Stress and Health最新文献

{"title":"Examining hypothalamic-pituitary-adrenal axis genetic variation on cortisol and alpha-amylase reactivity during an explicit negative-evaluative stress induction.","authors":"Alessandra R Grillo, Lisa R Starr, Suzanne Vrshek-Schallhorn","doi":"10.1002/smi.3484","DOIUrl":"10.1002/smi.3484","url":null,"abstract":"<p><p>Prior work consistently links additive genetic variation in the hypothalamic-pituitary-adrenal (HPA) axis-a multilocus genetic profile score (MGPS)-to depression risk in the context of stress exposure. However, despite that HPA MGPS variants were selected based on evidence that they elevate cortisol reactivity, there are surprisingly few tests of whether an HPA MGPS elevates cortisol reactivity to lab-based stress. Similarly, despite neurobiological connections and coordination between the HPA axis and the sympathetic nervous system (e.g., in the paraventricular nucleus and locus coeruleus), no work has tested whether an HPA MGPS influences sympathetic nervous system reactivity to stress. We investigated whether an HPA MGPS moderates the relation between lab-based stress and: (1) HPA activity indexed by cortisol, and/or (2) sympathetic activity indexed by salivary alpha-amylase, sAA. Emerging adults (N = 152; mean age = 19.5, largest subsample 44.4% Black/African American) were randomly assigned to one of two Trier Social Stress Test variations, a non-evaluative control, or an explicitly negative-evaluative condition. Participants provided DNA and repeated saliva samples for sAA and cortisol. The HPA MGPS did not significantly moderate the relationship between stress condition and cortisol or sAA reactivity, respectively; moreover, post-hoc tests highlight that individual polymorphisms showed non-significant effects in opposite directions from each other, cancelling out in aggregate. Findings suggest that the HPA MGPS's associations with cortisol reactivity are not as straightforward as initially believed. We speculate that the relationships of some HPA variants to biomarker reactivity may vary between modest lab-based stressors and the explicit negative-evaluative induction used here.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3484"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373538","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":"Addressing Mental Health Symptoms Among COVID-19 Healthcare Workers: A Heart Rate Variability Biofeedback Pilot Study.","authors":"Darlene Lee, Ashwini Erande, Georgia Christodoulou, Shaista Malik","doi":"10.1002/smi.3502","DOIUrl":"10.1002/smi.3502","url":null,"abstract":"<p><p>Psychological stress among frontline healthcare workers (HCWs) increased during the COVID-19 pandemic, elevating mental health risks. Heart rate variability biofeedback (HRV-BF) is an evidence-based intervention with potential to reduce psychological burden on frontline HCWs; however, no studies have examined its use among this population since the pandemic began. We designed a trial to assess the effects of a brief HRV-BF intervention delivered via telemedicine on measures of anxiety, depression and stress, and heart rate variability, compared to an in-person intervention. We hypothesised that the telemedicine intervention would be non-inferior to the in-person intervention. Using a randomized comparison trial design, we tested a 10-day brief heart rate variability biofeedback intervention among frontline HCWs during the COVID-19 pandemic. They received remote, 30-min guided sessions every other day and were taught methods of heart rate variability biofeedback. Depression, anxiety and stress were assessed at baseline, 10 days, and 40 days with additional measures of anxiety measured before and after each session. HRV scores were collected at baseline, as well as during the course of the 10 days. Multilevel modelling was used to examine the change in depression, anxiety, stress and HRV scores across multiple time points and session types (telemedicine vs. in-person). There was no significant differences between telemedicine (n = 32) and in-person (n = 15) interventions on the main outcomes. Both session types showed a significant decrease in depression, anxiety and stress scores across the entire intervention, and HRV scores significantly increased across both groups. Anxiety levels also significantly decreased after each session. The non-inferiority of the telemedicine intervention to a comparable in-person intervention affirms its promise for decreasing anxiety, depression and stress among frontline HCWs and may offer a cost-effective and feasible tool to use in crises situations.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3502"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607330","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":"Neurobiological and Anti-Inflammatory Effects of a Deep Diaphragmatic Breathing Technique Based on Neofunctional Psychotherapy: A Pilot RCT.","authors":"Giuseppe Maniaci, Marco Daino, Maria Iapichino, Alessandra Giammanco, Calogero Taormina, Giuseppina Bonura, Zaira Sardella, Giuseppe Carolla, Patrizia Cammareri, Emanuele Sberna, Maria Francesca Clesi, Laura Ferraro, Caterina Maria Gambino, Marcello Ciaccio, Luciano Rispoli, Caterina La Cascia, Daniele La Barbera, Diego Quattrone","doi":"10.1002/smi.3503","DOIUrl":"10.1002/smi.3503","url":null,"abstract":"<p><p>We examined the feasibility of using the neofunctional deep breathing (NDB) technique to reduce the allostatic load following the Trier Social Stress Test (TSST). Forty-four healthy subjects were randomised into experimental and control groups. Following