Impaired Physical Health Research Articles

The Relationship between Organizational Environment and Perpetrators' Physical and Psychological State: A Three-Wave Longitudinal Study.

Although job-related work environment studies found associations to workplace bullying perpetration, little work with longitudinal designs has been conducted on broader organizational measures, which may help design effective interventions for perpetration. Using a three-wave longitudinal design and drawing on Conservation of Resources Theory, we investigated whether organizational trust and justice predicted perpetration six months later. The sample consisted of 2447 employees from Spain and Turkey from various industries, such as services, manufacturing, and education. We also investigated whether physical and psychological health explained the relationship between organizational trust, justice, and perpetration. The results indicated that, in three months, organizational justice negatively predicted psychological and physical health deterioration, while unexpectedly, organizational trust positively predicted the same. Health conditions did not predict perpetration, in three months, while organizational conditions did not predict perpetration directly or indirectly in six months. Assessing and improving organizational trust and justice practices may help employee health improve over time. As organizational trust, justice, and health status are significantly related to current perpetration incidents, assessments of these subjects may be instrumental in identifying possible current perpetration phenomena.

Mental health nurses perceptions of missed nursing care in acute inpatient units: A multi-method approach.

Nurses have key roles in caring for hospitalized patients. Missed nursing care can lead to adverse outcomes, from minor discomfort to patient death. Mental health nurses have a significant role in advancing knowledge and practice due to missed, delayed, or unfinished nursing care. They are identifying, escalating, and managing warning signs of mental and physical health deterioration where the risk to patients is high in terms of compromised care quality and neglect and the evidence is scant. This study aimed to examine mental health nurses’ perceptions of missed nursing care in acute mental health inpatient units in an Australian regional health service. A cross‐sectional survey was undertaken using a modified Kalisch Phelan MISSCARE questionnaire and a qualitative content analysis was undertaken for narrative responses. Of 70 participants, the majority were aged 30–44 years, with >5 years of experience. The results indicated that care planning, safety audits, communication, and assessment of oral intake were perceived as care most frequently missed. Factors contributing to missed care need urgent exploration to ensure timely reduction of patient risk and enhancements to safe quality care.

Mindful Self-Care, Self-Compassion, and Resilience Among Palliative Care Providers During the COVID-19 Pandemic.

ContextGiven the adverse impact of COVID-19 on the wellbeing of palliative care providers, there is a growing need to better understand protective variables, such as self-care, mindfulness and self-compassion, as they relate to resilience.ObjectiveTo investigate mindful self-care, self-compassion, and resilience as reported by palliative care providers during the COVID-19 pandemic.MethodsDescriptive, cross-sectional survey. An electronic questionnaire captured data from validated instruments measuring each study variable, as well as participant demographics and perceived impacts of COVID-19 on professional quality of life.ResultsPositive, statistically significant correlations were found between mindful self-care, self-compassion, and resilience. These variables were also associated with greater satisfaction with professional life and perceived lessened impairment in physical and/or mental health due to a decrease in self-care activities stemming from altered routines during COVID-19. Those with higher resilience had worked in palliative care longer and also reported higher levels of self-compassion and mindful self-care, explaining 50% of variance. Self-compassion, satisfaction with professional life, and changes in self-care routine due to professional activities in the pandemic explained 44.3% of variance in mindful self-care. Self-compassion, female gender, and working as a frontline responder to the COVID-19 pandemic accounted for 35% variance in resilience levels.ConclusionsResults from this study extend the currently limited knowledge of self-care, mindfulness and self-compassion, as protective variables related to resilience in palliative care providers during the COVID-19 pandemic. Further longitudinal studies into causal effects on health and wellbeing over time are needed.

