Relationship between resilience and stress: Perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol
Abstract
Background There is no consensus about how resilience is related to the different types of stress such as daily or chronic stress and psychopathology. The main objective of this study is to evaluate the relationship between resilience and the different measures of stress such as perceived stress, chronic stress, life events, HPA axis response during a stressful task and psychopathology.Material and methods The design was cross-sectional. Resilience, perceived stress, stressful life events, hair cortisol and HPA axis response during Trier Social Stress Test measured by salivary cortisol samples and psychopathological symptoms were assessed in a sample of 80 University students.Results Participants with low resilience showed higher scores in perceived stress level (p < .001), the number of current life events (p < .02), the intensity of stressful events (p < .025) as well as Obsession and Compulsion (p = .006), Interpersonal Sensitivity (p = .028), Phobic Anxiety (p = .044) and psychopathological severity (p = .033). Resilience was associated with chronic stress by perceived stress (p < .001), hair cortisol concentration (p = .022), obsessions and compulsions (p = .016), interpersonal sensitivity (p = .022), and depression symptoms (p = .039).Conclusion Resilience seems to be determinant in perceived stress, the number of current life events, the intensity of stressful events, chronic stress, obsession and compulsions, interpersonal sensitivity, phobic anxiety and depression symptoms, and psychopathological severity index.
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Several studies demonstrate that resilience impacts mental health, including stress management and prevention of burnout.
“Several studies demonstrate the impact of resilience on mental health, showcasing its role in stress management and the prevention of burnout (3, 6, 15–19).”
From Digital resilience interventions for healthcare workers: a systematic review (2025) · cites this paper as [18]
Cites
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (2008) · Neuropsychobiology · doi:10.1159/000119004 · Cited by 6,093 · see citing works
Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(02)00108-7 · Cited by 3,638 · see citing works
Kirschbaum, C., Kudielka, B. M., Gaab, J., Schommer, N. C., & Hellhammer, D. H. (1999) · Psychosomatic Medicine · doi:10.1097/00006842-199903000-00006 · Cited by 1,890 · see citing works
What is resilience? A review and concept analysis.
Windle, G. (2011) · Reviews in Clinical Gerontology · doi:10.1017/s0959259810000420 · Cited by 1,761 · see citing works
Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS)
Remor, E. (2006) · The Spanish Journal of Psychology · doi:10.1017/s1138741600006004 · Cited by 1,003 · see citing works
Walking > walking-in-place > flying, in virtual environments
Usoh, M., Arthur, K. W., Whitton, M. C., Bastos, R., Steed, A. J., Slater, M., & Brooks, F. P. (1999) · ACM SIGGRAPH Conference (SIGGRAPH) · doi:10.1145/311535.311589 · Cited by 924 · see citing works
Kudielka, B. M., Buske-Kirschbaum, A., Hellhammer, D. H., & Kirschbaum, C. (2004) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(02)00146-4 · Cited by 851 · see citing works
Potential problems with the interpretation of hair analysis results
Wennig, R. (2000) · Forensic Science International · doi:10.1016/s0379-0738(99)00146-2 · Cited by 677 · see citing works
Genetic factors, perceived chronic stress, and the free cortisol response to awakening
Wüst, S., Federenko, I. S., Hellhammer, D. H., & Kirschbaum, C. (2000) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(00)00021-4 · Cited by 642 · see citing works
Encyclopedia of Behavioral Medicine
Rachlin, D. J. (2013) · Reference Reviews · doi:10.1108/rr-05-2013-0108 · Cited by 625 · see citing works
Kirschbaum, C., Tietze, A., Skoluda, N., & Dettenborn, L. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.08.024 · Cited by 584 · see citing works
Hjemdal, O., Vogel, P. A., Solem, S., Hagen, K., & Stiles, T. C. (2010) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.719 · Cited by 432 · see citing works
Notario‐Pacheco, B., Solera-Martínez, M., Parra, M. D. S., Gutiérrez, R. B., García‐Campayo, J., & Martínez‐Vizcaíno, V. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-63 · Cited by 391 · see citing works
Multiplicity in randomised trials I: endpoints and treatments
Schulz, K. F., & Grimes, D. A. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66461-6 · Cited by 366 · see citing works
Proceedings of the 26th annual conference on Computer graphics and interactive techniques
Waggenspack, W. (1999) · Cited by 321 · see citing works