the TSST procedure, participants underwent either a single session of NDB or an attention control intervention. The Procomp Infinity Biofeedback system measured breath per minute (BPM), respiratory amplitude, HRV linear domains, skin conductance, and trapezius muscle electromyographic activity. Cortisol and cytokine salivary concentrations, perceived stress, and anxiety levels were also assessed. These parameters were combined into an allostatic load index (ALI) to measure the intervention's effect. This pilot RCT demonstrated the feasibility of the study design and practicality of the intervention. The NDB group showed reduced ALI, increased respiratory abdominal amplitude, decreased BPM, increased HRV indicating parasympathetic activation, and decreased cortisol and inflammatory cytokines. This study highlighted the feasibility of testing the NDB technique in reducing allostatic load through a neurobiological and anti-inflammatory response after exposure to psychosocial stress. This protocol can represent a non-invasive therapeutic adjutant in disorders related to a dysregulation of the HPA axis or to an inflammatory state. Trial Registration: NCT04102813.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3503"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630937","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":"Perceived control predicts lower end-of-day stress through engagement in moderate or vigorous physical activity: A daily diary study in a US adult sample.","authors":"Zachary E Magin, Katherine E Gnall, Mariel Emrich, Crystal L Park","doi":"10.1002/smi.3487","DOIUrl":"10.1002/smi.3487","url":null,"abstract":"<p><p>Perceived control (PC) is associated with lower perceived stress, but the mechanisms of this relationship have not yet been established. The current study examined whether moderate or vigorous intensity physical activity (MVPA) mediated the relationship between PC and daily stress in a sample of US adults. Participants (N = 264, M_age = 34.08, 61.4% female) completed a baseline measure of two dimensions of PC (i.e., mastery and constraints), followed by 11 days of daily surveys that assessed daily MVPA and perceived stress. We employed linear mixed effects modelling to estimate the within-and between-person indirect effects (IE) of MVPA on the relationships between each dimension of PC and daily perceived stress. Greater PC (i.e., higher mastery and lower constraints) was associated with a higher frequency of MVPA engagement, and participants reported lower levels of end-of-day perceived stress on the days in which they had engaged in MVPA. We observed within-person mediating effects of MVPA on the relationship between both PC dimensions and daily stress (mastery: within-person IE = -0.03, 95% CI: [-0.06, -0.01]; constraints: within-person IE = 0.03, 95% CI: [0.01, 0.06]). These findings suggest that MVPA is a potential mechanism through which US adults with greater PC experience reduced levels of daily stress. The current study illuminates a key pathway for the stress-reducing impact of PC to inform future research and interventions targeting stress and its associated sequelae.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3487"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300352","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":"Correlating Personality Traits With Acute Stress Responses in Earthquake Simulations: An HRV and RESP Analysis.","authors":"Jing Li, Jingzheng Zhu, Cheng Guan, Tong Shen, Biao Zhou","doi":"10.1002/smi.3510","DOIUrl":"10.1002/smi.3510","url":null,"abstract":"<p><p>Earthquakes, as significant natural disasters, still cannot be accurately predicted today. Although current earthquake early warning systems can provide alerts several seconds in advance, acute stress responses (ASR) in emergency situations can waste these precious escape seconds. To investigate the correlation between personality and ASR, this study collected the temperament and character of all participants using the Chen Huichang-60 Temperament Scale and the DISC Personality Inventory. In addition, this study simulated growing earthquakes in an earthquake experience hall, collecting heart rate variability and respiration signal variations throughout the process from subjects. Multivariate analysis of variance (MANOVA) and Toeplitz Inverse Covariance-Based Clustering methods were used to analyse the differences and connections between them. Furthermore, this study employed a deep learning model that combines Convolutional Neural Networks (CNN) and Long Short-Term Memory (LSTM) to predict ASR across personalities. This model used datasets from the majority dataset of a certain personality and a single participant, respectively, and showed different performance. The results are as follows. After categorising participants based on personality test results, MANOVA revealed significant differences between the personality groups Influence-Choleric and Influence-Sanguine (p = 0.001), Influence-Phlegmatic and Steadiness-Sanguine (p = 0.023), Influence-Sanguine and Steadiness-Sanguine (p < 0.001) and Influence-Sanguine and Steadiness-Phlegmatic (p < 0.001), as well as across different earthquake stages (p < 0.01). The clustering method quantified stress responses over time for different personalities and labelled ASR levels for use in supervised learning. Ultimately, the CNN-LSTM model performed predictions of ASR using both personality and individual datasets, achieving the AUC of 0.795 and 0.72, demonstrating better prediction and classification effectiveness with the former. This study provides a new personality-based method for earthquake stress management, creating possibilities for longitudinal stress research and prediction. It aids the general public in comprehending their own acute stress and allows authorities and communities to make practical, efficient disaster evacuation plans based on the overall situation of public ASR.