General and Health‐Related Stress and Couples' Coping

Author(s):  
Guy Bodenmann ◽  
Ashley K. Randall
2021 ◽  
pp. 1-12
Author(s):  
Jonas G. Miller ◽  
Rajpreet Chahal ◽  
Jaclyn S. Kirshenbaum ◽  
Tiffany C. Ho ◽  
Anthony J. Gifuni ◽  
...  

Abstract The COVID-19 pandemic is a unique period of stress, uncertainty, and adversity that will have significant implications for adolescent mental health. Nevertheless, stress and adversity related to COVID-19 may be more consequential for some adolescents’ mental health than for others. We examined whether heart rate variability (HRV) indicated differential susceptibility to mental health difficulties associated with COVID-19 stress and COVID-19 family adversity. Approximately 4 years prior to the pandemic, we assessed resting HRV and HRV reactivity to a well-validated stress paradigm in 87 adolescents. During the pandemic, these adolescents (ages 13–19) reported on their health-related stress and concerns about COVID-19, family adversity related to COVID-19, and their recent emotional problems. The association between COVID-19 stress and emotional problems was significantly stronger for adolescents who previously exhibited higher resting HRV or higher HRV reactivity. For adolescents who exhibited lower resting HRV or HRV augmentation, COVID-19 stress was not associated with emotional problems. Conversely, lower resting HRV indicated vulnerability to the effect of COVID-19 family adversity on emotional problems. Different patterns of parasympathetic functioning may reflect differential susceptibility to the effects of COVID-19 stress versus vulnerability to the effects of COVID-19 family adversity on mental health during the pandemic.


2020 ◽  
Author(s):  
Jonas G. Miller ◽  
Rajpreet Chahal ◽  
Jaclyn Schwartz Kirshenbaum ◽  
Tiffany C. Ho ◽  
Anthony J. Gifuni ◽  
...  

The COVID-19 pandemic is a unique period of stress and uncertainty that will have significant implications for adolescent mental health. Nevertheless, stress about COVID-19 may be more consequential for some adolescents’ mental health than for others. We examined whether heart rate variability (HRV) indicated differential susceptibility to mental health difficulties associated with COVID-19 stress. Approximately four years prior to the pandemic, we assessed resting HRV and HRV reactivity to a well-validated stress paradigm in 87 adolescents. During the pandemic, these adolescents (ages 13-19) reported on their health-related stress and concerns about COVID-19 and their recent emotional problems. The association between COVID-19 stress and emotional problems was significantly stronger for adolescents who previously exhibited higher resting HRV or higher HRV reactivity. For adolescents who exhibited lower resting HRV or lower HRV reactivity, COVID-19 stress was not associated with emotional problems. Thus, parasympathetic functioning may reflect differential susceptibility to the effects of COVID-19 stress on mental health during the pandemic.


2021 ◽  
Vol 9 ◽  
Author(s):  
Åsa Svensson ◽  
Maria Warne ◽  
Katja Gillander Gådin

Objectives: To describe the intake of energy drinks (EDs) among a sample of Swedish adolescents while considering health-related variables, and to investigate the longitudinal associations between ED consumption, health, and norm-breaking behavior. Longitudinal studies on this topic are scarce.Methods: Questionnaire data were collected in the northern part of Sweden in 2010–2011 from 1,622 adolescents in grades 6–9. Analyses were performed using a chi-squared test and logistic regression.Results: Seventy-four percent of the boys and 54% of the girls had consumed EDs (P < 0.001). ED consumption was associated with variables related to low health, low support levels, and norm-breaking behavior. The associations were generally stronger among the girls and the boys who consumed EDs at least once a week. ED consumption was a predictor of worse health and norm-breaking behavior 1 year later. Adjusted odds ratios ranged from 1.53 (95% CI: 1.07, 2.20; school-related stress) to 4.88 (95% CI: 2.28, 10.43; gaming-related truancy).Conclusions: Health promotion activities benefit from a broad approach but could focus on girls who consume EDs and those boys with the highest consumption levels.


