Stress and Health最新文献

{"title":"A Contemporaneous and Longitudinal Network Analysis of Fear of Disease Progression and Dyadic Self-Care in Stroke Patients and Their Spouses.","authors":"Luyi Xu, Tingting Lin, Siyi Su, Zheng Wang, Yun Li, Ping Li","doi":"10.1002/smi.70166","DOIUrl":"10.1002/smi.70166","url":null,"abstract":"<p><p>This is a longitudinal stydy to explore the relationship between fear of disease progression and dyadic self-care in stroke patients and their spouses. Between August 2024 and May 2025, 369 stroke patient-spouse dyads completed two rounds of surveys, including the General Demographic Questionnaire, the Fear of Progression Questionnaire Short Form, the Fear of Progression Questionnaire Short Form/Partner, the Self-Care of Chronic Illness Inventory, and the Caregiver Contribution to Self-Care Chronic Illness Inventory. Contemporaneous and cross-lagged network analyses were used to examine the interaction between these variables in stroke patients and spouses. Contemporaneous networks confirmed: (1) At dimensional level, there is a positive association between patients' self-care behavior and spousal contribution to self-care, as well as a positive association between their mutual fear of disease progression; (2) Spouses' fear of disease progression negatively correlated with their spousal contribution to self-care at dimensional level. Cross-lagged network confirmed bidirectional predictions between: (1) patients' fear of disease progression and their self-care; (2) spouses' fear of disease progression and their contribution to self-care. Patients' fear of disease progression and self-care dimensions predicted corresponding dimensions in spouses. The fear of disease progression and dyadic self-care among stroke patients and their spouses are dyadic phenomena and can predict each other. Stroke rehabilitation is a dynamic dyadic synergy; both partners' behaviours and emotions change together. Future rehabilitation programs should be phased and multi-targeted. In the early phase, focus on disease knowledge and symptom management to alleviate physiological fear. In the later phase, reconstruct social roles and family communication, correct the cognitive biases of spouses regarding patients' self-care behaviours, break negative loops, and promote mutual growth.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70166"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500528","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":"Examining the Role of the Workplace in Shaping Black Mothers' Postpartum Mental Health.","authors":"Ciara S Venter, Diego I Barcala-Delgado, Maureen Perry-Jenkins, Lucinda Canty, Favorite Iradukunda","doi":"10.1002/smi.70168","DOIUrl":"10.1002/smi.70168","url":null,"abstract":"<p><p>Despite increasing recognition of the workplace as a key social determinant of health, the role of the workplace in shaping the mental health and well-being of Black mothers has been understudied. The current study examined whether certain occupational stressors and coping resources (i.e., pressure, flexible work arrangements, benefits, supervisor support, and coworker support), predicted levels and changes in African American mothers' depressive symptoms from 6 to 24 months postpartum. Analyses were conducted using data from the Family Life Project, which included 152 full-time employed African American mothers living in rural, low-income communities in North Carolina and Pennsylvania. Results revealed that more flexible work arrangements and greater support from supervisors and coworkers predicted fewer depressive symptoms at 6 months postpartum. Additionally, greater work pressure predicted more depressive symptoms at 6 months postpartum as well as increases in depressive symptoms over time. Furthermore, coworker support and workplace flexibility interacted to predict depression levels at 6 months postpartum, with less flexibility associated with higher levels of depression under conditions of low support. This study demonstrates the critical role of the workplace in shaping maternal mental health outcomes for African American mothers during the postpartum period. Findings underscore the importance of understanding work stressors that may heighten risk for maternal depression as well as leveraging the resources that serve as protective factors to promote better mental health outcomes for Black mothers. Implications and future directions are further discussed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70168"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469827","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":"Barriers and Facilitators to Participation in Interventions for Employee Health and Wellbeing in the University Context.","authors":"Abigail Bailey, Dorien Kooij, Renee de Reuver, Nina Kupper","doi":"10.1002/smi.70163","DOIUrl":"10.1002/smi.70163","url":null,"abstract":"<p><p>University employees experience high levels of work-related stress and burnout, yet despite an abundance of interventions, participation remains low and they don't reach those who need them most. This study identified major stressors in the university environment and barriers and facilitators to participation in wellbeing interventions, focussing on differences between academic and support staff. Utilising a Delphi-style methodology, the research included semi-structured interviews and focus groups, followed by a ranking questionnaire to identify and evaluate the most significant stressors, barriers, and facilitators. Data were collected from 38 employees from a Dutch university. Major findings indicate that organisational policies, high workload, and lack of autonomy were prevalent stressors. Workload was a universal barrier, while time and perceived need facilitated participation. Differences