Development of the Stress Response Inventory and Its Application in Clinical Practice

Koh, Kyung Bong; Park, Joong Kyu; Kim, Chan Hyung; Cho, Sunghee

doi:10.1097/00006842-200107000-00020

Cited by 143 publications

(115 citation statements)

References 10 publications

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“…First, stress score measurements were self-reported, and were therefore subject to bias. Here, the women reported more subjective stress than did the men, and the women's average stress score was higher than that of the men; these results parallel those of previous studies indicating that women perceive stress more intensely than men (Koh et al, 2001), and that the incidence of depressive disorders is higher in women than in men (Piccinelli and Wilkinson, 2000). Thus, the bias associated with selfreport in the current study may be negligible.…”

Section: Discussionsupporting

confidence: 88%

The Relationship between IMPS-Measured Stress Score and Intraocular Pressure among Public School Workers

Yamamoto

Sakamoto

Irie

et al. 2008

J Physiol Anthropol

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The aim of this study was to examine the relationship between psychosocial stress and intraocular pressure among apparently healthy subjects. Psychosocial stress among 1,461 public school workers (883 men and 578 women) was measured using the inventory to measure psychosocial stress (IMPS) and intraocular pressure was measured using a non-contact tonometer (Topcon CT-90). After controlling for the effects of likely confounding variables such as age, body mass index (BMI), glycosylated hemoglobin, systolic blood pressure, alcohol consumption, smoking status, and exercise, partial correlations and hierarchical multiple regression analysis were performed in order to test the hypothesis that IMPS-measured stress score was associated with intraocular pressure. IMPS-measured stress score was found to correlate positively with intraocular pressure in women after controlling for the effects of confounding variables, whereas this relationship was not found in men. Hierarchical multiple regression analysis indicated that IMPS-measured stress score was positively associated with intraocular pressure in women independent of confounding variables, but not in men. Perturbations of the hypothalamicpituitary-adrenal (HPA) axis associated with stress are considered to be partly responsible for an increase in intraocular pressure among people suffering from psychosocial stress. Further research is needed to elucidate the relationship between this stress-associated increase in intraocular pressure and open-angle glaucoma.

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Section: Discussionsupporting

confidence: 88%

The Relationship between IMPS-Measured Stress Score and Intraocular Pressure among Public School Workers

Yamamoto

Sakamoto

Irie

et al. 2008

J Physiol Anthropol

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“…Prolonged exposure to stressors is signaled by alterations in cytokine profile, such as increasing IL1 and TNF␣, and decreasing IL2. 22 Psychological involvement was gauged by a battery of questionnaires providing self-rated scales that, in line with previous 23 and more recent studies, 24 focuses on appraisal, coping, and health. In brief, we assessed the following factors: 25 • the appraisal of stress, tiredness, or activation by a global scoring index (0 -30) • coping by a graphic questionnaire (scores 0 -10), exploring in particular the dimension of control • somatic complaints by a symptoms' list that furnishes a global scoring index (scores 0 -50).…”

