Purpose High levels of stress reported at college campuses has led to the need for stress management interventions. College students often do not know how to deal with the increase in stress during college which may lead to ineffective ways to manage stress, such as drugs, alcohol, and under the worst circumstance, suicide. Several universities have implemented stress relieving centers where students can participate in various modalities to relax and reduce symptoms of stress. The purpose of this paper is to compare four stress reduction modalities on the amount of physiologic and perceived stress (PS) reduction in a stress relief center. Design/methodology/approach Archival information of 5,526 students (2,759 female, 2,767 male) were analyzed. During their time at the relaxation center, these students would participate in one of four relaxation modalities (massage chair, chi machine, rejuvenation lounger, or sitting meditation). Upon entering and exiting the center, PS, systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured. The dependent variables were compared from pre- to post-relaxation with paired tests. Gain scores were calculated for each dependent variable and compared between modalities with an ANOVA and post hoc independent t-tests. The α was set at=0.05 for statistical significance. Findings Results indicated that all four modalities showed an overall decrease in stress-related symptoms for both men and women (p<0.05). There was no statistical difference in dependent variable gain scores between the relaxation modalities (p>0.05) for men. There was no statistical difference in dependent variable gain scores between the relaxation modalities (p>0.05) for women except for SBP and DBP where the massage chair, chi machine, and sitting meditation all reduced SBP and DBP to a greater degree than the rejuvenation lounger (p<0.05). Originality/value The results of this study suggest that the use of these stress reduction modalities (massage chair, chi machine, rejuvenation lounger, or sitting meditation) is effective at transiently reducing physiologic and perceived measures of stress of college students. Universities should recognize the importance of stress relief centers in order to help students manage stress symptoms and effectively manage their daily stress levels.

BackgroundCongenital cytomegalovirus (CMV) infection is the most common intrauterine infection. The only way to protect against congenital CMV infection is to practice CMV prevention behaviors. CMV seroprevalence rates are high in Hispanic women. It is unknown whether communication strategies should differ by ethnicity. The purpose of this study was to understand differences between U.S. Hispanic and non-Hispanic women’s attitudes toward CMV prevention behaviors and examine the relationship between perceived subjective norms and these attitudes.MethodsThis was a cross-sectional study using an online panel. Participants were U.S. women of childbearing age. The dependent variable was attitude toward practicing CMV prevention behaviors, specifically avoiding sharing cups, food, and utensils with a child and not kissing a child on the lips.ResultsAmong 818 women (50% Hispanic), 16.8% of Hispanic women and 9.7% of non-Hispanic women (p = 0.002) reported familiarity with CMV. Attitudes toward CMV prevention through avoiding sharing behaviors (MHispanic = 5.55 vs. Mnon-Hispanic = 5.20; p = 0.002) and not kissing a child on the lips (MHispanic = 4.80 vs. Mnon-Hispanic = 4.21; p = 0.001) were positive for both ethnicities, but higher for Hispanic women. Hispanic women (M = 5.11) reported higher perceived behavioral control for avoiding kissing a child on the lips than non-Hispanic women (M = 4.63; p = 0.001). Hispanic women who were U.S. born or spoke English primarily more frequently kissed a child on the lips or engaged in sharing behaviors. Additionally, those who spoke Spanish mostly held more positive attitudes toward not kissing on the lips. Significant predictors for more positive attitudes toward CMV prevention behaviors were associated with perceived subjective norms, perceived behavioral control and pre-survey participation in risk behaviors.ConclusionsHispanic women have more positive attitudes toward CMV prevention behaviors than non-Hispanic women, however in regression models other factors are more important predictors of positive attitudes than ethnicity. In developing strategies to encourage women to practice CMV prevention behaviors, a focus on further understanding and increasing subjective norms and perceived control over those behaviors may be warranted.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1807-0) contains supplementary material, which is available to authorized users.

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BackgroundComorbidity between depression and type 2 diabetes is thought to arise from the joint effects of psychological, behavioral, and biological processes. Studies of monozygotic twins may provide a unique opportunity for clarifying how these processes inter-relate. This paper describes the rationale, characteristics, and initial findings of a longitudinal co-twin study aimed at examining the biopsychosocial mechanisms linking depression and risk of diabetes in mid-life.MethodsParticipants in the Mood and Immune Regulation in Twins (MIRT) Study were recruited from the Mid-Atlantic Twin Registry. MIRT consisted of 94 individuals who do not have diabetes at baseline, representing 43 twin pairs (41 monozygotic and 2 dizygotic), one set of monozygotic triplets, and 5 individuals whose co-twin did not participate. A broad set of variables were assessed including psychological factors (e.g., lifetime history major depression (MD)); social factors (e.g., stress perceptions and experiences); and biological factors, including indicators of metabolic risk (e.g., BMI, blood pressure (BP), HbA1c) and immune functioning (e.g., pro- and anti-inflammatory cytokines), as well as collection of RNA. Participants were re-assessed 6-month later. Intra-class correlation coefficients (ICC) and descriptive comparisons were used to explore variation in these psychological, social, and biological factors across time and within pairs.ResultsMean age was 53 years, 68% were female, and 77% identified as white. One-third had a history of MD, and 18 sibling sets were discordant for MD. MD was associated with higher systolic (139.1 vs 132.2 mmHg, p=0.05) and diastolic BP (87.2 vs. 80.8 mmHg, p=0.002) and IL-6 (1.47 vs. 0.93 pg/mL, p=0.001). MD was not associated with BMI, HbA1c, or other immune markers. While the biological characteristics of the co-twins were significantly correlated, all within-person ICCs were higher than the within-pair correlations (e.g., HbA1c within-person ICC=0.88 vs. within-pair ICC=0.49; IL-6 within-person ICC=0.64 vs. within-pair=0.54). Among the pairs discordant for MD, depression was not substantially associated with metabolic or immune markers, but was positively associated with stress.ConclusionsTwin studies have the potential to clarify the biopsychosocial processes linking depression and diabetes, and recently completed processing of RNA samples from MIRT permits future exploration of gene expression as a potential mechanism.

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