Garcia-Dia, M. J., DiNapoli, J. M., Garcia-Ona, L., Jakubowski, R. M., & O’Flaherty, D. (2013) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2013.07.003 · Cited by 314 · see citing works
A systems approach to stress, stressors and resilience in humans
Oken, B., Chamine, I., & Wakeland, W. W. (2014) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.12.047 · Cited by 288 · see citing works
Seery, M. D. (2011) · Current Directions in Psychological Science · doi:10.1177/0963721411424740 · Cited by 276 · see citing works
Intraindividual stability of hair cortisol concentrations
Stalder, T., Steudte, S., Miller, R., Skoluda, N., Dettenborn, L., & Kirschbaum, C. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.08.007 · Cited by 271 · see citing works
Dias, R., Santos, R. L., de Sousa, M. F. B., Nogueira, M. M. L., Torres, B., Belfort, T. T., & Dourado, M. C. N. (2015) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2014-0032 · Cited by 203 · see citing works
Factors associated with resilience in healthy adults
Simeon, D., Yehuda, R., Cunill, R., Knutelska, M., Putnam, F. W., & Smith, L. M. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.08.005 · Cited by 178 · see citing works
Hegney, D. G., Rees, C. S., Eley, R. M., Osseiran‐Moisson, R., & Francis, K. L. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01613 · Cited by 159 · see citing works
Caparrós-González, R. A., Romero‐Gonzalez, B., Vílchez, H. S., González-Pérez, R., Martínez‐Augustin, O., & Peralta‐Ramírez, M. I. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182817 · Cited by 155 · see citing works
Self-citationThe impact of resilience and subsequent stressful life events on MDD and GAD
Sheerin, C. M., Lind, M. J., Brown, E. A., Gardner, C. O., Kendler, K. S., & Amstadter, A. B. (2017) · Depression and Anxiety · doi:10.1002/da.22700 · Cited by 147 · see citing works
Resilience, stress, and life quality in older adults living with HIV/AIDS
Fang, X., Vincent, W., Calabrese, S. K., Heckman, T. G., Sikkema, K. J., Humphries, D. L., & Hansen, N. B. (2015) · Aging & Mental Health · doi:10.1080/13607863.2014.1003287 · Cited by 126 · see citing works
Resilience, stress, and coping among Canadian medical students
Rahimi, B., Baetz, M., Bowen, R., & Balbuena, L. (2014) · Canadian Medical Education Journal · doi:10.36834/cmej.36689 · Cited by 123 · see citing works
Ruiz‐Robledillo, N., Andrés-García, S. D., Pérez‐Blasco, J., González‐Bono, E., & Moya‐Albiol, L. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.12.007 · Cited by 119 · see citing works
Resilience of Patients With Chronic Physical Diseases: A Systematic Review and Meta-Analysis
Gheshlagh, R. G., Sayehmiri, K., Ebadi, A., Dalvandi, A., Dalvand, S., & Tabrizi, K. N. (2016) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.38562 · Cited by 94 · see citing works
Resilience, stressful life events, and depressive symptomatology among older Chinese adults
Lim, M. L., Lim, D. Y., Gwee, X., Nyunt, M. S. Z., Kumar, R., & Ng, T. P. (2015) · Aging & Mental Health · doi:10.1080/13607863.2014.995591 · Cited by 72 · see citing works
Resilience and hypothalamic-pituitary-adrenal axis reactivity under acute stress in young men
Mikolajczak, M., Roy, E., Luminet, O., & de Timary, P. (2008) · Stress · doi:10.1080/10253890701850262 · Cited by 59 · see citing works
A virtual reality approach to the Trier Social Stress Test: Contrasting two distinct protocols
Montero-López, E., Santos-Ruiz, A., García-Ríos, M. C., Rodríguez-Blázquez, R., Pérez-García, M., & Peralta-Ramírez, M. I. (2016) · Behavior Research Methods · doi:10.3758/s13428-015-0565-4 · Cited by 57 · see citing works
Self-citationThøgersen‐Ntoumani, C., Black, J. K., Lindwall, M., Whittaker, A., & Balanos, G. M. (2017) · European Journal of Ageing · doi:10.1007/s10433-017-0418-3 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Social determinants of breast cancer risk, stage, and survival
Coughlin, S. S. (2019) · Breast Cancer Research and Treatment · doi:10.1007/s10549-019-05340-7 · Cited by 570 · see citing works
Gut-Brain-Microbiota Axis: Antibiotics and Functional Gastrointestinal Disorders
Karakan, T., Özkul, C., Akkol, E. K., Bilici, S., Sobarzo‐Sánchez, E., & Capasso, R. (2021) · Nutrients · doi:10.3390/nu13020389 · Cited by 155 · see citing works
A clinical perspective on burnout: diagnosis, classification, and treatment of clinical burnout
van Dam, A. (2021) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2021.1948400 · Cited by 134 · see citing works
“This is seldomly a good idea in this phase because of the efforts it requires to adapt oneself to a new (work) environment while being already exhausted and experiencing difficulties in cognitive control (García-León et al., 2019; McCarthy & Lambert, 1999).”