were observed across academic and support staff. The study underscores the importance of tailored intervention strategies that address the specific needs of employee groups to increase participation in wellbeing programs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70163"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12993803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469784","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":"Trajectories of Alcohol-Related Problems Among First-Year Nursing Students: Nature, Predictors, and Outcomes.","authors":"Pierre Cheyroux, Alexandre J S Morin, Roisin M O'Connor, Philippe Colombat, Alexis Vancappel, Rayana Eltanoukhi, Nicolas Gillet","doi":"10.1002/smi.70162","DOIUrl":"10.1002/smi.70162","url":null,"abstract":"<p><p>This study aims to contribute to an improved dynamic person-centred comprehension of the distinct trajectories of alcohol-related problems observed among first-year nursing students. Data was collected from 2963 first-year nursing students on four occasions over the course of their first semester of professional training (3 months). Four main profiles best described trajectories of alcohol-related problems: High and Decreasing, Moderate and Stable, Moderate and Increasing, and Low and Stable. Our results suggested that initial (but not change in) levels of boredom, harassment, and alcohol use were primary drivers of these trajectories, reinforcing importance of early intervention. Initial levels of boredom and alcohol use were associated with a lower likelihood of membership into the Low and Stable profile relative to the other profiles. Boredom was also associated with higher initial levels of alcohol-related problems in the High and Decreasing and Low and Stable profiles, while alcohol use was associated with membership into the Moderate and Stable profile relative to High and Decreasing and Moderate and Increasing profiles, as well as with higher initial levels and fluctuations over time in alcohol-related problems in most profiles. Harassment was associated with higher initial levels of alcohol-related problems in the Moderate and Stable profile, and with fluctuations in problems in the High and Decreasing and Moderate and Stable profiles. Profiles with lower levels of alcohol-related problems tended to display lower levels of fatigue, and higher levels of perceived health and sleep quantity. Conversely, profiles with higher levels of alcohol-related problems displayed poorer health outcomes. The person-centred approach adopted in this study allows us to improve our understanding of how alcohol-related problems first unfold among first-year nursing students, as well as of the outcomes and predictors of these trajectories.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70162"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379602","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":"Physiological Responses to Virtual Reality-Based Stress Regulation and Relaxation Interventions: A Systematic Review.","authors":"Lisanne M Robbemond, Matthijs L Noordzij, Catheleine M G van Driel, Wim Veling","doi":"10.1002/smi.70164","DOIUrl":"10.1002/smi.70164","url":null,"abstract":"<p><p>Physiological markers are increasingly used to monitor individuals undergoing Virtual Reality (VR) stress interventions. However, several challenges arise when employing these markers to assess the impact of VR stress interventions. This systematic review synthesises and critically discusses the literature on VR stress interventions across contexts, study designs using physiological markers, marker usage, measurement setups, trends in interpreting data for stress recovery, and meanings assigned to marker changes. This review follows the PRISMA guidelines. EMBASE, IEEE Xplore, PsycINFO, PubMed, and Web of Science were searched until 12th March 2024. Studies were included if they used a head-mounted display (HMD) VR stress intervention and evaluated at least one physiological marker. The quality of studies was evaluated using the Evaluation Public Health Practice Project tool. Data were systematically extracted and summarised thematically and narratively. This review was registered with PROSPERO ID: CRD42024510162. Out of 11,479 articles identified, 69 studies were included: 59 conducted in the general population, four in mental healthcare, and six in the professional context. Study characteristics, experiment characteristics, and physiological outcomes were extracted. Most studies featured nature-based experiences, referenced Attention Restoration Theory (ART) and Stress Reduction Theory (SRT), and induced stress with mental arithmetic tasks or the Trier Social Stress Test (TSST). Many studies lacked theoretical grounding, had small sample sizes, conducted only a single VR session in a laboratory setting, and had low quality. Physiological markers and timepoints varied widely, with heart rate (HR), HRV (RMSSD, SDNN, LF, HF), and blood pressure being the most common. Fifty-six studies found that VR interventions reduced stress as measured by physiological markers. However, methodological inconsistencies limited their findings. Future research should prioritise ambulant measurements to improve real-world applicability and assess long-term effects. Additionally, standardising marker selection and measurement protocols is necessary to enhance validity and comparability, thereby strengthening evidence of VR stress interventions. TRIAL REGISTRATION: PROSPERO ID: CRD42024510162.