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Optimizing stress responses with reappraisal and mindset interventions: an integrated model

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Background: The dominant perspective in society is that stress has negative consequences, and not surprisingly, the vast majority of interventions for coping with stress focus on reducing the frequency or severity of stressors. However, the effectiveness of stress attenuation is limited because it is often not possible to avoid stressors, and avoiding or minimizing stress can lead individuals to miss opportunities for performance and growth. Thus, during stressful situations, a more efficacious approach is to optimize stress responses (i.e., promote adaptive, approach-motivated responses). Objectives and Conclusions: In this review, we demonstrate how stress appraisals (e.g., [Jamieson, J. P., Nock, M. K., & Mendes, W. B. (2012). Mind over matter: reappraising arousal improves cardiovascular and cognitive responses to stress. Journal of Experimental Psychology: General, 141(3), 417–422. doi:10.1037/a0025719]) and stress mindsets (e.g., [Crum, A. J., Salovey, P., & Achor, S. (2013). Rethinking stress: The role of mindsets in determining the stress response. Journal of Personality and Social Psychology, 104(4), 716–733. doi:10.1037/a0031201]) can be used as regulatory tools to optimize stress responses, facilitate performance, and promote active coping. Respectively, these interventions invite individuals to (a) perceive stress responses as functional and adaptive, and (b) see the opportunity inherent in stress. We then propose a novel integration of reappraisal and mindset models to maximize the utility and effectiveness of stress optimization. Additionally, we discuss future directions with regard to how stress responses unfold over time and between people to impact outcomes in the domains of education, organizations, and clinical science.
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... Our meta-beliefs about the nature of stress can be conceptualised as stress mindset (Jamieson et al., 2018). Stress mindset refers to the extent to which an individual believes that stress has enhancing or debilitating consequences (Crum et al., 2013). ...
... Therefore, adopting a 'stress-isenhancing' mindset is not a guarantee of enhancing challenge appraisal tendencies, but adopting this mindset may contribute to cognitive, emotional, and behavioural responses that are adaptive when faced with stressful situations (Crum et al., 2017). However, due to their similarities, beliefs about the nature of stress (e.g., stress mindset) are thought to relate to the appraisals of specific stressful situations as a challenge or a threat (Jamieson et al., 2018). ...
... Instead, the development of a 'stress-is-enhancing' mindset may be expedited by promoting rational beliefs about stress and reframing Frontiers in Psychology 09 frontiersin.org stressful experiences as useful learning opportunities rather than something to avoid (e.g., Jamieson et al., 2018). Providing opportunities for individuals to thrive in stressful situations (e.g., sporting competitions) and reflect on how their stress responses may have facilitated coping (Tamminen, 2021) may be fruitful in developing a 'stress-is-enhancing' mindset. ...
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Objective Stress is ubiquitous and how individuals view the nature of stress can influence psychological wellbeing. The present study aimed to investigate the mediating role of proactive coping on the relationships between stress mindset and challenge appraisal tendencies and examine how this in turn related to psychological wellbeing. A secondary aim was to investigate if there were any differences in stress mindset between athletes and non-athletes. It was hypothesised that stress mindset would be indirectly positively associated with challenge appraisal tendencies through proactive coping, that a challenge appraisal tendency would positively relate to vitality, and that vitality would negatively relate to depressive symptoms. It was also hypothesised that athletes would possess more facilitative views of stress compared with non-athletes. Methods Two hundred and seven individuals ( n = 101 athletes, n = 106 non-athletes, M age = 22.76 years, SD = 4.94) completed an online questionnaire pack assessing stress mindset, proactive coping, challenge appraisal tendencies, vitality, and depressive symptoms. Results Using path analysis, the hypothesised model demonstrated a good fit to the data and the positive relationship between stress mindset and challenge appraisal tendencies was mediated by proactive coping. Challenge appraisal tendencies were positively associated with vitality, which was negatively associated with depressive symptoms. Athletes reported a significantly greater ‘stress-is-enhancing’ mindset, greater vitality, and fewer depressive symptoms than non-athletes. Conclusion Findings offer support for the role that stress mindset has in potentially influencing psychological wellbeing and offer the novel suggestion that this mechanism may operate through proactive coping and challenge appraisal tendencies.
... Stress research and related behavioral health interventions have been applied within public health for over 30 years (34). Many programs and questionnaires designed to capture and treat stress perpetuate notions that stress is negative and should be avoided (34)(35)(36). Unfortunately, not all individuals are able to avoid stress. ...