BackgroundDHEA as a Biomarker of Stress: A Systematic Review and Meta-Analysis
Dutheil, F., Vincent, S. D. S., Pereira, B., Schmidt, J., Moustafa, F., Charkhabi, M., Bouillon‐Minois, J., & Clinchamps, M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.688367 · Cited by 124 · see citing works
“The physiological stress response is mediated via the activation of the hypothalamic–pituitary–adrenal (HPA) axis (5).”
BackgroundHypothalamic Regulation of Corticotropin-Releasing Factor under Stress and Stress Resilience
Kageyama, K., Iwasaki, Y., & Daimon, M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222212242 · Cited by 104 · see citing works
Davila-Gonzalez, S., & Martín, S. (2024) · Sensors · doi:10.3390/s24020655 · Cited by 100 · see citing works
“In contrast, positive attributes like resilience and optimism often act as protective bulwarks, fostering better mental health [27].”
BackgroundResilience in sports: a multidisciplinary, dynamic, and personalized perspective
Hartigh, R. J. R. D., Meerhoff, L. A., Yperen, N. W. V., Neumann, N. D., Brauers, J. J., Frencken, W. G. P., Emerencia, A. C., Hill, Y., Platvoet, S. W.-J., Atzmueller, M., et al. (2022) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2022.2039749 · Cited by 109 · see citing works
“…(AUC) has been used to study psychophysiological changes before, during, and after exposure to a social stress task (e.g. Childs & de Wit, 2014; García-León et al., 2019; Gerber et al., 2017; Kudielka et al., 2004; Liu et al., 2017; Mazurka et al., 2018; see DuPont et al., 2020 for a…”
MethodConceptualizing and measuring psychological resilience: What can we learn from physics?
Hartigh, R. J. R. D., & Hill, Y. (2022) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2022.100934 · Cited by 114 · see citing works
Leptin as a Biomarker of Stress: A Systematic Review and Meta-Analysis
Bouillon‐Minois, J., Trousselard, M., Thivel, D., Benson, A. C., Schmidt, J., Moustafa, F., Bouvier, D., & Dutheil, F. (2021) · Nutrients · doi:10.3390/nu13103350 · Cited by 88 · see citing works
“biomarkers of stress [11–13], none is ubiquity, and the majority of those depend on the hypothalamic–pituitary–adrenal axis [14].”
BackgroundDigital training for building resilience: systematic review, meta-analysis, and meta-regression
Ang, W. H. D., Chew, H. S. J., Dong, J., Yi, H., Mahendren, R., & Lau, Y. (2022) · Stress and Health · doi:10.1002/smi.3154 · Cited by 83 · see citing works
Zapater‐Fajarí, M., Crespo-Sanmiguel, I., Pulopulos, M. M., Hidalgo, V., & Salvador, A. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.632141 · Cited by 81 · see citing works
“The area under the curve with respect to the increase (AUCi) for cortisol values was computed as an index of the cortisol response to TSST (for the formula see: Pruessner et al., 2003).”
ResultInfluentialNegative emotions and quality of life among adolescents: A moderated mediation model
Geng, Y., Gu, J., Zhu, X., Yang, M., Shi, D., Shang, J., & Zhao, F. (2020) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2020.02.001 · Cited by 74 · see citing works
Zhao, Z., Zhao, S., Wang, Q., Zhang, Y., & Chen, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315679 · Cited by 74 · see citing works
Stress, depression, and anxiety: psychological complaints across menopausal stages
Kuck, M. J., & Hogervorst, E. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1323743 · Cited by 60 · see citing works
Sun, F., Wang, A., Xue, J.-M., Su, J., Hu, C., & Lu, Q. (2022) · BMC Nursing · doi:10.1186/s12912-022-00915-0 · Cited by 59 · see citing works
“Resilience appears to be a determinant of perceived stress [10].”
BackgroundDzerounian, J., Pirrie, M., AlShenaiber, L., Angeles, R. N., Marzanek, F., & Agarwal, G. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03116-1 · Cited by 50 · see citing works
“For self-efficacy to reduce stress, the ability to handle personal crises was positively associated; this is an expected finding [43] and suggests that interventions promoting resilience may be effective in increasing the health of this population [43].”
BackgroundIntimate partner violence and hair cortisol concentration: A biomarker for HPA axis function
Alhalal, E., & Falatah, R. (2020) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2020.104897 · Cited by 43 · see citing works
Li, C., Tang, N., Yang, L., Zeng, Q., Yu, T., Pu, X., Wang, J., & Zhang, H. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1020517 · Cited by 42 · see citing works
“People with high resilience could perceive themselves to cope with stress more resourceful and less overwhelmed by stressors (García-León et al., 2019).”
