ArticleDiabetologia2016
Stress resilience and subsequent risk of type 2 diabetes in 1.5 million young men.
Article in Diabetologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychological Resilience, Cardiovascular Disease, and Metabolic Disturbances: A Systematic Review.Frontiers in psychology · 2022Pooled it
- Promotora intervention for metabolic and mental health to reduce type 2 diabetes risk: a pilot randomized controlled trial.Scientific reports · 2024Trial
- Psychological resilience in older adults with type 2 diabetes from the Look AHEAD Trial.Journal of the American Geriatrics Society · 2023Trial
- Chronic emotional stress and mediating role of Interleukin-6 in the association with cardiometabolic disorders in a multiethnic middle-aged and older US population.International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- Mediating role of psychological resilience in the relationship between leisure-time activities and long-term mortality in older adults.BMC geriatrics · 2025Article
- Sex differences in the relationship between brain gray matter volume and psychological resilience in late adolescence.European child & adolescent psychiatry · 2024Article
- Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial.Investigacion y educacion en enfermeria · 2024Article
- Psychological resilience to lifetime trauma and risk for cardiometabolic disease and mortality in older adults: A longitudinal cohort study.Journal of psychosomatic research · 2023Article
- Positive effect of inaudible high-frequency components of sounds on glucose tolerance: a quasi-experimental crossover study.Scientific reports · 2022Article
- Resilience Is Associated with Less Eating Disorder Symptoms in the NutriNet-Santé Cohort Study.International journal of environmental research and public health · 2022Article
- Depression in Diabetic Patients: What Is the Link With Eating Disorders? Results of a Study in a Representative Sample of Patients With Type 1 Diabetes.Frontiers in psychiatry · 2022Article
- Association of Psychological Resilience with All-Cause and Cardiovascular Mortality in a General Population in Italy: Prospective Findings from the Moli-Sani Study.International journal of environmental research and public health · 2021Article
- Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients.International journal of environmental research and public health · 2021Article
- Psychological resilience predicting cardiometabolic conditions in adulthood in the Midlife in the United States Study.Proceedings of the National Academy of Sciences of the United States of America · 2021Article
- Resilience During Pregnancy by Race, Ethnicity and Nativity: Evidence of a Hispanic Immigrant Advantage.Journal of racial and ethnic health disparities · 2021Article
- Associations of Childhood Neglect With the ACTH and Plasma Cortisol Stress Response in Patients With Type 2 Diabetes.Frontiers in psychiatry · 2021Article
- Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model.Psychoneuroendocrinology · 2020Article
- Associations of Residential Greenness with Diabetes Mellitus in Chinese Uyghur Adults.International journal of environmental research and public health · 2019Article
- The Influence of Psychological Stress on the Initiation and Progression of Diabetes and Cancer.International journal of endocrinology and metabolism · 2019Review
- Atopic dermatitis, educational attainment and psychological functioning: a national cohort study.The British journal of dermatology · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
aims/hypothesisPsychosocial stress in adulthood is associated with a higher risk of type 2 diabetes, possibly mediated by behavioural and physiological factors. However, it is unknown whether low stress resilience earlier in life is related to subsequent development of type 2 diabetes. We examined whether low stress resilience in late adolescence is associated with an increased risk of type 2 diabetes in adulthood.
methodsWe conducted a national cohort study of all 1,534,425 military conscripts in Sweden during 1969-1997 (97-98% of all 18-year-old men nationwide each year) without prior diagnosis of diabetes, who underwent standardised psychological assessment for stress resilience (on a scale of 1-9) and were followed up for type 2 diabetes identified from outpatient and inpatient diagnoses during 1987-2012 (maximum attained age 62 years).
resultsThere were 34,008 men diagnosed with type 2 diabetes in 39.4 million person-years of follow-up. Low stress resilience was associated with an increased risk of developing type 2 diabetes after adjusting for BMI, family history of diabetes, and individual and neighbourhood socioeconomic factors (HR for lowest vs highest quintile: 1.51; 95% CI 1.46, 1.57; p < 0.0001), including a strong linear trend across the full range of stress resilience (p trend < 0.0001). This association did not vary by BMI level, family history of diabetes or socioeconomic factors. CONCLUSIONS/
interpretationThese findings suggest that low stress resilience may play an important long-term role in aetiological pathways for type 2 diabetes. Further elucidation of the underlying causal factors may help inform more effective preventive interventions across the lifespan.
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