... The disproportionate inability to avoid stress is of considerable public health concern, as these disparities may lead to limited generalizability in effectiveness of stress intervention programs or higher risk of disease among people, places, and time. The concept of a stress mindset is relatively new, and is not commonly applied within stress reappraisal trainings (35). Past research has demonstrated clear associations between a stress-is-positive mindset and the body's cortisol reactivity and emotional expression to stress [22,28]. ...
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Background Psychological stress is recognized as an important modifiable risk factor for cardiovascular disease (CVD). Despite its potential significance, few to no studies have evaluated the association between stress, stress mindset, and CVD risk factors among rural first responders. The objectives of this study were to identify relationships between general stress, stress mindset, and CVD risk factors. Methods The study sample (n = 148) included those 18 years or older and who currently serve as a first responder, defined as either EMS, firefighter, or law enforcement. Questionnaires captured information on demographics, years of work experience as a first responder, multiple first responder occupations, general stress, stress mindset, and self-reported CVD risk factors. Data were analyzed using regression analyses. Results Findings suggest that first responders with a stress-is-negative mindset have significantly higher general stress levels (β = 2.20, p = 0.01). Of note, general stress was not a significant predictor of CVD risk factors (AOR = 1.00, 95%CI = 0.93, 1.08) included in our study. However, a negative stress mindset was statistically significant predictor of CVD risk factors (AOR = 2.82, 95%CI = 1.29, 6.41), after adjusting for general stress and other potential confounders. Conclusions Findings suggest that stress mindset is an independent predictor of stress and CVD risk factors among rural first responders. These results have the potential to inform educational and organization level interventions targeting stress appraisal for this vulnerable sub population of workers.
... Research showed that the way we perceive, evaluate, and cope with stressors would greatly influence downstream outcomes [17, 20−22]. Stress mindset is conceptualized as the extent to which an individual holds the mindset that stress has either enhancing or debilitating consequences for various stress-related outcomes, resulting in different ways of appraising stress as either a challenge or a threat [17,23]. Evidence shows that stress mindset is related to outcomes of stress, including health and well-being, learning and growth, as well as performance and productivity [20,22,24]. ...
... Despite of these modifications, the interventions followed the same underlying theory as previous studies to provide the participants with the true nature of stress, emphasizing the enhancing nature of stress, and positive effects of having a "stress-is-enhancing" mindset [17,22]. Studies of stress mindset intervention have largely been conducted in the United States and western countries, with the longest follow-up period of three months after the intervention [17,23,48]. Our results showed that alterations in stress mindset could be maintained six months after the intervention, and that the program was effective among medical students. ...
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Objective Stress is a significant concern in medical education, and identifying effective ways to deal with stress may help with students’ mental health and professional development. This study aimed to examine the effects of the Transforming Stress Program (TSP) amongst first-year medical students on their stress mindset and coping strategies when confronted with stressors. Methods We conducted a quasi-experimental study at the University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam. A total of 409 first-year students at the Faculty of Medicine were divided into intervention group (205 students) and control group (204 students). The 10-week TSP was delivered as an extra-curricular course. The training adopts psychoeducation based on Dialectical Behavioral Therapy with mindfulness as a fundamental practice incorporated into each component of the program. The intervention group received the training in the first semester; the control group received identical program in the second semester. Stress Mindset Measurement and Brief Coping Orientation to Problems Experienced were measured before the intervention (T0), immediately after intervention on Intervention group (T1), and six months after intervention on Intervention group (T2). Results At T1, the intervention group showed 65% improvements in stress mindset scores and increases in coping strategies scores in six domains (Problem solving, Social support, Humor, Religion, Venting, and Self-distraction) and decreases in three (Avoidance, Substance use, and Self-blame). The effect sizes were significant in all outcomes (Cohen’s d > 0.2). Measurements of the control group did not change significantly in the same period. At T2, effects of the TSP were found decreased in some domains (Avoidance, Substance use, and Self-blame) compared to T1, but largely remained significantly better than T0. Conclusions The TSP is a feasible and effective approach that significantly enhanced medical students’ stress mindset and coping strategies. Some effects were still observable 6 months after the intervention. The relatively intensive intervention requires support of the school administration and staff.
... In it, interviews with migrants reveal the role of resilience during the migration experience. Migrants discuss their journeys as requiring a specific mindset to access resilience as an adaptation mechanism (see also Jamieson 2018;Carroll et al. 2020;Lusk et al. 2021;Schapendonk et al. 2021). Another salient study by Verbena et al. (2022) focuses on the connection between resilience and the integration experience. ...
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