Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Feb;39(1):87-102.
doi: 10.1002/smi.3165. Epub 2022 Jun 13.

Why is subjective stress severity a stronger predictor of health than stressor exposure? A preregistered two-study test of two hypotheses

Affiliations

Why is subjective stress severity a stronger predictor of health than stressor exposure? A preregistered two-study test of two hypotheses

Grant S Shields et al. Stress Health. 2023 Feb.

Abstract

Subjective stress severity appraisals have consistently emerged as better predictors of poor health than stressor exposure, but the reason for this is unclear. Subjective stress may better predict poor health for one of at least two reasons. First, because stressor exposure measures consider all stressors as equal, stress severity measures-which "weight" stressors by self-reported severity-might better predict poor health simply by not treating all stressors as being equally impactful. Second, subjective stress appraisals may index important individual differences in stress vulnerability. We tested these two possibilities in this preregistered, two-study manuscript. Across these two different studies, subjective stress severity was a better predictor of poor health than independently weighted stress severity or stressor exposure. These results demonstrate that, beyond weighting of stressful experiences, subjective stress severity indexes health-relevant individual differences. Moreover, the results suggest that subjective stress severity may be the preferred stress summary metric even when derived from imprecise stress assessment instruments.

Keywords: assessment; health; measurement; mental health; physical health; stress; stress severity.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Abramson LY, Alloy LB, Hankin BL, Haeffel GJ, MacCoon DG, & Gibb BE (2002). Cognitive vulnerability-stress models of depression in a self-regulatory and psychobiological context. In Gotlib IH & Hammen CL (Eds.), Handbook of Depression (pp. 268–294). 10.1023/A - DOI
    1. Ali N, Nitschke JP, Cooperman C, & Pruessner JC (2017). Suppressing the endocrine and autonomic stress systems does not impact the emotional stress experience after psychosocial stress. Psychoneuroendocrinology, 78, 125–130. 10.1016/j.psyneuen.2017.01.015 - DOI - PubMed
    1. Banica I, Sandre A, Shields GS, Slavich GM, & Weinberg A (2020). The error-related negativity (ERN) moderates the association between interpersonal stress and anxiety symptoms six months later. International Journal of Psychophysiology, 153, 27–36. 10.1016/j.ijpsycho.2020.03.006 - DOI - PMC - PubMed
    1. Banica I, Sandre A, Shields GS, Slavich GM, & Weinberg A (2021). Associations between lifetime stress exposure and the error-related negativity (ERN) differ based on stressor characteristics and exposure timing in young adults. Cognitive, Affective and Behavioral Neuroscience. 10.3758/s13415-021-00883-z - DOI - PMC - PubMed
    1. Brown GW, & Harris T (1978). Social origins of depression: A study of psychiatric disorder in women. In Social Origins of Depression: A Study of Psychiatric Disorder in Women. 10.4324/9780203714911 - DOI