Relationship among anxiety,perceived stress and forbearance in college students / 中国心理卫生杂志

Objective:To explore the relationship of anxiety,perceived stress and forbearance in the college students.Methods:Totally 3 056 college students(1 102 males and 1 954 females)in Guangdong Province were re-cruited and assessed with the Generalized Anxiety Disorder 7-item Scale(GAD-7 score of ≥10 indicates positive anxiety symptoms),Perceived Stress Scale(PSS-10),and Forbearance Scale(FS).SPSS Process model 2 was used to test the moderating effect of different types of forbearance.Results:Totally 486(15.9％)college students had anxiety.The PSS-10 scores were positively correlated with the GAD-7 scores(β=0.63),and FS scores of repres-sive forbearance and active forbearance played a moderating role between the PSS-10 scores and the GAD-7 scores respectively(β=0.05,-0.04).Conclusion:It suggests that anxiety and perceived stress are correlated with for-bearance in college students,and repressive forbearance and active forbearance may moderate the relationship be-tween perceived stress and anxiety.

Relationship between college students’ perceived stress and their suicidal ideation: multiple mediating effect of resilience and depression / 西安交通大学学报(医学版)

【Objective】 To explore the relationship between perceived stress and suicidal ideation as well as the mediating effect of resilience and depression. 【Methods】 A sample of 875 college students was recruited for the study to complete a set of self-report measures of Chinese Perceived Stress Scale (CPSS), the Resiliency Scale of University Students, Suicidal Ideation Questionnaire, and Beck Depression Inventory (BDI). 【Results】 ①College students’ perceived stress and depression had significantly positive correlation with their suicidal ideation, while the students’ resilience had a significantly negative correlation with their perceived stress and depression. ②Perceived stress did not affect suicidal ideation of the college students directly, but indirectly affected their suicidal ideation through three significant mediating pathways: the separate mediating effects of (a) resilience and (b) depression, and the serial mediating effect of (c) resilience and depression. 【Conclusion】 Resilience and depression exert a chain mediating effect between perceived stress and suicidal ideation of college students.

Influence of perceived stress on executive function： the path of self-hate and negative affect in adolescents / 四川精神卫生

BackgroundThe development of executive function in adolescents is influenced by many environmental factors. Previous studies have found that perceived stress is closely related to executive function， whereas its role in the mediation of executive function remains poorly studied. ObjectiveTo explore the role of negative affect and self-hate in mediating the relationship between perceived stress and executive function in adolescents， so as to assist the improvement of executive function in adolescents. MethodsQuestionnaires were administered to 7 734 adolescents from five junior and five senior high schools in Rizhao city， Shandong province from 1 to 30 May 2022. Data were collected using a self-made questionnaire， and adolescents were assessed using Perceived Stress Scale （PSS）， Behavior Rating Inventory of Executive Function-Self Report Version （BRIEF-SR）， Patient Health Questionnaire （PHQ-4） and Self-Hate Scale （SHS）. Spearman correlation analysis was conducted to examine the correlation between variables. A Bootstrap method was chosen to examine the mediation effect of self-hate and negative affect on the relationship between perceived stress and executive function in adolescents. ResultsA total of 7 012 （90.66%） valid questionnaires were retrieved. BRIEF-SR score was positively correlated with PSS， PHQ-4 and SHS scores （r=0.564， 0.653， 0.597， P<0.01）. PSS score was positively correlated with PHQ-4 and SHS scores （r=0.615， 0.531， P<0.01）. PHQ-4 score was positively correlated with SHS score （r=0.566， P<0.01）. The value of mediation effect of perceived stress on executive function was 0.574 （95% CI： 0.555~0.594）. Self-hate （indirect effect value of 0.160， 95% CI： 0.145~0.175） and negative affect （indirect effect value of 0.143， 95% CI： 0.129~0.158）， separately from each other， mediated the relationship between perceived stress and executive function， and a chained mediation effect of self-hate and negative affect was also documented （indirect effect value of 0.065， 95% CI： 0.058~0.073）， accounting for 27.87%， 24.91% and 11.32% of the total effect， respectively. ConclusionThe perceived stress of adolescents may be a influencing factor of the executive function. Additionally， perceived stress can either directly affect executive function or indirectly through the separate or chained mediation via negative affect and self-hate.

