Association Of Psychological Stress Research Articles

Association of psychological stress with wives' hypertension across over 10 million Chinese married female population aged 20-49years.

Psychological stress has been reported to be a potential risk factor for hypertension among females, but it remains unclear whether spousal chronic stress levels alter the risk of hypertension among women. We examined the associations between stress within the family and hypertension among married women. Reproductive-aged women who were planning for pregnancy and their husbands were recruited from the National Free Pre-pregnancy Checkup Projects (NFPCP) across 31 provinces in China in 2016 and 2017. Perceived stress of wives or husbands was measured with a 5-point Likert-type scale, and assessed from three domains: work/life-related stress, economic stress, and overall stress. Multivariable-adjusted logistic regression models were used to assess the associations between stress status and the prevalence of hypertension. Of 10,027,644 couples, 261,098 (2.60%) women had hypertension. The results showed that higher stress levels among themselves or their husbands were associated with a higher prevalence of hypertension in women ( Pfor trend <0.001). Compared with non-stressed participants, female participants with the highest stress themselves were at a greater risk of hypertension, with adjusted odds ratio (OR) of 1.31 (95% confidence interval [CI]: 1.25-1.37); and compared with participants whose husbands had no stress, those whose husbands had the highest stress level were at a higher risk of hypertension with adjusted OR of 1.24 (95% CI: 1.20-1.29). Moreover, compared with non-stressed status for both couples, only-wife-stressed, only-husband-stressed, and both-stressed couples were found to be significantly associated with increased risks of wives' hypertension, with adjusted ORs of 1.28 (95% CI: 1.25-1.31), 1.19 (95% CI: 1.17-1.21), and 1.28 (95% CI: 1.26-1.31), respectively. Moderate to severe stress in both spouses might be associated with female hypertension prevalence, which highlights the importance of paying attention to the psychological stresses of couples within the family.

The association of psychological stress with metabolic syndrome and its components: cross-sectional and bidirectional two-sample Mendelian randomization analyses.

Metabolic syndrome (MetS) is a group of co-occurring conditions that increase the risk of cardiovascular disease, which include the conditions of hypertension, overweight or obesity, hyperglycemia, and dyslipidemia. Psychological stress is gradually being taken seriously, stemming from the imbalance between environmental demands and individual perceptions. However, the potential causal relationship between psychological stress and MetS remains unclear. We conducted cross-sectional and bidirectional Mendelian randomization (MR) analyses to clarify the potential causal relationship of psychological stress with MetS and its components. Multivariable logistic regression models were used to adjust for potential confounders in the cross-sectional study of the Chinese population, including 4,933 individuals (70.1% men; mean age, 46.13 ± 8.25). Stratified analyses of sexual characteristics were also performed. Bidirectional MR analyses were further carried out to verify causality based on summary-level genome-wide association studies in the European population, using the main analysis of the inverse variance-weighted method. We found that higher psychological stress levels were cross-sectionally associated with an increased risk of hypertension in men (odds ratio (OR), 1.341; 95% confidence interval (CI), 1.023-1.758; p = 0.034); moreover, higher levels of hypertension were cross-sectionally associated with an increased risk of psychological stress in men and the total population (men: OR, 1.545 (95% CI, 1.113-2.145); p = 0.009; total population: OR, 1.327 (95% CI, 1.025-1.718); p = 0.032). Genetically predicted hypertension was causally associated with a higher risk of psychological stress in the inverse-variance weighted MR model (OR, 2.386 (95% CI, 1.209-4.710); p = 0.012). However, there was no association between psychological stress and MetS or the other three risk factors (overweight or obesity, hyperglycemia, and dyslipidemia) in cross-sectional and MR analyses. Although we did not observe an association between psychological stress and MetS, we found associations between psychological stress and hypertension both in cross-sectional and MR studies, which may have implications for targeting hypertension-related factors in interventions to improve mental and metabolic health. Further study is needed to confirm our findings.

