Stress Perception Research Articles

Investigating the potential of street trees in mitigating pedestrian thermal stress during heatwaves conditions: An empirical study in Guangzhou

Given the escalating urban heat island phenomenon and increasing frequency of heatwaves across the globe, many recent studies have focused on protecting human health from outdoor heat stress. Public commuting was the primary transportation way. However, there has been a significant oversight regarding the specific issue of heat stress encountered by commuters, particularly pedestrians on sidewalks lacking sufficient shade. This research gap leaves certain urban residents highly vulnerable to the negative effects of heatwaves. To address this issue, the thermal walking method was employed in this study to evaluate the physical thermal stress and thermal perceptions of Guangzhou residents during their commutes. Additionally, this study developed a regression model to evaluate the heat tolerance of street trees and their impact on pedestrians' experiences. The findings indicate that street trees substantially influence key thermal environment indicators, particularly solar radiation and surface temperature. These trees also play a pivotal role in shaping pedestrians' perceptions of thermal sensations by affecting the intensity, sequence, and duration of their exposure to heat. Significant variations were found in pedestrians' experiences under different street trees, mainly due to the trees’ rebound effects. Pedestrians exhibit a higher heat tolerance when the ΔUTCI of this rebound effect surpasses 6 °C (TCV >1 and TAV ≥ −0.01), indicating a generally favourable response to the prevailing outdoor thermal conditions. This research offers valuable insights into the cooling effects of street trees, which may help city planners improve urban living standards through feasible, nature-oriented strategies.

Inflammatory and Oxidant Responses to Arduous Military Training: Associations with Stress, Sleep, and Performance.

Arduous military training frequently consists of prolonged physical activity, sleep disturbance, and stress that increases musculoskeletal injury risk and performance decrements. Inflammatory and oxidative stress responses have been reported in response to arduous training, but with inconsistencies across markers and with under-representation of women. The purpose of the current report was to measure circulating inflammation and oxidative stress responses to military training and to correlate biomarkers with subjective measures of stress and sleep quality as well as military fitness test performance. Candidates undergoing the 10-week Marine Corps Officer Candidate School (OCS; 101 men; 62 women) were monitored, with demographic and questionnaire data collected, and blood drawn before and after OCS. Blood was analyzed for six markers of inflammation and three markers of oxidative stress. Associations between biomarkers and questionnaire and fitness test performance were tested. All measured inflammatory markers as well as plasma antioxidant capacity were elevated following OCS. The inflammatory increase was higher in women for several markers. Sleep disturbance and stress perception were associated with IL-6, IL-10 and CRP concentrations, suggesting that low sleep disturbance and stress perception were associated with low inflammatory load. Additionally, those with the highest inflammation at each time point performed worse on fitness tests than those with low inflammation. Following arduous military training, the circulating environment in a significant portion of officer candidates resembled chronic low-grade inflammation. This circulating inflammatory environment appeared worse with poor sleep, high stress perception, and poor fitness test performance, with utility observed for CRP, IL-6, and IL-10 as biomarkers of these responses. Since inflammation may contribute to musculoskeletal injury and performance decrements, minimizing chronic inflammation during military training should be explored.

Did the COVID-19 Pandemic Affect the Stress Levels among the Mothers of Premature Infants? A Narrative Review of the Present State of Knowledge, Prevention Strategies, and Future Directions.

Understanding COVID-19's effects on susceptible populations remains essential for clinical implementations. Our review aimed to examine whether the pandemic significantly impacted the stress levels in the mothers of premature infants in NICUs. The review of the literature from Google Scholar and PubMed resulted in identifying specific stressors such as the disruption of healthcare systems, limited access to neonatal care, uncertainty due to frequent changes in restrictions, the risk of COVID-19 infection, social isolation, and financial stress. While some quantitative studies concerning this topic did not show a significant increase in the perception of stress in this population compared to the pre-pandemic group, various research has indicated that the COVID-19 pandemic may result in enduring impacts on the emotional and neurological development of children. This article demonstrates a correlation between the repercussions of the COVID-19 pandemic and an elevated incidence of depressive symptoms among the mothers of premature infants. Further studies are needed to assess the long-term impact of pandemic-induced stress.

