Self-reported Stress Levels Research Articles

Prevalence and Impact of Stress in the Indian Population: A Retrospective Survey Analysis

Post-COVID-19 pandemic, individuals are experiencing various forms of stress. This study assessed the prevalence of stress among Indian adults, examined its physical and psychological impacts, and investigated stress management strategies, aiming to fill existing gaps in research. This retrospective observational study utilized an online survey from March 16, 2023, to July 30, 2023, using snowball sampling to target the Indian population. Respondents aged ≥18 years participated in the study. The survey collected data on demographic information, self-reported stress levels, and Perceived Stress Scale (PSS) scores. The chi-square test was applied for statistical analysis, and results with a p-value under 0.05 were considered significant. Among 1,479 respondents (638 males, 841 females; mean age: 23.7±7.7 years), 76.0% of respondents resided in Karnataka. Out of 1,479 respondents, 9.6% experienced mild stress, 84.9% experienced moderate stress, and 5.5% experienced severe stress according to the PSS. Females experienced significantly higher stress levels when compared with males (p=0.047), but both experienced moderate stress levels. Financial problems (20.7%) and studies (36.4%) were the most common stressors among respondents. They most frequently manage stress through personal strategies, such as sleeping and listening to music. The present study's findings indicate that, following the COVID-19 health crisis, moderate levels of stress are significantly prevalent in the Indian population, primarily due to academic and job-related pressures.

Effects of a digital self-efficacy training in stressed university students: A randomized controlled trial.

Self-efficacy is associated with positive mental health outcomes. We developed and tested a digital self-efficacy training for daily recall of autobiographical self-efficacy memories (e.g., memories of successfully overcoming a personal challenge). In this randomized controlled trial, we investigated the effects of the week-long digital self-efficacy training on key mental health outcomes, including anxiety, stress, and hopelessness, and on self-efficacy in 93 university students (mean age 23.3 years, SD: 3.49) with elevated self-reported stress levels. Participants completed either the self-efficacy training combined with ecological momentary assessment (EMA) (training group) or EMA only (control group). We found significantly reduced hopelessness and trait anxiety in the training group compared to the control group at post-assessment (one day post intervention). Effects on ratings of self-efficacy at post-assessment were also significant when controlling for baseline self-efficacy. This stand-alone digital self-efficacy training was significantly associated with a number of positive effects on outcomes compared to a control condition, including reduced hopelessness, trait anxiety, and increased self-efficacy. Future work is needed to replicate and investigate the long-term effects of the training and explore its implementation in clinical populations. ClinicalTrials.gov Identifier: NCT05617248.

Wearable EEG-Based Brain-Computer Interface for Stress Monitoring.

Detecting stress is important for improving human health and potential, because moderate levels of stress may motivate people towards better performance at cognitive tasks, while chronic stress exposure causes impaired performance and health risks. We propose a Brain-Computer Interface (BCI) system to detect stress in the context of high-pressure work environments. The BCI system includes an electroencephalogram (EEG) headband with dry electrodes and an electrocardiogram (ECG) chest belt. We collected EEG and ECG data from 40 participants during two stressful cognitive tasks: the Cognitive Vigilance Task (CVT), and the Multi-Modal Integration Task (MMIT) we designed. We also recorded self-reported stress levels using the Dundee Stress State Questionnaire (DSSQ). The DSSQ results indicated that performing the MMIT led to significant increases in stress, while performing the CVT did not. Subsequently, we trained two different models to classify stress from non-stress states, one using EEG features, and the other using heart rate variability (HRV) features extracted from the ECG. Our EEG-based model achieved an overall accuracy of 81.0% for MMIT and 77.2% for CVT. However, our HRV-based model only achieved 62.1% accuracy for CVT and 56.0% for MMIT. We conclude that EEG is an effective predictor of stress in the context of stressful cognitive tasks. Our proposed BCI system shows promise in evaluating mental stress in high-pressure work environments, particularly when utilizing an EEG-based BCI.

