Latest & greatest articles for stress

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on stress or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on stress and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for stress

21. Validation of a Model Predicting De Novo Stress Urinary Incontinence in Women Undergoing Pelvic Organ Prolapse Surgery (Abstract)

Validation of a Model Predicting De Novo Stress Urinary Incontinence in Women Undergoing Pelvic Organ Prolapse Surgery To validate a previously developed prediction model for de novo stress urinary incontinence (SUI) after undergoing vaginal surgery for pelvic organ prolapse (POP).Model performance was determined using a cohort of women who participated in two, 14-center randomized trials in the Netherlands that evaluated whether postoperative SUI 1 year after surgery was reduced (...) with or without concomitant midurethral sling at the time of surgery for symptomatic women who had at least stage 2 POP. Age, number of previous vaginal births, urine leakage associated with urgency, history of diabetes, body mass index, preoperative stress test result, and placement of a midurethral sling were used to calculate the predicted probability of an individual developing de novo SUI. Predicted probabilities were compared with outcomes and quantitated using the concordance index and calibration

2019 EvidenceUpdates

22. Stress Testing Versus CT Angiography in Patients With Diabetes and Suspected Coronary Artery Disease Full Text available with Trip Pro

Stress Testing Versus CT Angiography in Patients With Diabetes and Suspected Coronary Artery Disease The optimal noninvasive test (NIT) for patients with diabetes and stable symptoms of coronary artery disease (CAD) is unknown.The purpose of this study was to assess whether a diagnostic strategy based on coronary computed tomographic angiography (CTA) is superior to functional stress testing in reducing adverse cardiovascular (CV) outcomes (CV death or myocardial infarction [MI]) among (...) years) and sex (female 54% vs. 52%) but had a greater burden of CV comorbidities. Patients with diabetes who underwent CTA had a lower risk of CV death/MI compared with functional stress testing (CTA: 1.1% [10 of 936] vs. stress testing: 2.6% [25 of 972]; adjusted hazard ratio: 0.38; 95% confidence interval: 0.18 to 0.79; p = 0.01). There was no significant difference in nondiabetic patients (CTA: 1.4% [50 of 3,564] vs. stress testing: 1.3% [45 of 3,494]; adjusted hazard ratio: 1.03; 95% confidence

2019 EvidenceUpdates

23. Effect of a Nurse-Led Preventive Psychological Intervention on Symptoms of Posttraumatic Stress Disorder Among Critically Ill Patients: A Randomized Clinical Trial. Full Text available with Trip Pro

Effect of a Nurse-Led Preventive Psychological Intervention on Symptoms of Posttraumatic Stress Disorder Among Critically Ill Patients: A Randomized Clinical Trial. A meta-analysis of outcomes during the 6 months after intensive care unit (ICU) discharge indicate a prevalence for clinically important posttraumatic stress disorder (PTSD) symptoms of 25%.To determine whether a nurse-led preventive, complex psychological intervention, initiated in the ICU, reduces patient-reported PTSD symptom (...) was completed December 2017.Twenty four ICUs were randomized 1:1 to the intervention or control group. Intervention ICUs (n = 12; 669 participants) delivered usual care during a baseline period followed by an intervention period. The preventive, complex psychological intervention comprised promotion of a therapeutic ICU environment plus 3 stress support sessions and a relaxation and recovery program delivered by trained ICU nurses to high-risk (acutely stressed) patients. Control ICUs (n = 12; 789

2019 JAMA Controlled trial quality: predicted high

24. Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis Full Text available with Trip Pro

Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis | Evidence-Based Mental Health Log in using your username and password For personal accounts (...) OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta

2019 Evidence-Based Mental Health

25. Post-traumatic stress disorder

Post-traumatic stress disorder Post-traumatic stress disorder - NICE CKS Share Post-traumatic stress disorder - Summary Post-traumatic stress disorder can develop following a major traumatic event. It can affect people of any age. The ICD-10 describes a major traumatic event as 'a stressful event or situation of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone'. The DSM-5 describes a major traumatic event as 'exposure to actual (...) or threatened death, serious injury, or sexual violence'. The onset of symptoms is usually in the first month after the traumatic event. However, in a minority of people, symptoms can be delayed by months or years. In adults: In around two-thirds of people, symptoms resolve naturally, although this may take several months. For around a third of people, symptoms are longer lasting, and for many, these are severe and enduring. Complex post-traumatic stress disorder may develop after extreme prolonged

