Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model

Lehrer, H. Matthew; Steinhardt, M; Dubois, Susan K.; Laudenslager, Mark L.

doi:10.1016/j.psyneuen.2019.104510

Cited by 47 publications

(63 citation statements)

References 52 publications

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“…For the link between resilience and perceived stress, the results showed that the relationship between resilience and perceived stress was not moderated by sex, although we found significant sex differences in both resilience and perceived stress. No concordant results were yielded on sex difference in perceived stress in previous studies (e.g., Thompson et al, 2018;Lehrer et al, 2020). However, several prior pieces of the research reported that resilience showed sex differences in various populations (e.g., Sun and Stewart, 2007;Erdogan et al, 2015;Masood et al, 2016).…”

Section: Moderating Role Of Sexmentioning

confidence: 82%

“…as a direct determinant of cardiometabolic health (Lehrer et al, 2020). Taken together, improving an individual's resilience should be considered as an alternative treatment to desomatization in the future, and evaluation of somatization should be designed in the interventions on resilience during or after infectious disease epidemic.…”

Section: Resilience and Somatizationmentioning

confidence: 99%

“…Resilience is a dynamic, modifiable factor, and it helps individuals to endure adversities ranging from daily hassles to trauma ( Rutter, 1987 ; Norris et al, 2009 ; Lehrer et al, 2020 ). Prior empirical researches have addressed the importance of resilience in the development of somatic symptoms, but the results were inconsistent.…”

Section: Introductionmentioning

confidence: 99%

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A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

et al. 2021

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BackgroundMore than 15% of Chinese respondents reported somatic symptoms in the last week of January 2020. Promoting resilience is a possible target in crisis intervention that can alleviate somatization.ObjectivesThis study aims to investigate the relationship between resilience and somatization, as well as the underlying possible mediating and moderating mechanism, in a large sample of Chinese participants receiving a crisis intervention during the coronavirus disease 2019 epidemic.MethodsParticipants were invited online to complete demographic information and questionnaires. The Symptom Checklist-90 somatization subscale, 10-item Connor–Davidson resilience scale, and 10-item Perceived Stress Scale were measured.ResultsA total of 2,557 participants were included. Spearman correlation analysis revealed that lower resilience was associated with more somatic symptoms (p < 0.001). The conditional process model was proved (indirect effect = −0.01, 95% confidence interval = [−0.015, −0.002]). The interaction effects between perceived stress and sex predicted somatization (b = 0.05, p = 0.006).ConclusionResilience is a key predictor of somatization. The mediating effects of perceived stress between resilience and somatization work in the context of sex difference. Sex-specific intervention by enhancing resilience is of implication for alleviating somatization during the coronavirus disease 2019 epidemic.

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Section: Moderating Role Of Sexmentioning

confidence: 82%

Section: Resilience and Somatizationmentioning

confidence: 99%

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A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

et al. 2021

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“…The existence of differences in various socio-demographic aspects of resilience [38] and stress [39] justify the introduction of variables such as gender or age in the research.…”

Section: Introductionmentioning

confidence: 99%

What If Violent Behavior Was a Coping Strategy? Approaching a Model Based on Artificial Neural Networks

Ramón

Rodríguez

2020

Sustainability

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The aggressor sets in motion dysfunctional and violent behaviors with others in the dynamic of bullying. These behaviors can be understood as misfit coping strategies in response to environmental demands perceived as stressful, putting at risk the quality of education. The aim of this study was to develop a predictive model based on artificial neural networks (ANN) to forecast a violent coping strategy based on perceived stress, resilience, other coping strategies and various socio-demographic variables. For this purpose, the Stress Coping Questionnaire (SCQ), the Perceived Stress Scale (PSS) and the Brief Resilient Coping Scale (BRCS) were administered to 283 participants from the educational field (71.5% women). The design was cross-sectional. An inferential analysis (multilayer perception ANN) was performed with SPSS version 24. The results showed a predictive model that took into consideration the subject’s stress levels, personal assessment and strategies such as negative self-targeting or avoidance to predict open emotional expression (a coping strategy defined by violent behaviors) in approximately four out of five cases. The conclusions emphasis the need for considering problem solving, stress management and coping skills to prevent school violence and improve the social environment through sustainable psychological measures.

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“…Power spectrum analysis of heart rate variability (HRV) has been suggested as one global index of psychophysiological resilience; this measurement is known to reflect sympathovagal balance related to autonomic flexibility (An et al., 2019). Additionally, some studies report psychological resilience was associated with stress reactivity measures such as hair cortisol and hypotalamic–pituitary–adrenal axis reactivity including cardiovascular and electrodermal measurement of heart rate and skin conductance level (Lehrer et al., 2020; Winslow et al., 2015). Comparing these measurement modalities may aid in disentangling the complexity of resilience.…”

Section: Introductionmentioning

confidence: 99%

Correlates of psychological resilience and risk: Prospective associations of self‐reported and relative resilience with Connor‐Davidson resilience scale, heart rate variability, and mental health indices

et al. 2021

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Background There are several ways to determine psychological resilience. However, the correlation between each measurement is not clear. We explored associations of baseline relative “resilience” and risk with later self‐reported trait resilience and other biological/mental health indices. Methods We utilized baseline and follow‐up survey data from 500 participants aged 30–64 in the community cohort. Baseline “relative” resilience was defined by: (a) negative life events (NLEs) in the six months before baseline and (b) depressive symptoms at baseline, yielding four groups of individuals: i) “Unexposed and well,” “Vulnerable (depression),” “Reactive (depression),” and “Resilient.” “Trait” resilience at follow‐up was self‐reported using the Connor‐Davidson Resilience Scale (CD‐RISC). Associations between relative resilience at baseline, CD‐RISC, and heart rate variability (HRV) indices at follow‐up were assessed with generalized linear regression models after adjustments. Associations between baseline resilience and subsequent loneliness/depression indices were also evaluated. Results Overall trait resilience and its subfactors at follow‐up showed strong negative associations with “Reactive” at baseline (adj‐β for total CD‐RISC score: −11.204 (men), −9.472 (women)). However, resilience at baseline was not associated with later HRV, which was compared with the significant positive association observed between CD‐RISC and HRV at the same follow‐up time point. The “Reactive” exhibited significantly increased depressive symptoms at follow‐up. The overall distribution pattern of CD‐RISC subfactors differed by baseline resilience status by sex. Conclusions The “relative” resilience based on the absence of depression despite prior adversity seems to be highly related with trait resilience at follow‐up but not with HRV. The sub‐factor pattern of CD‐RISC was different by sex.

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Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model

Cited by 47 publications

References 52 publications

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

What If Violent Behavior Was a Coping Strategy? Approaching a Model Based on Artificial Neural Networks

Correlates of psychological resilience and risk: Prospective associations of self‐reported and relative resilience with Connor‐Davidson resilience scale, heart rate variability, and mental health indices

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