{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:56:39Z","timestamp":1790830599489,"version":"4.1.0"},"reference-count":57,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH127961"],"award-info":[{"award-number":["R01MH127961"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.jad.2026.122449","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:56:50Z","timestamp":1788278210000},"page":"122449","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Mapping psychophysiological associations among perceived stress, resilience, and the cortisol\/DHEA ratio in people living with HIV: A network analysis"],"prefix":"10.1016","volume":"415","author":[{"given":"Rui","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanghui","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoming","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuejiao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuaifeng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueying","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.122449_bb0005","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2019.00598","article-title":"Effect of sex and adaptation on migraine frequency and perceived stress: a cross-sectional case-control study","volume":"10","author":"An","year":"2019","journal-title":"Front. Neurol."},{"key":"10.1016\/j.jad.2026.122449_bb0010","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1146\/annurev-clinpsy-032210-104526","article-title":"Resilience to loss and potential trauma","volume":"7","author":"Bonanno","year":"2011","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0015","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1146\/annurev-clinpsy-050212-185608","article-title":"Network analysis: an integrative approach to the structure of psychopathology","volume":"9","author":"Borsboom","year":"2013","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0020","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1037\/abn0000446","article-title":"What do centrality measures measure in psychological networks?","volume":"128","author":"Bringmann","year":"2019","journal-title":"J. Abnorm. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0025","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1002\/jts.20271","article-title":"Psychometric analysis and refinement of the Connor\u2013Davidson resilience scale (CD-RISC): validation of a 10-item measure of resilience","volume":"20","author":"Campbell-Sills","year":"2007","journal-title":"J. Trauma. Stress."},{"key":"10.1016\/j.jad.2026.122449_bb0030","doi-asserted-by":"crossref","first-page":"11426","DOI":"10.1038\/s41598-021-90922-z","article-title":"Propensity score matching evaluation of psychological stress and hair cortisol among people living with HIV in China","volume":"11","author":"Chen","year":"2021","journal-title":"Sci. Rep."},{"key":"10.1016\/j.jad.2026.122449_bb0035","series-title":"Statistical power analysis for the behavioral sciences","author":"Cohen","year":"2013"},{"key":"10.1016\/j.jad.2026.122449_bb0040","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"10.1016\/j.jad.2026.122449_bb0045","doi-asserted-by":"crossref","first-page":"6846","DOI":"10.1038\/s41598-019-43033-9","article-title":"Node centrality measures are a poor substitute for causal inference","volume":"9","author":"Dablander","year":"2019","journal-title":"Sci. Rep."},{"key":"10.1016\/j.jad.2026.122449_bb0050","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1356430","article-title":"HIV-related stigma and associated factors: a systematic review and meta-analysis","volume":"12","author":"Dessie","year":"2024","journal-title":"Front. Public Health"},{"key":"10.1016\/j.jad.2026.122449_bb0055","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":"Psychol. Bull."},{"key":"10.1016\/j.jad.2026.122449_bb0060","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: a tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav. Res. Methods"},{"key":"10.1016\/j.jad.2026.122449_bb0065","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v048.i04","article-title":"Qgraph: network visualizations of relationships in psychometric data","volume":"48","author":"Epskamp","year":"2012","journal-title":"J. Stat. Softw."