2019 NICE Clinical Knowledge Summaries

26. The efficacy of group counselling on perceived stress among infertile women undergoing in vitro fertilization treatment: An RCT. Full Text available with Trip Pro

The efficacy of group counselling on perceived stress among infertile women undergoing in vitro fertilization treatment: An RCT. One of the stressful and critical experiences that threat the individual, family, marital, and social stability is infertility.To identify the effects of midwifery-led counselling programs on the perceived stress of the women undergoing assisted reproductive treatment.In this randomized clinical trial, 50 infertile women who underwent in vitro fertilization treatment (...) for the first time were enrolled in two groups. The intervention group received six sessions of group counselling by M.Sc. midwifery of counseling student and the control group received only the routine care. All participants filled Newton's standard questionnaire before and at the time of puncture, embryo transfer and the pregnancy test.The mean ± SD scores for the perceived infertility stress before the intervention in the control and the intervention groups were 167.92 ± 12.14 and 166.75 ± 13.27

2019 International journal of reproductive biomedicine (Yazd, Iran) Controlled trial quality: uncertain

27. Women’s health and midwifery: Women who experience threatened preterm labour need early and accurate assessment, a clear management plan and continuity of care to reduce stress and anxiety

Women’s health and midwifery: Women who experience threatened preterm labour need early and accurate assessment, a clear management plan and continuity of care to reduce stress and anxiety Women who experience threatened preterm labour need early and accurate assessment, a clear management plan and continuity of care to reduce stress and anxiety | Evidence-Based Nursing Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your (...) user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Women who experience threatened preterm labour need early and accurate assessment, a clear management plan and continuity of care to reduce stress and anxiety Article Text Commentary Women’s health and midwifery Women who experience threatened preterm labour

2019 Evidence-Based Nursing

28. Mental health: Exposure-based cognitive behavioural therapy is effective in reducing post-traumatic stress disorder severity in emergency service personnel

Mental health: Exposure-based cognitive behavioural therapy is effective in reducing post-traumatic stress disorder severity in emergency service personnel Exposure-based cognitive behavioural therapy is effective in reducing post-traumatic stress disorder severity in emergency service personnel | Evidence-Based Nursing Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword (...) Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Exposure-based cognitive behavioural therapy is effective in reducing post-traumatic stress disorder severity in emergency service personnel Article Text Commentary Mental health Exposure-based cognitive behavioural therapy is effective in reducing post-traumatic stress disorder severity in emergency

2019 Evidence-Based Nursing

29. Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults. Full Text available with Trip Pro

Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults. Therapist-delivered trauma-focused psychological therapies are an effective treatment for post-traumatic stress disorder (PTSD). These have become the accepted first-line treatments for the disorder. Despite the established evidence-base for these therapies, they are not always widely available or accessible. Many barriers limit treatment uptake, such as the limited number of qualified

2018 Cochrane

30. Physiotherapist-delivered Stress Inoculation Training for acute whiplash-associated disorders: A qualitative study of perceptions and experiences. Full Text available with Trip Pro

Physiotherapist-delivered Stress Inoculation Training for acute whiplash-associated disorders: A qualitative study of perceptions and experiences. Formally trained and accredited physiotherapists delivered Stress Inoculation Training (SIT) integrated with guideline-based physiotherapy management to individuals with acute whiplash associated disorders (WAD) as part of a randomised controlled trial. The delivery of SIT by physiotherapists is new.To investigate physiotherapists' perspectives

2018 Musculoskeletal science & practice

31. Post-traumatic stress disorder

Post-traumatic stress disorder P Post-tr ost-traumatic stress disorder aumatic stress disorder NICE guideline Published: 5 December 2018 nice.org.uk/guidance/ng116 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Post-traumatic stress disorder (NG116) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 54Contents Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Recognition of post-traumatic stress

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

32. Mindfulness-based stress reduction for menopausal symptoms after risk-reducing salpingo-oophorectomy (PURSUE study): a randomised controlled trial Full Text available with Trip Pro

