{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:07:10Z","timestamp":1774325230527,"version":"3.50.1"},"reference-count":75,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The University of Texas at El Paso"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Stress is widely known to have debilitating effects on physical health and mental wellbeing, particularly on one\u2019s coping styles, personality traits, and outlook on life. Cumulative and chronic stress, which can serve as a triggering or aggravating factor for many pathological disorders if left unaddressed, has been linked to many life-threatening diseases. While many studies have looked at how optimism and pessimism are used as a form of coping mechanism, few have examined how different bio-psycho-social reactions to stress shape the level of optimism and pessimism. Using a sample of adult individuals aged 18 and older in the United States (n = 3361), this study addressed the following research questions: (1) What types of stress are predictive of optimism and pessimism? (2) Which responses to stress and coping mechanisms are most predictive of optimism and pessimism? (3) Do optimism and pessimism share the same stress-related risk and protective factors? Overall, this study found that while optimism and pessimism share conceptual similarities, they are not necessarily influenced by the same stress mechanisms. Stress, whether personal or financial, was associated with a negative outlook on life. This study showed that having good sleep quality and a lower number of psychological stress symptoms was linked to increasing optimism and reducing pessimism, while overeating or eating unhealthily was connected to both optimism and pessimism. Additionally, this study found that exercise\/walking and emotional support mediated the effects of the responses to stress on the respondents\u2019 level of optimism and pessimism.<\/jats:p>","DOI":"10.3390\/ejihpe14100176","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T08:09:52Z","timestamp":1727683792000},"page":"2671-2685","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Bio-Psycho-Social Approach to Understanding Optimism and Pessimism in Response to Stress"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5791-0791","authenticated-orcid":false,"given":"Yok-Fong","family":"Paat","sequence":"first","affiliation":[{"name":"Department of Social Work, The University of Texas at El Paso, El Paso, TX 79968, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trina L.","family":"Hope","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Oklahoma, Norman, OK 73019, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1211-4016","authenticated-orcid":false,"given":"Jo\u00e3o B.","family":"Ferreira-Pinto","sequence":"additional","affiliation":[{"name":"Dean\u2019s Office, College of Health Sciences, The University of Texas at El Paso, El Paso, TX 79968, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8333-6567","authenticated-orcid":false,"given":"Hector","family":"Olvera Alvarez","sequence":"additional","affiliation":[{"name":"School of Nursing, Oregon Health & Science University, Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.tics.2014.02.003","article-title":"Dispositional optimism","volume":"18","author":"Carver","year":"2014","journal-title":"Trends Cogn. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1037\/amp0000666","article-title":"Optimism versus pessimism as predictors of physical health: A comprehensive reanalysis of dispositional optimism research","volume":"76","author":"Scheier","year":"2021","journal-title":"Am. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2098","DOI":"10.1111\/jocn.14363","article-title":"Optimism, proactive coping and quality of life among nurses: A cross-sectional study","volume":"27","author":"Cruz","year":"2018","journal-title":"J. Clin. Nurs."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1007\/s10902-014-9572-x","article-title":"Optimism, motivational coping and wellbeing: Evidence supporting the importance of flexible goal adjustment","volume":"16","author":"Hanssen","year":"2015","journal-title":"J. Happiness Stud."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1016\/j.amjmed.2021.12.023","article-title":"Association of optimism with cardiovascular events and all-cause mortality: Systematic review and meta-analysis","volume":"135","author":"Krittanawong","year":"2022","journal-title":"Am. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"173","DOI":"10.5607\/en.2013.22.3.173","article-title":"The neural basis of optimism and pessimism","volume":"22","author":"Hecht","year":"2013","journal-title":"Exp. Neurobiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1037\/0003-066X.55.1.44","article-title":"The future of optimism","volume":"55","author":"Peterson","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.ijpsycho.2015.09.002","article-title":"Optimism and pessimism are related to different components of the stress response in healthy older people","volume":"98","author":"Villada","year":"2015","journal-title":"Int. J. Psychophysiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.cpr.2010.01.006","article-title":"Optimism","volume":"30","author":"Carver","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/21683603.2016.1130532","article-title":"Effects of stress on students\u2019 physical and mental health and academic success","volume":"4","author":"Shankar","year":"2016","journal-title":"Int. J. Sch. Educ. