{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:19:47Z","timestamp":1787566787064,"version":"build-2736575974"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychologica"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.actpsy.2026.107445","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:55:12Z","timestamp":1783950912000},"page":"107445","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["\u201cWhen stress is the air we breathe\u201d: Contextual resilience sustains clinical excellence in nursing students amid chronic adversity \u2014 A cross-sectional study from war- and sanction-affected Southern Iran"],"prefix":"10.1016","volume":"269","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9319-776X","authenticated-orcid":false,"given":"Rasool","family":"Paygozar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noorollah","family":"Tahery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"seyedeh Atoosa","family":"Rameazani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.actpsy.2026.107445_bb0005","first-page":"55","article-title":"The relationship between clinical self-efficacy and psychological stress in clinical setting in nursing students","volume":"15","author":"Amiri Bonyad","year":"2023","journal-title":"Research in Medical Education"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107445_bb0010","doi-asserted-by":"crossref","first-page":"2793","DOI":"10.1002\/nop2.1559","article-title":"An integrative review of resilience among nursing students in the context of nursing education","volume":"10","author":"Aryuwat","year":"2023","journal-title":"Nursing Open"},{"issue":"14","key":"10.1016\/j.actpsy.2026.107445_bb0015","first-page":"23","article-title":"The psychometric properties of the student-life stress inventory in the University of Tabriz students","volume":"4","author":"Bakhshipour","year":"2009","journal-title":"Journal of Modern Psychological Researches"},{"key":"10.1016\/j.actpsy.2026.107445_bb0020","first-page":"292","article-title":"The relationship between student-life stressors and procrastination in students living in dormitories","volume":"18","author":"Bayat","year":"2018","journal-title":"Iranian Journal of Medical Education"},{"issue":"11","key":"10.1016\/j.actpsy.2026.107445_bb0025","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1038\/s44159-023-00233-5","article-title":"Resilience to potential trauma and adversity through regulatory flexibility","volume":"2","author":"Bonanno","year":"2023","journal-title":"Nature Reviews Psychology"},{"key":"10.1016\/j.actpsy.2026.107445_bb0030","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.869337","article-title":"Family and academic stress and their impact on students\u2019 depression level and academic performance","volume":"13","author":"Deng","year":"2022","journal-title":"Frontiers in Psychiatry"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107445_bb0035","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/0033-2909.130.3.355","article-title":"Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research","volume":"130","author":"Dickerson","year":"2004","journal-title":"Psychological Bulletin"},{"key":"10.1016\/j.actpsy.2026.107445_bb0040","series-title":"Internet, phone, mail, and mixed-mode surveys: The tailored design method","author":"Dillman","year":"2014"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107445_bb0045","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-024-01885-1","article-title":"Deciphering the influence: Academic stress and its role in shaping learning approaches among nursing students: A cross-sectional study","volume":"23","author":"Dogham","year":"2024","journal-title":"BMC Nursing"},{"issue":"12","key":"10.1016\/j.actpsy.2026.107445_bb0050","first-page":"1036","article-title":"Clinical competence among MSc students of critical care nursing","volume":"14","author":"Ebadi","year":"2015","journal-title":"Iranian Journal of Medical Education"},{"key":"10.1016\/j.actpsy.2026.107445_bb0055","series-title":"Discovering statistics using IBM SPSS Statistics","author":"Field","year":"2018"},{"key":"10.1016\/j.actpsy.2026.107445_bb0060","series-title":"Student-life stress inventory","author":"Gadzella","year":"1991"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107445_bb0065","article-title":"Mediating role of resilience and adaptation in the relationship between climate change anxiety and mental health: A study in six provinces of Iran","volume":"31","author":"Gholamnia","year":"2025","journal-title":"International Journal of Clinical Practice"},{"issue":"8","key":"10.1016\/j.actpsy.2026.107445_bb0070","first-page":"2076","article-title":"Emotional support received moderates academic stress and mental well-being in a sample of Afghan university students amid COVID-19","volume":"68","author":"Green","year":"2021","journal-title":"International Journal of Social Psychiatry"},{"key":"10.1016\/j.actpsy.2026.107445_bb0075","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.nedt.2018.02.031","article-title":"The transfer of theoretical knowledge to clinical practice by nursing students and the difficulties they experience: A qualitative study","volume":"65","author":"G\u00fcnay","year":"2018","journal-title":"Nurse Education Today"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107445_bb0080","doi-asserted-by":"crossref","DOI":"10.1002\/capr.70052","article-title":"Mental health risks and resilience factors of