},{"key":"10.1016\/j.jad.2026.122449_bb0070","series-title":"The Wiley handbook of psychometric testing: A multidisciplinary reference on survey, scale and test development","first-page":"953","article-title":"Network Psychometrics","author":"Epskamp","year":"2018"},{"key":"10.1016\/j.jad.2026.122449_bb0075","series-title":"Resilience and mental health: Challenges across the lifespan","first-page":"1","article-title":"Neurobiology of Resilience","author":"Feder","year":"2011"},{"key":"10.1016\/j.jad.2026.122449_bb0080","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.jad.2014.10.010","article-title":"Depression is not a consistent syndrome: An investigation of unique symptom patterns in the STAR* D study","volume":"172","author":"Fried","year":"2015","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.122449_bb0085","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jchromb.2013.03.008","article-title":"Quantitative analysis of steroid hormones in human hair using a column-switching LC\u2013APCI\u2013MS\/MS assay","volume":"928","author":"Gao","year":"2013","journal-title":"J. Chromatogr. B"},{"key":"10.1016\/j.jad.2026.122449_bb0090","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1038\/nri1571","article-title":"Stress-induced immune dysfunction: implications for health","volume":"5","author":"Glaser","year":"2005","journal-title":"Nat. Rev. Immunol."},{"key":"10.1016\/j.jad.2026.122449_bb0095","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/s41386-018-0167-9","article-title":"Sex differences in the hypothalamic\u2013pituitary\u2013adrenal axis\u2019 response to stress: an important role for gonadal hormones","volume":"44","author":"Heck","year":"2019","journal-title":"Neuropsychopharmacology"},{"key":"10.1016\/j.jad.2026.122449_bb0100","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s12888-020-02520-4","article-title":"Psychometric properties of the perceived stress scale in a community sample of Chinese","volume":"20","author":"Huang","year":"2020","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.jad.2026.122449_bb0105","article-title":"Association between hair cortisol, dehydroepiandrosterone and perceived stress in chronic stress-related conditions: a systematic review and meta-analysis","author":"Huchegowda","year":"2025","journal-title":"Indian J. Psychol. Med."},{"key":"10.1016\/j.jad.2026.122449_bb0110","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2023.1085950","article-title":"Understanding the relationships between physiological and psychosocial stress, cortisol and cognition","volume":"14","author":"James","year":"2023","journal-title":"Front. Endocrinol."},{"key":"10.1016\/j.jad.2026.122449_bb0115","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1080\/09540121.2015.1046416","article-title":"Barriers to access to care reported by women living with HIV across 27 countries","volume":"27","author":"Johnson","year":"2015","journal-title":"AIDS Care"},{"key":"10.1016\/j.jad.2026.122449_bb0120","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/00273171.2019.1614898","article-title":"Bridge centrality: a network approach to understanding comorbidity","volume":"56","author":"Jones","year":"2021","journal-title":"Multivar. Behav. Res."},{"key":"10.1016\/j.jad.2026.122449_bb0125","doi-asserted-by":"crossref","DOI":"10.1017\/S0140525X1400082X","article-title":"A conceptual framework for the neurobiological study of resilience","volume":"38","author":"Kalisch","year":"2015","journal-title":"Behav. Brain Sci."},{"key":"10.1016\/j.jad.2026.122449_bb0130","doi-asserted-by":"crossref","first-page":"9090","DOI":"10.1073\/pnas.1531903100","article-title":"Chronic stress and age-related increases in the proinflammatory cytokine IL-6","volume":"100","author":"Kiecolt-Glaser","year":"2003","journal-title":"Proc. Natl. Acad. Sci."},{"key":"10.1016\/j.jad.2026.122449_bb0135","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.hivar.2015.07.003","article-title":"Effects of stress on HIV infection progression","volume":"15","author":"Ko\u0142odziej","year":"2016","journal-title":"HIV AIDS Rev."},{"key":"10.1016\/j.jad.2026.122449_bb0140","doi-asserted-by":"crossref","first-page":"E183","DOI":"10.25011\/cim.v30i5.2894","article-title":"Measurement of cortisol in human hair as a biomarker of systemic exposure","volume":"30","author":"Koren","year":"2007","journal-title":"Clin. Invest. Med."},{"key":"10.1016\/j.jad.2026.122449_bb0145","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.biopsycho.2004.11.009","article-title":"Sex differences in HPA axis responses to stress: a review","author":"Kudielka","year":"2005","journal-title":"Biol. