Stress and Health最新文献

{"title":"Weathering the Storm Together: Therapists' Experiences Treating War Trauma Survivors While Managing Their Own Concurrent Trauma.","authors":"Liat Shklarski, Yael Latzer, Zohar Spivak-Lavi, Carol Tosone","doi":"10.1002/smi.70132","DOIUrl":"10.1002/smi.70132","url":null,"abstract":"<p><p>Mental health therapists (MHTs) providing care during shared traumatic reality face distinct emotional and professional challenges, particularly when they are also personally affected. While a central concern is compassion fatigue, emotional exhaustion that arises from prolonged exposure to others' trauma, this concept does not capture the dual nature of the MHT's traumatic experience, both as a citizen of the region and as a helping professional exposed to the traumatic narratives of their clients. This study explores the shared traumatic reality experiences of MHTs working in a war zone, offering support to trauma survivors while navigating their own exposure to the same crisis. Through qualitative, semi-structured interviews with 20 therapists conducted between April and July 2024, three key themes emerged: (1) We're All in the Same Boat-When Boundaries Blur, reflecting how shared traumatic reality erodes traditional therapeutic roles; (2) The Collapse of Everyday Concerns-When Nothing Feels Important Unless It's Related to the War, illustrating how therapists deprioritised non-trauma issues and experienced emotional detachment; and (3) Therapy as Shared Emotional Support, highlighting a shift towards mutual validation rather than structured interventions. From these findings, we propose a model conceptualising the dual impact of shared traumatic reality on therapists: boundary dissolution can both increase distress and foster resilience, especially when cultural values of solidarity and mutual responsibility are present. Although rooted in one cultural context, this model underscores the importance of identifying community-level resilience factors that help MHTs maintain professional functioning during collective crises and when operating in war zones and other high-stress environments.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 1","pages":"e70132"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167847","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":"The Mediating Effects of Digital Music Therapy on Depressive Symptoms in Youth During the COVID-19 Pandemic: A Randomized Controlled Trial.","authors":"Yue Zhu, Rui Tang, Hongyan Zhang, Yang Wang, Yuenan Yu, Shisen Qin, Quan Zhang, Juan Tu, Rongxun Liu, Fei Wang","doi":"10.1002/smi.70156","DOIUrl":"10.1002/smi.70156","url":null,"abstract":"<p><p>The COVID-19 pandemic has become a major psychosocial stressor, exacerbating depressive symptoms among youth. Amid escalating environmental stressors, early intervention is essential. Digital music therapy (dMT) shows promise; however, stress-context randomized controlled trials examining its effectiveness and mechanisms are lacking. A total of 1581 youths were identified with depressive symptoms via survey. In a randomized trial, 105 participants were 1:1 assigned to the dMT or control (CON) group. The dMT group received 3 weeks of intervention, while the CON group received none. The primary outcome will assess depression changes ( <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> ) of pre- and post-intervention, compared to CON group. Secondary outcomes will evaluate <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Stress and <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Insomnia, compared to CON group. Mediation analysis examined depressive symptoms' role in mediating stress and insomnia, further assessed dMT efficacy's mediating role in these outcomes. There were significant differences in <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Depression, <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Stress, and <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Insomnia between dMT group (n = 30) and CON group (n = 30). Depressive symptoms directly and indirectly mediated the relationship between stress and insomnia among depressive youth identified via survey. The therapeutic effect of the dMT intervention on <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Depression indirectly mediated the relationship between <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Stress and <math> <semantics><mrow><mi>Δ</mi></mrow> <annotation>${Delta }$</annotation></semantics> </math> Insomnia. Digital MT-driven depression improvement mediates stress and insomnia alleviation, filling a crucial gap in early-stage mental health interventions with potential social and clinical impact. TRIAL REGISTRATION: The clinical trial registration was ClinicalTrials.gov NCT05949736.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 1","pages":"e70156"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286153","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":"Role of Self-Schemas in Linking Childhood Poly-Adversity to Drinking and Smoking Behaviours Among Undergraduates.","authors":"Chia-Kuei Lee, Jui-Ying Feng","doi":"10.1002/smi.70130","DOIUrl":"https://doi.org/10.1002/smi.70130","url":null,"abstract":"<p><p>Childhood adversity is an important determinant of undergraduates' drinking and smoking behaviours; however, the underlying mechanism remains unclear. Self-schemas are one possible pathway that may help explain this relationship. The vulnerability of self-schemas and behaviours resulting from childhood adversity may vary according to the level of childhood poly-adversity. This study examined the differential effects of low and high childhood poly-adversity on drinking- and smoking-related self-schemas and behaviours among undergraduates over time. Whether self-schemas mediate the relationship between childhood poly-adversity