Daily Stress Inventory Research Articles

Thyroid-Stimulating Hormone as a Biomarker for Stress After Thyroid Surgery: A Prospective Cohort Study.

BACKGROUND Thyroid-stimulating hormone (TSH), which is regulated by the negative feedback of triiodothyronine (T3) and thyroxine (T4), is affected by cortisol (a stress hormone) and cytokines during allostasis. Thus, we assessed changes in TSH levels under stress and its potential as a stress marker in patients lacking T3 or T4 feedback after thyroid surgery. MATERIAL AND METHODS Three stress questionnaires (Korean version of the Daily Stress Inventory, Social Readjustment Rating Scale, and Stress Overload Scale-Short [SOSS]), an open-ended questionnaire (OQ), and thyroid function tests were administered twice to 106 patients enrolled from January 2019 to October 2020. RESULTS In a multiple generalized linear mixed-effect model (GLMM) involving 106 patients, the T3 and free T4 levels, OQ, body weight, extent of thyroidectomy, and preoperative TSH levels were significantly correlated with log-transformed TSH (lnTSH). The modified SOSS (category) based on recent stressors on OQ interview was significantly associated with lnTSH. In the GLMM with modified SOSS (category), the lnTSH increased by 2.3 and 0.56 in the unconscious high- and high-risk groups, respectively, compared to that in the low-risk group (P<0.05). The calculated power of this study was 0.92 based on alpha=0.05. CONCLUSIONS TSH had a significant relationship with stress and the extent of thyroidectomy. An OQ supported the SOSS to help detect unrecognized stressors. TSH has potential utility as a stress marker combined with the modified SOSS (category) with sufficient power. However, questionnaires on social environments and research on coping strategies for stress are necessary for future studies.

Change in Stress and Positive Experiences among Older Oregonians during the COVID-19 Pandemic

Several cross-sectional studies have examined stressors and positive events among older adults during COVID-19. We extend these studies by examining changes across time in perceptions of stress and positive experiences. Older adults in Oregon (Mage = 71.1, SD = 7.3, range = 51-95) completed weekly surveys from April 28 to June 23, responding to an adaptation of the Daily Stress Inventory (DISE; Almeida et al., 2002). DISE examines stressors and positive experiences across six domains (health, spouse/partner, other relationships, work/volunteer, finances, and retirement) on a 7-point scale (1 = not at all to 7 = extremely). At baseline, those who felt more stressed were younger, female, and reported more chronic health conditions, while younger adults, especially males, reported more positive events. Positive and stress intensity scores were not correlated. Multilevel models found that for both positive, Blinear = -2.54, SE = 0.52, p < .001; Bquadratic = 0.21, p < .05, and stress, Blinear = -0.79, p < .001; Bquadratic = 0.07, p <.01, intensity showed decelerated decreases across time; residuals for both models were significant. Older adults had lower stress levels, while women and those with chronic health conditions had higher stress levels. Women also reported lower levels of positive events. In both models, neither age, gender, nor chronic health conditions predicted change. These results highlight the evolving experiences during COVID-19, as perceptions of stress and positive events decreased. Future studies should examine how the changing circumstances during COVID-19 affect adaptation, including perceived stress and positive events.

Acute Daily Stress, Daily Food Consumption, and the Moderating Effect of Disordered Eating among Adolescents with Overweight/Obesity.

Objective: The purpose of this study was to examine the associations between acute daily stress dimensions (frequency, sum) and food intake in adolescents with overweight/obesity, and to explore the potential moderating effect of disordered eating behaviors on these associations. Methods: One hundred eighty-two adolescents with overweight/obesity (65% females; 68.7% non-white; 16.2 ± 1.8 years of age) were included in this analysis. Acute daily stress was measured using the Daily Stress Inventory, and daily caloric intake was measured using a food frequency questionnaire. Disordered eating behavior was assessed using the Eating Attitudes Test (EAT-26). Results: Acute daily stress frequency (B = 0.013 ± 0.003; p < 0.001) and acute daily stress sum (B = 0.003 ± 0.001; p < 0.001) were associated with greater daily caloric intake. Disordered eating behavior moderated the association between acute daily stress frequency and caloric intake (pinteraction = 0.039), with greater daily caloric intake among those with higher levels of disordered eating. Disordered eating behavior did not significantly moderate the association between acute daily stress sum and daily caloric intake (pinteraction = 0.053). Conclusions: These findings suggest that greater exposure to acute daily stressors may increase daily food intake in adolescents with overweight/obesity, with greater susceptibility among those engaging in high levels of disordered eating. Longitudinal research is warranted to elucidate the long-term effect of acute daily stressors and disordered eating on food intake among adolescents with overweight/obesity. The Health and Culture Project is registered at www.clinicaltrials.gov (No. NCT02938663).

