balance, and increase oxidative stress and the risk of developing chronic diseases. This study investigated the association between the child's challenging behaviour and heart rate variability, psychological and oxidative stress in parents of children with chronic conditions. We included parents of children with autism spectrum disorder, cerebral palsy, Down syndrome, diabetes type 1, and parents of healthy children. Multivariate linear regression was used to determine the association between parenting, the child's challenging behaviour, parental stress, resilience, heart rate variability, and advanced glycation end products. Parents of children with autism spectrum disorder reported the highest level of child's challenging behaviour, while parents of children with diabetes type 1 showed lower stress resistance. Child's challenging behaviour was significantly associated with higher parental stress, reduced stress resilience, higher advanced glycation end products and longer mean interval between heartbeats. Advanced glycation end products were associated with parental age, nonsmoking, and time-domain parameter pNN50. Parents of children with chronic conditions had increased sympathetic activity and impaired sympathovagal balance. The study confirms the increased risk for the development of adverse health outcomes in parents of children with chronic conditions. A healthy lifestyle and non-pharmacological strategies, including heart rate variability biofeedback and emotional self-regulation, alongside respite care programs, may help prevent disrupted autonomic function, oxidative stress, and parental overload. Public health programs are essential to promote health and slow the ageing process in these vulnerable populations.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70185"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058144","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}
引用次数: 0
Chronic Academic Stress Differentially Modulates Value-Driven Attentional Capture. 慢性学业压力差异调节价值驱动的注意捕获。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70188
Zhaoxiang Song, Mingming Qi, Heming Gao
{"title":"Chronic Academic Stress Differentially Modulates Value-Driven Attentional Capture.","authors":"Zhaoxiang Song, Mingming Qi, Heming Gao","doi":"10.1002/smi.70188","DOIUrl":"10.1002/smi.70188","url":null,"abstract":"<p><p>This study investigates how chronic academic stress modulates value-driven attentional capture. The stress group (students preparing for the National Postgraduate Entrance Examination, NPEE) and the control group completed a training-test task. During training, colours (red/green) were associated with monetary rewards (high/low) when serving as targets. In the test phase, these value-associated colours served as distractors during visual search. Task performance and distractor-induced attentional capture effects were measured. Results indicated that: (1) the stress group showed elevated perceived stress, state anxiety, and negative affect, along with an attenuated cortisol awakening response (CAR), confirming successful chronic stress induction; (2) during training, the stress group responded faster to value-associated targets than controls, indicating either stress-enhanced attentional prioritisation of valued stimuli or elevated general vigilance; (3) in the test phase, the stress group showed greater attentional capture than controls specifically for high-value (but not low-value) distractors. Furthermore, this effect correlated with both blunted CAR and heightened anxiety in stressed individuals. These findings suggest that chronic academic stress differentially modulates attentional processing: it facilitates the selection of valued targets through increased reward salience, while compromising inhibitory control over high-value distractors, thereby amplifying their attentional capture.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70188"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139618","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}
引用次数: 0
'Does the Skin Remember?' A Systematic Review on the Association Between Stressful and Traumatic Experiences and Dermatological Disorders. “皮肤还记得吗?”应激和创伤经历与皮肤疾病关系的系统综述。
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70184
Chiara Morale, Caterina Piras, Filippo Cellucci, Arianna Sbardella, Valeria Carola, Giampaolo Nicolais
{"title":"'Does the Skin Remember?' A Systematic Review on the Association Between Stressful and Traumatic Experiences and Dermatological Disorders.","authors":"Chiara Morale, Caterina Piras, Filippo Cellucci, Arianna Sbardella, Valeria Carola, Giampaolo Nicolais","doi":"10.1002/smi.70184","DOIUrl":"10.1002/smi.70184","url":null,"abstract":"<p><p>Dermatological conditions are a major contributor to global nonfatal disease burden. Evidence suggests that psychological stress and trauma, including adverse childhood experiences (ACEs), stressful life events (SLEs), and post-traumatic stress disorder (PTSD), may affect the onset and severity of inflammatory and stress-responsive skin diseases, though findings remain fragmented. This systematic review aimed to synthesise evidence on associations between stress- and trauma-related exposures and dermatological conditions across the lifespan, focusing on timing, chronicity, and cumulative stress. The review followed PRISMA 2020 guidelines. Searches were conducted in Scopus, PubMed, and PsycINFO (from January 2000 to November 2025). Eligible studies were peer-reviewed empirical investigations of stress- or trauma-related exposures and dermatological outcomes in children or adults. Risk of bias was assessed using the Newcastle-Ottawa Scale and Joanna Briggs Institute checklists; only low- and moderate-risk studies were included. Thirty studies met inclusion criteria. Stress- and trauma-related exposures were associated with increased risk, earlier onset, or greater severity of conditions, particularly psoriasis, atopic dermatitis, alopecia areata, and chronic urticaria. Associations were strongest for early-life adversity and cumulative stress. Results support an association between trauma-related exposures and dermatological outcomes. Longitudinal studies are needed to clarify temporal relationships and inform psychosocial assessment.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70184"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018832","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}