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70164"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460832","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":"Trauma-Related Compulsions in Obsessive-Compulsive Disorder: Functional Insights From Factor Analysis.","authors":"Caitlin M Pinciotti, Max Thorsson, Gregor Horvath, Matti Cervin","doi":"10.1002/smi.70154","DOIUrl":"10.1002/smi.70154","url":null,"abstract":"<p><p>Resisting obsessive-compulsive disorder (OCD) compulsions is a key predictor of exposure and response prevention (ERP) effectiveness, yet trauma-exposed individuals with OCD endorse more severe compulsions and are more likely to be labelled 'treatment resistant.' Among trauma-exposed individuals, compulsions are theorised to function to prevent future trauma and cope with trauma-related responses. Recent findings suggest that certain compulsions in the context of trauma exposure differentially impact treatment outcomes, yet missing from extant literature is a larger empirically derived conceptualisation for how trauma may impact the underlying function of compulsions. In a sample of 662 adult patients enroled in intensive OCD treatment (40.3% trauma-exposed), factor analyses and structural equation models provided insight into the potential functionality connecting clusters of compulsions and their impact on treatment response. A unique Absolution factor observed only in the trauma-exposed group suggested a stronger trauma association with compulsions intended to absolve guilt, obligation, or punishment compared to individuals without trauma. Longer lengths of stay were found with sexual abuse through Cleanliness and Certainty Seeking compulsions, and bullying through Certainty Seeking compulsions. Relationships were observed between other trauma types and compulsion clusters, though these did not impact treatment response. Findings offer support that some compulsions may serve trauma-related functions related to preventing and/or coping with trauma. Trauma-related Cleanliness and Certainty Seeking compulsions are important targets for treatment given their propensity to impact treatment response.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70154"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370590","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 Impact of Work Demands and Meaningful Work on the Burnout and Mental Health Strain of Emergency Medicine Clinicians.","authors":"Alyssa Lynch, Thomas W Britt, Marissa Shuffler, Riley McCallus, Emily Hirsh","doi":"10.1002/smi.70160","DOIUrl":"10.1002/smi.70160","url":null,"abstract":"<p><p>Emergency medicine clinicians (EMCs) experience high levels of burnout and mental health strain as a function of the work demands they encounter. The present study examined meaningful work as a buffer of the relationship between work demands and measures of burnout and mental health strain, with the prediction that higher levels of meaningful work would protect EMCs from high levels of work demands. This study offers a longitudinal examination of these relationships in a sample of 113 emergency medicine registered nurses, physicians, residents, and advanced practice providers during the COVID-19 pandemic. Participants completed an online survey containing measures of work-related demands, meaningful work, burnout, and mental health strain at Time 1 and then completed the same survey 2 months later at Time 2. Work demands at Time 1 were correlated with burnout and mental health strain at Time 2. Meaningful work at Time 1 correlated negatively with burnout and mental health strain at Time 2. Moderated multiple regression tests revealed that meaningful work at Time 1 moderated the relationship between work demands at Time 1 and burnout at Time 2, such that the relationship between work demands and burnout was not significant for EMCs reporting average or high meaningful work. Moderate to high levels of meaningful work at Time 1 substantially reduced the impact of work demands on EMCs 2 months later. Results suggest that interventions should be explored to enhance meaningful work, thereby reducing the negative effects of work demands on burnout and mental health strain.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70160"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437408","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":"Examining the Effectiveness of Breathwork to Improve Resilience and Psychological Wellbeing While Reducing Anxiety, Depression, Stress, and Insomnia in Paramedicine Students: A Single-Blind Randomised Controlled Trial.","authors":"Abbie Little, Matthew Stainer, Alex Sandy MacQuarrie, Nicola Wiseman, Brian Haskins","doi":"10.1002/smi.70161","DOIUrl":"10.1002/smi.70161","url":null,"abstract":"<p><p>Paramedicine students experience disproportionately high rates of anxiety, depression, stress, and insomnia compared to the general population, placing them at risk of post-traumatic stress disorder and long-term psychological distress. Breathwork has emerged as a promising self-regulation intervention that may enhance resilience and wellbeing while reducing symptoms of mental illness. This randomised controlled trial (RCT) evaluated the effectiveness of the A52 Breath Method, a structured breathwork protocol, in improving mental health and resilience among student paramedics. A single-blind parallel-group mixed-methods RCT was conducted with 98 student paramedics from two Australian universities, randomised to either a 12-week breathwork intervention or control, with results interpreted in light of differential attrition. The intervention involved twice-daily practice of slow, diaphragmatic breathing (5-s inhale, 5-s exhale, 2-s hold) with video and guided audio instruction. Outcomes included changes in anxiety, depression, stress (DASS-21), insomnia (ISI), resilience (RS-14), and psychological wellbeing (RPWB-18), between baseline and post-intervention. Analyses included 2 × 2 mixed factorial ANOVA, ANCOVA for baseline differences, and correlation analyses. At post-intervention, participants