and behaviours was also examined. A prospective study was conducted among 275 first- and second-year Taiwanese undergraduates who reported any adverse childhood experiences in Wave I. An anonymous digital survey was administered at five-time points (6 months apart). Results showed that undergraduates with high poly-adversity had higher drinker and smoker self-schema scores and more drinking and smoking behaviours than those with no or low childhood poly-adversity. Childhood poly-adversity had significant indirect effects on drinking and smoking behaviours through drinker and smoker self-schemas. Findings suggest that low and high childhood poly-adversity have differential effects on self-schemas and behaviours. Self-schemas may be an underlying mechanism linking childhood poly-adversity to undergraduate drinking and smoking behaviours. Early identification of childhood poly-adversity experiences and interventions to promote positive self-conception may mitigate undergraduate drinking and smoking behaviours.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70130"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745458","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":"Mindfulness-Based Programmes for Work Performance: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.","authors":"Maris Vainre, Tim Dalgleish, Tia Bendriss-Otiko, Molly Butler, Amelia Kirkpatrick, Nana Kosugiyama, Fabiana Mariscotti, Candelaria Martinez-Sosa, Athina Sideri, Sebastian Sönksen, Tim Wood, Caitlin Hitchcock, Julieta Galante","doi":"10.1002/smi.70123","DOIUrl":"10.1002/smi.70123","url":null,"abstract":"<p><p>Employers and universities globally subsidise access to mindfulness-based programmes (MBPs) for their employees and students to improve work performance, despite unclear evidence. This paper offers the highest quality synthesis of MBPs' impact on work performance in academic and occupational settings to date (PROSPERO #191756). On 2^nd August 2024, we searched eight databases. The primary outcome was task performance-the quantity and quality of completed tasks assigned to the individual. Secondary outcomes were contextual performance, adaptive performance, and counter-productive behaviour. Two independent reviewers selected studies, extracted data, and appraised risks of bias. We conducted pairwise random-effects meta-analyses of 99 studies (N = 16,054). MBPs were found to improve task performance at post-intervention compared to passive control groups (k = 22, Hedges' g = 0.25, 95% CI 0.06-0.44, p = 0.01, I² = 81.48%) but not compared to active control groups (k = 4, Hedges' g = 0.12, 95% CI -0.3-0.55, p = 0.43, I² = 62.87%). MBPs improved adaptive performance and contextual performance. Effects may last several months. Confidence in the review results, per Grading of Recommendations Assessment, Development and Evaluation (GRADE), is very low.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70123"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688633","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 and Psychological Distress During the Iron Swords War: First Responders at Greater Risk.","authors":"Rotem Saar-Ashkenazy, Yoav S Bergman, Tali Sasson Shoshan, Hagar Binoun-Chaki","doi":"10.1002/smi.70131","DOIUrl":"https://doi.org/10.1002/smi.70131","url":null,"abstract":"<p><p>The October 7, 2023, attack on Israel marked a traumatic escalation in the Israel-Gaza conflict, placing immense psychological pressure on first responders (FRs). This study examined whether the relationship between burnout and psychological distress was moderated by profession (FR vs. non-FR) during the 'Iron Swords' war. Data were collected between December 2024 and February 2025, from a convenience sample and snowball sampling of 885 Israeli participants (257 FRs and 628 non- FRs). Participants completed validated measures of burnout and distress, along with socio-demographic information. Hierarchical regression analyses revealed that burnout significantly predicted distress across the full sample. No main effect of FR on distress was found. However, a significant interaction emerged: burnout's effect on distress was significantly stronger among FRs than non-FRs. The findings suggest that FRs are more vulnerable to the psychological toll of burnout, particularly in trauma-exposed environments. These results align with the Conservation of Resources (COR) theory, highlighting the depletion of emotional resources as a key mechanism driving distress under chronic occupational strain. The study underscores the importance of assessing burnout alongside trauma exposure when evaluating FR mental health. Clinically, results emphasise the need for early identification and tailored interventions targeting burnout among FRs, with an emphasis on resilience-building, psychological flexibility, and organizational support (e.g., peer debriefings, workload management). Future longitudinal research is needed to clarify causality and examine profession-specific effects. Overall, burnout appears to be a key amplifier of wartime distress in FRs, with implications for intervention policy and mental health strategy during crisis contexts.