Stress and Health最新文献

To assess levels of acute stress symptoms (ASS) and prevalence of acute stress disorder (ASD) in an Israeli civilian sample and examine sociodemographic and war exposure predictors of ASS and ASD. A telephone survey was conducted in the fourth week of the 7 October war with a random sample of 199 Jewish and 194 Arab adult residents from areas of lower Galilee and Acre, Herzliya, and Eilat. ASS and ASD were measured by the Acute Stress Disorder Interview. War exposure and sociodemographic data were collected. 60% of participants met the criteria for ASD. Levels of ASS were relatively high. 21% of the variance in total ASS score was explained by sociodemographic (sex, age, education, ethnicity) and war exposure variables (acquaintance injured, killed, or kidnapped; subjective sense of danger to self or relatives; property or income damage). The present study revealed significant although mild associations of ASS with war exposure variables (acquaintance injured, killed, or kidnapped; subjective sense of danger to self or relatives; property or home damage; and employment or income damage). Logistic regression indicated that women were 1.55 times more likely to have ASD than men. Arabs were 2.02 times more likely to have ASD than Jews. The present study stresses the need to construct an acute stress screening procedure to identify individuals with severe acute stress reactions. We call attention to the need to build interventions to reduce these symptoms immediately during warfare to prevent them from developing into chronic posttraumatic stress disorder. Strengthening community resilience may reduce the rate of ASS upon exposure to war.

Diabetic foot ulcer (DFU) healing is a complex and slow process that depends on several factors such as the patient's physical health. However, psychological factors such as distress, which are commonly reported by patients with DFU, may also influence DFU development and recurrence. This pilot randomised control trial (RCT) assesses the effectiveness of progressive muscle relaxation and hypnosis on DFU healing and quality of life (QoL) in distressed patients. Sixty-nine patients who received standard care treatment were randomly assigned to one of four groups: muscle relaxation (TG1), hypnosis (TG2), neutral sessions (active control: ACG), and no intervention (passive control: PCG). Primary outcomes were both DFU healing and QoL. Secondary outcomes were perceived stress, psychological morbidity, and illness (DFU) representations. Patients were assessed at baseline (T0), 2 months after the baseline (T1), and 4 months later (T2). Regarding primary outcomes, comparisons between groups showed significant differences only in DFU healing: TG1, TG2, and ACG reported more improvements than PCG at T1, while TG1 showed more improvements than TG2 and PCG at T2. Results for secondary outcomes revealed less threatening DFU representations in TG1 compared to TG2 and ACG, and more psychological morbidity in TG2 than TG1, both at T1. Within-group analysis in primary outcomes showed DFU healing and physical QoL improvement in all groups, DFU-related QoL improvement in all groups except PCG, and an increase in mental QoL only in TG2 and ACG. Regarding secondary outcomes, results showed a decrease in DFU's representations only in TG1, and a significant decrease in stress and psychological morbidity in TG1, TG2, and ACG. Results suggest that both stress-reduction interventions should be included in the multidisciplinary treatment and rehabilitation plan for distressed patients with DFU(s).

Major depressive disorder (MDD) is a stress-related disease that affects women more often than men. Music therapy (MT) has been shown to be effective in the treatment of MDD. However, clinical trials investigating the effects of MT on psychological and psychobiological stress-related outcomes in women suffering from MDD are still scarce. This study was conducted as a randomised controlled trial, with participants assigned to either an intervention group (IG), which received group MT (GMT), or a waitlist control group (CG), which received GMT 6 months later. The primary objective was to assess the impact of GMT on psychological stress outcomes (chronic stress, stress coping, and stress experienced in daily life) and psychobiological stress markers (diurnal salivary cortisol levels and circadian heart rate variability), considering the effects of both group allocation and time. Outcome measurements were taken before, immediately after, and-for some variables-10 weeks following the intervention period. A total of 102 women 18-65 years old and diagnosed with current MDD took part in the study. Overall, the IG demonstrated significantly stronger stress-reducing effects than the CG. Significant improvements were observed in general stress coping, positive thinking, daily life stress, and cortisol levels. GMT is a cost-effective and non-invasive approach to effectively address the stress-related psychological and psychobiological burden associated with MDD. To demonstrate long-term effects and gain a better understanding of the underlying mechanisms, further methodologically robust studies are needed. TRAIL REGISTRATION: The MUSED study was pre-registered at the German Clinical Trials Registry (DRKS00016616). All study-related procedures were published in detail in a study protocol.