引用次数: 0
Exploring Goal Flexibility and Mental Health in University Students: A Qualitative Approach. 目标灵活性与大学生心理健康的质性探讨
IF 2.9 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70195
Ngai Yan Mary Chun, Aaron Simpson, Nikos Ntoumanis, Claire Willis, Marina Milyavskaya, Timothy Budden
{"title":"Exploring Goal Flexibility and Mental Health in University Students: A Qualitative Approach.","authors":"Ngai Yan Mary Chun, Aaron Simpson, Nikos Ntoumanis, Claire Willis, Marina Milyavskaya, Timothy Budden","doi":"10.1002/smi.70195","DOIUrl":"10.1002/smi.70195","url":null,"abstract":"<p><p>University students face obstacles while pursuing their goals, and these challenges risk undermining their mental health. Goal flexibility has been identified as beneficial for promoting well-being and protecting mental health; however, the relationship between goal flexibility and mental health challenges remains underexplored. This study aims to understand how students engage in goal flexibility during periods of mental health challenges. We interviewed Australian university (n = 20) and university college (n = 1) students, comprising predominantly psychology students (81%), recruited through purposive and snowball sampling and analyzed data using reflexive thematic analysis. We identified two predominant perceptions of goal flexibility: (1) modifying the pathway to a long-term goal; and (2) acceptance that not all goals are achievable and moving on. Participants described using three strategies to promote goal flexibility: (1) health and social behaviors; (2) contemplative practice; and (3) 'practical' strategies. Participants reported a range of mental health challenges-most commonly stress, anxiety, and depressive symptoms, alongside longer-term diagnosed conditions (e.g., ADHD), and we identified different patterns in how these affected participants' capacity to engage in goal flexibility. Goal flexibility processes were in turn experienced as supportive of mental health, primarily by reinforcing personal agency, with participants describing specific processes (e.g.., goal revision, freezing, and reengagement) as helpful for the specific challenge(s) they were facing. Participants expressed concerns that being \"too flexible\" with goals could have negative mental health consequences and undermine agency. Future research should conduct more targeted studies examining goal flexibility among individuals experiencing specific mental health challenges. Additionally, research should include diverse populations, such as students on-campus, from varied disciplines, ages, socioeconomic, and cultural backgrounds.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70195"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310444","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}
引用次数: 0
Affective Dynamics in Youth Problematic Internet Use Heterogeneous Trajectories: Longitudinal Cross-Lagged Network Analysis of Anxiety, Depression, and Stress. 青少年问题网络使用的情感动态:焦虑、抑郁和压力的纵向交叉滞后网络分析。
IF 2.7 2区 心理学
Stress and Health Pub Date : 2026-06-01 DOI: 10.1002/smi.70189
Huaiyuan Qi, Hongqiao Shi, Jiangyong Li, Meng Li, Xuhuai Chen, Yangmei Luo
{"title":"Affective Dynamics in Youth Problematic Internet Use Heterogeneous Trajectories: Longitudinal Cross-Lagged Network Analysis of Anxiety, Depression, and Stress.","authors":"Huaiyuan Qi, Hongqiao Shi, Jiangyong Li, Meng Li, Xuhuai Chen, Yangmei Luo","doi":"10.1002/smi.70189","DOIUrl":"10.1002/smi.70189","url":null,"abstract":"<p><p>A growing body of research links problematic internet use (PIU) in youth to anxiety, depression, and stress, yet the dynamic interactions between these negative emotions, heterogeneous PIU trajectories, and their dimensional drivers remain unclear. To address this gap, a two-wave longitudinal study of 5108 Chinese students (M<sub>age</sub> = 18.28, SD = 0.84; 67.6% female) identified distinct PIU trajectories based on empirical longitudinal data and used cross-sectional/cross-lagged network analyses to explore these dynamics. Cross-sectional findings showed that the Remitted group had lower negative emotion levels and inter-network connection strength over time, whereas the Incident group exhibited the reverse; specific anxiety symptoms (e.g., \"restlessness\" in Incident PIU) also had the strongest links to overall emotional network cohesion. Cross-lagged analyses further indicated that in the Persistent/Incident groups, stress symptoms acted as the primary trigger for subsequent negative emotions. Moreover, their cross-lagged emotional networks had significantly higher global strength than those of the Remitted/Persistent Non-PIU groups. These findings suggest that emotional network features vary by PIU trajectory group and that stress symptoms may be the core driver of emotional deterioration in the Persistent/Incident groups. The study emphasises intervention priorities: prioritise stress management for Persistent/Incident groups to prevent emotional deterioration, and monitor residual emotional connections in Remitted groups to avoid recurrence.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70189"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165324","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}
引用次数: 0
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