Association of self-reported bruxism and academic performance in Jazan University dental students: A cross-sectional study

Aims: The purpose of this cross-sectional descriptive study was to investigate the association between self-reported bruxism and academic performance among dental students at Jazan University. Material and Methods: One hundred sixty-eight students (73 males and 95 females) were evaluated in this study, between the age groups of 18 years and above. Self-reported bruxism was measured by utilizing a customized questionnaire. Academic performance was analyzed using participants’ grade point average (GPA) for the year. Independent t-tests and one-way analysis of variance (ANOVA) were utilized to find the association between the self-reported bruxism and the covariate-adjusted analysis (CI 95%). The Spearmen correlation coefficient was utilized to find the correlation between the variables. Results: The reported prevalence of self-reported bruxism was 66.25% between both genders. Males (mean = 36.86) have lower bruxism scores compared to females (mean = 42.14), suggesting a potential gender-based difference in bruxism severity. A moderate positive correlation is observed between self-reported stress levels and bruxism scores (r = 0.268**, P < 0.01), indicating that as stress levels increase, there is a tendency for bruxism scores to also increase. A weak negative correlation is observed between academic performance and bruxism scores (r = -0.034, P > 0.05), suggesting a minimal association between academic performance and bruxism severity. However, bruxism score was higher among females with higher GPA. Conclusions: This study demonstrated a weak negative association between self-reported bruxism and academic performance. It was noteworthy that females with higher GPA and low socioeconomic status had higher bruxism scores compared to males.

Habits and the subexploration of better transportation options: A dual-system approach

In psychology, choices are influenced by either goal-directed or habitual systems, which are represented by model-based (MB) and model-free (MF) reinforcement learning algorithms. This paper introduces these concepts into the transportation literature and shows that individuals with habitual tendencies often fail to consider new, potentially superior, alternatives. Across two experiments, participants chose between two bus options, with a third, objectively superior option introduced in a later phase. In both experiments, participants engaging in habitual behavior were less likely to explore the new alternative. Furthermore, we found habitual tendencies were moderated by self-reported stress levels, which is consistent with previous results in the psychological literature. This implies that new transportation modes or routes may remain underused as travelers adhere to habitual patterns, disregarding the introduction of potentially better alternatives, and prompt for public policies that aim to promote goal-directed behavior.

What is the relationship between resilience and perceived levels of workplace stress among middle leaders in education?

ABSTRACT According to the UK’s Health and Safety Executive (HSE), there has been a 36.5% rise in reported cases of work-related stress between 2018/19 and 2019/20, to over 822,000 individual cases. Europe stress-related absence was second only to musculoskeletal disorders, with estimated work-related stress costing European companies 20 billion euros per year and accounted for nearly 60% of lost working days. This paper focuses on the under-researched area of stress among middle leaders in education. While it is widely reported that teachers face high levels of stress, as a result of organisational pressures, there is a paucity of research on middle leaders. This paper considers whether there will be a significant negative relationship between self-reported levels of resilience and self-reported levels of stress amongst 61 middle leaders. The two sets of data were subjected to cross-correlational quantitative analysis to establish the strength of the relationships between each of the six dimensions of resilience on perceived stress. Among the findings, a key result was that the question in the title was answered, namely that high resilience results in low stress in middle leaders in education. However, it was more nuanced than this and there were factors such as levels of peer support and an individual’s perception of their future which did contribute to a reduction in perceived levels of stress. The findings suggest that senior leaders in education have a greater impact on middle leaders’ levels of resilience and perceived levels of stress than they may think.

A pilot study of academic burnout and stress in undergraduate students: the role of canine-assisted interventions

ABSTRACT Burnout, often linked to increased stress, can impact student mental health, academic success, and overall well-being. To investigate animal-assisted interventions’ (specifically a canine-assisted intervention; CAI) impact on student stress and burnout, a free CAI event was held on campus prior to final exams (n = 41). Self-selecting participants completed the School Burnout Inventory (SBI; Salmela-Aro et al. 2009) and Perceived Stress Scale (PSS; Cohen, Kamarch, and Mermelstein 1983) before and after the event. Results showed a reduction in self-reported levels of stress and burnout from before to after the CAI. The impact of self-determined duration of attendance showed that those who attended the CAI for longer had a greater reduction in stress than did those who spent less time at the event. The findings suggest that CAI events can reduce perceived student burnout, alongside stress, strengthening arguments for CAIs utilisation in academic settings, and considers how the duration of CAI engagement may benefit different students.