BackgroundTranslation and population-based validation of the Arabic version of the brief resilience scale
Baattaiah, B. A., Alharbi, M. D., Khan, F. R., & Aldhahi, M. I. (2023) · Annals of Medicine · doi:10.1080/07853890.2023.2230887 · Cited by 41 · see citing works
Romero‐Gonzalez, B., Puertas‐Gonzalez, J. A., Vílchez, H. S., González-Pérez, R., & Peralta‐Ramírez, M. I. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110162 · Cited by 36 · see citing works
Self-citationChua, J. H., Cheng, C. K. T., Cheng, L. J., Ang, W. H. D., & Lau, Y. (2022) · Current Psychology · doi:10.1007/s12144-022-03366-7 · Cited by 36 · see citing works
Hair cortisol as a biomarker of stress and resilience in South African mixed ancestry females
van den Heuvel, L. L., Acker, D., du Plessis, S., Stalder, T., Suliman, S., Thorne, M., Kirschbaum, C., & Seedat, S. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104543 · Cited by 31 · see citing works
Alroomi, A. S., & Mohamed, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111700 · Cited by 31 · see citing works
“Moreover, it is suggested that boosting workers’ resilience could buffer the effects of stressors and adversity when a stressful life event occurs [104].”
BackgroundAssociation between Stress and Metabolic Syndrome and its Mediating Factors in University Students
Gallegos-Gonzalez, G., Pineda-García, G., Serrano-Medina, A., Martinez, A. L., & Ochoa-Ruiz, E. (2021) · American Journal of Health Behavior · doi:10.5993/ajhb.45.6.12 · Cited by 30 · see citing works
Leveraging the experience of stressors: the role of adaptive systematic self-reflection
Crane, M. F., Kangas, M., Karin, E., Searle, B. J., & Chen, D. A. (2020) · Anxiety Stress & Coping · doi:10.1080/10615806.2020.1732359 · Cited by 30 · see citing works
Tormon, R., Lindsay, B. L., Paul, R., Boyce, M., & Johnston, K. (2023) · Learning and Individual Differences · doi:10.1016/j.lindif.2023.102383 · Cited by 36 · see citing works
Integrative psycho-biophysiological markers in predicting psychological resilience
Lau, W. K., Tai, A. P.-L., Chan, J. N.-M., Lau, B. W.-M., & Geng, X. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105267 · Cited by 30 · see citing works
The relationship between stress, resilience, and quality of life in Chinese high school students
Sun, Y., Pan, W., Zhang, Y., Xu, G., Xi, J., Bao, Q., & Bian, X. (2021) · Annals of Palliative Medicine · doi:10.21037/apm-21-929 · Cited by 27 · see citing works
“Some studies have shown that resilience seems to be the determinant factor of perceived stress and the intensity of stressful events (9).”
BackgroundImpact of Enrichment and Repeated Mixing on Resilience in Pigs
Luo, L., van der Zande, L. E., van Marwijk, M. A., Knol, E. F., Rodenburg, T. B., Bolhuis, J. E., & Parois, S. P. (2022) · Frontiers in Veterinary Science · doi:10.3389/fvets.2022.829060 · Cited by 27 · see citing works
Psychological resilience and cortisol levels in adults: A systematic review
Aizpurua‐Perez, I., Arregi, A., Labaka, A., Martinez‐Villar, A., & Pérez-Tejada, J. (2023) · American Journal of Human Biology · doi:10.1002/ajhb.23954 · Cited by 29 · see citing works
Bürgin, D., Kind, N., Schröder, M., Clemens, V., Fegert, J. M., Eckert, A., Buchheim, A., O’Donovan, A., Boonmann, C., & Schmid, M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.556486 · Cited by 25 · see citing works
“Two other studies, however, found negative associations between resilience and cortisol (84, 85).”
ResultXu, X., Yan, X., Zhang, Q., Xu, C., & Li, M. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05345-z · Cited by 24 · see citing works
“Garcia-Leon et al. [16] evaluated whether resilience was related to perceived stress, chronic stress and life events among healthy adults, and results showed a higher level of perceived stress in the low resilience group when compared with the high resilience group.”
ResultLi, T., & Xie, Q. (2022) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2022.019177 · Cited by 24 · see citing works
Du, C., Hsiao, P. Y., Ludy, M., & Tucker, R. M. (2022) · Nutrients · doi:10.3390/nu14040775 · Cited by 29 · see citing works
“Higher resilience is associated with lower perceived stress [9,90], reduced anxiety, and higher positive mood scores [91].”