A survey of train driver schedules, sleep, wellbeing, and driving performance in Australia and New Zealand

Train drivers work long hours on 24 h schedules and many factors impact their fatigue risk at work, creating a clear imperative for good rostering practice. Adopting a systems approach, this study investigated the relationship between multiple interrelated factors (train drivers’ schedule, sleep, wellbeing, and fatigue) and the perceived influence of these factors on train driving performance and safety using an online survey distributed in Australia and New Zealand. In addition to demographics and work schedule, passenger and freight train drivers (n = 751) answered questions about: (1) Sleep duration; (2) wellbeing, including physical and mental health, the extent to which shiftwork causes sleep, social, domestic, and work problems, and (3) the extent to which ten fatigue, health and wellbeing factors in the work and home environment negatively impact their driving performance. The key factor that emerged from analyses, with the largest and most consistent negative effects (and controlling for other factors) was schedule irregularity. Approved rosters were ranked as having the most important impact on day-to-day driving performance, followed by physical and mental health, and outside work factors. Results also suggested that schedule irregularity may amplify the negative impacts of the roster, impaired physical and mental health, and outside work factors on driving performance. As shift variability and schedule irregularity are often poorly represented in existing industry guidance, these results provide evidence for increased reflection on current fatigue management guidelines for train drivers and suggest a need for greater focus on schedule irregularity through the lens of a systems approach.

Identifying Minimal and Meaningful Change in a Patient-Reported Outcomes Measurement Information System for Rheumatoid Arthritis: Use of Multiple Methods and Perspectives.

Rheumatoid arthritis (RA) is chronic, painful, disabling condition resulting in significant impairments in physical, emotional, and social health. Our objective was to use different methods and perspectives to evaluate the responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) short forms (SFs) and to identify minimal and meaningful score changes. Adults with RA who were enrolled in a multisite prospective observational cohort completed PROMIS physical function, pain interference, fatigue, and participation in social roles/activities SFs, the PROMIS 29-item form (PROMIS-29), and pain and patient global assessment, and rated change in specific symptoms and RA (a little versus lot better or worse) at the second visit. Physicians recorded joint counts, physician global assessment, and change in RA at visit 2. We compared mean score differences for minimal and meaningful improvement/worsening using patient and physician change ratings and distribution-based methods, and we visually inspected empirical cumulative distribution function curves by change categories. The 348 adults were mostly female (81%) with longstanding RA. Using patient ratings, generally 1-3-point differences were observed for minimal change and 3-7 points for meaningful change. Larger differences were observed with patient versus physician ratings and for symptom-specific versus RA change. Mean differences were similar among SF versions. Prespecified hypotheses about change in PROMIS physical function, pain interference, fatigue, and participation and legacy scales were supported. PROMIS SFs and the PROMIS-29 profiles are responsive to change and generally distinguish between minimal and meaningful improvement and worsening in key RA domains. These data add to a growing body of evidence demonstrating the robust psychometric properties of PROMIS and supporting its use in RA care, research, and decision-making.

A CRITICAL STUDY ON SUTIKA PARICHARYA - A POST NATAL CARE OF MOTHER

The metamorphosis of a woman from a woman to a mother is the happiest moment in a womans life, but she can only achieve this happiness after enduring immense physical struggle during labor, which is why old people used to refer to labor as womens rebirth. After the birth, the women become severely handicapped physically and psychologically, and there are increased cases of backache, weakness, and other symptoms. After the baby is delivered and the placenta is expelled, the woman is referred to as Sutika, and the care is referred to as Sutika-Paricharya. Mithyaachara during this period almost often leads to incurable or difficult-to-cure disorders. After adhering to the Sutikopacharya (puerperal regimen), the lady regains all of her lost properties and returns to her pre-pregnancy state. Important treatments, nutritional cuisine, and swasthavrithapalana are all part of the Paricharya method.Garbhashayashuddhi, Dhatu-paripurnata, sthanya- vriddhi, and punarnavekarana are the main achievements of Sutika- Paricharya. to the deterioration of physical, mental, and physiological health as a result, the current study was chosen to evaluate sutikaparicharya and its therapeutic value.

The Effects of Circadian Rhythm in Adolescents on Optimal Performance in Cognitive Tasks