The Therapeutic Power of Cute: Effects of Media Sub-Forms and Individual Differences in Media Prescription

ABSTRACT Prior research showed that prescribing positively-valenced media can reduce people’s perceived stress. This study explored the potential of cute media by further considering media sub-forms and individual differences in stress responses. We conducted a between-subjects experiment (N = 436) to assess how small doses of various cute media (none vs. baby vs. whimsical) affect users’ positive emotions, cognitions (i.e. coping efficacy and recovery), and stress perception. Furthermore, the study bridged two lines of research on emotional media experiences by investigating the role of recovery in stress reduction. The findings indicated that amusement and kama muta induced by cute media mitigated stress. Serial mediation through positive emotion and coping efficacy emerged for amusement only. Recovery effects from both media-induced positive emotions were achieved through coping efficacy. While trait anxiety did not affect the level of positive emotions induced by cute media, it moderated how positive emotions were processed to form cognition and stress perception. Theoretical and practical implications for media prescription are discussed.

Outcomes of a Virtual 10-Week COVID-19 and Psychosis Program in an HMO: A Mixed Methods Quality Improvement Project.

Virtual clinical services became the primary treatment modality in a large U.S. HMO psychiatry department during the COVID-19 pandemic. A mixed methods quality improvement project was developed to address psychosis, severe anxiety, and stressors unique to COVID-19 and sheltering in place. The purpose was to determine if a virtual 10-week pilot program combining psychoeducation, skills-based training, experiential exercises using third-wave CBT, and process questions would decrease symptoms and hospitalization rates and improve quality of life. Pre- and postmeasure scores on pandemic-related stress (the PRSF), perceived stress (PSS), and general patient health (PHQ-9) were gathered from five patients in the Department of Psychiatry at Kaiser Permanente in Oakland, California. Qualitative interviews explored patients' perceptions of program benefits. Mean, median, and range on the pre- and postprogram assessments and paired samples t tests for means were calculated. Quantitative results were not statistically significant: p = 0.32 (Revised PRSF), p = 0.34 (PSS), p = 0.94 (PHQ-9). In interviews, most participants reported a decrease in pandemic-related stress. Half reported a decrease in general perceived stress. Half reported no change. Self-assessment reflected perceptions of benefits from this 10-week program, using words such as useful and important. The virtual program helped relieve pandemic-related stress and improved overall quality of life. The results show promise for expanding the program to other hospitals providing services for this diagnostic population.

Age Differences Among Within-Person Indicators of Stress and Depressive Affect.

We examined age differences in the within-person relationships among perceived stress (PS), perceived stress reactivity (PSR), and depressive affect (DA) as well as potential mechanisms of depression with a longitudinal moderated mediation model. Participants from the Notre Dame Study of Health & Wellbeing (N = 572) completed two to four waves of yearly assessments. Sequentially built multilevel models, in which year was nested within person, illustrated that only midlife adults experience an exacerbated effect of within-person fluctuations in PSR on the relationship between within-person PS and DA levels (γ41 = -.004, p < .01). Findings further suggest that PSR accounts for the PS-DA relationship. Furthermore, older adults illustrate successful emotion regulation strategies at the yearly level-resisting the negative ramifications of years of greater PS and PSR, whereas midlife adults who experience years of greater PSR would particularly benefit from stress management interventions and monitoring of DA levels.

Gender Difference in the Impact of Total Energy Intake on the Association between Low Fiber Intake and Mental Health in Middle-Aged and Older Adults.

The effect of dietary fiber intake on mental health is controversial. This study aimed to examine the association of fiber intake with mental health in Korean adults. This cross-sectional study included 11,288 participants aged ≥40 years who participated in the Korean Genome and Epidemiology Study (2004-2013). Fiber intake was assessed using a food frequency questionnaire and categorized into sex-specific quintiles. Multiple logistic regression models were used to investigate the association between the lowest quintile of fiber intake and poor mental health. Mental health was assessed using acute stress perception, the Psychosocial Well-Being Index-Short Form, self-rated health, and the Center for Epidemiological Studies-Depression Scale in Korea. Compared to those with higher fiber intake, having the lowest quintile of fiber intake was associated with higher odds of poor mental health risk, a higher risk of high-stress perception, poor psychosocial distress in males, poor psychosocial distress, and depression in females. Low fiber intake had profound negative mental health effects on males with high total energy intake and females with low total energy intake. In conclusion, there is a gender difference in the impact of total energy intake on the deleterious effect of low fiber intake on mental health.