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0150","doi-asserted-by":"crossref","DOI":"10.1016\/j.psyneuen.2021.105267","article-title":"Integrative psycho-biophysiological markers in predicting psychological resilience","volume":"129","author":"Lau","year":"2021","journal-title":"Psychoneuroendocrinology"},{"key":"10.1016\/j.jad.2026.122449_bb0155","series-title":"Stress, Appraisal, and Coping","author":"Lazarus","year":"1984"},{"key":"10.1016\/j.jad.2026.122449_bb0160","article-title":"Low Dehydroepiandrosterone (DHEA) level is associated with poor immunologic response among people living with HIV\/AIDS","volume":"11","author":"Lee","year":"2022","journal-title":"J. Clin. Med."},{"key":"10.1016\/j.jad.2026.122449_bb0165","article-title":"A resilience-based intervention to mitigate the effect of HIV-related stigma: protocol for a stepped wedge cluster randomized trial","volume":"10","author":"Li","year":"2022","journal-title":"Front. Public Health"},{"key":"10.1016\/j.jad.2026.122449_bb0170","article-title":"The relationship between perceived control and hypothalamic\u2013pituitary\u2013adrenal Axis reactivity to the Trier social stress test in healthy young adults","volume":"12","author":"Liu","year":"2021","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0175","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1038\/s41398-024-02957-1","article-title":"Network analysis of comorbid aggressive behavior and testosterone among bipolar disorder patients: a cross-sectional study","volume":"14","author":"Liu","year":"2024","journal-title":"Transl. Psychiatry"},{"key":"10.1016\/j.jad.2026.122449_bb0180","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.yfrne.2008.11.002","article-title":"Neurobiological and neuropsychiatric effects of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS)","volume":"30","author":"Maninger","year":"2009","journal-title":"Front. Neuroendocrinol."},{"key":"10.1016\/j.jad.2026.122449_bb0185","doi-asserted-by":"crossref","DOI":"10.3390\/jcdd9030070","article-title":"Higher levels of stress-related hair steroid hormones are associated with the increased SCORE2 risk prediction algorithm in apparently healthy women","volume":"9","author":"Mazgelyt\u0117","year":"2022","journal-title":"J. Cardiovasc. Dev. Dis."},{"key":"10.1016\/j.jad.2026.122449_bb0190","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.brat.2016.06.006","article-title":"Can network analysis transform psychopathology?","volume":"86","author":"McNally","year":"2016","journal-title":"Behav. Res. Ther."},{"key":"10.1016\/j.jad.2026.122449_bb0195","doi-asserted-by":"crossref","first-page":"e106","DOI":"10.1016\/S2352-3018(20)30309-X","article-title":"Stigma reduction: an essential ingredient to ending AIDS by 2030","volume":"8","author":"Nyblade","year":"2021","journal-title":"Lancet HIV."},{"key":"10.1016\/j.jad.2026.122449_bb0200","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0169827","article-title":"Hair measurements of cortisol, DHEA, and DHEA to cortisol ratio as biomarkers of chronic stress among people living with HIV in China: known-group validation","volume":"12","author":"Qiao","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.jad.2026.122449_bb0205","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0310316","article-title":"Parenting stress, dyadic coping and endocrine markers of stress and resilience in foster and biological mothers","volume":"19","author":"Reindl","year":"2024","journal-title":"PLoS One"},{"key":"10.1016\/j.jad.2026.122449_bb0210","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/17540739221114642","article-title":"Positive cognitive reappraisal in stress resilience, mental health, and well-being: a comprehensive systematic review","volume":"14","author":"Riepenhausen","year":"2022","journal-title":"Emot. Rev."},{"key":"10.1016\/j.jad.2026.122449_bb0215","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1037\/abn0000181","article-title":"Identifying highly influential nodes in the complicated grief network","volume":"125","author":"Robinaugh","year":"2016","journal-title":"J. Abnorm. Psychol."