2021 ◽  
Vol 70 (4) ◽  
pp. 243-258
Author(s):  
Josephine Jellen

Zusammenfassung In meinem Beitrag gehe ich der Frage nach, wie Polizist*innen gesundheit­lichen Belastungen im Allgemeinen und im Zuge der Fluchtbewegung 2015 im Speziellen deutend begegnen. Dabei befasse ich mich mit den sozialen und polizeikulturellen Überformungen des Themas Arbeitsbelastung von Polizist*innen. Meine Ergebnisse zeigen, dass polizeiliche Belastungen im Zuge von gesellschaftlichen Umbruchsphasen dazu führen, dass die Behörde sekundäre Gewinne (z.B. Anerkennung, aber auch personelle und andere Ressourcen) erlangt. Die Polizei als Institution geht gestärkt aus gesellschaftlichen Phasen des Umbruchs hervor, während die einzelnen Beamt*innen die gesundheitlichen Belastungen spätmoderner Gesellschaften im beruflichen Alltag aushalten müssen. So entwickeln Polizist*innen zur Überbrückung dieser Ambivalenzen eigene Sinnkonstruktionen oder wählen kurz- bis mittelfristige Ausstiegsstrategien aus dem beruflichen Alltag. Abstract: How Do Police Offices Frame Health-Related Stress? – A Qualitative-Empirical Approach In the article, I explore how police officers interpret health-related stress and discuss social and cultural framing processes. The special focus of my analysis lies on the time of the refugee movement in 2015. The findings show that workloads for police officers, that arise during social transformation processes such as the refugee movement, result in an achievement of secondary gains on the side of the institution, in this case the police department (recognition, but also personnel and other resources). While social transformation processes strengthen the institution, the individual police officers have to endure the ambivalences of late-modern societies in their everyday professional lives. In order to cope with this workload, they develop their own constructions of meaning or choose short- to medium-term exit strategies from their everyday professional lives.


2002 ◽  
Vol 11 (3) ◽  
pp. 111-114 ◽  
Author(s):  
Bruce E. Compas ◽  
Linda Luecken

Breast cancer remains a highly prevalent and extraordinarily stressful experience for hundreds of thousands of women each year in the United States and around the world. Psychological research has provided a picture of the emotional and social impact of breast cancer on patients’ lives, and of factors associated with better versus worse adjustment. Psychosocial interventions have been beneficial in decreasing patients’ distress and enhancing their quality of life. Recent research also suggests that psychological factors may be related to potentially important biological disease-related processes. In addition to providing an understanding of the psychological factors in breast cancer, research in this area has provided a framework for research on adaptation to health-related stress in general.


Author(s):  
Kathleen L. Grady ◽  
Pariya L. Fazeli ◽  
James K. Kirklin ◽  
Salpy V. Pamboukian ◽  
Connie White‐Williams

Background Factors related to health‐related quality of life (HRQOL) 2 years after left ventricular assist device (LVAD) implantation are unknown. We sought to determine whether preimplant intended goal of LVAD therapy (heart transplant candidate [short‐term group], uncertain heart transplant candidate [uncertain group], and heart transplant ineligible [long‐term group]) and other variables were related to HRQOL 2 years after LVAD implantation. Methods and Results Our LVAD sample (n=1620) was from INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support). Using the EuroQol‐5 Dimension Questionnaire (EQ‐5D‐3L), a generic HRQOL measure, and the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12), a heart failure–specific HRQOL measure, multivariable linear regression modeling was conducted with the EQ‐5D‐3L Visual Analog Scale (VAS) score and KCCQ‐12 overall summary score (OSS) as separate dependent variables. Two years after LVAD implant, the short‐term group had a significantly higher mean VAS score versus the uncertain and long‐term groups (short‐term: 75.18 [SD, 20.62]; uncertain: 72.27 [SD, 20.33]; long‐term: 70.87 [SD, 22.09], P =0.01); differences were not clinically meaningful. Two‐year mean scores did not differ by group for the KCCQ‐12 OSS (short‐term, 67.85 [SD, 20.61]; uncertain, 67.79 [SD, 19.31]; long‐term, 67.08 [SD, 21.49], P =0.80). Factors associated with a worse VAS score 2 years postoperatively (n=1205) included not working; not having a short‐term LVAD; and postoperative neurological dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, and less satisfaction with VAD surgery, explaining 28% of variance ( P <0.001). Factors associated with a worse KCCQ‐12 OSS 2 years postoperatively (n=1250) included not working; history of high body mass index and diabetes mellitus; and postoperative renal dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, less satisfaction with VAD surgery, and regret regarding VAD implantation, accounting for 36% of variance ( P <0.001). Conclusions Factors related to HRQOL 2 years after LVAD implantation include demographic, clinical, and psychological variables.


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