Introduction: The circadian rhythm is a sleep-wake cycle determined by differences in serum melatonin and cortisol levels, and affects cognition and behaviour. Past research suggests that young adults tend to perform better on cognitive tasks during the afternoon and evening, which may be the optimal time of day in this population. This research protocol seeks to determine whether cognitive performance is affected at times assumed to be optimal for both populations (evening) compared with suboptimal times (morning). Methods: Individuals would be recruited and divided into two groups: adolescents 13–17 and younger adults aged ages 18–25, with all participants of the afternoon/evening chronotype. Saliva is collected directly preceding test-taking. Each group completes a standard computerized test of simple math, logical reasoning, and executive function at both their optimal time of day (TOD) (3:00 to 6:00 PM) and at their non-optimal time of day (8:00 to 11:00 AM). Neuroelectric activity is recorded using electroencephalography (EEG). Results: We hypothesize that adolescents and younger adults will be at their optimal performance level (measured by EEG and behavioural measures) between 3 to 6 P.M. rather than from 8 to 11 AM, due to their circadian rhythm. We expect TOD to influence reaction times and accuracy during task completion. A difference will be seen across many neural indices such as event-related potentials (ERPs) and alpha and theta power demonstrating optimal performance in the evening. Discussion: Higher cortisol levels and changes in amplitude and latency of P3, N2Pc, N450, and PD ERP indices and differences in alpha and theta frequencies may be associated with optimal cognitive performance. This is related to faster response time, focus, and overall higher accuracy. Based on the anticipated results, one could alter the timing of task completion to fit different age groups’ peak mental ability. Conclusion: Continuously working at non-optimal times could lead to chronic circadian rhythm disruption, which could result in the deterioration of physical and mental health. Aspects of everyday life, such as student test-taking times, can be improved to benefit both individuals and institutions by catering to an individual’s optimal TOD.

Neurodoron® for Stress Impairments: A Prospective, Multicenter Non-Interventional Trial.

Introduction Stress is associated with a multitude of physical and psychological health impairments. To tackle these health disorders, over-the-counter (OTC) products like Neurodoron® are popular since they are considered safe and tolerable. Experience reports and first studies indicate that Neurodoron® is efficient in the treatment of stress-associated health symptoms. To confirm this, a non-interventional study (NIS) with pharmacies was conducted. Methods The NIS was planned to enroll female and male patients who suffered from nervous exhaustion with symptoms caused by acute and/or chronic stress. The main outcome measures were characteristic stress symptoms, stress burden, and perceived stress. Further outcome measures included perceived efficacy and tolerability of the product as assessed by the patients and collection of adverse drug reactions (ADRs). A study duration of about 21 days with a recommended daily dose of 3–4 tablets was set. Results 279 patients were enrolled at 74 German pharmacies. The analyzed set (AS) included 272 patients (mean age 44.8 ± 14.4 years, 73.9% female). 175 patients of the AS completed the NIS. During the study, all stress symptoms declined significantly (total score 18.1 vs. 12.1 (of max. 39 points), p < 0.0001). Furthermore, a reduction of stress burden (relative difference in stress burden, VAS = −29.1%, p < 0.0001) was observed. For most patients, perceived stress was reduced at the study end (PSQ total score decreased in 70.9% of the patients). 75.9% of the study population rated the product efficacy as “good” or “very good” and 96.6% rated its tolerability as “good” or “very good.” One uncritical ADR was reported. Discussion/Conclusion. This study adds information on the beneficial effects of Neurodoron® in self-medication. The results from this NIS showed a marked reduction in stress burden and perceived stress, along with an excellent safety profile of the medicinal product (MP) Neurodoron®. Further trials are required to confirm these results.

Impact of the COVID-19 pandemic on the online educational quality in USC’s school of engineering and school of cinematic art

This research paper demonstrates the results of a questionnaire containing a series of questions, conducted at the University of Southern California, on the educational quality via online forms during the COVID-19 pandemic. The research was conducted with students from the School of Engineering and the School of Cinematic Arts. The outcome of the survey demonstrates that almost all of college students are pleased with the university's measures during the pandemic. But, negative perspectives were also reported: such as the shortage of adequate infrastructure for students and the shortage of effective communication and interaction between teachers and students, inability to make practical applications, shortage of socialization, shortage of motivation to learn, less objective exams (e.g., potential for cheating), potential for physical and mental health deterioration, and potential for health deterioration (e.g., spending too much time on online platforms, developing another lifestyle. Therefore, the university administration must take effective and efficient measures to eliminate the impact on students in the upcoming academic year. The university administration must take effective measures to eliminate these negative issues in order to improve the performance of the online education process. Improving the performance of the online education process.

Anxiety Sensitivity Among Non-Hispanic Black Adults: Relations to Mental Health and Psychosomatic States.

