Hannah Gravelding’s research while affiliated with University of Rochester and other places

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Publications (2)


How young people’s social-evaluative stressors accumulate consequences for healthy development
a,b, First, the individuals appraise both acute stressful events and their stress responses (a); and second, their mindset beliefs shape their appraisals and responses, which leads to differences in internalizing symptoms over time (b). This integrated model is rooted in established process models in affective science16,26, recursive process models in psychology44,47 and mindset models4,23,72. a, Stressful events, such as a challenging exam or an argument with a friend, are appraised as either harmful and uncontrollable or more helpful and controllable, cultivating threat or challenge response tendencies, respectively. Then, the meaning of the stress response is appraised as either distressing and non-functional (harmful and uncontrollable) or as a resource that helps one address situational demands (helpful and controllable), which results in further threat- or challenge-type stress responses, respectively25,26. Threat stimulates the hypothalamic–pituitary–adrenal (HPA) axis in the brain, the end-product of which is the catabolic adrenal hormone cortisol, in anticipation of damage or social defeat³¹. Challenge is characterized by increased peripheral blood flow (hence the red depiction), and a faster return to homeostasis after stress offset. Threat, however, results in increased vascular resistance and less oxygenated blood flow to the periphery (hence the blue depiction) as HPA activation tempers sympathomedullary effects and produces a more prolonged stress response25,26,29. Threat leads to avoidance motivation and negative affect, whereas challenge elicits approach motivation and more positive affect relative to threat. SNS, sympathetic nervous system. b, Mindsets are situation-general beliefs about categories of events (for example, academic stressors) and responses (for example, feelings of worry) that shape appraisals at the event stage and next at the response stage5,21,23,29. Individuals who respond with an optimized challenge-type stress response engage with and respond to future stressors more adaptively in a self-reinforcing, positive feedback cycle that results in better coping and performance.
Procedures and results of studies 1 and 2
a–d, Studies 1 and 2 (n = 2,534 and n = 790, respectively) showed that relative to the neutral control condition the synergistic mindsets intervention reduced negative appraisals of an immediate, hypothetical stressor (a,b), and an acute naturalistic stressor up to 3 weeks after the intervention (c,d). Participants were secondary school students (study 1) or undergraduates (study 2) attending public schools in the United States. Starbursts represent stressor onset. Dots correspond to the ATEs estimated with the Bayesian model. Thick lines represent the 10th to 90th percentiles; grey lines represent the 2.5th to 97.5th percentiles. The appraisals for each study were coded so that higher values corresponded to more negative appraisals, so negative treatment effects are consistent with a beneficial stress optimization effect. Average effect sizes appear in the text. Study 1, control n = 1,326; treatment n = 1,208. Study 2, control n = 403; treatment n = 387.
In study 3, the synergistic mindsets intervention improved cardiovascular responses to the TSST
a–c, Participants in study 3 (n  = 160) were undergraduate students in a laboratory experiment. a, Procedures for study 3. b,c, Coloured lines (b) and dots (c) correspond to the expected value of the outcome (b) or the ATE (c), estimated with the Bayesian model. The thick bands represent the 10th to 90th percentiles of the posterior distributions; grey lines represent the 2.5th to 97.5th percentiles. TPR (b) is measured in Dyn s × cm⁵, where. Time indicates the elapsed, cumulative physiological recording. Starbursts indicate TSST epochs that presented acute demands (that is, the stressful epochs). Baseline measurements were taken before the stress induction and random assignment to condition. Baseline scores were subtracted from all active epochs to compute reactivity scores for each minute. Preparation measurements were taken after intervention materials when participants planned their speech; speech delivery and mental mathematics measurements were taken during the speech and maths tasks, respectively; and finally, measurements were taken during a recovery period in which evaluative pressure (stress) was removed. The differences in TPR for the two groups were similar at baseline (see propensity score comparisons in the Supplementary Information). In c, ATEs and 10th to 90th percentiles are: preparation = −168 Dyn s × cm⁵ [−217, −121], speech = −223 [−274, −172], maths = −128 [−175, −80], recovery = −90 [−139, −41]. Control, n = 86; treatment, n = 74.
In study 4, the synergistic mindsets intervention improved cardiovascular responses to the TSST, and this effect was larger than the effects of single-mindset interventions
a–c, Participants in study 4 (n = 200) were undergraduate students in a laboratory experiment. a, Procedures for study 4. b, ATEs across outcomes. Dots correspond to the ATEs estimated with the Bayesian algorithm. Thick lines represent the 10th to 90th percentiles; grey lines represent the 2.5th to 97.5th percentiles. c, The entire posterior distributions of a difference between the treatment effects of the conditions (synergistic mindset versus single mindset) (that is, a test of the interaction effect hypothesis), estimated in the Bayesian model. Study 4 streamlined the TSST procedures to allow for more efficient data collection, so the maths epoch was removed. The pre-registration stated that the primary outcome would be TPR during the speech delivery epoch. All results were estimated with the multi-arm implementation of the BCF algorithm; cardiovascular outcomes (TPR, stroke volume, PEP) used targeted smoothing. Additional details for the study procedures are provided in the legend of Fig. 3. In a, starbursts represent stressor onset. Asterisks in b,c indicate a pre-registered outcome. Control, n = 44; growth only, n = 52; stress only, n = 65; synergistic, n = 39.
In study 5, the synergistic mindsets intervention reduced negative self-regard
a, Procedures for study 5. b,c, The synergistic mindsets intervention reduced negative self-regard (see Methods for the scoring of this measure) relative to controls overall and especially on intensely stressful days (b). The intervention also reduced (c) daily salivary cortisol levels overall relative to controls. Participants (n = 119 individuals; n ≤ 1,213 observations (total number of daily diary or cortisol observations for all participants)) were students from low-income families attending a public high school in the United States. Starbursts represent stressor measurements. Univariate marginal distribution plots are shown at the top in b,c. Thick coloured lines represent the 10th to 90th percentiles; grey lines represent the 2.5th to 97.5th percentiles. The vertical dashed line in b represents the cut-off point for high versus low daily stress intensity that was used to estimate subgroup CATEs. The unstandardized CATE for negative self-regard for high daily stress intensity was −0.48 scale points [−0.81, −0.14]; for low daily stress intensity days it was −0.23 scale points [−0.44, −0.02]. The ATEs for academic course credits and cortisol are presented in the text. Control, n = 58; treatment, n = 61.