Relation between neuroticism and tendency of mobile phone addiction among nursing undergraduates： the mediating role of perceived stress and self-control / 四川精神卫生

BackgroundNegative effects of mobile phone addiction on undergraduate students have led to several health problems including depression， anxiety， attention deficit disorder， cognitive impairment and sleep disturbance. The undergraduate nursing students serve as an important reserve force of the clinical nursing work， and their poor psychological health would have a non-ignorable impact on the quality of the nursing work and the nurse-patient relationship in the future. ObjectiveTo investigate the relation between neuroticism and tendency of mobile phone addiction among undergraduate nursing students， and to examine the pathways through which perceived stress and self-control play a role in the relation by constructing a chain-mediated model. MethodsFrom February to March 2023， a total of 900 undergraduate nursing students across 10 universities in Xi'an， Shaanxi Province were selected through convenient sampling method. Several scales were adopted to assess undergraduate nursing students respectively， including the neuroticism subscale of Eysenck Personality Questionnaire-Revised Short Scale for Chines （EPQ-RSC）， Perceived Stress Scale （PSS）， Self-Control Scale （SCS） and Mobile Phone Addiction Tendency Scale （MPATS）. The assessment were conducted on multiple aspects of these students including neurotic personality， subjective stress， self-control and mobile phone addiction tendency. Model 6 in the SPSS Macro Process 4.1 was used to examine the mediating effect of perceived stress and self-control between neuroticism and mobile phone addiction tendency among undergraduate nursing students. Results① Among the 900 students， 314 cases （34.89%） were found to be addicted to mobile phones. ② The score of neuroticism subscale in EPQ-RSC of nursing undergraduates was positively correlated with the total scores of PSS and MPATS （r=0.400， 0.287， P<0.01）， and negatively correlated with score of SCS （r=-0.364， P<0.01）. The total score of MPATS was positively correlated with the total score of PSS （r=0.362， P<0.01）， and negatively correlated with the total score of SCS （r=-0.468， P<0.01）. The total score of SCS was negatively correlated with the total score of PSS （r=-0.515， P<0.01）. ③ Perceived stress and self-control performed partial mediation between neuroticism personality and mobile phone addiction tendency （with indirect effect values of 0.056 and 0.065， respectively， accounting for 19.72% and 22.89% of the total effect）. Perceived stress and self-control played a chain mediating role between neuroticism personality and mobile phone addiction tendency （with an indirect effect value of 0.064， accounting for 22.54% of the total effect）. ConclusionNeuroticism personality， perceived stress and self-control are confirmed to play important roles in mobile phone addiction tendency among undergraduate nursing students. Neuroticism personality not only directly affects the tendency of mobile phone addiction， but also affects their mobile phone addiction tendency through the chain mediating effect of perceived stress and self-control.［Funded by The 2020 Annual Project of the 13th Five-Year Plan of Education Science in Shaanxi Province （number， SGH20Y1386）］

Prevalence and correlates of social networking addiction and its association with adult ADHD and stress among students of a medical college

Introduction: Repeated use of social network is said to cause addiction. Attention deficit hyperactivity disorder (ADHD) is disorder found in childhood. Studies have shown that such children continue to have the symptoms of ADHD as adults. The aim of this study was to find the prevalence of social networking addiction and Internet addiction and their relationship with ADHD. Also, to assess the relationship between perceived stress and sociodemographic factors with social networking and internet addiction. Material and Methods: A cross-sectional study was conducted among 150 undergraduate and postgraduate students of BMCRI after ethical clearance. Medical students who gave consent were included through stratified random sampling. Those who were taking treatment for psychiatric illness were excluded. Scales like the Young Internet addiction test (IAT); Bergen’s Facebook Reporting Scale, ADHD Self-Reporting Scale, and Wender Utah Brief Rating Scale for ADHD, and Cohen Perceived Stress Scale (PSS) for perceived stress have been used. Results: The mean age was found to be 21.56 ± 3 years. 62.6% were males and 37.33% of were females. The prevalence of Internet addiction was found to be 23.3% (n = 35), with 2% (n = 3) were having severe addiction, 6.6% (n = 10) were having moderate Internet and 14.6% (n = 22) having mild internet addiction according to modified Young’s criteria (2011). The prevalence of social networking addiction as per the Bergen Facebook Addiction Scale (BFAS) score was 4.66% and adult ADHD was 15%. There was a strong positive correlation (0.76) between Internet Addiction and Facebook addiction scores and between BFAS score and IAT score. A moderate positive correlation (0.46 and 0.47) between Internet addiction and Facebook addiction with perceived stress and ADHD and IAT score with PSS score and ASRS score, weak positive correlation with PSS score and ASRS score was observed. Conclusion: A significant proportion of medical students develop Internet addiction and minority develops social network addiction. Furthermore, perceived stress and ADHD scores are positively correlated with internet and social networking addiction.