in the breathwork group reported significantly lower stress, anxiety, and depression scores, and higher resilience compared to controls (all p < 0.05), with medium to large effect sizes. Insomnia and psychological wellbeing showed non-significant changes. Qualitative feedback highlighted perceived benefits for self-regulation, including emotional regulation and perceived psychological safety and control-although challenges to practice engagement was noted. The A52 Breath Method significantly reduced reported symptoms of psychological distress and enhanced resilience in student paramedics, even during exam stress. Breathwork shows promise as a scalable, upstream intervention to support mental health in paramedic student training. TRIAL REGISTRATION: Registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN12625000101482 on 30/01/2025. Available at: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=388884&showOriginal=true&isReview=true.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70161"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12963692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367114","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":"How Do Elementary Students' Interpersonal Relationships Predict Lower Academic Burnout? Moderated Mediation Models of a Longitudinal Study.","authors":"Guangzhao Dai, Yvchang Hua, Xiaoyan Liu, Pengwei Liang, Jing Gu, Xue Wen","doi":"10.1002/smi.70174","DOIUrl":"10.1002/smi.70174","url":null,"abstract":"<p><p>Academic burnout is negatively associated with students' overall well-being, hindering their personal growth and long-term development. Positive teacher-student and peer relationships serve as protective factors that may alleviate the exacerbation and severity of academic burnout. This study examined the longitudinal associations between students' interpersonal relationships with teachers and peers and their subsequent levels of academic burnout, as well as the mediating role of self-esteem in these associations. In addition, the moderating role of mindfulness in the first stage of the mediation model was investigated. Using a two-wave longitudinal correlational design, 184 students from Grades 3 to 6 in a Chinese elementary school completed the measures of teacher-student relationships, peer relationships, self-esteem, and mindfulness at Time 1, and academic burnout at Time 2 (6 months later). The results indicated that self-esteem significantly mediated the longitudinal associations between both teacher-student relationships and academic burnout, and peer relationships and academic burnout. Moreover, mindfulness moderated all first-stage paths of the mediation models. These findings underscore the importance of supportive interpersonal relationships in reducing academic burnout and suggest that mindfulness may strengthen the positive links between students' relationships with teachers/peers and their self-esteem. Overall, fostering positive relationships with both teachers and peers may be a key component of interventions aimed at enhancing students' self-esteem and buffering against academic burnout.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70174"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639813","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":"Heart Rate Variability and Perceived Stress in Normal-Weight Female University Students: The Role of Physical Activity Level.","authors":"Marta Victoria Santiago, Hugo Olmedillas, Julen Sáinz, Mar Bustillo, Miguel Heres, Susana Pulgar","doi":"10.1002/smi.70167","DOIUrl":"10.1002/smi.70167","url":null,"abstract":"<p><p>Chronic stress, common in university students and particularly pronounced in women, negatively impacts health. Heart Rate Variability (HRV), an autonomic balance measure, is influenced by stress, physical activity (PA), and the menstrual cycle. This study examined HRV and perceived stress differences in healthy-weight female university students by PA level. Fifty-two female university students (18-30 years, BMI 18.5-24.9 kg/m²) were recruited. To minimise hormonal variability, assessments for naturally menstruating participants were conducted during the early follicular phase, confirmed through a cycle-tracking application and luteinizing hormone (LH) tests. For participants using hormonal contraceptives, measurements were scheduled during the first week of a new contraceptive cycle. PA was assessed (IPAQ-SF) and categorised as low-moderate or vigorous. HRV was recorded using a Polar H10 over three days for reliability (SDNN, LF, HF, LF/HF ratio) were analysed. Perceived stress used the Perceived Stress Questionnaire (PSQ). Group differences and associations were then analysed, controlling for total PA (METs). Forty-two participants completed the study. Vigorous PA was associated with higher SDNN (p = 0.099, d = -0.620) and lower LF (p = 0.045, d = -0.761) versus the low-moderate PA group, indicating more efficient cardiac autonomic modulation. METs significantly influenced SDNN, HF, LF, and pNN50. However, no significant differences were found in LF/HF ratio (p = 0.990) or perceived stress (p = 0.249) between groups, nor were significant correlations observed between PSQ scores and any HRV indices. Higher PA levels correlate with a more favourable autonomic profile (increased parasympathetic activity, reduced sympathetic drive at rest, unaltered LF/HF balance). The lack of association between PA/perceived stress and perceived stress/HRV suggests a potential dissociation between subjective stress perception and objective autonomic activity in this population.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 2","pages":"e70167"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583018","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}