La actividad artística como regulador de los procesos de ansiedad y agresividad en niños

Existen investigaciones y publicaciones que indican que la danza es una buena herramienta para ayudar a los niños a regular sus niveles de estrés y a reducir su nivel de ansiedad. Objetivo: El objetivo de esta investigación, es el de evaluar comparativamente el efecto de la práctica regular de danza en el control del estrés y la disminución de la ansiedad en niños. Materiales y método: Estudio de corte experimental de tipo longitudinal, con muestra no probabilística intencional de 146 niños, 50 niños del grupo experimental que asistieron al programa de danza, 50 niños que practicaban actividad física regular y 46 niños sedentarios. Se aplicaron los cuestionarios CAS, STAIC y el Inventario de Estrés Cotidiano Infantil (IECI). Resultados: El grupo de danza tuvo el mayor descenso en niveles de estrés y ansiedad. El grupo con ejercicio físico deportivo mostró una tendencia marcada a permanecer constante. En el grupo control de niños sedentarios, sin ningún tratamiento, se halló una notable inclinación hacia el aumento de los niveles de estrés. Los resultados confirman que el estrés puede disminuir con la práctica regular de danza. El ejercicio físico deportivo también reduce, pero sin la misma estabilidad en los resultados ya que, en algunos casos individuales, aumenta los niveles de ansiedad y estrés.

Evaluation of Self-Reported Stress Reduction from Ashwagandha and B Vitamin Supplementation Using Ecological Momentary Assessment (EMA)

Abstract Objectives Chronic stress and anxiety are linked to poor health outcomes that include depression, weight gain, hypertension, and even cardiovascular disease. Stress and anxiety continue to cause physical symptoms in 77% of individuals in America. Remedies to help alleviate stress and anxiety are needed. This study evaluated the benefits of ashwagandha and B vitamin supplementation on stress and anxiety reduction. Methods In this study, 40 women between the ages of 30 and 50 were recruited to evaluate the synergistic effects of ashwagandha and B vitamin supplementation, for four weeks, on stress and anxiety. Ecological Momentary Assessment (EMA) is a method that allows for stress to be recorded in real time, allowing for individual changes to be monitored. The 60-item daily stress inventory was used to measure stress throughout the day via EMA. EMAs were randomly sent 5 times per day for 7 consecutive days at 3 different time points: before the start of the intervention, ten days after starting the intervention, and then the last 7 days of the intervention. Results Overall, in a pairwise comparisons analysis, the average perceived stress from reported stressors was statistically significantly decreased post-intervention (P = 0.044) when compared to pre-intervention EMA data. Additionally, in a mixed model analysis, 4-week supplementation statistically significantly reduced perceived feelings of reported “stress” (mean difference of −4.892; 95% CI: −10.00 to 0.217; P = 0.018), and increased sense of feeling “concentrated” (mean difference of 8.136; 95% CI: 0.650 to 15.623; P = 0.026) and “revitalized” (mean difference of 8.373; 95% CI: 1.868 to 14.878; P = 0.003) after 4 weeks. Conclusions This study provides evidence of stress reduction from ashwagandha and B vitamin supplementation. Future research should conduct a double-blind placebo-controlled trial of this supplement's effect on stress. Funding Sources This research was funded by the Food Sciences Corporation. Funder had no role in data collection, data analysis or interpretation, or writing of the abstract.

SAT-008 Do Psychological Factors Influence Exercise Related Amenorrhea?