Estresse percebido entre estudantes de graduação: fatores associados, a influência do modelo ENEM/SiSU e possíveis consequências sobre a saúde / Perceived stress among undergraduate students: associated factors, influence of the ENEM/SiSU model, and its possible consequences on health

RESUMO Objetivo: Medir os níveis de estresse percebido, os fatores associados, em especial o impacto da escolha e satisfação com o curso, bem como as possíveis consequências desse desfecho entre graduandos. Métodos: Estudo transversal conduzido em 2019 com 996 estudantes de graduação de uma universidade pública no Sul do Brasil. A amostragem foi realizada de forma sistemática por conglomerados em único estágio. O desfecho foi avaliado por meio da Escala de Estresse Percebido. As análises de fatores associados e possíveis consequências foram realizadas por meio de regressão linear múltipla e regressão de Poisson, respectivamente. Resultados: O escore médio de estresse percebido foi de 31,1 (DP = 9). Indivíduos do sexo feminino, de orientação sexual não heterossexual, mais pobres, com insegurança alimentar, com medo de violência no bairro, com percepção de difícil acesso a serviço psicológico e com menor suporte social foram os mais estressados. Participantes mais velhos e com algum nível de atividade física foram menos estressados. A insatisfação com o curso atual, e não o fato de ser o curso desejado no ingresso, foi associada ao estresse. Uso não médico de remédio prescrito, ansiedade generalizada, sintomas depressivos e pior qualidade de sono e de vida foram identificados como possíveis consequências do estresse. Conclusões: O modelo ENEM/SiSU parece não exercer efeito no estresse. Além disso, esse desfecho foi mais elevado entre indivíduos mais vulneráveis, tendo contribuído para diversos desfechos negativos em saúde mental. Recomenda-se o fortalecimento de serviços de assistência estudantil para que esses casos sejam identificados e manejados.

ABSTRACT Objective: To measure levels of perceived stress, associated factors, especially the impact of choice and satisfaction with the course, as well as the possible consequences of this outcome among undergraduates. Methods: Cross-sectional study conducted in 2019 with 996 undergraduate students from a public university in southern Brazil. Sampling was carried out systematically by single-stage clusters. The outcome was assessed using the Perceived Stress Scale. Analysis of associated factors and possible consequences were performed using multiple linear regression and Poisson regression, respectively. Results: Mean perceived stress score was 31.1 (SD = 9). Female individuals, with non-heterosexual orientation, poorer, with food insecurity, with fear of violence in the neighborhood, with perception of difficult access to psychological services and with less social support were the most stressed. Older participants with some level of physical activity were less stressed. Dissatisfaction with the current course, rather than the fact that it was the desired course prior admission, was associated with high levels of stress. Non-medical use of prescribed medication, generalized anxiety, depressive symptoms, and poorer quality of sleep and life were identified as possible consequences of stress. Conclusions: The ENEM/SiSU model seems to have no effect on stress. Furthermore, this outcome was higher among more vulnerable individuals, having contributed to several negative outcomes in mental health. It is recommended to strengthen student assistance services so that these cases can be identified and managed.

A study on assessment of sleep pattern and perceived stress among geriatric patients in Medical College and Hospital, Kolkata

Background: In addition to risk of developing different non-communicable diseases, chronic diseases, and disabilities with increases of age, elderly people are more likely to suffer from mental and psychological distress and sleep disturbances which are again very much related to other physical problems of elderly. However, these two issues are often neglected and also were not addressed by research work adequately. Aims and Objectives: In above backdrop, our present study was conducted to determine sleep pattern and perceived stress among elderly population and their relationship with sociodemographic parameters. Materials and Methods: An observational descriptive cross-sectional study was conducted in Geriatric Outpatient Department (OPD) of Medical College and Hospital, Kolkata, from August to October 2022, among 161 geriatric OPD patients. A semi-structured questionnaire was used for eliciting sociodemographic information. Pittsburgh Sleep Quality Index and perceived stress scale were used for assessing sleep quality and perceived stress of participants respectively. Data were analyzed in the Statistical Package for the Social Sciences (version 20). Results: About 41.2% participants suffered from poor sleep pattern. About 41.2% of geriatric participants had low level of stress and rest had moderate stress. Age and marital status were significantly associated with both sleep pattern and perceived stress. Socioeconomic status was related to sleep score, whereas perceived stress was associated with education of elderly participants. Conclusion: Poor quality of sleep and stress has an impact on other physical health problems of elderly such as diabetes, hypertension, and cardiovascular diseases. Hence, awareness generation among general population and provision of adequate management in elderly health clinics regarding these two issues is required.