Association of Psychological Stress With Skin Symptoms Among the Population in Saudi Arabia: A Cross-Sectional Study

Association of Psychological Stress With Skin Symptoms Among the Population in Saudi Arabia: A Cross-Sectional Study

Association of psychological stress and memory decline in US adults

AbstractBackgroundPsychological stress can have long‐term health consequences and has been linked to many chronic conditions. Recent evidence suggests that psychological stress and poor mental health may have long‐term effects on cognition. We aimed to assess the association between psychological stress and memory decline in a nationally representative sample.MethodWe assessed data on participants aged 45 years from the 2020 wave of the Behavioral Risk Factor Surveillance System (BRFSS). BRFSS is a survey of health behaviors and conditions that is administered by telephone across the US. Participants self‐reported memory decline over the past year and days of psychological stress in the past month (categorized as &lt;15 – low, or ≥15 – high), in addition to several sociodemographic factors. The association between memory decline and psychological stress was assessed by multivariate logistic regression, adjusting for age, sex, income, lifestyle and cardiovascular risk factors. Education and race were assessed as effect modifiers.ResultOf 48,460 participants (53.9% female, 82.7% White), 4,132 (8.5%) reported memory decline over the past year. Among those with high psychological stress, 1,248 (25.1%) reported memory decline, compared to 2,884 (6.6%) among participants with low stress (p&lt;0.001). In our crude model, high psychological stress was significantly associated with memory decline (OR = 4.72, 95% CI: 4.39, 5.09). This association persisted after adjusting for demographic, lifestyle and cardiovascular risk factors (OR = 4.18, 95% CI: 3.87, 4.52). There was significant interaction by education and race such that the association between psychological stress and memory decline was stronger in non‐whites with less education (OR = 6.56, 95% CI: 5.39, 7.99) and weaker in more educated whites (OR = 3.62, 95% CI: 3.23, 4.01).ConclusionIn this analysis of a nationally representative sample, psychological stress was significantly associated with memory decline. This association was modified by education level and race, with larger effect sizes among those who were non‐white or had less education. Since psychological stress is a modifiable risk factor, these findings suggest that access to mental health resources and stress reduction efforts may be instrumental in preventing cognitive decline. Further studies are needed to elucidate the role of psychological stress in cognitive decline.

Association of Musculoskeletal Pain and Psychological Stress with the use of Personal Electronic Devices among College Going Students – A Virtual Cross-sectional Study

Background: Computer use is associated with increased risk for musculoskeletal disorders due to adopted static postures and highly repetitive hand motions. At colleges, students use computers, mobile phones, laptop or tablet for communication, learning and entertainment. Social isolation, loneliness, physical inactivity or sedentary lifestyle are individual entities. Owing to the present situation, where the public interaction is restricted, the above factors can interfere in mental health status as well as on musculoskeletal system of the students. So, the aim was to study the association of musculoskeletal pain and psychological stress with the use of personal electronic devices among college going students.Method: An online short form questionnaire was prepared using Google forms which consisted of survey related questions from Nordic Musculoskeletal Questionnaire and Perceived Stress Scale. Total 100 college going students were recruited as per selection criteria and online form was distributed amongst them. Data analysis by chi-square test showed significant association of musculoskeletal pain (P&lt; 0.05) but no association of psychological stress (P&gt; 0.05) with the use of personal electronic devices among college going students. Conclusion: Musculoskeletal pain was commonly associated with the use of personal electronic devices rather than psychological stress among college going students.

Association of Psychological Stress with Telomere Length as a Biomarker of Cellular Aging: A Systematic Review

Association of Psychological Stress with Telomere Length as a Biomarker of Cellular Aging: A Systematic Review

Association of Psychological Stress and Mood in Ankle Injuries Among Basketball Players during Conditional Movement Control Order

Background: Ankle injuries in basketball are very common and have been increasing drastically over the past several decades. Based on studies, it believed that psychological effects play an important role in affecting sports injuries. In addition, during the conditional movement control order (CMCO), the athletes are forced to train at a reduced volume and intensity, which impairs performance and may lead to injury. Objective: This study aims to find the association between psychological stress and mood in ankle injuries among basketball players during CMCO. Methodology: An online questionnaire distributed via Google form links to basketball players who were involved in individual practice in Selangor, Malaysia. The collected data then analyzed using IBM SPSS Statistics 25. The Spearman correlation coefficient used to analyze the association between the Perceived Stress Scale (PSS), Profile of Mood State-Short form (POMS-SF) and the Foot Ankle Disability Index (FADI). Results: Prevalence of ankle injuries among basketball players during CMCO was reported at 84.4%. Among the 151 participants, 7.9% had low perceived stress and 92.1% had moderate perceived stress. The association between FADI and PSS did not reach statistical significance, while the association between POMS-SF and FADI was significant at 0.01 and 0.05 level. Conclusion: According to the findings, basketball players are more likely to get ankle injuries, and most players are in a negative mood during CMCO, which affects their regular training and may increase the injury rate.