Mindfulness-based stress reduction for menopausal symptoms after risk-reducing salpingo-oophorectomy (PURSUE study): a randomised controlled trial To assess the short- and long-term effects of mindfulness-based stress reduction (MBSR) on the resulting quality of life, sexual functioning, and sexual distress after risk-reducing salpingo-oophorectomy (RRSO).Randomised controlled trial.A specialised family cancer clinic of the university medical center Groningen.Sixty-six women carriers (...) significant improvements in the MENQOL for the MBSR group compared with the CAU group (both P = 0.04). At 3 months, the mean MENQOL scores were 3.5 (95% confidence interval, 95% CI 3.0-3.9) and 3.8 (95% CI 3.3-4.2) for the MBSR and CAU groups, respectively; at 12 months, the corresponding values were 3.6 (95% CI 3.1-4.0) and 3.9 (95% CI 3.5-4.4). No significant differences were found between the MBSR and CAU groups in the other scores.Mindfulness-based stress reduction was effective at improving quality

2018 EvidenceUpdates

33. Factors related to stress fracture after unicompartmental knee arthroplasty Full Text available with Trip Pro

Factors related to stress fracture after unicompartmental knee arthroplasty Unicompartmental knee arthroplasty (UKA) is a low-invasive knee surgery that enables early recovery. Stress fracture of the medial tibial plateau (MTP) is a complication of UKA that prolongs treatment once it has occurred. We investigated factors affecting its occurrence.The study subjects were 167 patients who underwent fixed-bearing UKA between 2009 and 2016 (45 men and 122 women of mean age 77 years, including 134 (...) with osteoarthritis of the knee and 33 with spontaneous osteonecrosis). We measured bone mineral density, installation angle of the tibial component, and leg alignment in those patients who developed stress fracture within 3 months after UKA.Stress fracture did not occur in 155 patients (N group, 45 men and 110 women) and did occur in 12 (SF group, 12 women). The bone mineral density (BMD) of the proximal femur was significantly lower in the SF group, indicating that bone fragility may have contributed to stress

2018 Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

34. Chloroplast proteome analysis of Nicotiana tabacum overexpressing TERF1 under drought stress condition Full Text available with Trip Pro

Chloroplast proteome analysis of Nicotiana tabacum overexpressing TERF1 under drought stress condition Chloroplast is indispensable for plant response to environmental stresses, growth and development, whose function is regulated by different plant hormones. The chloroplast proteome is encoded by chloroplast genome and nuclear genome, which play essential roles in plant photosynthesis, metabolism and other biological processes. Ethylene response factors (ERFs) are key transcription factors (...) in activating the ethylene signaling pathway and plant response to abiotic stress. But we know little about how ethylene regulates plastid function under drought stress condition. In this study we utilized tobacco overexpressing tomato ethylene responsive factor 1 (TERF1), an ERF transcription factor isolated from tomato, to investigate its effects on the plastid proteome under drought stress condition by method of iTRAQ technology.Results show that TERF1 represses the genes encoding the photosynthetic

2018 Botanical studies

35. The effect of capture and handling stress in Lophius americanus in the scallop dredge fishery Full Text available with Trip Pro

The effect of capture and handling stress in Lophius americanus in the scallop dredge fishery Capture and handling stress studies are considered a primary research priority, particularly for species and fisheries where discard rates are high, and/or for overfished stocks and species of concern. Lophius americanus, a commercially valuable finfish in New England, constitutes the second highest bycatch species within the sea scallop dredge fishery. Despite its commercial importance, no data exists (...) on the capture and handling stress of monkfish for any gear type. Given these shortcomings, our goals were to evaluate the stress response of monkfish captured in scallop dredge gear by evaluating physical, behavioural and physiological responses to scallop fishing practices. While 80% of monkfish displayed little to no physical trauma, behavioural and physiological assessment indicated high levels of stress, especially as air exposure and tow duration increased. This finding suggests that the manifestation

2018 Conservation physiology

36. Long-term Rate of Mesh Sling Removal Following Midurethral Mesh Sling Insertion Among Women With Stress Urinary Incontinence. Full Text available with Trip Pro