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3510"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711686","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":"Burnout, working alliance, and ward atmosphere: A multisite study of mental health professionals and patients with schizophrenia.","authors":"Miriam D'Addazio, Laura Poddighe, Renzo Bianchi, Stefano Calza, Martina Carnevale, Fabrizio Starace, Manuel Zamparini, Giovanni de Girolamo","doi":"10.1002/smi.3492","DOIUrl":"10.1002/smi.3492","url":null,"abstract":"<p><p>This study examined the association between burnout, psychological distress, ward atmosphere, and working alliance (WA) among mental health workers treating patients with schizophrenia spectrum disorder (SSD). Data were collected from 345 patients with SSD and 151 mental health workers across 98 residential facilities (RFs) as part of the DiAPAson project from October 2020 to October 2021. Participants were excluded from the study if they exhibited patient-operator matching errors, dropped out, or had many missing Maslach Burnout Inventory (MBI) scores. The final sample included 282 patients and 155 healthcare workers. Burnout was assessed using the MBI. Psychological distress was evaluated with the 12-item version of the General Health Questionnaire. WA and ward atmosphere were evaluated with the WA Inventory and the Ward Atmosphere Scale, respectively, in both staff and patients. Sociodemographic and clinical data was also collected and analysed. Burnout was associated with a less supportive ward atmosphere, a weaker WA, and higher staff distress. Severe psychiatric symptoms evaluated with Brief Psychiatric Rating Scale in patients were also linked to staff burnout levels. Discrepancies in the perceptions of the ward atmosphere and the WA were observed between staff and patients, with patients reporting better perceptions in both domains. Our findings highlight the complex dynamics of well-being within psychiatric care settings, emphasizing the importance of role clarity, professional autonomy, and a positive ward atmosphere in mitigating burnout. Interventions focused on such factors may help support mental health professionals involved in SSD patient care. ISRCTN registry ID ISRCTN21141466.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3492"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401898","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 actor-partner interdependence model of fertility stress and marital quality among couples undergoing in vitro fertilization and embryo transfer: The mediating role of dyadic coping.","authors":"Xiaorun Song, Jing Zhao, Zhuoni Xiao, Hui Ye, ShiSi Dong, Lili Hu, Zhongxiang Cai","doi":"10.1002/smi.3483","DOIUrl":"10.1002/smi.3483","url":null,"abstract":"<p><p>To explore the relationships among fertility stress, dyadic coping and marital quality in couples undergoing in vitro fertilization-embryo transfer (IVF-ET). Couples receiving IVF-ET treatment at the clinic of the reproductive medicine centre of a hospital in China from February 2023 to October 2023 were selected by convenience sampling. A general information questionnaire, the Infertility Fertility Stress Scale (COMP-FPSS-SF), the dyadic coping inventory, and the marital adjustment test were used to evaluate the results. AMOS24.0 software was used to construct an actor-partner interdependence model that extended to mediation to analyze the relationships among couples' fertility stress, dyadic coping, and marital quality. The fertility stress level of IVF-ET wives was significantly higher than that of their husbands (p < 0.05). Wives' levels of dyadic coping and marital quality were significantly lower than those of husbands (p < 0.05). Fertility stress, dyadic coping, and marital quality were positively correlated between IVF-ET couples (p < 0.01). In terms of the actor effect, the fertility stress of IVF-ET couples had a significant impact on their marital quality through their dyadic coping (β = -0.188, p < 0.05; β = -0.109, p < 0.05). In terms of partner effects, wives' fertility stress significantly affected their husbands' marital quality through their own or their husbands' dyadic coping (β = -0.055, p < 0.01; β = 0.157, p < 0.01). Dyadic coping mediates the relationship between fertility stress and marital quality in IVF-ET couples. Nurses can use husbands and wives as central individuals and dyadic coping as the starting point to formulate intervention measures to reduce fertility stress and improve marital quality.