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70131"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806259","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":"Combining Life History Calendars and Ecological Momentary Assessment for Evaluating Everyday Stress and Its Impact on Mental Health in Healthy Adults: Longitudinal Study.","authors":"Pamela Chavarría-Elizondo, Miquel Tortella-Feliu, Lydia Fortea, Víctor De la Peña-Arteaga, Asier Juaneda-Seguí, Ignacio Martínez-Zalacaín, Enric Vilajosana, Joaquim Radua, Alexander J Shackman, Carles Soriano-Mas, Miquel A Fullana","doi":"10.1002/smi.70128","DOIUrl":"10.1002/smi.70128","url":null,"abstract":"<p><p>Stress is a well-established risk factor for a range of negative health outcomes, making the longitudinal assessment of everyday stress increasingly important. This study tested the feasibility of combining a prospective assessment of stress responses using Ecological Momentary Assessment (EMA) with a retrospective evaluation of stressors via a Life History Calendar (LHC). It also examined how different operationalizations of stress components-reactivity, recovery, and pileup-using various intra-individual baselines influenced stressor count, mental health symptoms, and trait anxiety. A sample of 165 adults (50.9% female; M age = 24.91 years, SD = 4.61) was followed over six months. Stress responses were assessed prospectively via EMA, administered three times daily, and stressor exposure was retrospectively captured using the LHC. We computed indices of stress reactivity, recovery, and pileup using three baseline types: local (1-week and 2-week periods prior to a stressor episode) and a cumulative average of all prior stressor-free weeks. Hierarchical multiple regression analyses examined associations between these indices and changes in mental health symptoms and trait anxiety. Combining EMA and LHC methods to assess stress components was feasible. Baseline choice influenced both stressor episode counts and the associations between stress components and mental health outcomes. Stress reactivity and pileup, based on both local and cumulative baselines, were consistently associated with increases in mental health symptoms. Only one operationalisation of stress recovery was linked to changes in symptoms. Trait anxiety was not associated with any stress component, except for pileup when using a 1-week local baseline. These findings support the feasibility of integrating EMA and LHC methods to assess stress dynamics. Different baseline definitions yield distinct results, highlighting the importance of carefully selecting baseline parameters in stress research. This has important implications for designing and refining future studies on stress and health.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70128"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642258","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":"Digital Stress and Mental Health in Generation Z: A Longitudinal Network Analysis of Problematic Smartphone Use and Depression in High and Low Risk Profile.","authors":"Lei Ren, Binhui Liu, Xinyi Wei, Shuxuan Wang, Chang Liu, Xin Fang, Jundong Liao, Ziyi Li, Chengjia Zhao, Guohua Zhang","doi":"10.1002/smi.70126","DOIUrl":"https://doi.org/10.1002/smi.70126","url":null,"abstract":"<p><p>Whether problematic smartphone use (PSU) positively or negatively links to depression, and whether developmental pathways differ across high-/low-risk groups, remain theoretically contested. This study advances the digital mental health discourse by resolving theoretical ambiguities in the Depression-PSU relationship through a novel symptom-network lens. We propose a dual-process framework across two risk groups, bridging gaps in existing models. Following prior work, participants scoring > 51 on the Mobile Phone Addiction Index were designated high-risk (PSU+) users (N = 778), and the remainder as low-risk (PSU-) users (N = 645). Cross-sectional and longitudinal symptom-to-symptom associations and symptom centrality were analysed via R. The key results are as follows: (1) Core Circuit: Both groups exhibited a self-reinforcing loop between escapism symptom of depression ('work initiation difficulty') and addictive symptoms of PSU ('excessive/uncontrolled use'). (2) Distinct pathways emerged in the PSU + Group: Revealed paradoxical disengagement effects where addictive symptoms of PSU inversely predicted affective symptoms of depression, suggesting behavioural addiction as emotion regulation failure; escapism symptoms of PSU negatively predicted affect symptoms of depression, and addictive symptoms of PSU did not positively predict negative consequence of PSU ('productive loss'). (3) Network Centrality: Negative consequence of PSU ('productivity loss') and one affect symptom of depression ('hopelessness') had the strongest in-prediction in the PSU + group, while addictive use and escapism symptom of depression had the strongest in-prediction in the PSU- group. The results highlight that excessive smartphone use can indicate both digital stress (PSU - group) and digital relaxation (PSU + group), challenging the traditional view of an unidirectional link between PSU and depression. The identified network signatures enable precision interventions targeting specific symptom pathways, informing next-generation therapeutics for tech-related mental health challenges.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70126"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656376","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":"Comparative Efficacy and Attrition Rates of Psychosocial Interventions for Individuals Affected by the COVID-19 Pandemic: A Network Meta-Analysis.","authors":"Ying Li, Xinyi Liu, Zihan Guo, Lizu Lai, Richard A Bryant, Tao Zhang, Hongxun Song, Tingni Mi, Zhihong Ren","doi":"10.1002/smi.70124","DOIUrl":"10.1002/smi.70124","url":null,"abstract":"<p><p>The comparative examination of psychosocial interventions' efficacy and attrition rates in addressing COVID-19's psychological consequences is still limited. This study examined the efficacy and attrition rates of psychosocial interventions among individuals impacted by the COVID-19 pandemic. Systematic searches were conducted to identify randomised controlled trials targeting COVID-19-affected groups. Data on symptoms of anxiety, depression, and stress, as well as attrition rates, were analysed using frequentist random-effects network meta-analyses. One hundred and forty-two studies with 20,470 participants were included. Emotional