Depression has become increasingly prevalent among adolescents, posing significant challenges for mental health professionals. While most studies on depression adopt a cross-sectional perspective or a variable-centred approach, these methods often fail to illuminate the developmental trajectories of depression in individuals. We employed Latent Profile Transition Analysis (LPTA), a person-centred approach, to analyse longitudinal data from a large adolescent sample (N = 978; M_age = 16.26, SD = 0.89; 52.2% females). This study aimed to identify distinct subgroups of depression and observe transitions between these groups over time, considering stress, anxiety, and rumination as covariates to predict these transitions and aid in the development of targeted interventions. We identified three distinct subgroups: 'low/no depression', 'moderate depression', and 'high depression'. Individuals in the low/no depression and moderate depression groups displayed a predominant tendency toward stability rather than change. Conversely, individuals in the high depression group showed a high probability of transitioning to the moderate depression group. Stress, rumination, and anxiety were significant predictors of transitions into more severe depressive groups. Notably, the predictive power of rumination diminished over time. This study relied solely on self-reported measures, which may introduce response bias. This study reveals dynamic trajectories of depression among adolescents using a person-centred approach, emphasising the importance of closely monitoring those in the moderate depression subgroup. Stress, anxiety, and rumination emerged as crucial predictors of transitions in depression severity, underscoring the need for targeted early interventions.

Narrative accounts have documented the potential for suffering to degrade a person's well-being by undermining their sense of meaning in life, but few studies have investigated this among nonclinical samples living in non-Western contexts of the Global South. Leveraging data from a set of three-wave longitudinal studies with younger Indonesian (Study 1: Wave 1 [December 2020], Wave 2 [January 2021], Wave 3 [February 2021]; N = 620) and Colombian adults (Study 2: Wave 1 [August/September 2021], Wave 2 [October/November 2021], Wave 3 [February 2022]; N = 2626), the present research used causal mediation methods within a counterfactual framework to examine whether the associations between suffering (Wave 1) and subsequent anxiety symptoms, depression symptoms, and general mental health (Wave 3) are mediated by meaning in life (Wave 2). Mediation analyses in both studies provided some evidence indicating that overall suffering (Wave 1) is indirectly associated with worse subsequent mental well-being on all three outcomes (Wave 3) via lower meaning in life (Wave 2). Results were generally consistent with those found for overall suffering when the aspects of suffering were considered individually, although in Study 1 the evidence in support of mediation was stronger and more consistent for some aspects of suffering compared to others. Over both shorter (Study 1) and longer (Study 2) time lags, the findings suggest that meaning in life may be one of the mechanisms by which suffering degrades mental well-being. Practical implications for mitigating and transcending the deleterious effects of suffering on mental well-being are discussed.

The Hamas-led terrorist attacks in Israel on October 7, 2023, were an inflection point that spurred a global rise in antisemitism. College and university campuses were particularly affected. Given the adverse impacts of prejudice and discrimination for mental health and the dearth of research on psychosocial effects of antisemitism, examining stress, coping, and mental health among Jewish students within this context is crucial. In this study, we used longitudinal data and multilevel modelling in the months after the events of October 7 to examine within- and between-person effects of antisemitism-related stress, stress associated with the Israel-Palestine conflict, and approach and avoidance coping on depressive symptoms among a sample of 253 Jewish college and university students. Within-person results indicated that increases from one's usual level of antisemitism-related stress and stress attributable to the Israel-Palestine conflict were independently associated with heightened depressive symptoms. Increased use of avoidance coping was also associated with heightened depressive symptoms, whereas the inverse was true for approach coping which had a protective effect. Similar effects were observed at the between-person level. Results from the present work draw attention to both the potentially detrimental effects of stress associated with antisemitism, but also highlight coping as a target for intervention to potentially combat such effects. The findings also point to a path forward where campuses can remain open areas of inquiry by fostering resilience at both the community and individual level.

This study explored the structure and temporal evolution of the relationship among depression, maladaptive cognition, and internet addiction (DMI) among university students by focusing on topological and dynamic properties in a network analysis. A 3-year longitudinal survey was conducted with 873 university students (M_age = 18.32, SD = 0.74). The results of network analysis showed "compulsive internet use and withdrawal symptoms" as part of internet addiction and "depressive emotions" as part of depression were the core characteristics in the DMI relational structure. Additionally, "compulsive internet use and withdrawal symptoms" was most pronounced for freshmen, whereas "depressive emotions" were most pronounced for sophomores and juniors. These findings suggest that interventions addressing DMI among university students should not only focus on the key aspects of "compulsive internet use and withdrawal symptoms" and "depressive emotions," but also consider differences between students at different years of study.