The association of perceived ethnic discrimination and institutional verbal violence with chronic stress in an immigrant sample: The role of protective factors - results from the VIOLIN study

Immigrants are exposed to a variety of stressors, such as ethnic discrimination, and therefore experience a higher risk of developing adverse health outcomes. However, the role of potentially protective psychological factors is not well-studied. The present study addresses the question how discrimination and institutional verbal violence (IVV)11VV = verbal violence; IVV = institutional verbal violence are associated with chronic stress in an immigrant sample. In addition, this study highlights moderating effects of migration-specific variables (first or second migration generation and citizenship status).Participants (n = 232; 69.4 % female) completed an online-survey, which included demographics, questionnaires (Everyday Discrimination Scale, EDS; Perceived Stress Scale, PSS-4; Resilience Scale, RS-11; Self-Compassion Scale, SCS-SF) as well as a self-developed questionnaire on institutional verbal violence. Only participants living in Germany with migration background (self or one parent migrated to Germany) were included.Results showed that perceived discrimination and institutional verbal violence were highly associated with chronic stress. Further, self-compassion buffered the connection between discrimination and stress, whereas resilience was no protective factor. The inclusion of migration-specific variables showed that the second-generation sub-group experienced less discrimination-related stress and self-compassion was shown to be particularly protective within this sub-group. Citizenship status did not appear to be a moderator, but especially persons with temporary or permanent residence status, compared to German/EU-citizens, reported higher values of verbal violence and discrimination-related stress.These findings highlight the importance of considering not only psychological but also structural and societal protective and risk factors, as they may be differentially associated with immigrants’ stress perceptions. Implications for future research and practical implementations are presented.

Relationship between forensic medicine education, stress factors, and mobbing perception from the perspective of specialists in Turkey's universities

IntroductionThe current situation needs to be presented with scientific data to ensure and improve the quality of specialist training. This study examined the quality of education, instructor competence, stress factors, mobbing, and their interconnections in the domain of forensic medicine specialty education in Turkey. Materials and methodsThis cross-sectional study was conducted through an anonymous, web-based survey targeting forensic medicine specialists who have completed their specialist training in university forensic medicine departments within the last three years. The survey consisted of questions regarding issues included in the core education curriculum, educator characteristics, and perceptions of stress and mobbing. Based on the responses provided, the relationships between these factors were statistically analysed. Results72.7 % of the study population completed the survey. Nearly half of the participants (46.3 %) did not consider the number of instructors adequate. The quality of instructors (scientific competence, educational and teaching skills, interpersonal relations, accessibility, management, and problem-solving abilities) was determined to be partially sufficient (mean = 3.36). Approximately one-third of the respondents indicated that instructors made the greatest contribution to their specialist training, whereas the proportion of those who said otherwise was much higher. Education received for topics included in the core curriculum was partially sufficient level (mean = 3.04). It was observed that there was a significant relationship between the instructor characteristics, sufficiency score of the taught topics, and perception of mobbing (p < 0.01). The sufficiency scores of instructor characteristics had a 1.02-fold impact on sufficiency ratings of the topics covered in residency training. Among the respondents, 76.9 % reported encountering stress factors during their specialty training, with the most frequently exposed stress factor (52.2 %) being disorganisation within the training program. Among the participants, 22.8 % reported experiencing mobbing. ConclusionsEducation and instructor qualifications were correlated; however, stress factors and mobbing adversely affected education. A close association was observed between education, instructors, stressors, and mobbing. Thus independent and objective auditors tasked with verifying whether institutions meet the established educational standards need to be established.

Moderating Effect of General Self-Efficacy on the Relationship between Pregnancy Stress, Daily Hassles Stress, and Preterm Birth Risk in Women Experiencing Preterm Labor: A Cross-Sectional Study.