Association of psychological stress with risk of dementia: A systematic review and meta‐analysis

AbstractBackgroundWith no effective disease‐modifying treatments, there is a need to identify lifestyle risk factors that may prevent or delay the onset of dementia. One proposed risk factor is psychological stress. Although many studies have investigated the association between stress and dementia, to our knowledge, no meta‐analysis has examined this. The current study investigated the association between different aspects of psychological stress (including neuroticism, stressful life events and perceived stress) and the risk of incident dementia in adults without cognitive impairment.MethodThe study was prospectively registered and conducted in accordance with PRISMA guidelines. PsycINFO, Embase and MEDLINE were searched for eligible observational, prospective studies from database inception to October 2020. Pooled hazard ratios (HRs) were generated using random‐effects models to separately examine each aspect of stress in relation to the incidence of all‐cause dementia and Alzheimer’s disease (AD) dementia.ResultOf the 1607 studies screened, 15 (18 cohorts) were included in meta‐analyses. Across studies, higher perceived stress was significantly associated with an increased risk of all‐cause dementia (Cases/Total N = 203/1,882: hazard ratio [HR] = 1.44, 95% confidence interval [CI] = 1.07‐1.95). Exposure to two or more stressful life events (versus none) was also significantly associated with an increased risk of all‐cause dementia (Cases/Total N = 3,352/11,597: HR = 1.72, 95% CI = 1.14‐2.60), while one or more stressful life events was not. Higher neuroticism was significantly associated with an increased risk of AD dementia (Cases/Total N = 497/4,771: HR = 1.07, 95% CI = 1.01‐1.12), but not all‐cause dementia.ConclusionPsychological stress in adulthood is associated with an increased risk of dementia. Further research is needed to clarify the mechanisms underlying these associations.

Body Mass Index and Association of Psychological Stress with Exercise Performance in Military Members: The Cardiorespiratory Fitness and Hospitalization Events in Armed Forces (CHIEF) Study.

To investigate the influence of body mass index (BMI) on the association between psychological stress and physical fitness. Both obesity and psychological stress reduce exercise performance. It is unknown whether obesity may modify the relationship. A population of 4,080 military subjects in Taiwan was divided to three groups according to the BMI ≥27.0 kg/m2 (obesity), 24.0-26.9 kg/m2 (overweight) and 18.5-23.9 kg/m2 (normal weight). Normal, slight, and great psychological stress was evaluated by the Brief Symptoms Rating Scale (BSRS-5) score ≤5, 6-9, and ≥10, respectively. Aerobic and anaerobic fitness were respectively evaluated by time for a 3000-meter run and numbers of 2-minute sit-ups and 2-minute push-ups. Analysis of covariance (ANCOVA) with adjustments for age and sex was used to determine the relationship. The mean time (sec) for a 3000-meter run (standard error) under slight and great stress differed from that under normal stress in the normal weight (881.0 (11.0) and 877.9 (5.8) vs. 862.2 (1.7), p=0.089 and 0.0088, respectively) and in the obesity (928.1 (16.8) and 921.8 (10.7) vs. 895.2 (1.6), p=0.054 and 0.016, respectively), while the differences were not significant in the overweight (877.1 (12.7) and 877.5 (7.1) vs. 867.1 (2.1), both p >0.5). The impacts of the BMI on 2-minute sit-ups had a similar pattern with that on a 3000-meter run whereas the impact of the BMI on 2-minute push-ups was insignificant. Mental stress may not affect physical fitness in overweight military personnel. The mechanism is not clear and should be further investigated.

Association of Psychological Stress with Physical Fitness in a Military Cohort: The CHIEF Study.

Psychological stress is associated with sedentary behavior, which may impair exercise performance. The aim of our study was to examine the association between psychological stress and physical fitness in military personnel. A military cohort of 4080 subjects in Taiwan was used for the analysis. The Brief Symptoms Rating Scale (BSRS-5) includes items of anxiety, depression, hostility, interpersonal sensitivity, and insomnia measured by a five-point Likert-type scale of 0-4. Psychological stress was defined as normal (n=3657), slight (n=314), and great (n=109) by BSRS-5 score ≤5, 6-9, and ≥10, respectively. Aerobic fitness and anaerobic fitness were evaluated by the time of 3000-meter running and the numbers of 2-min sit-ups and 2-min push-ups, respectively. Multiple linear and logistic regression analyses were used to determine the relationship. As compared with normal stress, slight and great stress were positive dose-dependently correlated with 3000-meter running time (β=9.09 and 14.44; P=0.0032 and 0.048, respectively) after adjusting for age, sex, service specialty, body mass index, systolic blood pressure, cigarette smoking, alcohol intake, hemoglobin levels, and exercise frequency. Similarly, those with slight stress were more likely to be the worst 10% performers in the 3000-meter run test relative to the normal individuals (odds ratio and 95% confidence intervals: 1.50, 1.00-2.24). By contrast, there was no relationship of psychological stress with the numbers of 2-min sit-ups and 2-min push-ups. Our findings suggest that the presence of higher psychological stress on military personnel may reduce their cardiorespiratory fitness but not affect the anaerobic fitness.