Purpose: The etiology of functional hypothalamic amenorrhea (FHA) can involve both metabolic and psychogenic stressors. The role of metabolic stress has been described in exercising women who develop FHA secondary to chronic energy deficiency attributable to inadequate dietary intake in the face of exercise training. The potential for psychological factors to contribute to exercise-related FHA is unknown. Methods: In our cross-sectional comparison of exercising women ((n=61), exercise ≥2 hours/week, age 18-35 years, BMI 16-25 kg/m2, we tested whether psychological factors discriminated participants who were deemed eumenorrheic or had FHA as confirmed by physical examination, health history, metabolic and endocrine screening, menstrual calendars and daily urinary collection for reproductive hormone metabolites. Body composition, energy balance, and metabolic and endocrine parameters were assessed in addition to psychological factors (Dysfunctional Attitudes Scale, Brief-Resilient Coping, Daily Stress Inventory, Perceived Stress Scale (PSS), Profile of Mood States (POMS), Beck Depression Inventory) and eating behaviors (Eating Disorder Inventory-2, Three-Factor Eating Questionnaire). Results: Exercising women with FHA had a significantly lower BMI (20.2 vs 21.5 m/kg2, p<0.05), less body fat (22.8 vs 25.8%, p<0.05), and a lower fat mass (56.2 vs 58.3 kg, p<0.05), compared to eumenorrheic women. Fasting total triiodothyronine (75.4 vs 89.8 ng/dL, p<0.001), leptin (5.2 vs 9.0 ng/dL, p<0.01), and the ratio of actual to predicted resting metabolic rate (0.84 vs 0.92, p<0.01) were significantly lower in FHA women. FHA women demonstrated a greater drive for thinness (2.9 vs 2.1, p<0.05), greater dietary cognitive restraint (11.3 vs 7.4, p<0.001), and displayed more dysfunctional attitudes, i.e., need for social approval (39.1 vs 33.7, p<0.05) compared to eumenorrheic women but there were no differences in perceived stress, depression, mood states, brief resilient coping, or daily stress (p >0.05). Notably, FHA women displayed a significant positive correlation between need for social approval and indicators of stress (PSS: r=0.50), depression (Beck: r=0.59), and mood (POMS-depression/dejection: r=0.55), which was not apparent in eumenorrheic women. Additionally, EDI-drive for thinness was significantly positively correlated with many of the variables associated with stress (PSS: r=0.47), depression (Beck: r=0.51), dysfunctional attitudes (r=0.55), and mood disorders (POMS-depression-dejection: r= 0.37; tension/anxiety: r=0.44)(all p<0.05). Conclusion: In exercising women, psychological factors do not overtly discriminate reproductive status; however, in women with FHA, there appears to be a higher need for social approval and restrictive eating behaviors may be related to underlying indicators of psychological stress and depression.US DoD PR054531

The Correlates of Sleep Disturbance in Symptomatic Youth

Background: Sleep disturbances are common across many mental health disorders, with evidence suggesting a bidirectional relationship. Furthermore, there is evidence of a significant association between sleep disruption and worse symptomology in disorders such as anxiety, depression, and psychosis. Additionally, research has demonstrated the negative impact of stress and stressful life events on psychiatric illness progression. However, little is known about possible links between sleep disturbance and these psychiatric symptoms, ongoing stress, stressful life events and functioning, especially in adolescence and early adulthood, a time when many mental illnesses first begin. Exploring these relationships may allow for a better understanding of the role sleep disruption plays in the early stages of illness. Objective: The objective of this study is to investigate potential correlates of sleep disturbance in youth experiencing subthreshold psychiatric symptoms. Methods: This study included 160 youth, ages 12 to 25 who were help seeking due to experiencing distress, mild symptoms of anxiety or depression, and/or attenuated syndromes such as clinical high risk for psychosis. Youth meeting criteria for full psychiatric diagnoses were excluded. The Pittsburgh Sleep Quality Index was used to assess sleep disruption. A range of clinical symptoms were assessed using the Scale for Assessment of Psychosis-Risk Symptoms, The Calgary Depression Scale for Schizophrenia and the Generalized Anxiety Disorder 7-Item Scale. Current stress was assessed with the Daily Stress Inventory, and the K10 Distress Scale. Past history of major stress was measured with a Childhood Trauma and Abuse Scale, and the Life Events scale. Fourthly, functioning was assessed with the Global Functioning Scale: Social and Role. Results: Global sleep quality was most highly realted to subthreshold symptoms of anxiety (r=0.425, p&lt;0.01), depression (r=0.420, p&lt;0.01), and disorganized symptoms of psychosis (r=0.232, p&lt;0.05). Additionally, global sleep was related to total distress (r=0.356, p&lt;0.01), daily stress (r=0.268, p&lt;0.01), and stressful life events (r=0.291, p&lt;0.01). Social functioning did not reveal any significant correlations with sleep, however, role functioning (r=0.170, p&lt;0.05) did exhibit a relationship with global sleep quality. Finally, bullying (r=0.196, p&lt;0.05) and trauma (r=0.266, p&lt;0.01) were significantly correlated with global sleep quality scores. Conclusion: This study provides early evidence for the interaction that sleep disruption may have with stress, trauma, bullying, and subthreshold psychiatric symptomology in youth. Further research is required to increase the understanding of these relationships early on in youth psychiatric illness progression.