The non-Hispanic Black adult population has notable disparities in mental and physical health compared to several other racial/ethnic groups. Yet, there is a lack of scientific knowledge about psychologically based individual difference factors that may be associated with an exacerbation of common mental and physical health symptoms among non-Hispanic Black persons. The present investigation sought to build on the limited knowledge about anxiety sensitivity among non-Hispanic Black adults by exploring whether this construct was uniquely associated with a range of prevalent mental health and psychosomatic symptoms commonly tied to disparities among this population. Participants included non-Hispanic Black adults (N = 205; Mage = 21.67years; SDage = 5.39; age range: 18-60years; 82.0% female). Results indicated that anxiety sensitivity was positively related to anxious arousal, general depression, insomnia, fatigue severity, and somatic symptom severity; effects were evident above and beyond the variance explained by a range of covariates, including age, sex, education, subjective social status, and neuroticism. Overall, the present findings uniquely build from past research on anxiety sensitivity and non-Hispanic Black adults by demonstrating that individual differences in this construct are consistently and relatively robustly associated with a wide range of mental health and psychosomatic symptoms. Future research that builds from this work may benefit from consideration of intervention programming targeting anxiety sensitivity reduction to offset mental and physical health impairments among the non-Hispanic Black population.

Applying a web-based self-help intervention for bulimia nervosa in routine care: Study protocol for a randomized controlled trial

BackgroundIndividuals with bulimia nervosa (BN) experience persistent episodes of binge eating and inappropriate compensatory behavior associated with impaired physical and mental health. Despite the existence of effective treatments, many individuals with BN remain untreated, leading to a high burden and an increased risk of chronicity. Web-based interventions may help facilitate access to evidence-based treatments for BN by reducing barriers to the health care system. MethodsThe present study will investigate the effectiveness of a web-based self-help intervention for BN in a two-armed randomized controlled trial. Individuals diagnosed with BN (N = 152) will be randomly assigned to either (1) an intervention group receiving a 12-week web-based intervention or (2) a waitlist control group with delayed access to the intervention. Further assessments will be scheduled 6 (mid-treatment) and 12 (post-treatment) weeks after baseline. Changes in the number of binge eating episodes and compensatory behaviors will be examined as primary outcomes. Secondary outcomes include global eating pathology, functional impairments, well-being, comorbid psychopathology, self-esteem, and emotion regulation abilities. DiscussionAdding web-based interventions into routine care is a promising approach to overcome the existing treatment gap for patients with BN. Therefore, the current study will test the effectiveness of a web-based intervention for BN under standard clinical care settings. Trial registrationClinicalTrials.gov, Identifier: NCT04876196 (registered on May 6th, 2021).

Exploring the disability experiences of South Asian Women living with HIV in Southern Ontario, Canada

Purpose Given the steady rise in HIV incidence among South Asian women in Canada their health-related challenges and disability are not well understood. Our aim was to understand the “lived experiences” of disability among South Asian women living with HIV in Southern Ontario, Canada. Methods We conducted a qualitative study using an interpretive phenomenological approach. We recruited immigrant South Asian women living with HIV in Ontario and conducted one-on-one semi structured interviews. Following the first interview, participants were invited to participate in a second interview. Interviews were audio recorded and transcribed verbatim. Results Eight participants completed the first interview; six completed a second interview (14 interviews total). The mean age of participants was 47.1 years (standard deviation (sd) = 5.8) and mean length of time since HIV diagnosis was 15.1 years (sd = 6.7). We identified two overarching themes, “experiencing disability” and “experiencing discrimination”. Apart from the physical and mental health impairments, the complex intersection of illness, gender, ethnicity, HIV-stigma and discrimination influenced disability experiences. Conclusion Understanding the disability experiences of marginalized women living with HIV through a phenomenological lens can help to facilitate the development of culturally safe treatment approaches and health care policies to lessen disability and improve their quality of life. Implications for rehabilitation Developing culturally safe treatment approaches may help to improve rehabilitation service provision for ethnically and culturally diverse populations. Rehabilitation professionals need to adopt a trauma-informed care when treating people living with HIV. Rehabilitation professionals should consider cultural safety by considering the role of religion, dependency, and gendered-power relations while treating South Asian women living with HIV.