This study investigated the moderating role of general self-efficacy (GSE) on how stress caused by pregnancy and daily hassle affect the risk of preterm birth (PTB) in women experiencing preterm labor. This cross-sectional study included 196 pregnant women experiencing preterm labor before 37 weeks of gestation. We used IBM SPSS Statistics 27 and employed Hayes process macro version 4 (model 1) and hierarchical regression to analyze the moderating effect of GSE on the relationship between pregnancy stress, daily hassle stress, and PTB risk. Stress caused by pregnancy and daily hassle was positively correlated to PTB risk (r = .54, p < .001; r = .25, p < .001, respectively). While GSE did not significantly correlate with pregnancy stress, it negatively correlated with daily hassle stress (r = - .19, p = .009). GSE significantly moderated the relationship between combined stressors and PTB risk. As GSE levels increased, escalation in PTB risk in response to increasing stress levels was a more pronounced, highlighting a complex interaction between higher GSE levels and response to escalating stress levels. This model accounted for 39.5% of the variance in the PTB risk. Higher GSE may amplify the impact of stress on PTB risk, rather than mitigate it, which suggests a more nuanced role of GSE in the stress response of pregnant women at risk of preterm labor. GSE should be considered in care strategies, and managing its impact on stress perception and responses in pregnant women is crucial.

Heavy metal toxicity leads to accumulation of insoluble proteins and induces endoplasmic reticulum stress-specific unfolded protein response in Arabidopsis thaliana.

Unfolded protein accumulation in the endoplasmic reticulum (ER) triggers ER stress, leading to a unique transcriptomic response called unfolded protein response (UPR). While ER stress is linked to various environmental stresses, its role in plant responses to heavy metal toxicity remains unclear. This study aimed to elucidate if heavy metals Fe, Zn, Cu, and As induce ER stress in plants. For this purpose, Arabidopsis thaliana seedlings were treated with Fe (200, 400µM), Zn (500, 700µM), Cu (25, 50µM), and As (250, 500µM) for 7days, which resulted in 50-70% decrease in plant growth. All treatments increased insoluble protein levels, indicating unfolded protein accumulation, with the highest induction observed for 50µM Cu treatment (fivefold). Expressions of genes involved in the perception and signaling of ER stress (IRE1, bZIP28, bZIP60, bZIP17) indicate that Zn toxicity specifically induces bZIP28 but not the IRE1 branch of UPR. All metals except Fe also induced genes associated with protein folding in the ER (BIP1, BIP3, and CNX) and ER-associated protein degradation (ERAD) (HRD1). This finding indicates Zn, Cu, and As but not Fe cause ER stress in plants. Furthermore, increased expression of ER oxidoreductase 1 (ERO1) suggests that metal toxicity also disrupts oxidative protein folding in the ER lumen. This study enhances our understanding of the intricate interplay between essential nutrients, metal toxicity, protein folding machinery, and ER stress, demonstrating that heavy metal toxicity has an ER stress component in plants alongside its established effects on energy metabolism, membrane integrity, and oxidative stress.

Temporomandibular joint disorder among Peruvian music students of different instrumental specialties

Background Music, a profound human expression, can have physical implications for its practitioners. Musicians face various physical challenges that can impact their well-being, with craniofacial and temporomandibular pain being prevalent yet understudied. Temporomandibular joint disorder (TMJD) affects up to one-third of the population, though prevalence varies by study. While musculoskeletal issues like carpal tunnel syndrome are well-documented in musicians, craniofacial and temporomandibular pain is less explored. This study aims to determine the differences in TMJD frequency among music students of different instrumental specialties. Methods The sample was composed of students between 12 and 25 years of age from the National University of Music of Peru. A stratified random probability sample was chosen. Data were collected using a structured instrument covering general data, academic information, dental malocclusion, the Fonseca Simplified Anamnestic Index, and the Global Stress Perception Scale. Statistical analysis included Pearson's Chi-square test and a generalized linear model regression. Results The sample included 71.4% males with a median age of 23 years. Class II dental occlusion was most common (51.4%). TMJD prevalence was: 14.3% no TMJD, 60.0% mild TMJD, 22.9% moderate TMJD, and 2.9% severe TMJD. Metal wind (PR=0.04, 95%CI [0.00; 50.04], p=0.002) and woodwind players (PR=0.03, 95%CI [0.00; 0.56], p=0.018) had lower TMJD prevalence compared to plucked string and percussion players. Post-regression analysis indicated significant differences between metal wind and percussion students (p=0.030) and between percussion and woodwind students (p=0.025). These results are supported by the adjusted ratio of proportions analysis, which maintains statistical significance. Conclusion We found significant differences in TMJD prevalence among music students based on their instrumental specialty, with lower rates in metal wind and woodwind players compared to plucked string and percussion players.