},{"key":"10.1016\/j.jad.2026.122449_bb0220","series-title":"Association between Maternal Stress and Parental Responses to Child Development as Measured by HPA Axis Biomarkers","author":"Ruiz","year":"2021"},{"key":"10.1016\/j.jad.2026.122449_bb0225","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.psyneuen.2011.09.009","article-title":"Hair cortisol as a biological marker of chronic stress: current status, future directions and unanswered questions","volume":"37","author":"Russell","year":"2012","journal-title":"Psychoneuroendocrinology"},{"key":"10.1016\/j.jad.2026.122449_bb0230","doi-asserted-by":"crossref","DOI":"10.1080\/20008198.2021.1990527","article-title":"HIV\/AIDS stigma and psychological well-being after 40 years of HIV\/AIDS: a systematic review and meta-analysis","volume":"12","author":"Rzeszutek","year":"2021","journal-title":"Eur. J. Psychotraumatol."},{"key":"10.1016\/j.jad.2026.122449_bb0235","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1037\/0033-2909.130.4.601","article-title":"Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry","volume":"130","author":"Segerstrom","year":"2004","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.jad.2026.122449_bb0240","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/j.bbi.2012.02.002","article-title":"Analysis of cortisol in hair\u2013state of the art and future directions","volume":"26","author":"Stalder","year":"2012","journal-title":"Brain Behav. Immun."},{"key":"10.1016\/j.jad.2026.122449_bb0245","series-title":"HIV epidemiology and control in Guangxi (1986\u20132017), In: HIV\/AIDS in China: Epidemiology, Prevention and Treatment","first-page":"587","author":"Tang","year":"2019"},{"key":"10.1016\/j.jad.2026.122449_bb0250","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1037\/met0000476","article-title":"Comparing network structures on three aspects: a permutation test","volume":"28","author":"Van Borkulo","year":"2023","journal-title":"Psychol. Methods"},{"key":"10.1016\/j.jad.2026.122449_bb0255","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.neubiorev.2016.05.003","article-title":"In the search for integrative biomarker of resilience to psychological stress","volume":"74","author":"Walker","year":"2017","journal-title":"Neurosci. Biobehav. Rev."},{"key":"10.1016\/j.jad.2026.122449_bb0260","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1111\/j.1440-1819.2010.02130.x","article-title":"Psychometric properties of the 10-item Connor\u2013Davidson Resilience Scale in Chinese earthquake victims","volume":"64","author":"Wang","year":"2010","journal-title":"Psychiatry Clin. Neurosci."},{"key":"10.1016\/j.jad.2026.122449_bb0265","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1038\/s41398-023-02503-5","article-title":"Network analysis of comorbid depression, suicidality and biomarkers on HPA axis among mood disorder patients to psychiatric emergency services","volume":"13","author":"Wang","year":"2023","journal-title":"Transl. Psychiatry"},{"key":"10.1016\/j.jad.2026.122449_bb0270","article-title":"Psychometric properties of the Chinese version of the perceived stress scale in policewomen","volume":"6","author":"Wang","year":"2011","journal-title":"PLoS One"},{"key":"10.1016\/j.jad.2026.122449_bb0275","doi-asserted-by":"crossref","DOI":"10.1002\/hsr2.70671","article-title":"Interventions and their effectiveness to reduce HIV-related stigma among women living with HIV: a systematic review protocol","volume":"8","author":"Yang","year":"2025","journal-title":"Health Science Reports."},{"key":"10.1016\/j.jad.2026.122449_bb0280","article-title":"HIV-associated depression: a translational framework targeting neuroimmune inflammation and psychosocial stress modulation","volume":"16","author":"Yu","year":"2025","journal-title":"Front. Immunol."},{"key":"10.1016\/j.jad.2026.122449_bb0285","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1186\/s12889-021-10291-0","article-title":"Differential relationships of stress and HIV disclosure by gender: a person centered longitudinal study","volume":"21","author":"Zeng","year":"2021","journal-title":"BMC Public Health"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726013029?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726013029?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:04:06Z","timestamp":1790827446000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726013029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":57,"alternative-id":["S0165032726013029"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.122449","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mapping psychophysiological associations among perceived stress, resilience, and the cortisol\/DHEA ratio in people living with HIV: A network analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.122449","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":"122449"}}