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"353","DOI":"10.4103\/1735-1995.158255","article-title":"The association of personality traits and coping styles according to stress level","volume":"20","author":"Afshar","year":"2015","journal-title":"J. Res. Med. Sci."},{"key":"ref_12","unstructured":"American Heart Association (2024, June 18). Stress and Heart Health. Available online: https:\/\/www.heart.org\/en\/healthy-living\/healthy-lifestyle\/stress-management\/stress-and-heart-health."},{"key":"ref_13","unstructured":"Centers for Disease Control and Prevention (2024, June 18). Coping with Stress, Available online: https:\/\/www.cdc.gov\/mentalhealth\/stress-coping\/cope-with-stress\/index.html."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Liu, Y.-Z., Wang, Y.-X., and Jiang, C.-L. (2017). Inflammation: The common pathway of stress-related diseases. Front. Hum. Neurosci., 11.","DOI":"10.3389\/fnhum.2017.00316"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1007\/s11886-021-01590-4","article-title":"Is optimism a protective factor for cardiovascular disease?","volume":"23","author":"Amonoo","year":"2021","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Schiavon, C.C., Marchetti, E., Gurgel, L.G., Busnello, F.M., and Reppold, C.T. (2017). Optimism and hope in chronic disease: A systematic review. Front. Psychol., 7, Available online: https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2016.02022.","DOI":"10.3389\/fpsyg.2016.02022"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1177\/1948550615590199","article-title":"Changes in optimism are associated with changes in health over time among older adults","volume":"6","author":"Chopik","year":"2015","journal-title":"Soc. Psychol. Personal. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1037\/amp0000384","article-title":"Dispositional optimism and physical health: A long look back, a quick look forward","volume":"73","author":"Scheier","year":"2018","journal-title":"Am. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"18357","DOI":"10.1073\/pnas.1900712116","article-title":"Optimism is associated with exceptional longevity in 2 epidemiologic cohorts of men and women","volume":"116","author":"Lee","year":"2019","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1161\/CIRCRESAHA.117.310828","article-title":"Is optimism associated with healthier cardiovascular-related behavior?","volume":"122","author":"Boehm","year":"2018","journal-title":"Circ. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2174\/1745017901006010025","article-title":"Optimism and its impact on mental and physical wellbeing","volume":"6","author":"Conversano","year":"2010","journal-title":"Clin. Pract. Epidemiol. Ment. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1037\/0022-3514.93.2.285","article-title":"Optimism: An enduring resource for romantic relationships","volume":"93","author":"Assad","year":"2007","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1037\/0022-3514.82.1.102","article-title":"The role of optimism in social network development, coping, and psychological adjustment during a life transition","volume":"82","author":"Brissette","year":"2002","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1521\/jscp.21.1.92.22405","article-title":"The stigma of being pessimistically biased","volume":"21","author":"Sadeghian","year":"2002","journal-title":"J. Soc. Clin. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Huang, R., Ghose, B., and Tang, S. (2020). Effect of financial stress on self-rereported health and quality of life among older adults in five developing countries: A cross sectional analysis of WHO-SAGE survey. BMC Geriatr., 20.","DOI":"10.1186\/s12877-020-01687-5"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1037\/abn0000427","article-title":"Reward processing and future life stress: Stress generation pathway to depression","volume":"128","author":"Mackin","year":"2019","journal-title":"J. Abnorm. Psychol."},{"key":"ref_27","unstructured":"Harvard Health Publishing (2024, June 18). Understanding the Stress Response: Chronic Activation of This Survival Mechanism Impairs Health. Available online: https:\/\/www.health.harvard.edu\/staying-healthy\/understanding-the-stress-response."},{"key":"ref_28","unstructured":"American Psychological Association (2024, June 18). Stress Effects on the Body. Available online: https:\/\/www.apa.org\/topics\/stress\/body."},{"key":"ref_29","unstructured":"National Alliance on Mental Health (2024, June 18). Managing Stress. Available online: https:\/\/www.nami.org\/Your-Journey\/Individuals-with-Mental-Illness\/Taking-Care-of-Your-Body\/Managing-Stress."},{"key":"ref_30","unstructured":"American Psychological Association (2024, June 18). Stress and Sleep. Available online: https:\/\/www.apa.org\/news\/press\/releases\/stress\/2013\/sleep."},{"key":"ref_31","unstructured":"American Psychological Association (2024, June 18). How Stress Affects Your Health. Available online: https:\/\/www.apa.org\/topics\/stress\/health."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Davis, M.T., Holmes, S.E., Pietrzak, R.H., and Esterlis, I. (2017). Neurobiology of chronic stress-related psychiatric disorders: Evidence from molecular imaging studies. Chronic Stress, 1.","DOI":"10.1177\/2470547017710916"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/j.neuropharm.2012.07.034","article-title":"Effects of chronic plus acute prolonged stress on measures of coping style, anxiety, and evoked HPA-axis reactivity","volume":"63","author":"Roth","year":"2012","journal-title":"Neuropharmacology"},{"key":"ref_34","unstructured":"Segal, J., Smith, M., Robinson, L., and Segal, R. (2024, June 18). Stress Symptoms, Signs, and Causes. Available online: https:\/\/www.helpguide.org\/articles\/stress\/stress-symptoms-signs-and-causes.htm."