Stress Perception and Coping Strategies Among Healthcare Students: A Systematic Review

Background: The prevalence of stress among university students, particularly those studying in healthcare fields, has emerged as a significant worldwide concern. stress is characterized as a state of mental strain or anxiety stemming from challenging situations. The aim of this review is to deliver a systematic review of previous research, and knowledge on the stress perceived by healthcare students and their coping mechanisms. Methods: The articles were obtained from the online databases which are PubMed, Ovid Medline, Scopus, CINAHL, and EBSCO Discovery services. Only 40 studies were included in this review. Results: The result revealed, final year healthcare students mainly from medical and nursing course received stress from workload and assignment, lack of professional knowledge and skill and lack of free time. The students applied problem-focused, emotional-focused and avoidant coping to cope with their stressors. Conclusion: In conclusion, this review indicates the need for future research to focus on perceived stress and coping mechanisms especially for final year healthcare courses other than medical and nursing to emphasize the broader significant and potential impact on the finding.

The Effects of a Structured Resiliency Program on Indicators of Burnout in Medical Residents

Because of the well documented burnout and stress experienced by medical residents, the Accreditation Council for Graduate Education (ACGME) has directed training programs to address these issues in their residents. The current study describes a resiliency enhancement program administered to residents from differing residencies. Method: Residents received group-based sessions focusing on awareness of stress reactions, mindfulness, cognitive coping skills and balancing life and work. All sessions were interactive. The training occurred over a 9-month time span. Residents provided informed consent so that data could be collected. The percentage of burnout was calculated based on one indicator (high emotional exhaustion, high depersonalization, or low personal accomplishment using the Maslach Burnout Scale). Standardized assessment instruments were administered at the beginning (September) and the end of the program (May) to assess the impact of the intervention. Residents were in training at a medium-sized academic medical center. They came from urology, internal medicine, emergency medicine and neurology training programs. Eighteen female and 51 male residents participated. Results: Baseline rates of burnout were as follows: urology residents, 89%; internal medicine, 73%; neurology, 50%; emergency medicine, 22%. There was a significant decrease in perceived stress for the overall group following the intervention. Residents who significantly improved on mindfulness measures also showed significant improvement on resiliency, stress, and personal accomplishment scores. Residents who significantly lowered perceived stress also lowered emotional exhaustion, depersonalization, and increased resiliency and compassion satisfaction. Discussion: This study demonstrated that a resiliency enhancement program and data collection after IRB approval is feasible and effective during medical residency. Based on our analysis, mindfulness, and cognitive skills to reduce perceptions of stress seem to be critical components. Future research is necessary to identify elements of the program most relevant to specific residencies.

Differences Between Positive and Negative Perceptions of Stress Based on Patterns of Coping Strategies: Through Mobile Application in College Students

Differences Between Positive and Negative Perceptions of Stress Based on Patterns of Coping Strategies: Through Mobile Application in College Students

Spousal Age Difference and Mental Health by Sex: Korean Survey Results

Purpose: Problems in marital relationships due to age gap between a couple may lead to depression and other mental health issues. However, there is a lack of studies that investigated the association between age gap in couples and mental health. Therefore, this study aimed to identify the relationship between spouse age differences and mental health.Methodology: The data of 7,454 couples from the 2008 and 2012 Korean National Health and Nutrition Examination Surveys were used. Multiple logistic regression analysis was performed.Findings: Women who were ≥10 years older or younger than their husbands displayed poor mental health. Odds ratios (ORs) for women who were ≥10 years younger were 1.72, 1.77, 2.24, and 1.69 for stress perception, depression experiences, depression diagnosis, and suicidal ideation, respectively. Furthermore, in women who were older than their husbands, the ORs for cognition of stress and suicidal ideation were 1.32 and 1.41, respectively.Conclusion: These findings support the development of mental health programs and couples’ education via national promotions and projects. Managing women's mental health in couples with large age gap groups could contribute to family stability and reduce divorce rates.

