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Coping skill interventions for young adults may buffer against stress reactivity. This study tested the stress\u2010buffering effects of a group\u2010based 40\u2010min compassion skills microintervention compared to a time\u2010matched cognitive behavior therapy (CBT) skills control group. The compassion intervention included psychoeducation about compassion and a guided practice focused on cultivating compassion for a close other and for the self. The CBT skills group included psychoeducation about thoughts, feelings, and behaviors and a guided worksheet activity focused on practicing cognitive reappraisal strategies. Young adults (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200950) were cluster randomized to the compassion or CBT skills group. Participants attended a lab visit, completed their assigned intervention, and underwent the group\u2010based Trier Social Stress Test (TSST\u2010G). Systolic and diastolic BP, heart rate, self\u2010reported stress, and behavioral responses were assessed. Compared to cognitive reappraisal, participants in the compassion microintervention exhibited lower diastolic BP reactivity, less BP hyperreactivity (i.e., responses \u226520 and \u226515\u2009mmHg for systolic and diastolic BP, respectively) and fewer observable stress behaviors to the TSST\u2010G. Compassion skills are a promising area of research for stress management and cardiovascular health prevention among young adults.\n                  <\/jats:p>","DOI":"10.1111\/aphw.70053","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T08:23:56Z","timestamp":1749716636000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a group\u2010based compassion microintervention compared to cognitive reappraisal training on cardiovascular, self\u2010reported, and behavioral stress reactivity among young adults: A cluster randomized controlled trial"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3884-9603","authenticated-orcid":false,"given":"Emily C.","family":"Helminen","sequence":"first","affiliation":[{"name":"Center for Alcohol and Addiction Studies, School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5751-266X","authenticated-orcid":false,"given":"Kriti","family":"Behari","sequence":"additional","affiliation":[{"name":"Department of Psychology Syracuse University  Syracuse New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7311-5904","authenticated-orcid":false,"given":"Jillian R.","family":"Scheer","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Rhode Island  Kingston Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4847-1667","authenticated-orcid":false,"given":"Joshua C.","family":"Felver","sequence":"additional","affiliation":[{"name":"Bronfenbrenner Center for Translational Research, College of Human Ecology Cornell University  Ithaca New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2014.02.016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-9004.2009.00246.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2013.11.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12342"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.01.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2013.12.018"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1001530"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1750-8606.2007.00016.x"},{"volume-title":"Emerging adulthood: The winding road from the late teens through the twenties","year":"2023","author":"Arnett J. 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