Estrés cotidiano infantil y factores ligados al aprendizaje escolar como predictores del rendimiento académico

Background and objectivesWithin the broad spectrum of variables that influence learning and consequently academic achievement, affective-motivational factors related to daily stress are particularly important. The aim of this study was to analyze associations between daily childhood stress, learning strategies and academic motivation, by analyzing how they differ across 3 achievement groups (low, medium and high), and the predictive-ability of these groupings. MethodNon-experimental methodology in a cross-sectional, descriptive, correlational, inferential and multivariate study. A total of 535 primary school students from Cantabria, Spain, aged 9 to 12 (M=10.72; SD=0.67), participated in the study. They completed the Inventario de Estrés Cotidiano Infantil [Children's Daily Stress Inventory] and the Diagnóstico Integral del Estudio [Comprehensive Diagnosis of Study], and their school grades were recorded for the subjects of Language Arts, English as a Foreign Language, and Mathematics. ResultsThe results showed positive, significant relationships between all the variables pertaining to learning and academic achievement; each of these variables, in turn, had negative, significant relationships with global daily stress (as well as with health, school and family stress). The multivariate discriminant analysis explained the predictive role of complementary strategies, school stress, attitude toward study and self-concept, in different levels of general academic achievement. ConclusionsThere is a need for interventions in self-regulated learning strategies that would serve as a preventive measure, and in development of coping strategies for stressful situations inside and outside the educational context.

Headache Triggers as Surprise.

To examine the hypothesis that surprising experiences of headache triggers are associated with daily headache activity. Little is known about the specific environmental or behavioral interactions that might trigger a headache attack in a prone individual. We propose that headache trigger exposures can be usefully characterized, not only by their mechanisms of action, but also on the degree of "surprise" they present to the individual. This hypothesis is based on elements of information theory: that unusual events and experiences carry more information than common events and experiences and that headache attacks are associated with reactions to uncommon or unexpected biopsychosocial exposures. A secondary analysis of the Headache Prediction Study, this prospective cohort study followed N=95 individuals with episodic migraine who contributed 4195 days of diary data. Information was collected on daily levels of several common headache triggers: number of caffeinated beverages, number of alcoholic beverages, stress (Daily Stress Inventory), and mood disturbance (Profile of Mood States). The probability of observing variations in each trigger was used to estimate the "surprisal" of experiencing each trigger, and this information, measured in bits, was used to predict headache attacks. Participants experienced a headache attack on 1613 of 4195 days (38.5%). Each of the triggers was modestly related to the probability of experiencing a future headache in a complex manner that involved interactions between current headache status, current levels of the trigger, and lagged (previous) levels of the trigger. However, when expressed as a surprisal, the associations were simplified and strengthened. For example, each of the individual trigger surprisals exhibited a meaningful association with the development of a future headache attack (expressed as a 1 SD change in surprisal), with odds ratios ranging from a low of 1.11 (95%CI: 1.00 to 1.24) for alcohol to a high of 1.30 (95%CI: 1.14 to 1.46) for stress. The individual surprisals could be summed for total trigger surprise and exhibited a reliable association with new onset headache, OR 1.35 (95%CI: 1.17 to 1.49). This score exhibited superior discrimination between headache and non-headache days from all of the individual triggers (ignoring base rate, AUC: 0.61; AUC: 0.71 with base rate). Diverse headache triggers can be uniformly described using their probability distributions. Rare values of headache triggers, or surprising values, were found to have consistent associations with headache activity across a variety of triggers. This finding, if validated in external data using other triggers, has potential to be used to conceptualize the influence of a wide range of headache triggers.