freedom technique, art-based therapy, stress management, mindfulness- and acceptance-based intervention, positive psychotherapy, yoga therapy, and cognitive behavioural therapy showed significant effects in reducing anxiety symptoms compared with no treatment and treatment as usual. For depressive symptoms, positive psychotherapy, mindfulness- and acceptance-based intervention, cognitive behavioural therapy, and yoga therapy demonstrated significant superiority over no treatment or treatment as usual, with positive psychotherapy also outperforming expressive writing. Regarding stress symptoms, multi-component therapy and yoga therapy produced greater improvements than no treatment, and positive psychotherapy surpassed expressive writing. In terms of attrition rates, resilience training, art-based therapy and yoga therapy had higher dropout rates than no treatment and several other interventions. Sensitivity analyses yielded largely consistent results, confirming the robustness of the main findings. The confidence ranged from moderate to very low. Publication bias was not observed. This study illuminates and compares the efficacy and attrition rate of several psychosocial interventions in attenuating mental health symptoms among COVID-19-affected individuals. The impact of COVID-19 on people remains ongoing, and the findings of this study can also serve as a reference for selecting the best therapeutic options for mental health symptoms in future public health crises.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70124"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551762","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":"Assessing Stress Level Scores Against Wearables-Driven Physiological Measurements.","authors":"Hadar Rosenbach, Alon Itzkovitch, Yori Gidron, Tom Schonberg","doi":"10.1002/smi.70125","DOIUrl":"10.1002/smi.70125","url":null,"abstract":"<p><p>Daily stressors elicit physiological and mental responses impacting health, cognition, and behaviour. Accurately assessing psychological stress responses in natural settings remains challenging despite extensive research, though wrist-worn devices have the potential to address this gap through remote data collection. The Garmin fitness tracker provides a stress score largely based on HRV which must be validated prior to use in research. This study aimed to (1) predict psychological self-reported stress from physiological measurements and Garmin calculated stress score, and (2) assess the stress score given by the Garmin Vivosmart 4 against HR and HRV from ECG recordings derived by the Polar H10 chest strap. A pilot study of 29 participants was conducted, followed by power calculations and preregistration of the main study which included 60 participants. Data were collected simultaneously from both Garmin and Polar device during a laboratory session of restful and mental-stress-inducing tasks. Garmin's stress score, mean HR, SD2/SD1, and HF power exhibited significant differences between stress and rest conditions. Moreover, Garmin's stress score correlated significantly with HR, RMSSD, and SD2/SD1. However, out of our physiological measurements, heart rate showed the strongest association with self-reported stress, while the Garmin stress score demonstrated only marginal predictive value for subjective stress experience. Our findings also suggest that physiological responses to mental stress were influenced by sex and tonic HRV. The study suggests that the GSS, although even better heart rate, are indicative of mental stress. Garmin, with its accessibility and noninvasive nature, measures both heart rate and consumer health score (stress), promising widespread utilisation in various research domains.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70125"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12647429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607266","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":"Safeguarding Well-Being Under Exploitative Leaders: The Buffering Effects of Follower Strategies on Perceived Injustice.","authors":"Saleh Bajaba, Saad Basaad","doi":"10.1002/smi.70127","DOIUrl":"10.1002/smi.70127","url":null,"abstract":"<p><p>This study examines the impact of exploitative leadership (EL) on employees' workplace well-being (WWB), elucidating underlying mechanisms and mitigating factors. Grounded in Conservation of Resources (COR) theory, the Job Demands-Resources (JD-R) model, and the Transactional Theory of Stress (TTS), we explore the mediating role of interactional injustice (IIJ) in the EL-WWB relationship and the moderating effect of managing-your-boss (MYB) strategies. Using a two-wave time-lagged design, data were collected from 263 full-time U.S. employees and analysed via Partial Least Squares Structural Equation Modeling (PLS-SEM), supplemented by Importance-Performance Map Analysis (IPMA) and Necessary Condition Analysis (NCA). Results indicate that EL positively relates to IIJ, which in turn negatively affects WWB, establishing IIJ as a full mediator. MYB moderates the EL-IIJ link, weakening it at higher MYB levels, and extends this buffering to the conditional indirect pathway. IPMA underscores IIJ's high negative importance for WWB, while NCA reveals no necessary conditions but highlights MYB's enabling role. These findings advance destructive leadership research by emphasising follower agency in resource conservation and stress appraisal, offering practical insights for enhancing well-being through proactive strategies. Theoretical implications, limitations, and future research directions are discussed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 6","pages":"e70127"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12661555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642373","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}