BackgroundPragholapati, A., & Munawaroh, F. M. M. (2020) · Jurnal Surya Muda · doi:10.38102/jsm.v2i1.55 · Cited by 21 · see citing works
Neurophysiological dynamics for psychological resilience: A view from the temporal axis
Watanabe, N., & Takeda, M. (2021) · Neuroscience Research · doi:10.1016/j.neures.2021.11.004 · Cited by 21 · see citing works
Chukwuemeka, U. M., Okonkwo, U. P., Njoku, C. J., Igwe, S. E., Oyewumi, T. J., & Ugwuanyi, D. C. (2023) · BMC Psychology · doi:10.1186/s40359-023-01114-5 · Cited by 21 · see citing works
da Silva‐Sauer, L., Lima, T. R. G., da Fonsêca, É. K. G., de la Torre‐Luque, A., Yu, X., & Fernández‐Calvo, B. (2021) · Trends in Psychology · doi:10.1007/s43076-021-00073-3 · Cited by 20 · see citing works
Pakhomova, T. E., Dietrich, J. J., Closson, K., Smit, J. A., Hornschuh, S., Smith, P., Beksinska, M. E., Ndung’u, T., Brockman, M. A., Gray, G., et al. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.638116 · Cited by 18 · see citing works
“Broadly defined, stress refers to the adaptive biological and psychological changes which occur in response to external demands, stimuli, or changes in the environment (3).”
BackgroundLi, M., Yu, X., Wang, D., Wang, Y., Yao, L., Ma, Y., Liu, X., & Zhang, Y. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.909071 · Cited by 18 · see citing works
Coping‐resilience profiles and experiences of stress in autistic adults
Muniandy, M., Richdale, A. L., & Lawson, L. P. (2022) · Autism Research · doi:10.1002/aur.2817 · Cited by 17 · see citing works
Bozorgmehr, A., & Weltermann, B. (2023) · JMIR AI · doi:10.2196/41868 · Cited by 18 · see citing works
Janitra, F. E., Chen, R., Lin, H., Sung, C., Chu, H., Lee, C., Niu, S., Liu, H., Chang, L., Banda, K. J., et al. (2024) · International Journal of Mental Health Nursing · doi:10.1111/inm.13334 · Cited by 18 · see citing works
Association of stress and resilience in college students: A systematic review and meta-analysis
Ansari, S., & Iqbal, N. (2024) · Personality and Individual Differences · doi:10.1016/j.paid.2024.113006 · Cited by 17 · see citing works
Cognitive Reserve and Anxiety Interactions Play a Fundamental Role in the Response to the Stress
García-Moreno, J. A., Cañadas, F., García, J. G., & Roldán-Tapia, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.673596 · Cited by 17 · see citing works
von Werdt, L., Binz, T. M., Tuura, R., Schmid, A., Naef, N., Rousson, V., Kretschmar, O., Liamlahi, R., Latal, B., & Ehrler, M. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.55373 · Cited by 16 · see citing works
Xie, W., Liang, C., Xiang, D., Chen, F., & Wang, J. (2020) · Psychology Health & Medicine · doi:10.1080/13548506.2020.1797129 · Cited by 16 · see citing works
“Psychological resilience has been reported to apply the same in other fields (Garcia-Leon et al., 2019; Wu et al., 2018).”
BackgroundPredictors of stress in college students during the COVID-19 pandemic
David, M. C. M. M., Vieira, G. R., Leôncio, L. M. D. L., Neves, L. D. S., Bezerra, C. G., de Mattos, M. S. B., dos Santos, N. F., de Santana, F. H., Antunes, R. B., Araújo, J. F., et al. (2022) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2022.100377 · Cited by 17 · see citing works
Samad, N., Rafeeque, M., & Imran, I. (2022) · Metabolic Brain Disease · doi:10.1007/s11011-022-01143-w · Cited by 15 · see citing works
“The stress-instigated responses play a role in stimulation of HPA-Axis (García-León et al.”
BackgroundChen, S.-H., Chen, P., Lee, C., Wu, Y., Ahorsu, D. K., Griffiths, M. D., & Lin, C. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s412918 · Cited by 15 · see citing works
Siqueira, L. L. D. C., Batista, K. D. M., & Leite, F. M. C. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1330451 · Cited by 14 · see citing works
Smaliukienė, R., Bekešienė, S., Mažeikienė, A., Larsson, G., Karčiauskaitė, D., Mazgelytė, E., & Vaičaitienė, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031663 · Cited by 14 · see citing works
“It was found that the hair cortisol level can be predicted by the perceived stress level in association with dispositional optimism [53], resilience [54], and high workload [26].”