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3483"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480118","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":"Exploring the Utility of a Real-Time Approach to Characterising Within-Person Fluctuations in Everyday Stress Responses.","authors":"Meynard John L Toledo, Matthew J Zawadzki, Stacey B Scott, Jillian A Johnson, David Marcusson-Clavertz, Jinhyuk Kim, Stephanie Lanza, David M Almeida, Martin J Sliwinski, Joshua M Smyth","doi":"10.1002/smi.3501","DOIUrl":"10.1002/smi.3501","url":null,"abstract":"<p><p>Few studies have measured components of stress responses in real time-an essential step in designing just-in-time interventions targeting moments of risk. Using ecological momentary assessment (EMA), we characterised stress response components to everyday stressors, including reactivity (the response following a stressor), recovery (the return towards baseline), and pile-up (the accumulation of stressors) (RRPs) by quantifying the dynamics of response indicators (i.e., subjective stress, negative affect, and perseverative cognition). To determine the utility of these novel measures in capturing and characterising acute moments of the stress response, this study evaluated the proportion of variance in RRPs attributed to (1) between-person, (2) between-days, and (3) within-day (momentary) levels. Healthy adults (n = 123; aged 35-65, 79% women, 91% non-Hispanic White) participated in a 14-day study assessing stress response via EMA 6 times a day. RRPs were constructed from 10,065 EMA reports. Multilevel models with moments nested within days nested within persons were used to partition variance in the RRPs. Reactivity and recovery indicators captured the most variation within-days (i.e., across moments; range 76%-80% and 87%-89%, respectively), with small amounts of variance between-person. For pile-up, variation was mostly observed between-days (range 60%-63%) and between-persons (range 27%-31%). In contrast, raw measures of stress response reflected substantial between-person (range 32%-54%) and within-day (range 34%-53%) variance. These results demonstrated that a person-specific approach to measuring stress response components (i.e., RRPs) can capture the dynamic within-person variation in stress response, as it occurs in real time, making it well-suited for use in novel just-in-time interventions targeting moments of risk.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3501"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630928","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":"Evaluating the impact of metabolic and cognitive stress on ghrelin and nesfatin-1 hormones in patients with diabetes and diabetic depression.","authors":"Sermin Algul, Oguz Ozcelik","doi":"10.1002/smi.3435","DOIUrl":"10.1002/smi.3435","url":null,"abstract":"<p><p>Nesfatin-1 and ghrelin, initially recognised as hormones involved in regulating energy, have emerged as crucial players with vital functions in various human body systems. In this study, we conducted a comparative assessment of nesfatin-1 and ghrelin responses in individuals experiencing metabolic stress due to diabetes, those with depressive diabetes characterised by both metabolic and mental stress, and healthy controls. We collected blood samples from a total of 90 participants, consisting of 30 people with type II diabetes mellitus (DM), 30 people with type II DM and major depressive disorders, and 30 healthy individuals. Diabetes was diagnosed based on glycated haemoglobin (HbA1c) levels, while depression was assessed using DSM-V criteria. Insulin resistance (HOMA-IR) was calculated, and serum ghrelin and nesfatin-1 levels were measured using ELISA kits. We observed statistically significant decreases in nesfatin-1 and ghrelin levels in the diabetic group (p < 0.0001). However, in the depressive diabetic group, nesfatin-1 levels increased significantly, while ghrelin levels decreased further. The nesfatin-1 to ghrelin ratio decreased in the diabetic group but increased significantly in the depressive diabetic group (p < 0.0001). Nesfatin-1 and ghrelin hormones exhibit parallel impacts in response to metabolic stress, but nesfatin-1 demonstrates contrasting actions compared to ghrelin when mental stress is added to metabolic stress. The findings of this study suggest that nesfatin-1 and ghrelin hormones may play active roles as protective, prognostic, and even etiological factors in various stress situations, particularly those involving mental stress, in addition to their known functions in regulating energy.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3435"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293924","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":"A longitudinal study of the relationships among competency-based teasing, positivity, and depressive symptoms in Chinese children: Highlighting gender differences.","authors":"Zhaoyuan Liang, E Scott Huebner, Shan Shao, Lili Tian","doi":"10.1002/smi.3438","DOIUrl":"10.1002/smi.3438","url":null,"abstract":"<p><p>Competency-based teasing has been identified as a risk factor for children's depressive symptoms. However, the specific psychological mechanisms mediating this relationship are not well understood, especially in the context of Chinese culture. This study examined the relationship between competency-based teasing, subsequent depressive symptoms, and the possible mediating role of positivity in Chinese children by using parallel process latent growth curve modelling. Gender differences were also explored. A sample of 4376 Chinese children (55.1% boys; age: M = 9.98 years, SD = 0.88) completed measurements of the relevant constructs on five occasions across 2 years, using half-year intervals. The findings revealed that competency-based teasing was significantly positively associated with subsequent depressive symptoms in Chinese children. Furthermore, positivity mediated this relationship in girls, but not in boys. The results suggest that positivity-cultivating and gender-specific interventions may be effective to reduce the risk of depressive symptoms in Chinese children.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3438"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332443","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}