Online Assessment of Mental Health Micromedia for College Students Incorporating Bayesian Network Algorithm

Mental health issues among college students are a growing concern, necessitating effective assessment methods to identify individuals at risk and provide timely interventions. In this paper, we propose and evaluate several computational models for mental health assessment based on demographic, academic, and psychological factors. Hence, this paper implemented the Probabilistic Deep Belief Bayesian Network (PDBBN) to classify students' mental health attributes. The proposed PDBBN network computes the probabilistic value of the mental health assessment of the students. With the estimation of the probabilistic model, the extracted features are applied in the Deep Belief Bayesian Network for the classification of student mental health with the Macromedia analysis in college students. The classification is performed with the consideration of information on gender, age, academic performance, social support scores, and self-reported levels of stress, anxiety, and depression, and each model across multiple epochs. Simulation is conducted in comparison with the proposed PDBBN model with the Convolutional Neural Network (CNN), and Deep Neural Network (DNN) models. The results indicate that PDBBN consistently outperforms CNN and DNN in terms of classification accuracy, precision, recall, and F1 score. The simulation analysis of results stated that the proposed PDBBN model achieves a higher classification accuracy of 0.98 which is significantly higher than the CNN and DNN models. Additionally, the proposed PDBBN model expressed that mental health of the students significantly impacts in the academic performance of the students.

Use of Galvanic Skin Response in a stated preference survey to assess factors influencing college student use of transit

ABSTRACT The COVID-19 pandemic significantly impacted all forms of travel. Transit ridership decreased drastically and has rebounded slowly compared to highway travel in the United States. This research explored a unique method to gain insight into the reasons behind the slow return to transit. Students were surveyed regarding their use of transit before, during, and after the pandemic. The study was conducted in a lab with a Galvanic Skin Response device, a computer with a webcam, and software to measure both recorded and self-reported stress levels in students as they answered questions regarding their transit use, stress levels, and fear of COVID-19. The Fear of COVID-19 and Perceived Stress Scale showed a significant influence on the change in transit use for a small proportion of students. The proposed methodology showed that these psychological scales and collecting GSR data may be valuable in predicting a traveler’s return to transit.

Being Present with Art: Mindful and Interactive Engagement with Art Lowers Stress While Increasing Attention and Belonging

ABSTRACT Being Present with Art, or BPWA, is a method of integrating mindfulness-based stress reduction (MBSR), with art. Developed during the COVID-19 pandemic, the BPWA method features tools and exercises for participants to first become present to their bodies to then focus their attention on artwork and connect with others. A research study examining the impact of the BPWA method on stress, attention and sense of belonging, or connection, showed that participants self-reported lower stress levels, increased attention, and a greater sense of belonging after each session. Additionally, participants continued to self-report less stress a month after completing the four-week-long BPWA curriculum. The BPWA method offers one way for museums to engage visitors who are processing grief, alienation, and loneliness experienced due to the COVID-19 pandemic, and the study shows that museum pedagogy, especially when paired with mindfulness, has a positive impact on well-being.

Effects of circuit training and Yoga on biochemical and psychological responses to stress and cardiovascular markers: A randomized clinical trial with nursing and medical students in Southern Brazil

A Randomized Controlled Trial involving 158 Brazilian medical and nursing students assessed one of three conditions over an 8-week period: 1) a circuit training protocol (CTG); 2) a yoga protocol (YG); or 3) no intervention (CG). The objective was to evaluate the effectiveness of circuit training and yoga protocols in reducing perceived mental stress and examining their effects on serum cortisol levels, as well as on traditional cardiovascular risk factors (CRFs), during an academic semester. Mental stress was measured using self-reported stress questionnaires. For the CTG, comparisons of pre- vs. post-intervention data indicated a reduction in self-reported stress levels on a Brazilian scale (p < 0.001) and an international scale (p < 0.05). Regarding CRFs, there was a reduction in waist circumference (WC) (p < 0.05), systolic blood pressure (SBP) (p < 0.05), and heart rate (HR) (p < 0.001). No changes were observed in diastolic blood pressure (DBP) (p = 0.211) and serum cortisol (SC) (p = 0.423). In the YG, pre- vs. post-intervention data indicated a reduction in self-reported stress levels on the ISSL (p < 0.001), in both resistance and exhaustion stress levels on the PSS scale (p < 0.001), and in SC levels (p < 0.001), WC (p < 0.05), and SBP (p < 0.05); however, HR and DBP did not change (p = 0.168 and p = 0.07, respectively) in this group. No changes were noted in any measures in the CG. The intervention protocols demonstrated that both CTG and YG can positively impact mental or biochemical stress responses, as well as CRFs.