Assessment and Analysis of Factors Impacting Stress in Students in Higher Educational Institutes in Delhi-NCR

Well-being is essential to lead a fulfilling and enjoyable life. Today's fast-paced world causes stress and strain, affecting physical and mental health. The study focuses on stress among students who are anxious owing to competition and performance-oriented objectives. The study describes academic stress, deliberates its causes, and discusses its impacts and manifestations. Factors affecting the perception of stress for a sample of 633 college students in Delhi-NCR are examined. Learner assessment of stress perception is measured using twenty-five items with responses collected on a 5-point Likert Scale. Additionally, the perceived impact of stress on the health and productivity of learners is also examined using six items. The ordered logistic regression model is employed to empirically examine the impact of demographic factors, home and college environments, as well as anxiety about the future on perceived stress amongst the respondents. More than 65 percent of respondents reported facing medium or high levels of stress perception. The study finds no difference in the average stress perception based on gender, but academic pressure, family income and teachers, peer and parental pressure emerge as stress-contributing factors. Examination, curriculum, and time pressures appear to be the most significant factors affecting stress perception. An increase in perception regarding examination, curriculum and time pressures significantly increases the ordered log-odds of moving to the higher stress perception category by 1.19 units. The study makes a compelling case for shifting the focus of education from purely academic to students' holistic development. Given the increase in stress perception, coping strategies for stress management are desperately needed. Recreational activities and the provision of appropriate counselling services by higher education institutions are imperative in this respect. Additionally, parents, teachers, and policymakers working together may do a lot to help youngsters manage their stress.

Investigating Parental Factors for Adolescent Problematic Gaming and Social Media Use – A Cross-sectional and Longitudinal Approach

PurposeIncreasing concern has been raised on the addictive potential of digital games and socialmedia platforms, especially in adolescent users. Hence, investigating the etiology of problematic gaming (PG) and problematic social-media use (PSMU) is of great scientific and clinical interest. Parental factors have not been sufficiently addressed yet. Therefore, this study aims to investigate the predictive values of parental demographic, psychological, parenting, and role model factors for adolescent PG/PSMU. MethodsIn a representative parent-child (10–17 years) sample parental factors and adolescent PG/PSMU were assessed cross-sectionally (Ndyads = 1221) and longitudinally (Ndyads = 659) using online-questionnaires at two measurement points 14 months apart. Parental factors included parental media-use patterns, sociodemographic aspects, (digital) emotion regulation, stress perception, (digital) parental self-efficacy, and media rules. Best subset linear regression models were estimated to identify parental factors with greatest predictive values. These were included in prospective linear regression analyses. ResultsAt the cross-sectional level, 18% of model variance predicting PG and 24% predicting PSMU could be explained by parental media-use patterns, media rules, and (digital) parental self-efficacy after controlling for adolescent age. Longitudinally, 33% of variance in the PG model and 34% of variance of the PSMU model could be explained by parental media-use patterns and parental self-efficacy after controlling for adolescent age and baseline PG/PSMU. DiscussionThis study is the first to differentially investigate parental factors in the context of adolescent PG/PSMU in a prospective representative parent-child study. Aspects of digital parental role modeling and parenting could be identified as promising anchors for prevention and treatment.

Validity And Reliability Of Connor-Davidson Resilience Scale (CD-RISC) 10 Items On Pregnant Women

Background: Pregnancy period trigger emotional challenges for women, not only due to hormonal changes but also due to physical, psychological, social, financial and cultural factors. Women’s reaction to stress or difficult conditions is considered as resilience. Pregnant women who have low levels of resilience tend to report high perceptions of stress, so increasing resilience in pregnant women is important for building positive coping strategies to minimize the negative effects of stress on the mother and fetus. One of the tools that is often used to assess resilience is Connor-Davidson Resilience Scale (CD-RISC). This study aimed to test the validity and reliability of the 10-item CD-RISC on pregnant women sample. Method: This research was descriptive statistical to test the validity and reliability of the CD-RISC 10-items on 30 respondents in Magelang, Central Java. Result: The pearson correlation and cronbach alpha was used to assess validity and reliability. The statistical test results showed that the item correlation value for all items ranged from 0.711 to 0.906, r values from 10 items had score above the r table (0.361). The cronbach alpha value was 0.940. Discussion: Researchers assumed that apart from being valid and reliable, the resilience theory on the Connor-Davidson Resilience Scale (CD-RISC) shows relevance to culture and values adopted by pregnant women in Indonesia, therefore this tool can be employed to explore the level of resilience of pregnant women in quantitative or qualitative research. Conlussion: This study conclude that CD-RISC 10 items has good validity and reliability for assessing the resilience of pregnant women in Indonesia

Impact of 12 weeks of basic military training on testosterone and cortisol responses

IntroductionMilitary personnel train and operate in challenging multistressor environments, which can affect hormonal levels, and subsequently compromise performance and recovery. The aims of this project were to evaluate concentrations of...