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1467-6494.1995.tb00806.x","article-title":"Life after trauma: Personality and daily life experiences of traumatized people","volume":"63","author":"Bunce","year":"1995","journal-title":"J. Personal."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/10615809608249408","article-title":"Cognitive effects of life stress and learned helplessness","volume":"9","author":"Yee","year":"1996","journal-title":"Anxiety Stress Coping"},{"key":"ref_37","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal and Coping, Springer."},{"key":"ref_38","unstructured":"Harvard Health Publishing (2024, June 18). Endorphins: The Brain\u2019s Natural Pain Reliever. Available online: https:\/\/www.health.harvard.edu\/mind-and-mood\/endorphins-the-brains-natural-pain-reliever."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1002\/smi.3050","article-title":"The impact of stress and coping strategies on life satisfaction in a national sample of adolescents: A structural equation modelling approach","volume":"37","author":"Milas","year":"2021","journal-title":"Stress Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/21507740.2015.1047054","article-title":"Social support can buffer against stress and shape brain activity","volume":"6","author":"Hostinar","year":"2015","journal-title":"AJOB Neurosci."},{"key":"ref_41","unstructured":"American Psychological Association (2019). Stress in America, United States, 2007\u20132018 (ICPSR 37288) [Data File and Codebook], Inter-University Consortium for Political and Social Research [distributor]."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1037\/0022-3514.67.6.1063","article-title":"Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test","volume":"67","author":"Scheier","year":"1994","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_43","first-page":"19","article-title":"Psychometric properties of the Life Orientation Test (LOT-R) and its relationship with psychological well-being and academic progress in college students","volume":"49","year":"2017","journal-title":"Rev. Latinoam. Psicol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1080\/08870446.2021.1892111","article-title":"Psychometric evaluations of the Life Orientation Test-Revised (LOT-R), based on nine samples","volume":"37","author":"Hinz","year":"2022","journal-title":"Psychol. Health"},{"key":"ref_45","unstructured":"Tabachnick, B.G., and Fidell, L.S. (2022). Using Multivariate Statistics, Pearson. [7th ed.]."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int. J. Med. Educ."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Pan, Y., Zhou, Y., Shi, X., He, S., and Lai, W. (2023). The association between sleep deprivation and the risk of cardiovascular diseases: A systematic meta-analysis. Biomed. Rep., 19.","DOI":"10.3892\/br.2023.1660"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"3146","DOI":"10.1038\/s41467-018-05377-0","article-title":"Sleep loss causes social withdrawal and loneliness","volume":"9","author":"Walker","year":"2018","journal-title":"Nat. Commun."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1007\/s10865-016-9792-0","article-title":"Dispositional optimism and sleep quality: A test of mediating pathways","volume":"40","author":"Uchino","year":"2017","journal-title":"J. Behav. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3109\/10253890.2011.578266","article-title":"Perceived stress correlates with disturbed sleep: A link connecting stress and cardiovascular disease","volume":"15","author":"Kashani","year":"2012","journal-title":"Stress"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"\u00d6cal, E.E., Demirta\u015f, Z., Atalay, B.I., \u00d6ns\u00fcz, M.F., I\u015f\u0131kl\u0131, B., Metinta\u015f, S., and Yenilmez, \u00c7. (2022). Relationship between mental disorders and optimism in a community-based sample of adults. Behav. Sci., 12.","DOI":"10.3390\/bs12020052"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1093\/jjco\/hyq168","article-title":"Pessimism predicts anxiety, depression, and quality of life in female cancer patients","volume":"41","author":"Zenger","year":"2011","journal-title":"Jpn. J. Clin. Oncol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jpsychires.2016.02.020","article-title":"Relationship of optimism and suicidal ideation in three groups of patients at varying levels of suicide risk","volume":"77","author":"Huffman","year":"2016","journal-title":"J. Psychiatr. Res."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jad.2018.08.005","article-title":"The role of optimism in the relationship between job stress and depressive symptoms. Longitudinal findings from the German Ageing Survey","volume":"241","author":"Romswinkel","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1007\/s12144-017-9577-9","article-title":"Emotional eating and weight in adults: A review","volume":"37","author":"Frayn","year":"2018","journal-title":"Curr. Psychol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s12937-020-0522-7","article-title":"Optimism is associated with diet quality, food group consumption and snacking behavior in a general population","volume":"19","author":"Shankland","year":"2020","journal-title":"Nutr. J."