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A Synergistic Mindsets Intervention Protects Adolescents from Stress
  • Article
  • Full-text available

July 2022

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2,248 Reads

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133 Citations

Nature

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Christopher J. Bryan

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James J. Gross

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[...]

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Social-evaluative stressors—experiences when the self could be negatively judged by others—pose a major threat to adolescent health via their effects on internalizing disorders, such as anxiety and depression. Preventative interventions to help adolescents improve their responses to social-evaluative stressors, however, have rarely been effective. Here we show that replicable benefits for adolescents’ stress responses can be achieved with a short (~30-minute), scalable synergistic mindsets intervention. This intervention, which is a self-administered online training module, synergistically targets both growth mindsets (the idea that people’s intelligence can be developed in response to challenge) and stress-can-be-enhancing mindsets (the idea that people’s stress responses can fuel optimal performance). In six double-blind, randomized, controlled experiments conducted with youth in grades 8-12 and in undergraduate education, the synergistic mindsets intervention improved stress-related cognitions—the immediate target of the intervention (Studies 1-2, N = 3,472)—and a cascade of stress-linked outcomes: cardiovascular reactivity (Studies 3, N = 160; Study 4, N = 200), cortisol levels (Study 5, N = 118 students, n = 1,213 observations), psychological well-being (Studies 4-5), course pass rates (Study 5), and anxiety symptoms during the 2020 COVID-19 lockdowns (Study 6, N = 341). Evidence that the two mindsets worked synergistically came from heterogeneity analyses showing stronger effects among participants holding both negative mindsets at baseline (Studies 3, 5, and 6) and from a four-cell experiment that showed stronger effects of the synergistic mindsets intervention relative to changing single mindsets alone (Study 4). Confidence in these conclusions is rooted in a conservative, Bayesian machine-learning statistical method for detecting heterogeneous effects.

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Reappraising Stress Arousal Improves Affective, Neuroendocrine, and Academic Performance Outcomes in Community College Classrooms

July 2021

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419 Reads

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40 Citations

The field experiment presented here applied a stress regulation technique to optimize affective and neuroendocrine responses and improve academic and psychological outcomes in an evaluative academic context. Community college students (N = 339) were randomly assigned to stress reappraisal or active control conditions immediately before taking their second in-class exam. Whereas stress is typically perceived as having negative effects, stress reappraisal informs individuals about the functional benefits of stress and is hypothesized to reduce threat appraisals, and subsequently, improve downstream outcomes. Multilevel models indicated that compared with controls, reappraising stress led to less math evaluation anxiety, lower threat appraisals, more adaptive neuroendocrine responses (lower cortisol and higher testosterone levels on testing days relative to baseline), and higher scores on Exam 2 and on a subsequent Exam 3. Reappraisal students also persisted in their courses at a higher rate than controls. Targeted mediation models suggested stress appraisals partially mediated effects of reappraisal. Notably, procrastination and performance approach goals (measured between exams) partially mediated lagged effects of reappraisal on subsequent performance. Implications for the stress, emotion regulation, and mindsets literatures are discussed. Moreover, alleviating negative effects of acute stress in community college students, a substantial but understudied population, has potentially important applied implications. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Citations (2)


... Relatively speaking, research on DT interventions to promote adolescent wellbeing is in its infancy. Results from studies testing apps or other DT interventions on sexual reproductive health behavior, rumination, anxiety and depressive symptoms, stress perceptions, healthy eating, and hopelessness are promising (Bryan et al., 2016;Hilt et al., 2023;Martínez-García et al., 2023;Saboor et al., 2024;Schleider et al., 2020Schleider et al., , 2021Yeager et al., 2022). A few studies have examined mindfulness-based smartphone apps in adolescents. ...

Reference:

Wellbeing skills strengthening as a model for healthy adolescent digital technology use
A Synergistic Mindsets Intervention Protects Adolescents from Stress

Nature

... However, some associations become nonsignificant when considering the effects of demographics and other stress-related factors. Previous research has indicated that academic-related emotional and behavioral outcomes (e.g., burnout, anxiety, and procrastination) were associated with several stress-related factors, such as academic stress levels (e.g., Fariborz et al., 2019), appraisals of academic stress (e.g., Jamieson et al., 2022), and coping strategies for academic stress (e.g., Teixeira et al., 2022). While it might be argued that the academic stress mindset is similar to these vari-ables, it is theoretically distinct from them. ...

Reappraising Stress Arousal Improves Affective, Neuroendocrine, and Academic Performance Outcomes in Community College Classrooms