BackgroundCortisol, DHEAS, and the cortisol/DHEAS ratio as predictors of epigenetic age acceleration
Takeshita, R. S. C., Nguyen, A. T., Auger, A. P., & Chung, W. C. J. (2025) · Biogerontology · doi:10.1007/s10522-025-10307-x · Cited by 13 · see citing works
“…correlation (Oxenkrug et al. 1983; Rotman-Pikielny et al. 2006), while other studies show a negative correlation (Brandtstädter et al. 1991; García-León et al. 2019; Heaney et al. 2012; Sherman et al. 1985), or no significant relationship with age (Halbreich et al. 1984; Oxenkrug et al.…”
Liao, L., Wu, Q., Su, Y., Li, R., & Wang, L. (2025) · Nursing and Health Sciences · doi:10.1111/nhs.70018 · Cited by 13 · see citing works
A logic framework for evaluating social determinants of health interventions in primary care
Coughlin, S. S., Mann, P. C., Vernon, M., Young, L., Ayyala, D. N., Sams, R., & Hatzigeorgiou, C. (2019) · Journal of Hospital Management and Health Policy · doi:10.21037/jhmhp.2019.09.03 · Cited by 13 · see citing works
“Increased HPA dysfunction has been identified with lower socioeconomic status, higher cortisol variability, and increased measurements of central adiposity (15,18).”
BackgroundDigital resilience interventions for healthcare workers: a systematic review
Larsson, M., Ho, D. M., Kirschner, M., Seifritz, E., & Manoliu, A. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1519670 · Cited by 14 · see citing works
Puertas‐Gonzalez, J. A., Mariño-Narváez, C., Romero‐Gonzalez, B., & Peralta‐Ramírez, M. I. (2021) · Behavioral Sciences · doi:10.3390/bs11070100 · Cited by 12 · see citing works
“These results are highly relevant, taking into account that not only the problematic factors, such as stress levels, reduce, but it goes one step forward, increasing resilience, which could also carry improvements in coping mechanisms, self-esteem and general wellbeing [36,37].”
BackgroundSelf-citationBąk, W., Dutkiewicz, D. N., & Brudek, P. J. (2021) · Ageing and Society · doi:10.1017/s0144686x21001689 · Cited by 12 · see citing works
Hoeberichts, K., Roke, Y., Niks, I. M. W., & van Harten, P. N. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1347947 · Cited by 12 · see citing works
Circularity, psychiatry & biomarkers: The operationalisation of Alzheimer's & stress in research
Fletcher, J. R., & Birk, R. H. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.112553 · Cited by 12 · see citing works
Resiliência da equipe de enfermagem no âmbito hospitalar com ênfase na pandemia COVID-19
Schultz, C. C., Corrêa, K. I. D., Vaz, S. M. C., Colet, C. D. F., & Stumm, E. M. F. (2020) · Research Society and Development · doi:10.33448/rsd-v9i11.9466 · Cited by 12 · see citing works
Embracing resilience in multiple sclerosis: a new perspective from COVID-19 pandemic
Sbragia, E., Colombo, E., Pollio, C., Cellerino, M., Lapucci, C., Inglese, M., Mancardi, G., & Boffa, G. (2021) · Psychology Health & Medicine · doi:10.1080/13548506.2021.1916964 · Cited by 14 · see citing works
The Effect of Adverse Mental Health and Resilience on Perceived Stress by Sexual Violence History
Anderson, K., Tsuyuki, K., DeSoto, A. F., & Stockman, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084796 · Cited by 10 · see citing works
“Promisingly, resilience—the process of successfully adapting to adversity, trauma, or significant stressors [47]—may mitigate the relationship between psychological trauma, adverse mental health, and stress [18,48], but few studies have examined these associations [49,50].”
BackgroundKerkvliet, C. J. P., Truong, T. H., Ostrander, J. H., & Lange, C. A. (2021) · Essays in Biochemistry · doi:10.1042/ebc20200165 · Cited by 13 · see citing works
Shahini, Z., & Nikoogoftar, M. (2021) · Journal of Nursing and Midwifery Sciences · doi:10.4103/jnms.jnms_173_20 · Cited by 10 · see citing works
Zhang, M., Bridler, R., Möhr, C., Moragrega, I., Sun, N., Xu, Z., Yang, Z., Possenti, M., & Stassen, H. H. (2019) · Psychopathology · doi:10.1159/000505787 · Cited by 12 · see citing works
Chronic stress and anticipatory event-related potentials: the moderating role of resilience
Shi, X., & Wu, J. (2020) · Stress · doi:10.1080/10253890.2020.1766019 · Cited by 12 · see citing works
Big five traits and interpersonal goals during stressors as predictors of hair cortisol
Erickson, T. M., Jacobson, S. V., Banning, R. L., Quach, C. M., & Reas, H. E. (2021) · Comprehensive Psychoneuroendocrinology · doi:10.1016/j.cpnec.2021.100084 · Cited by 10 · see citing works
Meyer, C., Chiapponi, C., Kaufmann, F. V., Kanz, K., & Hinzmann, D. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1480643 · Cited by 9 · see citing works
The Role of Adipokines and Gene Polymorphisms in the Development of Obesity- Induced Depression
Ercan, S., & Sanli̇er, N. (2025) · Current Obesity Reports · doi:10.1007/s13679-025-00652-w · Cited by 11 · see citing works
“The HPA axis is linked to several biomarkers related to stress [43].”