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1037\/0022-3514.91.1.143","article-title":"Optimism in close relationships: How seeing things in a positive light makes them so","volume":"91","author":"Srivastava","year":"2006","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_58","first-page":"106","article-title":"Exercise for mental health","volume":"8","author":"Sharma","year":"2006","journal-title":"Prim. Care Companion J. Clin. Psychiatry"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"2617","DOI":"10.2147\/NDT.S116811","article-title":"Physical activity and self-esteem: Testing direct and indirect relationships associated with psychological and physical mechanisms","volume":"12","author":"Fathirezaie","year":"2016","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/S0272-7358(99)00032-X","article-title":"Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theory","volume":"21","author":"Salmon","year":"2001","journal-title":"Clin. Psychol. Rev."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Gim\u00e9nez-Meseguer, J., Tortosa-Mart\u00ednez, J., and Cortell-Tormo, J.M. (2020). The benefits of physical exercise on mental disorders and quality of life in substance use disorders patients. Systematic review and meta-analysis. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17103680"},{"key":"ref_62","first-page":"886","article-title":"Optimism, pessimism and depression; The relations and differences by stress level and gender","volume":"38","author":"Sha","year":"2006","journal-title":"Acta Psychol. Sin."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"5160","DOI":"10.1080\/00036846.2019.1610714","article-title":"Gender differences in optimism","volume":"51","author":"Bjuggren","year":"2019","journal-title":"Appl. Econ."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1093\/geronb\/gbac025","article-title":"Optimism, daily stressors, and emotional well-being over two decades in a cohort of aging men","volume":"77","author":"Lee","year":"2022","journal-title":"J. Gerontol. Ser. B"},{"key":"ref_65","unstructured":"Graham, C. (2024, June 18). The Surprising Optimism of Black Americans. Available online: https:\/\/www.brookings.edu\/blog\/social-mobility-memos\/2015\/09\/25\/the-surprising-optimism-of-black-americans\/."},{"key":"ref_66","unstructured":"Graham, C. (2024, June 18). Why Are Black Poor Americans More Optimistic Than White Ones?. Available online: https:\/\/www.brookings.edu\/articles\/why-are-black-poor-americans-more-optimistic-than-white-ones\/."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1177\/07399863231197333","article-title":"Measuring Hispanic optimism and personal expectancy","volume":"44","author":"Cervantes","year":"2022","journal-title":"Hisp. J. Behav. Sci."},{"key":"ref_68","unstructured":"Rosentiel, T. (2024, June 18). The Optimistic Immigrant: Among Latinos, the Recently Arrived Have the Most Hope for the Future. Available online: https:\/\/www.pewresearch.org\/2006\/05\/30\/the-optimistic-immigrant\/."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1177\/0739986313499004","article-title":"The Immigrant and Hispanic Paradoxes: A Systematic review of their predictions and effects","volume":"35","author":"Teruya","year":"2013","journal-title":"Hisp. J. Behav. Sci."},{"key":"ref_70","unstructured":"American Psychological Association (2024, August 11). Stress in America 2023: A Nation Recovering from Collective Trauma. Available online: https:\/\/www.apa.org\/news\/press\/releases\/stress\/2023\/collective-trauma-recovery."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1108\/14777260810876330","article-title":"Positivity in healthcare: Relation of optimism to performance","volume":"22","author":"Luthans","year":"2008","journal-title":"J. Health Organ. Manag."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"7270","DOI":"10.3402\/ehtj.v5i0.7270","article-title":"Optimism of health care workers during a disaster: A review of the literature","volume":"5","author":"Boldor","year":"2012","journal-title":"Emerg. Health Threat. J."},{"key":"ref_73","first-page":"643","article-title":"New horizons in group psychotherapy research and practice from third wave positive psychology: A practice-friendly review","volume":"25","author":"Marmarosh","year":"2022","journal-title":"Res. Psychother."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1080\/17439760.2021.1871945","article-title":"Positive psychology in a pandemic: Buffering, bolstering, and building mental health","volume":"17","author":"Waters","year":"2022","journal-title":"J. Posit. Psychol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1146\/annurev-orgpsych-032414-111341","article-title":"Workplace stress management interventions and health promotion","volume":"2","author":"Tetrick","year":"2015","journal-title":"Annu. Rev. Organ. Psychol. Organ. Behav."}],"container-title":["European Journal of Investigation in Health, Psychology and Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2254-9625\/14\/10\/176\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:07:40Z","timestamp":1760112460000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2254-9625\/14\/10\/176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":75,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["ejihpe14100176"],"URL":"https:\/\/doi.org\/10.3390\/ejihpe14100176","relation":{},"ISSN":["2254-9625"],"issn-type":[{"value":"2254-9625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,30]]}}}