Stress association with neck and shoulder pain among male taxi drivers in Shah Alam, Malaysia

Background: Drivers are often involved in events that elevate their stress levels. Drivers also experience musculoskeletal pain. The association of psychological stress with neck and shoulder pain (NSP) among drivers is not well understood. Therefore, the aim of this study is to investigate the stress associated with NSP among male taxi drivers in Shah Alam, Malaysia.Methods: A cross-sectional study was conducted to explore the psychological stress associated with neck and shoulder pain among male taxi drivers aged 20 to 40 years old in Shah Alam, Malaysia. Data was collected using a self-modified questionnaire consisting of socio-demographic questions for section A, stress level questions for section B and neck and shoulder pain for section C. A total of 89 taxi drivers from Shah Alam, Malaysia were selected using convenience sampling.Results: A total of 95.5% of taxi drivers experienced stress, 95.5% experienced neck pain and 50.6% experienced shoulder pain. However, the result also indicated that stress did not have an association with neck pain (p=0.140) and shoulder pain (p=0.285) among male taxi drivers in Shah Alam, Malaysia.Conclusions: There is no association between psychological stress and neck-shoulder pain among male taxi drivers in Shah Alam, Malaysia.

Adolescent stress: A predictor of dieting behaviors in youth with overweight/obesity

ObjectiveTo examine associations between psychological stress and dieting behavior along with the heterogeneity of this association by gender and race in a diverse sample of adolescents with overweight/obesity. MethodsOne hundred and sixty-one adolescents between the ages of 13–19 years of age with overweight/obesity (65% female; 53% non-Hispanic black/47% non-Hispanic white; age: 16.7 ± 1.7 years) were recruited from Southeast MI and included in this analysis. Psychological stress was measured using the Perceived Stress Scale, and dieting behavior was assessed using the dieting subscale from the Eating Attitudes Test (EAT-26) questionnaire. Multivariable linear regression models were conducted to examine the association between psychological stress and dieting behavior by gender and race. ResultsPsychological stress was significantly associated with dieting (β = 0.18 ± 0.06; p < 0.01), with greater stress associated with greater frequency of dieting behavior. This relationship remained significant (β = 0.15 ± 0.06; p = 0.016), even when controlling for covariates (age, body fat, gender, race, and pubertal development). There were no statistically significant differences in the association of psychological stress and disordered eating indices by gender or race/ethnicity (p's > 0.05). ConclusionsIncreased psychological stress is associated with increased dieting behavior among adolescents with overweight/obesity. These findings suggest that psychological stress equally affects dieting behavior among adolescents with overweight/obesity, regardless of gender and race. Future studies should seek to identify the unique sources of psychological stress that contribute to increased dieting behavior among adolescents with overweight/obesity.

Association of psychological stress with skin symptoms among medical students.

Objectives:To evaluate the association between psychological stress and skin symptoms among medical students.Methods:A cross-sectional study was carried out between January and June 2015. Electronic survey consists of Perceived Stress Questionnaire (PSQ) and Self-Reported Skin Complaints Questionnaire were distributed to all 1435 undergraduate students at College of Medicine, King Saud University (KSU), Riyadh, Saudi Arabia.Results:Final analysis was performed on data from 529 (36.9%) students. Students were divided into three groups: least stressed students, n=135, PSQ index <0.39; highly stressed students, n=136, PSQ index >0.61; and moderately stressed students, n=258. Older age, female gender, during exam weeks, and fourth and fifth years of medical school (all p<0.01) were associated with the highest perceived stress levels. When compared to least stressed students, highly stressed students suffered from more oily, waxy patches or flakes on scalp (p≤0.0001), dry/sore rash (p≤0.0001), warts (p≤0.0001), pimples (p≤0.0001), itchy skin (p≤0.0001), hands itchy rash (p≤0.0001), hair loss (p≤0.0001), pull-out own hair (p=0.008), scaly skin (p=0.012), troublesome sweating (p=0.016), nails biting (p=0.028), and other rashes on face (p=0.028).Conclusion:Various common skin conditions could appear in context of psychological stress among medical students.