Long-term Rate of Mesh Sling Removal Following Midurethral Mesh Sling Insertion Among Women With Stress Urinary Incontinence. There is concern about outcomes of midurethral mesh sling insertion for women with stress urinary incontinence. However, there is little evidence on long-term outcomes.To examine long-term mesh removal and reoperation rates in women who had a midurethral mesh sling insertion for stress urinary incontinence.This population-based retrospective cohort study included 95 057 (...) women aged 18 years or older who had a first-ever midurethral mesh sling insertion for stress urinary incontinence in the National Health Service hospitals in England between April 1, 2006, and December 31, 2015. Women were followed up until April 1, 2016.Patient and hospital factors and retropubic or transobturator mesh sling insertions.The primary outcome was the risk of midurethral mesh sling removal (partial or total) and secondary outcomes were reoperation for stress urinary incontinence

2018 JAMA

37. Noncommunicable disease-attributable medical expenditures, household financial stress and impoverishment in Bangladesh Full Text available with Trip Pro

Noncommunicable disease-attributable medical expenditures, household financial stress and impoverishment in Bangladesh Treatment of noncommunicable diseases (NCDs) in low-income countries can entail large out-of-pocket (OOP) medical expenditures, which can increase the likelihood of household impoverishment and perpetuate the poverty cycle. This paper studies the implications of NCDs on household medical expenditure, household financial stress (e.g. selling assets or borrowing for treatment (...) on medical expenditures, and have greater probability of experiencing catastrophic medical expenditure or financial stress from OOP spending than non-NCD households. Finally, using survey weights, we extrapolated how NCD-attributable medical expenditure can result in impoverishment and downward movement in net consumption status at the population level.NCD-afflicted households allocate a greater share of household expenditures for medical care than households without NCDs, and their probability

2018 SSM - population health

38. The effect of the stress hormone cortisol on the metatranscriptome of the oral microbiome Full Text available with Trip Pro

The effect of the stress hormone cortisol on the metatranscriptome of the oral microbiome Imbalances of the microbiome, also referred to as microbial dysbiosis, could lead to a series of different diseases. One factor that has been shown to lead to dysbiosis of the microbiome is exposure to psychological stressors. Throughout evolution microorganisms of the human microbiome have developed systems for sensing host-associated signals such as hormones associated with those stressors, enabling them (...) . We used a metatranscriptomic approach to obtain first insights into the metabolic changes induced by this stress hormone as well as which members of the oral microbiome respond to the presence of cortisol in the environment. Our findings show that the stress hormone cortisol directly induces shifts in the gene expression profiles of the oral microbiome that reproduce results found in the profiles of expression of periodontal disease and its progression.

2018 NPJ biofilms and microbiomes

39. Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial Full Text available with Trip Pro

Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial Does planned caesarean compared with planned vaginal birth lower the risk of problematic urinary stress, faecal, or flatal incontinence?Women between 320/7 and 386/7 weeks of gestation with a twin pregnancy were randomised to planned caesarean or planned vaginal birth.The trial took place at 106 centres in 25 countries.A total of 2305 of the 2804 (...) women enrolled in the study completed questionnaires at 2 years (82.2% follow-up): 1155 in the planned caesarean group and 1150 in the planned vaginal birth group.A structured self-administered questionnaire completed at 2 years postpartum.The primary maternal outcome of the Twin Birth Study was problematic urinary stress, or fecal, or flatal incontinence at 2 years RESULTS: Women in the planned caesarean group had lower problematic urinary stress incontinence rates compared with women

2018 EvidenceUpdates

40. The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial (Abstract)

The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial Women with chronic urogenital pain (CUP) conditions have elevated rates of lifetime trauma, relational stress, and emotional conflicts, but directly assessing and treating psychological stress is rarely done in women's health care settings. We developed and tested the effects on patients' somatic and psychological symptoms of a life stress interview (...) that encourages disclosure about stressors and uses experiential techniques to increase awareness of links between stress, emotions, and symptoms.In this randomized trial, women with CUP recruited at a multidisciplinary women's urology center received either a single 90-minute life stress interview (N = 37) or no interview (treatment-as-usual control; N = 25). Self-report measures of pain severity (primary outcome), pain interference, pelvic floor symptoms, and psychological symptoms (anxiety and depression

2018 EvidenceUpdates