adolescents in under-resourced schools","volume":"25","author":"Jabbour","year":"2025","journal-title":"Counselling and Psychotherapy Research"},{"key":"10.1016\/j.actpsy.2026.107445_bb0085","series-title":"Stress, appraisal, and coping","author":"Lazarus","year":"1984"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107445_bb0090","doi-asserted-by":"crossref","first-page":"e1098","DOI":"10.1016\/j.teln.2025.05.021","article-title":"Coping and social support in clinical nursing practice used by nursing students: A mixed-methods study","volume":"20","author":"Loureiro","year":"2025","journal-title":"Teaching and Learning in Nursing"},{"key":"10.1016\/j.actpsy.2026.107445_bb0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.nepr.2022.103385","article-title":"Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: A cross-sectional study","volume":"62","author":"Ma","year":"2022","journal-title":"Nurse Education in Practice"},{"key":"10.1016\/j.actpsy.2026.107445_bb0100","doi-asserted-by":"crossref","DOI":"10.1177\/2470547017692328","article-title":"Neurobiological and systemic effects of chronic stress","volume":"1","author":"McEwen","year":"2017","journal-title":"Chronic Stress"},{"issue":"67","key":"10.1016\/j.actpsy.2026.107445_bb0105","first-page":"65","article-title":"Predicting academic performance based on internet addiction and academic stress in high school male students in Ahvaz","volume":"11","author":"Monjezi","year":"2023","journal-title":"Social Psychology Journal"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107445_bb0110","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1080\/02673843.2019.1596823","article-title":"The impact of stress on students in secondary school and higher education","volume":"25","author":"Pascoe","year":"2020","journal-title":"International Journal of Adolescence and Youth"},{"issue":"12","key":"10.1016\/j.actpsy.2026.107445_bb0115","doi-asserted-by":"crossref","first-page":"6120","DOI":"10.19082\/6120","article-title":"Coping strategies of nursing students for dealing with stress in clinical setting: A qualitative study","volume":"9","author":"Rafati","year":"2017","journal-title":"Electronic Physician"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107445_bb0120","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5539\/gjhs.v10n5p33","article-title":"Stress and coping strategies among nursing students","volume":"10","author":"Shdaifat","year":"2018","journal-title":"Global Journal of Health Science"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107445_bb0125","first-page":"17","article-title":"Factorial validity and reliability of Farsi version of the student-life stress inventory","volume":"2","author":"Shokri","year":"2008","journal-title":"Research in Psychological Health [Internet]"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107445_bb0130","first-page":"358","article-title":"Investigating the relationship between stressful educational period and interaction with patient","volume":"13","author":"Talebi","year":"2023","journal-title":"Journal of Medical Education Development"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107445_bb0135","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1939-0025.2010.01067.x","article-title":"The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct","volume":"91","author":"Ungar","year":"2021","journal-title":"American Journal of Orthopsychiatry"},{"key":"10.1016\/j.actpsy.2026.107445_bb0140","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.nedt.2018.10.013","article-title":"The influence of socio-demographic factors, resilience and stress reducing activities on academic outcomes of undergraduate nursing students: A cross-sectional research study","volume":"72","author":"Van Hoek","year":"2019","journal-title":"Nurse Education Today"},{"key":"10.1016\/j.actpsy.2026.107445_bb0145","first-page":"397","article-title":"The mediating role of academic resilience in relation to the dimensions of the meaning of education and stress in nursing students\u2019 life in","volume":"20","author":"Yousefi afrashteh","year":"2020","journal-title":"Iranian Journal of Medical Education"},{"issue":"36","key":"10.1016\/j.actpsy.2026.107445_bb0150","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000030547","article-title":"Stress levels of nursing students: A systematic review and meta-analysis","volume":"101","author":"Zheng","year":"2022","journal-title":"Medicine"}],"container-title":["Acta Psychologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826012461?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826012461?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:26:59Z","timestamp":1787560019000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0001691826012461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":30,"alternative-id":["S0001691826012461"],"URL":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107445","relation":{},"ISSN":["0001-6918"],"issn-type":[{"value":"0001-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\u201cWhen stress is the air we breathe\u201d: Contextual resilience sustains clinical excellence in nursing students amid chronic adversity \u2014 A cross-sectional study from war- and sanction-affected Southern Iran","name":"articletitle","label":"Article Title"},{"value":"Acta Psychologica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107445","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"107445"}}