Effectiveness of the Five Elements Music Therapy in Relieving Stress with Different Cultural Backgrounds / 世界科学技术-中医药现代化

Objective To explore the effectiveness of the Five Elements Music Therapy(FEMT)in relieving stress in participants with different cultural backgrounds,and to compare the differences between the FEMT and the Western Art Music Therapy(WAMT)in stress relief.Methods This was a comparative pilot randomized pre-post repeated measures study,37 subjects were allocated with 2 dropped out,with an inclusion-ended sample of 35 subjects,23 from Canada and 12 from China.After informed consent,all subjects were randomly assigned to listening to either Five Elements Music or Western Art Music at home for 30 minutes,twice a week for four weeks.Participants were asked to use headphones,measure their pulse rate before and after each session,and fill out five questionnaires,including a background and demographic survey(reporting age,gender,education,cultural background,listening experience).Self-assessment of stress(pre-post after each session),General Hospital Anxiety/Depression Scale(HADS,weekly after 2nd session),Perceived Stress Survey(PSS,weekly after 2nd session),the Music Therapy Intervention Survey(MTIS,pre-post each session).Results ①There was a significant decrease in self-assessed stress scores after the second session in the FEMT compared with the WAMT group(t=-2.057,P=0.046).②In both groups,there was a significant decrease in stress scores pre-post treatment in each group(WAMT t=5.026;FEMT T=7.645,P=0.000).③There was no significant difference between the two groups in post-intervention HADS scores(P>0.05);In the Chinese sample,there was a significant difference in HADS scores after the eighth session in both FEMT and WAMT groups(t=-3.862,P=0.003),and a statistically significant difference in HADS pre-post intervention in the FEMT((t=5.117,P=0.004).There was a significant difference in MTIS pre-post treatment in the WAMT(t=-2.572,P=0.023),but in not the FEMT group(t= 1.331,P=0.207).Conclusion This pilot trial explores a safe and feasible self-administered music therapy approach for stress in two distinct cultural groups,and for the first time provides preliminary comparison and evidence of effectiveness of FEMT and WAMT in alleviating stress and anxiety.Further investigation with bigger randomized samples is needed to elucidate the effects of different kinds of music and cultural groups on stress and anxiety levels.

The mediating effect of emotional intelligence between perceived stress and burnout of nurses in intensive care unit / 中国实用护理杂志

Objective:To explore whether there is a mediating role of emotional intelligence between perceived stress and burnout in ICU nurses. Praide a basis for ICU nurses managers to develop corresponding intervention plans.Methods:Using a convenience sampling method, 683 nurses in 15 class A tertiary hospitals were conducted a cross-sectional surrey from January to April 2023 using general information, the Chinese version of the Perceived Stress Scale, the Emotional Intelligence Scale, and the Burnout Scale.Results:Chinese version of the Perceptual Stress Scale Score (45.59 ± 6.70), Emotional Intelligence Scale score (57.06 ± 9.22), Burnout Scale score (54.50 ± 11.63); pearson correlation analysis showed a positive correlation between perceptual stress and burnout ( r = 0.543, P<0.01); emotional intelligence was a negative correlation ( r = -0.465, P<0.01). A negative correlation was found between perceived stress and emotional intelligence ( r = -0.585, P<0.01); emotional intelligence mediated the effect between perceived stress and burnout, accounting for 24.2% of the total effect. Conclusions:Emotional intelligence is a mediating variable between perceived stress and burnout among nurses in ICU. Nursing managers should pay attention to their perceived stress and emotional intelligence levels, regularly assess them, and target take timely interventions to improve emotional management ability and develop resilience to cope with stress, so as to reduce the burnout level of nurses in ICU.

The chain mediating effect of mindfulness and perceived stress between childhood trauma and psychotic-like experiences among college freshmen / 中华行为医学与脑科学杂志

Objective:To explore the mediating effects of mindfulness and perceived stress between childhood trauma and psychotic-like experiences.Methods:In October 2021, 602 freshmen from a university in Guangdong Province were tested by childhood trauma questionnaire(CTQ), mindful attention awareness scale(MAAS), perceived stress scale(PSS), and community assessment of psychic experiences(CAPE). SPSS 21.0 and Mplus 8.3 were used for data analysis. Mann-Whitney U test was used to compare the differences between groups, and Spearman correlation analysis was used to investigate the correlation among childhood trauma, mindfulness, perceived stress and psychotic-like experiences. Bias-corrected nonparametric percentile Bootstrap method was used to examine the mediating roles of mindfulness and perceived stress between childhood trauma and psychotic-like experiences. Results:(1) In the past one month, 59.5% of the freshmen had psychotic-like experiences, and 8.5% of them experienced the distress. (2)Childhood trauma was positively correlated with perceived stress( r=0.29, P<0.01), frequency ( r=0.14, P<0.01)and distress( r=0.17, P<0.01) of psychotic-like experiences, and was negatively correlated with mindfulness( r=-0.28, P<0.01). (2)Mindfulness and perceived stress played individual mediating effects and chain mediating effect between childhood trauma and frequency of psychotic-like experiences, with effect size of 0.08, 0.04, 0.03, accounting for 53.33%, 26.67%, 20.00% of the total indirect effect(effect size=0.15), respectively. Mindfulness and perceived stress played individual mediating effects and chain mediating effect between childhood trauma and distress of psychotic-like experiences, with effect size of 0.07, 0.04, 0.03, accounting for 50.00%, 28.57%, 21.43% of the total indirect effect(effect size=0.14), respectively. Conclusion:Childhood trauma can affect psychotic-like experiences and distress through the indirect effects of mindfulness and perceived stress, or through the chain mediating effect of mindfulness-perceived stress.