The Price of Calm: How Socioeconomic Stressors Shape High School Student

This research article examined the correlation between socioeconomic situation (SES) and the mental and emotional well-being of high school students during the 2022-2023 academic year. The study aimed to gain a comprehensive understanding of how SES-related stressors impact students' well-being. The research covered 49 students, collecting data through a 31-question survey that included demographic information and well-being measures modeled after established mental health questionnaires. The findings demonstrated that SES has an influence on the mental and emotional well-being of high school students, with lower SES backgrounds being associated with increased stressors that affect calmness, stress levels, and overall well-being. Higher income levels were significantly linked to higher calmness levels, while longer working hours during the academic year were significantly connected to higher self-reported stress levels. However, there were no statistically significant relationships between income and self-reported sadness and anxiety. The study also highlighted the importance of access to healthcare, as students with health insurance and therapy services reported slightly lower stress levels. While this research provides valuable insights, further studies are needed to deepen understanding and inform targeted interventions for student support.

The role of self-reported and physiological stress in nocebo hyperalgesia

Negative expectations can increase pain sensitivity, leading to nocebo hyperalgesia. However, the physiological and psychological factors that predispose individuals to this phenomenon are still not well understood. The present study examined whether stress induced by a social stressor affects nocebo hyperalgesia, and whether this effect is mediated by self-reported and physiological stress responses. We recruited 52 healthy participants (15 men) who were randomly assigned to either the Trier Social Stress Test (TSST) or a control condition (a friendly version of the TSST). Nocebo hyperalgesia was induced using negative suggestions combined with a validated pain conditioning paradigm. We assessed self-reported (anxiety and stress) and physiological (cortisol, alpha-amylase, heart rate, and skin conductance) responses to stress. Both groups exhibited significant nocebo hyperalgesia. The stress group showed higher levels of anxiety, self-reported stress, and cortisol levels compared to the control group while no significant differences were found in other physiological markers. The stress and control groups did not differ in the magnitude of nocebo hyperalgesia, but anxiety levels partially mediated the effects of the stress test on nocebo hyperalgesia. Our findings suggest that an external social stressor does not directly affect nocebo hyperalgesia, but that increased anxiety due to the stressor enhances its magnitude. Thus, it may be worthwhile to investigate whether reducing stress-related anxiety in clinical settings would help alleviate nocebo effects.

The physical and psychosocial benefits of a family judo program for parents of children with Autism Spectrum Disorder: A pilot study

BackgroundParents of children with Autism Spectrum Disorder (ASD) tend to have high levels of stress and poor health habits. There is a lack of interventions that focus on improving health outcomes in parents of children with ASD. ObjectiveTo examine the physical and psychosocial effects of a family-based judo program on parents of children diagnosed with ASD. MethodsThis study utilized a pre-post single group design. Eighteen parent-child dyads participated in a 14-week judo program for families of children with ASD. Judo sessions were held once a week for 45 min. Parents wore wrist accelerometers to assess physical activity/sleep quality, and completed surveys regarding self-reported stress levels pre- and post-judo. Parents also completed open-ended questions regarding their experience in the program. Paired sample t-tests were conducted to examine changes in stress, physical activity, and sleep quality from pre-to post-program. ResultsBoth a decrease in parental stress (47.77 vs. 41.61, p < 0.01) and an increase in minutes per day of physical activity (35.49 vs 45.94, p = 0.002) were observed from baseline to post-program. Fourteen of the 18 parents (78 %) reported at least one psychosocial benefit (e.g. increased self-confidence) or physical health benefit (e.g. increased physical activity) from participation in the program. ConclusionsA family judo program may provide health benefits, such as reducing stress levels and increasing physical activity in parents of children with ASD. Further research involving larger sample sizes is necessary to better determine the effects of judo on both parents and their children with ASD.