Research progress of dental pulp stem cells for peripheral nerve injury repair

Peripheral nerve injuries are mainly related to severe trauma, fracture and tumor surgery, leading to reduced quality of life and impaired physical and mental health. The repair of peripheral nerve still faces great challenges in clinic, and the research on the regeneration and repair of peripheral nerve has become a hot issue in related disciplines. Cell therapy plays an irreplaceable role in tissue regeneration and repair. Schwann cells are ideal cells for peripheral nerve repair, but their limited sources inhibit the clinical application. Dental pulp stem cells are derived from neural crest, which provides a new cell source for nerve regeneration. The purpose of this article is to review the research progress of dental pulp stem cells for peripheral nerve repair.

PENGALAMAN PENGASUH DALAM MERAWAT LANSIA DENGAN PENYAKIT KRONIS REMATIK DI WILAYAH JANGKAUAN LKS LU MANDAR INDONESIA DI DESA BUKU

The aging process is a life cycle characterized by the decline in various organ functions in the body which is marked by the susceptibility of the body to various disease attacks. As for these changes affect the deterioration of physical health which in turn will affect susceptibility to disease. Rheumatic disease and joint inflammation are common diseases in the community, especially in people aged 40 years and over. More than 40 percent of these age groups suffer from complaints of joint and muscle pain. This study aims to determine the experience of caregivers in caring for the elderly with chronic rheumatic disease in Buku Village, Mapilli sDistrict, Polewali Mandar Regency, West Sulawesi Province. . The method used in this sresearch is this research using qualitative research where this research is a method of inquiry to find answers to the elderly. The sample was 20 elderly respondents who were made as respondents. The results of the study were based on the results of the research on the understanding of caregivers in caring for the elderly with chronic rheumatic disease, there were 20 respondents who did the research.The results were the understanding of caregivers in caring for the elderly who lacked understanding as many as 2 people (10%) and good understanding of caregivers as much as 18 people (90%).

Association between unmet medication needs after hospital discharge and readmission or death among acute respiratory failure survivors: the addressing post-intensive care syndrome (APICS-01) multicenter prospective cohort study

IntroductionSurvivors of acute respiratory failure (ARF) commonly experience long-lasting physical, cognitive, and/or mental health impairments. Unmet medication needs occurring immediately after hospital discharge may have an important effect on subsequent recovery.Methods and analysisIn this multicenter prospective cohort study, we enrolled ARF survivors who were discharged directly home from their acute care hospitalization. The primary exposure was unmet medication needs. The primary outcome was hospital readmission or death within 3 months after discharge. We performed a propensity score analysis, using inverse probability weighting for the primary exposure, to evaluate the exposure–outcome association, with an a priori sample size of 200 ARF survivors.ResultsWe enrolled 200 ARF survivors, of whom 107 (53%) were female and 77 (39%) were people of color. Median (IQR) age was 55 (43–66) years, APACHE II score 20 (15–26) points, and hospital length of stay 14 (9–21) days. Of the 200 participants, 195 (98%) were in the analytic cohort. One hundred fourteen (57%) patients had at least one unmet medication need; the proportion of medication needs that were unmet was 6% (0–15%). Fifty-six (29%) patients were readmitted or died by 3 months; 10 (5%) died within 3 months. Unmet needs were not associated (risk ratio 1.25; 95% CI 0.75–2.1) with hospital readmission or death, although a higher proportion of unmet needs may have been associated with increased hospital readmission (risk ratio 1.7; 95% CI 0.96–3.1) and decreased mortality (risk ratio 0.13; 95% CI 0.02–0.99).DiscussionUnmet medication needs are common among survivors of acute respiratory failure shortly after discharge home. The association of unmet medication needs with 3-month readmission and mortality is complex and requires additional investigation to inform clinical trials of interventions to reduce unmet medication needs.Study registration number: NCT03738774. The study was prospectively registered before enrollment of the first patient.

The Impact of Social Distancing Due to the COVID-19 Pandemic on People with Dementia, Family Carers and Healthcare Professionals: A Qualitative Study

Social distancing measures imposed because of the COVID-19 pandemic presented challenges to the health and wellbeing of people with dementia, family carers, and healthcare professionals. This study investigated the impact of these measures on all involved in the care for people with dementia. For this qualitative study, 20 family carers and 20 healthcare professionals from home care and long-term care (LTC) participated in a semi-structured interview. Interviews were analysed using an inductive thematic analysis approach. For people with dementia, the social distancing measures resulted in a deterioration of physical health. The impact on their emotional state and behaviour depended on the stage of dementia. Family carers experienced difficulty coping with visiting restrictions, anxiety regarding safety, and changes in carer burden. Healthcare professionals had an increased workload, and felt guilty about adhering to restrictive measures. Differences between home care and LTC were reported (i.e., societal initiatives focussed on LTC, scarcity of activities for community-dwelling people with dementia, use of personal protective equipment more intrusive for home care). The social distancing measures had a negative impact on persons with dementia, their family carers, and healthcare professionals. More attention is needed for community-dwelling people with dementia and family carers in times of social isolation.