Association between dietary quality and perceived stress based on the CHNS database / 公共卫生与预防医学

Objective To explore the association between dietary quality and perceived stress among adult Chinese. Methods The China Health and Nutrition Survey (CHNS) was used to investigate the association between dietary quality and perceived stress in Chinese adults. The Chinese Perceived Stress Scale (CPSS) was used to assess the perceived stress in Chinese adults. Binary logistic regression models were utilized to explore the relationship between diet quality and perceived stress. Restricted cubic splines (RCS) were utilized to clarify the dose response relationship between diet quality and perceived stress. Results Binary logistic regression models revealed that adults with CHEI score ranged from P25 to P50 and higher than P75 had 15.1% (OR=0.849，95%CI：0.738-0.977) and 23.0% (OR=0.770，95%CI：0.666-0.891) reduced risk of high perceived stress after multivariable adjustment when compared with adults with CHEI score less than P25. RCS results showed that the OR value of high perceived stress risk decreased gradually with increasing CHEI score in the overall population, but this association was not statistically significant in adults with lower CHEI score. Conclusion High dietary quality is associated with a reduced risk of high perceived stress. This study provides a theoretical reference for the health effects of high dietary quality on high perceived stress risk reduction.

Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury / 中国康复理论与实践

ObjectiveTo explore the effect of perceived stress on the impact of event in rehabilitation patients with traumatic injury, and the mediating role of difficulties in emotion regulation, rumination and sleep. MethodsFrom March, 2022 to March, 2023, using the convenient sampling method, a questionnaire survey was conducted on 192 rehabilitation patients with traumatic injury from Southwest Hospital, Xinqiao Hospital and Daping Hospital. Assessment tools included Perceived Stress Scale, Difficulties in Emotion Regulation Scale, Brief Ruminative Response Scale, Self-Rating Scale of Sleep, and Impact of Event Scale-revised. ResultsPerceived stress, difficulties in emotion regulation, rumination, sleep and the impact of event were correlated with each other in rehabilitation patients with traumatic injury (r = 0.447~0.684, P < 0.01). Perceived stress significant positively predicted the impact of event (β = 0.49, P < 0.001), as well as difficulties in emotion (β = 0.70, P < 0.001), rumination (β = 0.21, P < 0.05) and sleep (β = 0.29, P < 0.001). The direct effect of perceived stress on the impact of event was not significant, but it affected the impact of event through seven mediation paths, among which the independent mediation effect size of difficulties in emotion regulation, rumination and sleep accounted for 24.41%, 11.91% and 24.82%, respectively; the chain mediation effect size of difficulties in emotion regulation and rumination accounted for 13.88%, the chain mediation effect size of difficulties in emotion regulation and sleep accounted for 18.08%, the chain mediation effect size of rumination and sleep accounted for 3.17%, and the chain mediation effect size of difficulties in emotion regulation, meditation and sleep accounted for 3.70%. ConclusionPerceived stress affected the impact of event in rehabilitation patients with traumatic injury through the independent mediation and chain mediation of difficulties in emotion regulation, rumination and sleep.

Correlation between anxiety and perceived stress among medical personnel in a tertiary specialized cancer hospital / 预防医学

Objective@#To examine the correlation between anxiety and perceived stress among medical personnel in a tertiary specialized cancer hospital, so as to provide the evidence for improving psychological health among medical personnel. @*Methods@#In-service doctors, nurses and technicians were sampled from a tertiary specialized cancer hospital, and their demographics, perceived stress and sources of stress were collected using self-designed questionnaires. Anxiety was evaluated using the Self-rating Anxiety Scale (SAS), and the associations of anxiety with perceived stress and source of stress were examined using a multivariable logistic regression model. @*Results@#A total 800 questionnaires were allocated and 655 valid questionnaires were recovered, with an effective recovery rate of 81.88%. The respondents included 160 men (24.43%) and 495 women (75.57%), and 297 respondents (45.34%) were at ages of 30 to 39 years. There were 14 respondents with no or low level of stress (2.14%), 245 with general level of stress (37.40%), 289 with high level of stress (44.12%), and 107 with extremely high level of stress (16.34%). The prevalence of anxiety was 36.64% among respondents. Multivariable logistic regression analysis identified perceived stress at work (OR=2.205, 95%CI: 1.657-2.675), doctor-patient relationship (OR=2.259, 95%CI: 1.561-3.282) and interpersonal relationship (OR=2.272, 95%CI: 1.387-3.693) as a factor affecting anxiety among medical personnel. @*Conclusion@#The anxiety correlates with stress at work, doctor-patient relationship and interpersonal relationship among medical personnel in a tertiary specialized cancer hospital.