Section: Assessment Of Overall Stress Levelmentioning

confidence: 96%

Hemodynamic and Autonomic Adjustments to Real Life Stress Conditions in Humans

et al. 2002

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Abstract-Psychological stress represents a risk factor for hypertension, but mechanisms are not known in detail. In this investigation we tested the hypothesis that real-life stress conditions produce changes in autonomic cardiac and vascular regulation that might differ in magnitude. University students, a well-established model of mild real-life stress, were examined shortly before a university examination, and a second time 3 months afterward, during holiday. Autonomic cardiovascular regulation was assessed by a noninvasive approach, based on autoregressive analysis of RR interval variability (V) and of systolic arterial pressure (SAP) V. The overall level of stress in the two sessions was gauged from the elevated salivary cortisol (5.6Ϯ0.5 versus 2.4Ϯ0.2 ng/mL, PϽ0.05) and altered cytokine profile (PϽ0.05). During the stress day, the RR interval was reduced and arterial pressure increased significantly; simultaneously, the normalized low frequency component of RRV (a marker of sympathetic modulation of the sinoatrial node) was increased and the index ␣ (a measure of baroreflex gain) reduced. Concomitantly, the autonomic response to the sympathetic excitation produced by standing was altered: cardiac response was impaired and vascular responsiveness increased. Markers of autonomic regulation of the sinoatrial node correlated significantly with cortisol levels, both at rest and also considering standing induced changes, suggesting a gradual range of effects. The data support the concept that mild real-life stress increases arterial pressure and impairs cardiovascular homeostasis. These changes, assessable with spectral analysis of cardiovascular variability, might contribute, in susceptible individuals, to the link between psychological stress and increased cardiovascular risk of hypertension. Key Words: autonomic nervous system Ⅲ baroreceptors Ⅲ stress hormones Ⅲ risk factors T he importance and nature of the complex, multifarious mechanisms linking psychological stress to arterial hypertension 1,2 have been extensively explored in simulated conditions. In laboratory models, mental stress leads to a rise in arterial pressure and heart rate, by way of altered neural cardiovascular regulation, typically consisting of increased sympathetic activity 3-5 and reduced baroreflex gain, 6,7 coupled to a prolonged endothelial dysfunction. 8,9 Sympathetic activation is noninvasively recognized by spectral analysis of RR variability, 10,11 indicating a predominant low frequency (LF) component of RR variability, in conditions of acute laboratory stress. 7 Data from laboratory experiments, however, are limited by their intrinsic artificiality and by the fact that some of the more efficacious models, such as public speaking and mental arithmetic, might involve changes in respiration that could obscure the interpretation of results, particularly when autonomic regulation is inferred solely by spectral analysis of RR variability. 12 Conversely, the effects of real-life psychological stressors on cardiovascular regulations, al...

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“…Respondents did not find the self-score scales posed any specific problems. Several studies have examined the reliability and validity of self-rating scales (Koh et al, 2001;Voruganti et al, 1998;Weaver et al, 2003) and found them to be acceptable. Confidence is a subjective experience that is impossible to measure in a manner homogenous to the study group.…”

Section: Study Response Ratementioning

confidence: 99%

Acceptability and applicability of Cue Exposure Therapy as a relapse prevention intervention for individuals who have substance misuse and mental health problems

Manley

2008

Mental Health and Substance Use

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Background: Cue Exposure Therapy (CET) is regarded as a valuable intervention, helping individuals with substance misuse problems recognise cues and triggers to relapse and begin to reduce cravings. Guidelines suggest substance misuse skills should be adapted by mental health professionals working with clients with mental health and substance misuse problems (dual diagnosis). Aims: This study aimed to assess the acceptability of training in CET, its applicability in dual diagnosis work and the effect the training had on professional's confidence in delivering services. In addition, to explore how skills were adapted to meet the needs of individuals with a dual diagnosis. Method: CET training was given to psychiatric professionals working with dual diagnosis clients. The cross-sectional research comprised two stages: pre-and posttraining confidence self-scores and a post-training questionnaire; and confidence selfscores and semi-structured interviews with a randomised sub-section of the original population, 30 days post-training. Results: The results demonstrate CET is acceptable to psychiatric personnel and training raised confidence significantly. Individuals interviewed at follow-up had used CET techniques and were unanimous in the opinion that supervision was essential to be able to develop and implement new skills.

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Development of the Stress Response Inventory and Its Application in Clinical Practice

Abstract: These results indicate that the SRI is highly reliable and valid, and that it can be utilized as an effective measure of stress for research in stress-related fields. The depressive disorder group showed more prominent stress responses than the anxiety and psychosomatic disorder groups.

Cited by 143 publications

References 10 publications

The Relationship between IMPS-Measured Stress Score and Intraocular Pressure among Public School Workers

The Relationship between IMPS-Measured Stress Score and Intraocular Pressure among Public School Workers

Hemodynamic and Autonomic Adjustments to Real Life Stress Conditions in Humans

Acceptability and applicability of Cue Exposure Therapy as a relapse prevention intervention for individuals who have substance misuse and mental health problems

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