By employing the cognitive-behavioural model and self-control theory, the present study investigated the longitudinal effects of depression on GPIU. Although numerous cross-sectional studies have investigated the association between depression and generalised pathological Internet use (GPIU), debates persist regarding the longitudinal effects of depression on GPIU. Moreover, little is known regarding the longitudinal mechanisms underlying this association. A total of 912 university students with an average age of 18.36 years (standard deviation = 0.82 years) at the time of the first survey participated in the study. They completed four assessments spaced 6 months apart over a 2-year period. The results indicate that (i) depression can predict GPIU over time; (ii) depression can predict GPIU through the mediating effects of perceived social support, maladaptive cognitions, and self-control over time respectively; and (iii) depression can predict GPIU through sequential mediating effects of perceived social support to self-control over time. Additionally, the associations among studied variables were more suitable for male, urban registered residence, and low family income students. These results have implications for interventions targeting GPIU.

The study objective was to investigate geographical variation of uncertainty stress and life stress among university students in China. Respondents comprised 11,954 students from 50 universities and 31 provinces in China's mainland. Respondents completed the extended version of Global Health Professional Student Survey (GHPSS) on Tobacco Control in China, which added additional health, mental stress, and behavioural items on original version, and regional variables were retrieved from the National Bureau of Statistics database. Both unadjusted and adjusted methods were used in the logistic regression analysis. The prevalence of high uncertainty stress was 19.60% (95% CI: 15.90%, 23.30%), while the prevalence of life stress was 8.60% (95% CI: 7.20%, 10.70%). The prevalence rates varied significantly across the 31 provinces. The random parameters for uncertainty stress and life stress were statistically significant at the 0.01 level, with values of 0.2593 and 0.3971, respectively. The geographical distribution revealed two high uncertainty stress zones between the east coast and the middle area, as well as in the west area from south to north. High life stress, on the other hand, was concentrated in the central area. Multilevel logistic regression showed province level per capita disposal income of households partly contributed to uncertainty stress (OR = 0.52, 95% CI: 0.36, 0.94) and life stress (OR = 0.59, 95% CI: 0.52, 0.89). These findings underscore the importance of environmental contribution to mental stress among university students. Given that college students' mental stress is high, there is a need for environmental measurements to prevent and address multiple perceived stress in students.

Adverse childhood experiences (ACEs) have diverse effects on physical development and mental health. This study aimed to clarify the relationship between the quantity of ACE exposure, type of ACE exposure, and subjective level of stress felt, correlated with event-related potential activity across the scalp, while controlling for relevant confounding variables. Fifty-three participants aged 18-32 years completed questionnaires assessing their current mental health, self-regulation, childhood socioeconomic status, and history of traumatic events. Electroencephalographic activity was recorded while participants completed the Combined Attention Systems Task, a modified flanker task. Using cluster-corrected robust statistical approaches, significant relationships existed between the total number of ACEs, ACE type, the subjective impact of trauma, and amplitudes during the error-related negativity (ERN) and error positivity (Pe) at various scalp locations. In the ERN time window, greater error-correct differences were associated with greater total ACEs, abuse, and other ACEs at C5, P9, and TP10/C1 clusters, respectively. In addition, reduced error-correct differences at cluster-maximal C2 during the timing of the Pe were related to experiencing greater numbers of total ACEs while increased error-correct differences at cluster-maximal FPz during the timing of the Pe were associated with greater numbers of other ACEs. The subjective impact of total number of ACEs was not associated with error-correct differences, however, the subjective impact of household dysfunction, abuse, and 'other' ACE types were linked to error-correct differences at various scalp locations and timings. Notably, increased, rather than decreased, subjective impact of household dysfunction was related to greater error-correct differentiation during the timing of the ERN, maximal at Cz. These results suggest that both ACE type and subjective rating are relevant to future outcomes. The effects extended beyond the ERN-affecting error-related positivity and later event-related potentials-indicating associations with the number, type, and subjective impact of ACEs across a larger time window and scalp topography.