Relation of perceived social support to mental health in prison police： a moderated mediating analysis / 四川精神卫生

BackgroundThe mental health level of the prison police is relatively low， so finding innovative ways to improve the mental health of them is of great significance for the safety of prison supervision and the implementation of peaceful China initiative. ObjectiveTo explore the relationship between perceived social support， perceived stress and psychological resilience with mental health of prison police， and to provide references for improving their mental health. MethodsIn March 2022， 424 policemen working in a male prison in a western province were selected by cluster sampling method， and investigated with the Perceived Social Support Scale （PSSS）， Chinese Perceived Stress Scale （CPSS）， Connor-Davidson Resilience Scale （CD-RISC） and General Health Questionnaire 20 （GHQ-20）， then Process 4.2 was used employed to verify the mediating role of perceived stress as well as the moderating role of psychological resilience in the relationship between perceived social support and mental health. Results①Male subjects scored higher on GHQ-20 than female subjects （t=2.095， P<0.05）. ②CPSS score was negatively correlated with PSSS and GHQ-20 scores （r=-0.670， -0.703， P<0.01）， and GHQ-20 score showed a positive correlation with PSSS and CD-RISC scores （r=0.580， 0.693， P<0.01）. ③Perceived social support positively predict mental health （β=0.154， 95% CI： 0.133~0.175， P<0.01）. ④Perceived stress played a mediating role in the relationship between perceived social support and mental health， and the mediation effect size was 0.087， accounting for 88.78% of the total effect （95% CI： 0.064~0.112， P<0.01）. ⑤Psychological resilience played a moderating role in the second half （perceived stress→mental health） of the mediating path of "perceived social support→perceived stress→mental health"（β=0.074， 95% CI： 0.046~0.102， P<0.01）. ⑥Psychological resilience also regulated the mediation effect of perceived stress on the relationship between perceived social support and mental health ［three regression coefficients tested in turn are significant： a=-0.537 （95% CI： -0.594~-0.480， P<0.01）， b1=-0.162 （95% CI： -0.197~-0.127， P<0.01）， b3=0.074 （95% CI： 0.046~0.102， P<0.01）］. ConclusionPerceived social support of prison police has an impact on their mental health both directly and indirectly through perceived stress. In addition， perceived social support of prison police has a moderated mediation effect on mental health， and it is partially moderated by psychological resilience.［ Funded by General Project of Sichuan Prison Administrative Bureau in 2022］

Relationship of graduate students’ psychological stress and perceived stress with their mental health / 西安交通大学学报(医学版)

【Objective】 To explore the relationship of graduate students’ psychological stress and perceived stress with their mental health, and analyze the mediating effect of perceived stress. 【Methods】 We investigated 705 graduate students by Chinese College Student Mental Health Scale (CCSMHS), Chinese College Student Psychological Stress Scale (CCSPSS), and Perceived Stress Scale-10 (PSS). Correlation and structural equation model analysis was made. 【Results】 The graduate students’ psychological stress and perceived stress had significant correlation with their mental health. SEM analysis showed that perceived stress served as a partial mediation variable between psychological stress and mental health. Psychological stress had direct effects (0.216) for mental health and indirect effects (0.126) through perceived stress. 【Conclusion】 Graduate students’ psychological stress can influence their mental health directly, and can also reduce mental health level by increasing perceived stress. Perceived stress has partial mediating effect between psychological stress and mental health.

The impact of chronic comorbidity in elderly people on relatives’ physical and mental health during the nursing home confinement:A multiple mediator analysis / 西安交通大学学报(医学版)

【Objective】 To explore the relationship between chronic comorbidity and the physical and mental health of relatives of elderly people during the nursing home confinement, and to analyze the mediating effects of perceived stress and intolerance of uncertainty in this context. 【Methods】 A total of 568 family members of elderly people in nine elderly institutions in Shaanxi Province were selected. The survey included the short version of the Perceived Stress Scale, Intolerance of Uncertainty Scale, and The World Health Organization-5 Well-being Index. The data were analyzed with Stata for correlation and mediation effects. 【Results】 ① The comorbidities of chronic diseases was positively correlated with the perceived stress (r=0.16, P<0.001) and intolerance of uncertainty (r=0.11, P=0.006) of the family members, but negatively correlated with the physical and mental health of the family members (r=-0.13, P=0.002). ② The mediating effect of perceived stress between chronic disease co-morbidity and physical and mental health of family members in older adults was -0.023, accounting for 18.8% of the total effect; the mediating effect of intolerance of uncertainty between chronic disease co-morbidity and physical and mental health of family members in older adults was -0.041, accounting for 33.5% of the total effect. 【Conclusion】 During closed management in a nursing facility, the physical and mental health of family members of older adults with chronic co-morbidities is poorer than that of family members of non-chronic co-morbidities. And it can lead to a decline in physical and mental health of family members through increased perceived stress and intolerance of uncertainty.