Interdependent self-construal, social evaluative threat and subjective, cardiovascular and neuroendocrine stress response in Chinese

Interdependent self-construal (ISC) is a concept positing that people define their self through social roles and relationships with others. We investigated in two independent studies whether ISC had an effect on psychological and endocrine stress responses. Study 1 collected data of 295 healthy young Chinese participants' subjective report of ISC using the self-construal scale, and daily levels of stress using the daily stress inventory. Correlational analyses showed that individuals with higher ISC perceived higher levels of stress in daily life. Study 2 added biological measures of stress by analyzing both basal cortisol levels and reactive cortisol level of high/low ISC individuals (23 high and 23 low ISC healthy young Chinese participants recruited from a total of 440 participants), in response to the Trier Social Stress test. Participants with high ISC showed higher cortisol stress responses, higher heart rate measurements, and higher subjective stress reports when compared to low ISC participants. Further analyses suggested that participants' perception of social evaluative threat mediated the association between ISC and the cortisol stress response. Taken together, these findings suggest a significant role of ISC in regulating the biological and psychological stress response. These findings are discussed in the context of other personality factors known to affect the stress response, and the cultural-related self-construal literature. We also discuss the possible application of the ISC personality factor for future stress studies.

Improving prediction of eating-related behavioral outcomes with zero-sensitive regression models

ObjectiveOutcome variables gauging the frequency of specific disordered eating behaviors (e.g., binge eating, vomiting) are common in the study of eating and health behaviors. The nature of such data presents several analytical challenges, which may be best addressed through the application of underutilized statistical approaches. While zero-sensitive models are well-supported by methodologists, application of these models has yet to gain traction among a widespread audience of researchers who study eating-related behaviors. The current study examined several approaches to predicting count-based behaviors, including zero-sensitive (i.e., zero-inflated and hurdle) regression models. MethodExploration of alternative models to predict eating-related behaviors occurred in two parts. In Part 1, participants (N = 524; 54% female) completed the Eating Disorder Examination-Questionnaire and Daily Stress Inventory. We considered the theoretical basis and practical utility of several alternative approaches for predicting the frequency of binge eating and compensatory behaviors, including ordinary least squares (OLS), logistic, Poisson, negative binomial, and zero-sensitive models. In Part 2, we completed Monte Carlo simulations comparing negative binomial, zero-inflated negative binomial, and negative binomial hurdle models to further explore when these models are most useful. ResultsTraditional OLS regression models were generally a poor fit for the data structure. Zero-sensitive models, which are not limited to traditional distribution assumptions, were preferable for predicting count-based outcomes. In the data presented, zero-sensitive models were useful in modeling behaviors that were relatively rare (laxative use and vomiting, 9.7% endorsed) along with those that were somewhat common (binge eating, 33.4% endorsed; driven exercise, 40.7% endorsed). Simulations indicated missing data, sample size, and the number of zeros may impact model fit. DiscussionZero-sensitive approaches hold promise for answering key questions about the presence and frequency of common eating-related behaviors and improving the specificity of relevant statistical models. The current manuscript provides practical guidance to aid the use of these models when studying eating-related behaviors.

