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AbstractPurpose -Construction is a competitive, ever-changing, and challenging industry. Therefore, it is not surprising that the majority of construction professionals suffer from stress, especially construction project managers (C-PMs), who are often driven by the time pressures, uncertainties, crisis-ridden environment, and dynamic social structures that are intrinsic to every construction project. Extensive literature has indicated that stress can be categorized into: job stress, burnout, and physiological stress. This study aims to investigate the impact of stress on the performance of C-PMs. Design/methodology/approach -To investigate the relationships between stress and performance among C-PMs, a questionnaire was designed based on the extensive literature, and was sent to 500 C-PMs who had amassed at least five years' direct working experience in the construction industry. A total of 108 completed questionnaires were returned, representing a response rate of 21.6 percent. Based on the data collected, an integrated structural equation model of the stresses and performances of C-PMs was developed using Lisrel 8.0. Findings -The results of structural equation modelling reveal the following: job stress is the antecedent of burnout, while burnout can further predict physiological stress for C-PMs; job stress is negatively related only to their task performance; both burnout and physiological stress are negatively related to their organizational performance; and task performance leads positively to their interpersonal performance. Recommendations are given based on the findings to enhance their stress and performance levels.Originality/value -This study provides a comprehensive investigation into the impact of various types of stress on the performances of C-PMs. The result constitutes a significant step towards the stress management of C-PMs in the dynamic and stressful construction industry.