Stress affects navigation strategies in immersive virtual reality

There are known individual differences in both the ability to learn the layout of novel environments and the flexibility of strategies for navigating known environments. However, it is unclear how navigational abilities are impacted by high-stress scenarios. Here we used immersive virtual reality (VR) to develop a novel behavioral paradigm to examine navigation under dynamically changing situations. We recruited 48 participants (24 female; ages 17–32) to navigate a virtual maze (7.5 m × 7.5 m). Participants learned the maze by moving along a fixed path past the maze’s landmarks (paintings). Subsequently, participants experienced either a non-stress condition, or a high-stress condition tasking them with navigating the maze. In the high-stress condition, their initial path was blocked, the environment was darkened, threatening music was played, fog obstructed more distal views of the environment, and participants were given a time limit of 20 s with a countdown timer displayed at the top of their screen. On trials where the path was blocked, we found self-reported stress levels and distance traveled increased while trial completion rate decreased (as compared to non-stressed control trials). On unblocked stress trials, participants were less likely to take a shortcut and consequently navigated less efficiently compared to control trials. Participants with more trait spatial anxiety reported more stress and navigated less efficiently. Overall, our results suggest that navigational abilities change considerably under high-stress conditions.

Stress, depression, and anxiety: psychological complaints across menopausal stages.

With the number of menopausal women projected estimated to reach 1.2 billion by 2030 worldwide, it is critically important to understand how menopause may affect women's emotional well-being and how many women are affected by this. This study aimed to explore (i) the relationship between psychological complaints (depression, anxiety, poor memory) across different menopausal stages and (ii) investigate the correlation between resilience, self-efficacy, and perceived stress levels, with psychological complaints and whether this was associated with menopausal stage and/or age. 287 respondents completed the Menopausal Quality of Life (MenQoL), Perceived Stress Scale (PSS-10), Brief Resilience Scale (BRS), and General Self-efficacy (GSE) scales. Parametric and non-parametric analysis were used to analyse how bothered women were by self-reported poor memory and feelings of depression and anxiety, alongside perceived stress, resilience, and self-efficacy between women in different menopausal stages using STRAW criteria. The association between protective factors (self-efficacy and resilience) and psychological complaints was analysed with partial correlation analysis controlling for menopausal stages and/or age. A significant difference was found between the levels of perceived stress, and how bothered women were by feelings of depression and anxiety between early-perimenopausal and post-menopausal women. However, with the inclusion of age as a covariate, menopausal stage no longer predicted the level of self-reported stress and anxiety in menopausal women. There was also no difference between poor self-reported memory, or of self-efficacy or resilience between women in different menopausal stages. However, self-efficacy and resilience were associated with how bothered women were by feelings of depression and anxiety, and the experience of stress. Stress was the only variable to be associated with poor self-reported memory independent of age and/or menopausal status. Early perimenopausal women experienced the highest level of stress and were more severely bothered by feelings of depression and anxiety, with the poorest overall self-reported psychosocial quality of life. Post-menopausal women, however, reported to have similar experiences as premenopausal women. Age explained the associations between menopausal stage, stress and anxiety, but not between depression and different menopausal stages. Resilience and self-efficacy were associated with psychological complaints independent of menopausal stage and age, suggesting that therapies focusing on increasing resilience and self-efficacy may be beneficial to help target these psychological complaints at any time.

Stress among Pediatric Occupational Therapists: A Study of Prevalence, Work and Demographic Factors

This study aimed to evaluate the self-reported stress levels of pediatric occupational therapists, examine specific work factors and determine if demographic factors predict occupational stress. A cross-sectional survey design study, using voluntary response sampling, was conducted. The survey included demographics, the Workplace Stress Scale, and the Stress Index. The sample included 289 pediatric occupational therapists. Using descriptive analysis, a one-sample t-test, and multiple linear regressions, results indicated that pediatric occupational therapists had significantly higher stress levels than the validating sample of the Workplace Stress Scale. Self-reported work factors included too much work to do in a limited time and lack of time to plan or evaluate treatments. No demographic factors predicted work stress, while several work factors did. Occupational stress exists in pediatric occupational therapy work settings, especially in settings where high productivity is self-reported.