O9.8. STRESS AND COGNITIVE FUNCTION AMONG INDIVIDUALS AT CLINICAL HIGH-RISK FOR PSYCHOSIS: FINDINGS FROM THE NAPLS COHORT

BackgroundAccumulated evidence from non-human animal studies suggests that the prominent deficits in memory and executive function that characterise individuals with psychosis may, at least in part, be due to the effects of stress on the brain regions that support these functions. However, studies of patients with established psychosis have yielded inconsistent findings with regards to the relationship between stress and cognition, and research in high-risk populations is notably lacking. Utilising data from the North American Prodrome Longitudinal Study 2 (NAPLS 2), we aimed to further elucidate the relationship between stress (daily stressors, life events, and childhood trauma) and cognitive function in clinical high-risk (CHR) individuals and healthy controls (HC). We additionally explored the role of potential mediators [hypothalamic-pituitary-adrenal (HPA) axis function] and moderators (group status, sex, family history of illness).MethodsThe sample comprised 885 participants (CHR=646; HC=239) who completed measures of stress and cognitive function at the NAPLS 2 baseline assessment. Stress measures included the Daily Stress Inventory and a modified version of the Psychiatric Epidemiology Research Interview Life Events Scale, both of which provided continuous measures of stress exposure (number of events) and distress (subjective feelings of distress). Participants were also interviewed using the Childhood Trauma and Abuse Scale to determine any exposure to childhood trauma (abuse, neglect, and bullying occurring prior to age 16 years). Basal HPA axis activity was determined via salivary cortisol samples obtained at the baseline assessment and standardised scores from selected subtests from the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) were used to derive two cognitive domain scores (memory and executive function). To examine relationships between stress and cognitive domain scores, linear regression analyses were performed on standardised variables.ResultsDaily stressor exposure, daily stressor distress, and life event exposure exhibited negative quadratic (i.e., inverted U-shaped) associations with both memory and executive function (P < 0.01 for all). In contrast, the reverse pattern (i.e., a negative linear relationship and a positive quadratic relationship) was shown in the model for life event distress and memory domain scores (P < 0.01) whilst trauma history showed only a trend-level association with poorer memory performance (P = 0.084). These relationships, which did not differ across CHR and healthy control groups, were largely unchanged after adjusting for demographic factors and salivary cortisol. Exploratory analyses suggested that trauma exposure and a family history of psychosis may moderate the relationship between daily stressors/life events and cognitive function.DiscussionIn this large sample of predominately CHR individuals, we observed that the association between stress and cognition is complex and differs across stressor types. The negative quadratic associations that we observed for daily stressor exposure, daily stressor distress, and life event exposure imply that whist lower levels of stress may facilitate memory and executive function, there may be a negative impact on cognition when these stressors become more frequent and distressing. Interventions aiming to minimise stress exposure and promote effective coping strategies might feasibly improve cognition in CHR individuals.

Perceived Stress Predicts Lower Physical Activity in African-American Boys, but not Girls.

The purpose of this study was to examine cross-sectional relationships of psychological stress, stress coping, and minutes of moderate-to-vigorous physical activity (MVPA) in Amer- ican-American (AA) boys and girls. A community-based sample of 139 AA adolescents (mean age 14.7 years; SD = 1.8 years; 64.7% girls; 30% obese) from Washtenaw County, Michigan was included in this analysis. Psychological stress was assessed using the Daily Stress Inventory and the Perceived Stress Scale. Coping strategies were evaluated using the Schoolager's Coping Strategies questionnaire. Physical activity was measured objectively via accelerometry. Compared to boys, girls participated in approximately 13 fewer minutes of MVPA (p < .001) per day and reported significantly higher levels of daily stress (p = .03) and perceived stress (p < .001). In addition, girls reported using a greater number of coping strategies (p = .01) at a greater frequency (p = .04) compared to boys. However, perceived stress significantly predicted lower levels of MVPA (p = .03) in boys only. There are important gender differences in how AA girls perceive, experience, and cope with stress compared to AA boys. Although AA girls reported higher levels of stress and employed more coping strategies, perceived stress was associated with physical inactivity in AA boys, but not girls. Additional research is warranted to better understand the influence of stress on the choice to be physically active in AA youth.