Nakhla, M. N., Eakin, C. M., Mandelbaum, A. D., Karlan, B. Y., Benharash, P., Salani, R., & Cohen, J. G. (2022) · International Journal of Gynecological Cancer · doi:10.1136/ijgc-2022-003484 · Cited by 9 · see citing works
Biener, I., Mueller, T. T., Lin, J., Bao, H., Steffen, J., Hoerl, M., Biere, K., Matzel, S., Woehrle, T., König, S., et al. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02771-9 · Cited by 9 · see citing works
“Bold values identify statistical signi fi cance ( p < 0.05).”
InfluentialBatmaz, H., & Çeli̇k, E. (2024) · Psychological Reports · doi:10.1177/00332941241263572 · Cited by 8 · see citing works
Lei, G., Yang, C., Ge, Y., Zhang, Y., Xie, Y., Chen, J., & Wu, J. (2021) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2021.013072 · Cited by 9 · see citing works
The biobehavioral impacts of sexual violence: Findings from an acute repeat survivor of vaginal rape
Anderson, K. M., Ghosh, M., Karris, M., Capozzi, E., Granger, D. A., & Stockman, J. K. (2021) · Women s Health · doi:10.1177/17455065211031079 · Cited by 8 · see citing works
Jang, S., Choi, S., Ahn, R. S., Lee, J.-Y., Kim, J., & Seok, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.847498 · Cited by 8 · see citing works
Alıcı, Y. H., Hasanlı, J., Saygılı, G., & Koçak, O. M. (2022) · Psychology Health & Medicine · doi:10.1080/13548506.2022.2131855 · Cited by 8 · see citing works
Psychobiotics as an Intervention in the Treatment of Irritable Bowel Syndrome: A Systematic Review
Gwioździk, W., Helisz, P., Grajek, M. K., & Krupa-Kotara, K. H. (2023) · Applied Microbiology · doi:10.3390/applmicrobiol3020032 · Cited by 8 · see citing works
Haeken, S. V., Braeken, M. A. K. A., Horsch, A., Oosterman, M., & Bogaerts, A. (2023) · BMC Psychology · doi:10.1186/s40359-023-01301-4 · Cited by 8 · see citing works
“Stress during pregnancy can have adverse effects on the woman herself, and can negatively affect pregnancy outcomes, infant health, postpartum mother-child interaction, and child development [3–5].”
BackgroundXiang, L., Zeng, X., Luo, Y., Tan, S., Wang, F., & Mao, X. (2023) · The International Journal of Psychiatry in Medicine · doi:10.1177/00912174231178108 · Cited by 7 · see citing works
“26 Therefore, HCC may serve as a biomarker of resilience.”
BackgroundMethodLuo, Z., Wang, X., You, B., Jia, Y., Li, H., Li, Y., Chen, H., Zhou, Y., Yuan, Q., & Tang, J. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05909-x · Cited by 7 · see citing works
“García-León et al. [36] reported that resilience seems to be a determinant of perceived stress.”
BackgroundRinggold, V., & Rohleder, N. (2024) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2024.101463 · Cited by 7 · see citing works
Electrophysiological detection of exam stress in health schools' students
Kazdağlı, H., Özel, H. F., Öztürk, S., Ceylan, D., Erdeniz, B., Özbek, M., & Şemin, M. İ. (2024) · Physiology International · doi:10.1556/2060.2024.00354 · Cited by 7 · see citing works
Noroozi, B., Ghafari, O., Abolghasemi, A., & Mousazadeh, T. (2021) · Quarterly Journal of Child Mental Health · doi:10.52547/jcmh.7.4.3 · Cited by 7 · see citing works
SereneMind: Design and Evaluation of a Persuasive Mobile App for Managing Stress Among Adults
Alhasani, M., Oyebode, O., & Orji, R. (2023) · SeGAH ... IEEE ... International Conference on Serious Games and Applications for Health/IEEE International Conference on Serious Games and Applications for Health · doi:10.1109/segah57547.2023.10253762 · Cited by 7 · see citing works
Salomon, R. E., Tan, K. R., Vaughan, A., Adynski, H., & Muscatell, K. A. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103419 · Cited by 7 · see citing works
Mondolin, V., Karlsson, H., Perasto, L., Tuulari, J., Karlsson, L., & Kataja, E.-L. (2024) · Stress and Health · doi:10.1002/smi.3516 · Cited by 6 · see citing works
“Trait resilience has been frequently associated with lower levels of stress, depression, and anxiety in different age groups (Anyan and Hjemdal 2016; Cheng et al. 2020; García‐León et al. 2019; Hu, Zhang, and Wang 2015; Laird et al. 2019).”
