Measures of stress in epidemiological research

Kopp, Mária; Thege, Barna Konkolÿ; Balog, Piroska; Stauder, Adrienne; Salavecz, Gyöngyvér; Rózsa, Sándor; Purebl, György; Ádám, Szilvia

doi:10.1016/j.jpsychores.2009.09.006

Cited by 86 publications

(74 citation statements)

References 93 publications

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“…This approach – similar to the objective life events versus perceived stress level dichotomy in psychological stress research [38] – might mistakenly overlook the importance of personal vulnerability, appraisal, and coping resources that can influence whether such exposure in fact leads to psychological traumatization. For example, Chilcoat and Breslau found that posttraumatic stress disorder was associated with an increased risk of drug abuse, while exposure to traumatic events without PTSD did not increase the risk of substance misuse [39].…”

Section: Discussionmentioning

confidence: 99%

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

et al. 2017

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BackgroundThe aim of this study was to systematically summarize knowledge on the association between exposure to interpersonal trauma and addictive behaviors. Extant reviews on this association focused on a restricted range of substance-related addictions, and/or used a narrative instead of a systematic approach.MethodsSystematic searches of 8 databases yielded 29,841 studies, of which 3054 studies were included and subsequently classified in relation to study design (scoping review). A subset of observational studies (N = 181) prospectively investigating the relationship between exposure to interpersonal traumata and subsequent behavioral or substance-related addiction problems were characterized. Heterogeneity in study methodologies and types of addictive behaviors and traumatic experiences assessed precluded meta-analysis. Instead, the proportions of associations tested in this literature that revealed positive, negative, or null relationships between trauma exposure and subsequent addictive behaviors were recorded, along with other methodological features.ResultsOf 3054 included studies, 70.7% (n = 2160) used a cross-sectional design. In the 181 prospective observational studies (407,041 participants, 98.8% recruited from developed countries), 35.1% of the tested associations between trauma exposure and later addictive behaviors was positive, 1.3% was negative, and 63.6% was non-significant. These results were primarily obtained among non-treatment seeking samples (80.7% of studies; n = 146), using single and multi-item measures of addictive behaviors of unknown psychometric quality (46.4% of studies). Positive associations were more frequently observed in studies examining childhood versus adult traumatization (39.7% vs. 29.7%).ConclusionsLongitudinal research in this area emphasizes alcohol abuse, and almost no research has examined behavioral addictions. Results provide some support for a positive association between exposure to interpersonal trauma and subsequent addictive behaviors but this relationship was not consistently reported. Longitudinal studies typically assessed trauma exposure retrospectively, often after addictive behavior onset, thus precluding robust inferences about whether traumatization affects initial onset of addictive behaviors.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1323-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

et al. 2017

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“…The fourth limitation relates to the fact that the study questionnaires were based on subjective self-reports, which may reflect social desirability. Therefore, future studies need to use methods other than self-reports such as physiological measures of stress that might link to QOL [57].…”

Section: Discussionmentioning

confidence: 99%

Quality of life among parents of children with epilepsy: A preliminary research study

Hamama‐Raz

Hamama

2015

Epilepsy & Behavior

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“…Conceptual and methodological overlaps existed between the two questionnaires to increase effectiveness. However, while the demandcontrol model was restricted to the structural aspects of the psychosocial work environment 31) , the effortreward imbalance model made distinctions between extrinsic sources (workplace characteristics) and intrinsic sources (individual characteristics) of effort 32) . In this study, when comparing the ERI and JCQ models, the ERI model presented better internal consistency (higher Cronbach's α value) and stronger predictive power (higher ORs and lower p value), which was consistent with our hypothesis and similar to the results of a previous study 33) .…”

Section: Burnout and Its Association With Occupational Stress In Physmentioning

confidence: 99%

“…utes to adverse psychological conditions such as exhaustion and burnout 32) . We also found that physicians with high scores in psychological demand (the upper tertile) showed a significantly higher level of burnout by logistic analysis.…”

Section: Burnout and Its Association With Occupational Stress In Physmentioning

confidence: 99%

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Wang

Xie²,

Dai

et al. 2014

Journal of Occupational Health

108

100

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Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai: Zhihui WANG, et al. School of Public Health, Fudan University China— Objectives The aim of this study was to determine the rate of burnout and the contributing factors behind it among physicians in Shanghai. Methods In this cross‐sectional study, a total of 457 physicians from 21 hospitals in Shanghai completed self‐reported questionnaires in June 2008. The Chinese version of the job content questionnaire (C‐JCQ) and the Chinese version of the effort‐reward imbalance questionnaire (C‐ERI) were used to measure occupational stress. The Chinese version of Maslach Burnout Inventory (C‐MBI) was used to measure burnout rate. We then performed regression analysis of physician burnout. Results The MBI model revealed that 277 physicians (60.6%) were experiencing a mild degree of burnout and that 27 physicians (5.9%) were experiencing a severe degree of burnout. In the assessment of occupational stress, most physicians (64.8%) had a demand/control ratio higher than 1, and 21.9% of all physicians had an effort/reward ratio higher than 1, indicating a high level of occupational stress exposure. Regression analyses showed higher levels of burnout among physicians of younger age, less work experience, longer working hours, on shift duty, or from highergrade hospitals. Both the JCQ and ERI models showed good predictive power for physician burnout, with the ERI model performing better. Conclusions Physicians in Shanghai were experiencing a high degree of burnout, which was significantly associated with occupational stress as well as distinctive personal and work characteristics. Interventions aiming at reducing job‐related stress can be effective approaches to prevent burnout among physicians.

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Measures of stress in epidemiological research

Cited by 86 publications

References 93 publications

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

Quality of life among parents of children with epilepsy: A preliminary research study

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

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