Physical fitness and psychological health in overweight/obese children: A cross-sectional study from the ActiveBrains project

ObjectivesTo examine the associations of physical fitness (i.e. cardiorespiratory fitness, muscular strength, and speed/agility) with psychological distress and psychological well-being in overweight/obese pre-adolescent children. Design110 overweight/obese children (10.0±1.1years old, 61 boys) from the ActiveBrains project (http://profith.ugr.es/activebrains) participated in this cross-sectional study. MethodsPhysical fitness was evaluated by the ALPHA battery test. Cardiorespiratory fitness was additionally evaluated by a maximal incremental treadmill. Stress was assessed by the Children’s Daily Stress Inventory, anxiety by the State-Trait Anxiety Inventory, depression by the Children Depression Inventory, positive affect and negative affect by the Positive and Negative Affect Scale for Children, happiness by the Subjective Happiness Scale, optimism by the Life Orientation Test, and self-esteem by the Rosenberg Self-Esteem questionnaire. Linear regression adjusted for sex and peak height velocity was used to examine associations. ResultsAbsolute upper-body muscular strength was negatively associated with stress and negative affect (β=−0.246, p=0.047; β=−0.329, p=0.010, respectively). Furthermore, absolute lower-body muscular strength was negatively associated with negative affect (β=−0.301, p=0.029). Cardiorespiratory fitness, expressed by the last completed lap, and relative upper-body muscular strength were positively associated with optimism (β=0.220, p=0.042; β=0.240, p=0.017, respectively). Finally, absolute upper-body muscular strength was positively associated with self-esteem (β=0.362, p=0.003) independently of sex and weight status (p for interactions >0.3), and absolute lower-body muscular strength was also positively associated with self-esteem (β=0.352, p=0.008). ConclusionsMuscular strength was associated with psychological distress (i.e. stress and negative affect) and psychological well-being (i.e. optimism and self-esteem) as well as cardiorespiratory fitness was associated with optimism. Therefore, increased levels of physical fitness, specifically muscular strength, could have significant benefits for overweight/obese children psychological health.

Forecasting Individual Headache Attacks Using Perceived Stress: Development of a Multivariable Prediction Model for Persons With Episodic Migraine.

To develop and validate a prediction model that forecasts future migraine attacks for an individual headache sufferer. Many headache patients and physicians believe that precipitants of headache can be identified and avoided or managed to reduce the frequency of headache attacks. Of the numerous candidate triggers, perceived stress has received considerable attention for its association with the onset of headache in episodic and chronic headache sufferers. However, no evidence is available to support forecasting headache attacks within individuals using any of the candidate headache triggers. This longitudinal cohort with forecasting model development study enrolled 100 participants with episodic migraine with or without aura, and N=95 contributed 4626days of electronic diary data and were included in the analysis. Individual headache forecasts were derived from current headache state and current levels of stress using several aspects of the Daily Stress Inventory, a measure of daily hassles that is completed at the end of each day. The primary outcome measure was the presence/absence of any headache attack (head pain>0 on a numerical rating scale of 0-10) over the next 24h period. After removing missing data (n=431days), participants in the study experienced a headache attack on 1613/4195 (38.5%)days. A generalized linear mixed-effects forecast model using either the frequency of stressful events or the perceived intensity of these events fit the data well. This simple forecasting model possessed promising predictive utility with an AUC of 0.73 (95%CI 0.71-0.75) in the training sample and an AUC of 0.65 (95% CI 0.6-0.67) in a leave-one-out validation sample. This forecasting model had a Brier score of 0.202 and possessed good calibration between forecasted probabilities and observed frequencies but had only low levels of resolution (ie, sharpness). This study demonstrates that future headache attacks can be forecasted for a diverse group of individuals over time. Future work will enhance prediction through improvements in the assessment of stress as well as the development of other candidate domains to use in the models.

HEALING TOUCH AS SELF-CARE FOR VETERANS WITH HYPERTENSION

Seventy-eight million Americans suffer from hypertension, a key factor of cardiovascular diseases nationally and worldwide. Stress has been implicated as one of the contributors to hypertension (HTN). One out of every three veterans are diagnosed with high blood pressure. Roger’s Theory of Science of Unitary Human Beings and Lazarus’ Transactional Theory of stress were used to guide this study. The purpose of this pilot study was to examine whether the use of self-care healing touch, can reduce stress and anxiety in veterans 60 and older, diagnosed with hypertension. In this a pre-intervention, post-intervention randomized two-group experimental pilot study, 24 veterans, 10 African American, 9 Caucasians, 6 other, were recruited from Los Angeles County. Participants were randomized into 2 groups (intervention and control) for this 4 week study. Outcome measures included changes in blood pressure, self-reported stress using the Daily Stress Inventory (DSI) and anxiety measured using the Geriatric Anxiety Inventory (GAI). Results showed a significant difference in the systolic blood pressure in the intervention group compared to the control group at Week 4. There was a marginal significance found in the heart rate, but no statistical significance seen in the stress or anxiety results on this minimal sampling study.