The Effect of Mindfulness-Based Stress Reduction Counseling on Blood Glucose and Perceived Stress in Women with Gestational Diabetes / O efeito do aconselhamento para redução do estresse baseado na atenção plena sobre a glicose no sangue e o estresse percebido em mulheres com diabetes gestacional

Abstract Objective Gestational diabetes can cause maternal and neonatal morbidity. Psychological factors, especially stress, play a meaningful role in diabetes management. Therefore, the present study aimed to investigate the effect of Mindfulness-Based Stress Reduction counseling on blood sugar and perceived stress in women with gestational diabetes. Methods The present quasi-experimental interventional study was performed on 78 women with gestational diabetes. In the intervention group, a Mindfulness-Based Stress Reduction counseling program was conducted by the researcher in 8 sessions of 90 minutes twice a week. The Cohen stress questionnaire was filled in both groups. Also, fasting blood sugar and 2-hour blood sugar levels were measured in both groups. Statistical analysis was performed using the independent T-Test, the paired T-Test, the Mann-Whitney and Wilcoxon Tests using IBM SPSS Statistics for Windows version 20 version (IBM Corp., Armonk, NY, USA). Results The mean age of pregnant women in the intervention group was 28.84 ± 6.20 years old and 29.03 ± 5.42 years old in the control group. There was a significant mean difference between the fasting blood sugar score (p= 0.02; - 6.01; and - 11.46) and the 2-hour fasting blood sugar score (p< 0.001;12.35; and - 5.3) and the perceived stress score (p< 0.001; 35.57; and - 49.19) existed between the intervention and control groups after the intervention. Conclusion The results of the present study showed that mindfulness-based stress reduction counseling is effective in reducing blood sugar levels and reducing perceived stress in women with gestational diabetes treated with diet.

Regulación emocional en la relación del mindfulness con el estrés percibido en el personal de salud

Introducción: A pesar de que varias investigaciones han demostrado que el mindfulness o atención plena influye en el estrés percibido, se ha evidenciado la carencia de estudios que hayan probado las relaciones entre la regulación emocional, la atención plena y el estrés percibido, específicamente en el personal de la salud que labora en unidades de cuidados intensivos. Objetivo: Probar la relación entre la atención plena y el estrés percibido en el personal de salud de hospitales públicos y privados de Santo Domingo de los Colorados, Ecuador, para identificar si esta relación es mediada por la regulación emocional. Método: Se realizó un estudio cuantitativo de alcance descriptivo correlacional y diseño transversal donde se aplicó un cuestionario conformado por 39 preguntas tomadas de tres escalas psicosomáticas a 382 trabajadores de la salud de unidades de cuidados intensivos de las instituciones antes mencionadas. Se midieron las variables: atención plena, regulación emocional y estrés percibido. Los análisis estadísticos fueron desarrollados a través de Excel y Statistical Package for Social Sciences 21. Resultados: Los análisis estadísticos evidenciaron que la atención plena influyó en el estrés percibido (β=0,428**) y, también, en la regulación emocional (β=0,488**), así mismo la regulación emocional influyó sobre el estrés percibido (β=0,417**). Conclusiones: Se corrobora que la regulación emocional tiene un efecto mediador entre el mindfulness o atención plena y el estrés percibido en los trabajadores de la salud de las unidades de cuidados intensivos. Este personal a menudo desarrolla actividades sin prestar atención plena, sin embargo, tienen control sobre sus actividades laborales y están en la capacidad de regular y ocultar emociones que se les pueda presentar dentro de los contextos laborales de la salud y, de esta manera, disminuir los riesgos de padecer estrés.

Introduction: While a number of research studies have shown that mindfulness influences perceived stress, there is a lack of research that have tested the relationship between emotional regulation, mindfulness and perceived stress, specifically in those health workers who work in intensive care units. Objective: Test relationship between mindfulness and perceived stress in health workers of public and private hospitals in Santo Domingo de los Colorados, Ecuador, in order to identify whether this relationship is mediated by emotional regulation. Method: A quantitative study of descriptive correlational scope and cross-sectional design was carried out, where a questionnaire consisting of 39 questions taken from three psychosomatic scales was applied to 382 health care workers in intensive care units of the aforementioned institutions. Variables used were as follow: mindfulness, emotional regulation and perceived stress. Statistical analyses were structured using two specialized softwares Excel and Statistical Package for Social Sciences 21. Results: Statistical analyses showed that mindfulness influenced perceived stress (β=0.428**), and also emotional regulation (β=0.488**), at the same time, emotional regulation influenced perceived stress (β=0.417**). Conclusions: It was corroborated that emotional regulation played a mediating effect between mindfulness and perceived stress felt by the health care workers who work in intensive care units. Frequently, these personnel develop activities without mindfulness, however, they have control over their work activities and are able to regulate and hide emotions that may arise in their work environment and, in this way, reduce the risks of suffering stress.