Jiang, Q., Liu, Y., Wei, Y. Q., Kuan, G., Ma, L., Wang, H., Wang, Y., & Lou, H. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1474579 · Cited by 6 · see citing works
Swahn, M. H., Culbreth, R. E., Palmier, J. B., Kavuma, A., & Jovanović, T. (2025) · Community Mental Health Journal · doi:10.1007/s10597-025-01508-2 · Cited by 6 · see citing works
“All three biomarkers are elevated in response to acute and chronic stress and are also associated with mental health outcomes including depression, anxiety, and suicidality (Michopoulos et al., 2015 ; Dutheil et al., 2021 ; García-León et al., 2019; Law et al., 2024 ).”
Zapater‐Fajarí, M., Crespo-Sanmiguel, I., Montoliu, T., Hidalgo, V., & Salvador, A. (2024) · Hormones and Behavior · doi:10.1016/j.yhbeh.2023.105474 · Cited by 6 · see citing works
Hosseini, R., Emadian, S., Dogani, M., Ghazanfari, T., & Askari, N. (2024) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2024.100895 · Cited by 6 · see citing works
“Exposure to adult stress in groups with a history of maternal stress caused a significant increase in the activity of the HPA axis.”
InfluentialPerceived Stress, Resilience and Emotional Intelligence in Romanian Healthcare Professionals
DUICA, L. C., Antonescu, E., Totan, M., Antonescu, O. R., Boța, G., Maniu, I., Pîrlog, M. C., & Silişteanu, S. C. (2024) · Healthcare · doi:10.3390/healthcare12232336 · Cited by 11 · see citing works
Nursing Students’ Perception of Stress and Resilience during Their Clinical Training
Abdallah, B., Ali, R. H., & Ali, A. S. E. M. (2023) · Minia Scientific Nursing Journal · doi:10.21608/msnj.2023.238647.1082 · Cited by 5 · see citing works
“Another study conducted by (García-León et al., 2019) who showed that resilience seems to be determinant in perceived stress, the number of current life events, the intensity of stressful events, chronic stress, obsession, and compulsions.”
BackgroundAl-Ajlouny, S., Al-Maqableh, H. O., Al-Shaikh, A. F., & Alqudah, M. A. Y. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06560-6 · Cited by 5 · see citing works
Albaqawi, H., & Alrashidi, M. S. (2022) · Makara Journal of Health Research · doi:10.7454/msk.v26i3.1370 · Cited by 5 · see citing works
Development and Rasch Analysis of the 18-Item Health Resilience Profile (HRP)
Papini, N. M., Jung, M., Kang, M., Lopez, N. V., & Herrmann, S. D. (2023) · Nutrients · doi:10.3390/nu15040807 · Cited by 5 · see citing works
Puertas‐Gonzalez, J. A., Mariño-Narváez, C., Romero‐Gonzalez, B., Casado-Soto, A., & Peralta‐Ramírez, M. I. (2023) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2203720 · Cited by 5 · see citing works
Self-citationRamos‐Vera, C., Basauri-Delgado, M., Calizaya-Milla, Y. E., & Saintila, J. (2024) · International Journal of Educational Research Open · doi:10.1016/j.ijedro.2024.100394 · Cited by 10 · see citing works
Hoeberichts, K., Roke, Y., Damen, F., Niks, I. M. W., & van Harten, P. N. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1637008 · Cited by 4 · see citing works
The role of sleep quality in mediating the relationship between habenula volume and resilience
Dai, Q., Kyuragi, Y., Zakia, H., Oishi, N., Yao, L., Aki, M., Shibata, M., Zhang, Z., Wang, L., Yang, J., et al. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116358 · Cited by 4 · see citing works
- Authors
- García-León, M. Á., Pérez-Mármol, J. M., Gonzalez-Pérez, R., García-Ríos, M. D. C., & Peralta-Ramírez, M. I.
- Venue
- Physiology & Behavior
- Publisher
- Elsevier BV
- Published
- 2019-04
- Volume
- 202
- Pages
- 87-93
- ISSN
- 0031-9384 (ISSN-L)
- OpenAlex
- W2914354747
- Cited by
- 197
- References
- 33
- Citations by year
- 2026: 23 · 2025: 24 · 2024: 38 · 2023: 33 · 2022: 30 · 2021: 31 · 2020: 11 · 2019: 7
- FWCI
- 23.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physiology & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Ciencia e Innovación
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- resilience, perceived stress, life events, hair cortisol, salivary cortisol, Trier Social Stress Test, chronic stress, psychopathology, obsessive-compulsive symptoms, phobic anxiety, depressive symptoms, interpersonal sensitivity, university students
- MeSH terms
- Cross-Sectional Studies, Female, Hair, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Pituitary-Adrenal System, Surveys and Questionnaires, Saliva, Stress, Psychological, User-Computer Interface, Biomarkers, Resilience, Psychological, Young Adult
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