Tingkat Stress pada Remaja Di Lapas Anak Blitar

The purpose of this study was to determine the level of stress in adolescents who livein prisons Anak Blitar. The research subject is teenagers who are undergoing punishment inprisons Children Blitar number of 31 teens selected by random sampling. The data collectionstudy conducted by DSI Scale (Daily Stress Inventory) compiled by Brandey &amp; Jones (1989),and self-report. The data were processed with descriptive analysis of the results show that 32,56% of adolescents in prisons Children experience stress levels are very high, 67.74% indicatesthat the category is quite high and there are no young people in prisons child who shows thelevel of stress in the normal category.Keywords : Stress, Adolescents, Prison of Child

Pengaruh Relaksasi Otot Progresif Terhadap Tingkat Stress pada Remaja di Lapas Anak Blitar

The purpose of this study was to proves if there is a relaxation effect on reducing stress in adolescents who live in prison of child Blitar. The study design used was post test only group design with adolescent subjects who were undergoing punishment in prison of child Blitar. Total of subject 61 adolescents divided into 31 control group and the experimental group of 30 selected by random sampling. Research data collect with DSI Scale (Daily Stress Inventory) were prepared by Brandey &amp; Jones (1989), and self-report were reported at the time before and after the implementation of relaxation. Statistical analysis was performed using statistical nonparamentrik Mann Whitney U test. Statistical test results show the value of Z = 416.500 at p = 0.484 (p&gt; 0.05). This shows that the data post-test between the control group and the experimental group showed no significant difference. Therefore the research hypothesis which says there is a relaxation effect can reducing the level of stress in prison of child Blitar not proven.

Dukungan Sosial, Religiusitas dan Stress pada Remaja di Lapas Anak Blitar

The purpose of this study was to determine the relationship between socialsupport and religiosity with stress in adolescents who live in prisons son of Blitar.The subjects were 51 teenage boys who are undergoing punishment in prisons son ofBlitar. Data collection study conducted by DSI Scale (Daily Stress Inventory)developed by Brandey &amp; Jones (1989), adolescent religiosity scale compiled byFarid (2004), and social support scale developed by the researchers.Nonparamentrik statistical analysis using the Spearman's Rho shows the correlationbetween social support and stress of 0201 and p = 0158 (p&gt; 0.05); the correlationbetween religiosity and stress of 0182 and p = 0.200 (p&gt; 0.05). These resultsindicate that there is no relationship between social support and religiosity withstress in adolescents Children's occupants Prison Blitar.Keywords : Stress, Social Support, Religiosity, Prison Kids, Teens

Psychological and psychobiological stress in the relationship between basic cognitive function and school performance. [El estrés psicológico y psicobiológico en la relación entre funcionamiento cognitivo básico y rendimiento académico

This study analyses the role played by daily stress, assessed through self-report and at the psychobiological level, in relation to basic cognitive function when predicting school performance. The sample com- prised 100 schoolchildren (55 girls and 45 boys, age range 8 to 11 years) from a state school in the city of Malaga (Spain). Daily stress was assessed through the Childrens Daily Stress Inventory (IIEC in Spanish; Trianes et al., 2009). Psychobiological stress was measured through the corti- sol/DHEAS ratio, derived from saliva samples taken in the morning on two consecutive days. Basic cognitive skills were assessed by means of the Computerized Cognitive Assessment System (CDR battery; Wesnes et al., 2003, 2000). Finally, the measure of school performance was the mean val- ue of the final grades recorded in the childs school report. In addition to descriptive and correlational statistical analyses, multiple regression analyses were conducted in order to assess the model. The results show that chil- drens daily stress self-reported contributes to predict school performance, and has proven to be more influential than basic cognitive function when it comes to predict school performance. Therefore, in order to achieve good school performance, a pupil not only requires good basic cognitive func- tion, but must also present low levels of self-reported daily stress. These findings suggest a new way of explaining and predicting school failure.