Direct and indirect effect of the COVID-19 pandemic on patients with cardiomyopathy

Objectives(1) To evaluate the prevalence and hospitalisation rate of COVID-19 infections among patients with dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM) in the Royal Brompton and Harefield Hospital Cardiovascular Research...

Domestic Violence against Men by Women

According to the World Health Organization (WHO), intimate partner violence is one of the main risks to women's health worldwide. Men can also become victims of domestic violence; as well as female victims tend to present their injuries first to the family doctor or the emergency room. Domestic violence against men is thus a current topic for doctors of all specialties. Studies identified by the search provided prevalence rates of domestic physical violence against men ranging from 3.4% to 20.3%. Most affected men were violent towards their partners. 10.6-40% of them reported being abused or mistreated as children. Alcohol abuse, jealousy, mental illness, physical disability, and short relationship duration are associated with a higher risk of becoming a victim of domestic violence. Reported consequences of violence usually include minor physical injuries, impaired physical health, mental health problems such as anxiety or disruptive disorder, and increased use of alcohol and/or illegal drugs.

Caregiver Burden of Cancer Patients Related to Cognitive Decline at End of Life

Background: Cognitive decline in cancer patients at the end of life makes it difficult for caregivers to manage symptoms and decide on cancer care. Objective: To define caregiver burden in relation to cancer patients with cognitive decline at the end of life. Methods: We use Walker and Avant’s eight-step concept analysis. We searched the MEDLINE, CINAHL, and Web of Science databases for relevant articles published between 2000 and 2020. Results: Caregiver burden for comorbid cancer and cognitive decline patients is defined as the pressure experienced by families in a multidimensional way due to the two deteriorating diseases in their process of facing the loss even before the deaths of patients and fulfilling their responsibilities as a family without knowing the patients’ own intentions. The antecedents included physical needs of caregiving, the cognitive decline of the patient, and whether the patient was dying. The consequences included caregivers’ physical and psychological health deterioration, decreasing caregivers’ coping abilities, and deterioration in the quality of death. Conclusions: This concept analysis indicated that the caregiver burden population should consider the characteristics of cancer and cognitive decline in interventions. Implications for Practice: Nurses should assess patients’ physical, psychosocial, and spiritual needs from various perspectives in advance to coordinate holistic care and prevent complications. Sharing the patient and caregiver’s history is important when discussing the patient’s wishes with the caregiver. Foundational: Caregivers in this population experience heavy responsibilities, multidimensional pressures, and the loss of patients before death. They are often required to be proxy decision-makers.

Predicting Chronic Stress among Healthy Females Using Daily-Life Physiological and Lifestyle Features from Wearable Sensors

Background Chronic stress is a highly prevalent condition that may stem from different sources and can substantially impact physiology and behavior, potentially leading to impaired mental and physical health. Multiple physiological and behavioral lifestyle features can now be recorded unobtrusively in daily-life using wearable sensors. The aim of the current study was to identify a distinct set of physiological and behavioral lifestyle features that are associated with elevated levels of chronic stress across different stress sources. Methods For that, 140 healthy female participants completed the Trier inventory for chronic stress (TICS) before wearing the Fitbit Charge3 sensor for seven consecutive days while maintaining their daily routine. Physiological and lifestyle features that were extracted from sensor data, alongside demographic features, were used to predict high versus low chronic stress with support vector machine classifiers, applying out-of-sample model testing. Results The model achieved 79% classification accuracy for chronic stress from a social tension source. A mixture of physiological (resting heart-rate, heart-rate circadian characteristics), lifestyle (steps count, sleep onset and sleep regularity) and non-sensor demographic features (smoking status) contributed to this classification. Conclusion As wearable technologies continue to rapidly evolve, integration of daily-life indicators could improve our understanding of chronic stress and its impact of physiology and behavior.