Introdução: Apesar de várias investigações mostrarem que mindfulness ou atenção plena influenciam o estresse percebido, faltam estudos que comprovem as relações entre regulação emocional, mindfulness e estresse percebido, especificamente no pessoal de saúde que trabalha em unidades de terapia intensiva. Objetivo: Testar a relação entre mindfulness e estresse percebido em trabalhadores de saúde de hospitais públicos e privados de Santo Domingo de los Colorados, Equador, para identificar se essa relação é mediada pela regulação emocional. Método: Estudo quantitativo, de alcance descritivo correlacional e delineamento transversal, onde foi aplicado um questionário composto por 39 questões extraídas de três escalas psicossomáticas a 382 trabalhadores de saúde de unidades de terapia intensiva das referidas instituições. As variáveis foram medidas: atenção plena, regulação emocional e estresse percebido. As análises estatísticas foram realizadas usando o Excel e o Statistical Package for Social Sciences 21. Resultados: As análises estatísticas mostraram que a atenção plena influenciou o estresse percebido (β=0,428**) e também a regulação emocional (β=0,488**), da mesma forma que a regulação emocional influenciou a percepção tensão (β=0,417**). Conclusões: Corrobora-se que a regulação emocional tem efeito mediador entre mindfulness ou atenção plena e estresse percebido em trabalhadores de saúde em unidades de terapia intensiva. Esses profissionais muitas vezes realizam atividades sem total atenção, porém, possuem controle sobre suas atividades laborais e são capazes de regular e ocultar emoções que possam surgir nos contextos de trabalho em saúde e, assim, reduzir os riscos de estresse.

Psychological impact of Covid-19 pandemic: Exploring the mediating role of age, gender and type of occupation

Background: The Covid 19 outbreak has been one of its kind in terms of the far reaching and widespread impact. The mental health effects of Covid 19 may shape the psychological framework of the population for many years. The present study aims to investigate the demographic determinants of age, gender and occupational type on the psychological impact of Covid 19 outbreak. Methodology: Perceived Stress Scale (PSS) & Depression, Anxiety and Stress Scale (DASS-21) were used to study the psychological impact. Role of gender, age & type of occupation in perceived stress was also studied. Independent sample t test and Pearson correlation coefficient were performed to derive inferences from the data. Results: Age, gender and type of occupation did not have much impact on the perceived stress level however the participants perceived stress level directly strongly correlates with experience of symptoms of depression, anxiety and stress. Conclusion: Perceived stress was low in the initial phases of the pandemic and was not mediated by age, gender and type of occupation. The measures undertaken to curb the pandemic had a positive influence on mental health as it helped to keep perceived stress to be low. Perceived stress is directly correlated to actual experience of stress, depression & anxiety and hence avoiding sharing of stress inducing information is important. In this context, media coverage can play a part by focusing on positive news of recovery and discouraging stress triggering messages in order to keep perceived stress factor low

COVID-19 PANDEMIC AND UNIVERSITY RESEARCH STUDENTS : THE ANALYSIS OF STRESS AND COPING STRATEGIES

The present study has assessed the perceived stress and coping strategies, among the research students amid the Covid-19 lockdown in Bundelkhand University, Jhansi. Objectives: The objectives of the study were to assess perceived stress and coping strategies of the research students of different discipline in Covid-19 lockdown, and to determine the association, if any, of stress and coping with selected demographic variables. Material and Method: This was conducted online from April 2021 to June 2021. Third, 4th & 5th year of PhD research students (N=72) participated, whose perceived stress and coping strategies, due to Covid-19, were assessed through an online questionnaire. The tool used was comprised of three sections- demographic data, as part-A; Perceived Stress Scale, as part-B; and Coping Strategies Scale, as part-C. Results: It highlights perceived stress among the research students who were earlier active in daily routine and overall lifestyle. Mean coping strategies score was measured to 73.18+13.12and perceived stress score was 20.44+6.21 with maladaptive coping strategy being the highest in the participants. Conclusion: Study observed perceived stress in research students during Covid-19 lockdown, who previously showed a hectic daily routine and lifestyle. The mean coping strategies score was measured as 73.18+13.12among the participants and perceived stress score was 20.44+6.21 with maladaptive coping strategy being the highest in the participants. The amplified understanding about Covid-19 may help to diminish its fear and reduce Covid-19 related stress.