Veterinarian-Chasing A Dream Job? A Comparative Survey on Wellbeing and Stress Levels among European Veterinarians between 2018 and 2023.

Whilst recognizing the abundantly positive aspects within the different domains of the veterinary profession, the challenging socio-economic and cultural working climate has been identified as a source of veterinary mental wellbeing issues. This mixed methods study provides an overview of the mental state of veterinarians across Europe via two cross-sectional surveys in 2018/2019 (n = 14,559 veterinarians) and in 2022/2023 (n = 12,393 veterinarians). Mental wellbeing was assessed using 3 indicators: self-reported stress levels, the need for medical leave due to reduced mental wellbeing (22% and 23%, resp., in 2018/2019 and 2022/2023) and the seven-question Warwick-Edinburgh Mental Wellbeing Scale (2018/2019: 25, 2022/2023: 24.8). In both surveys, important differences were spotlighted between countries, but early-career veterinarians and female veterinarians were most at risk of decreased mental wellbeing all over Europe for all indicators. In conclusion, stress levels and need for medical leave due to reduced mental wellbeing remained at comparatively high levels across the two surveys and standardized mental wellbeing scores remained equally low. Notwithstanding the increased attention given to veterinary wellbeing in the last decade, our results underline that major efforts remain necessary, by creating more supportive and attractive workplaces that prioritize wellbeing, a good work/life balance, and providing job satisfaction.

Does parental mental health mediate the association between parents' perceived stress and parent-infant bonding during the early COVID-19 pandemic?

BackgroundThe spread of the COVID-19 virus was declared a pandemic in March 2020. New restrictions such as ‘lockdowns’ and ‘social distancing’ created challenges for individuals' work-life balance, financial situation, family life, and physical and mental health. The global population's stress levels rose in response to these changes, leading to a widespread deterioration of mental health. One group particularly affected was parents of infants and very young children. Poor parental mental health may disrupt parent-infant bonding, with negative consequences for infant well-being and development. AimsTo consider parent-infant bonding in relation to parents' perceived stress and psychological distress during the first lockdown, and to examine whether associations of stress with parent-infant bonding were mediated by parental mental health. MethodsDREAMCORONA (n = 738: 471 mothers and 267 partners) is a sub-study of the prospective German cohort study ‘DREAM’. The SPSS modelling tool PROCESS was used to assess whether parental mental health mediated the relationship between parents' perceived stress response to the COVID-19 pandemic and parent-infant bonding, while controlling for covariates. ResultsHigher levels of parental stress were strongly associated with higher levels of depression, anxiety, and aggression symptoms for both parents. In addition, there was a significant relationship between parents' self-reported stress levels and parent-infant bonding. This relationship was mediated by symptoms of depression and anxiety for fathers and by symptoms of anger-hostility for both parents. ConclusionIncreased parental stress during the early pandemic was associated with poorer parent-infant bonding. This has important implications for the management of any future public health crises.

Predicting physical and mental health status through interview-based evaluation of work stress: initial attempts to standardize the interviewing method.

This study conducted an interview-based stress evaluation that considered the psychosocial models of work stress and verified the evaluation's predictive validity. A four-stage assessment comprising a pre-survey, pre-interview questionnaire, stress assessment interview, and post-survey after one month was conducted with 50 Japanese workers. Additionally, 16 occupational health professionals provided stress evaluations based on recorded interview videos. Variables based on intraclass correlation coefficients (ICCs) were computed in multiple ways to compare the agreement among the evaluators. The generalized estimating equation (GEE) was conducted to evaluate the prediction models. The overall ICC among the evaluators was 0.58. The GEE revealed that the mean score of the evaluators in the interview-based stress evaluation significantly predicted psychological symptoms (β =2.02, p=0.019), burnout (β =0.77, p<0.001), and well-being (β =-0.64, p=0.007) one month later, even after adjusting for the self-reported stress levels measured in the pre-survey. The predictive validity of the proposed interview-based stress evaluation was confirmed. Although there are several challenges in standardizing this evaluation, semi-structured interviews are an effective tool for understanding work stress.