Evidence map›Paper›PMID 29551356›Full record

ReviewFrontiers in neuroendocrinology2018

More than a feeling: A unified view of stress measurement for population science.

Elissa S Epel, Alexandra D Crosswell, Stefanie E Mayer, Aric A Prather, George M Slavich, Eli Puterman, Wendy Berry Mendes

Registry-linked trialAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Frontiers in neuroendocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07396675 (Improving Postoperative Debriefings), which is not on this map. Cited by 463 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
463citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07396675 narecruitingnot on this mapstarted 2026, after this paper: background citation

Improving Postoperative Debriefings: the Added Value of Operating Room Black Box Supported Debriefings and Their Effect on Healthcare Professionals Perceived Effectiveness and Psychological Safety.

TypeinterventionalSponsorORNND - Operating Room Nurse Network DenmarkRan2026 to 2027Enrolled135ConditionsStress, Resilience, Psychological Safety, Burnout, Healthcare WorkersArmsDebriefing
3 · Its place in the literature

Who cites it

463 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Physiological Responses to Virtual Reality-Based Stress Regulation and Relaxation Interventions: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2026
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  15. Stress and cardiovascular disease: Testing a vigilance pathway in two contemporary theories.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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403 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Elissa S EpelDepartment of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA. Electronic address: elissa.epel@ucsf.edu.
Alexandra D CrosswellDepartment of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA. Electronic address: alexandra.crosswell@ucsf.edu.
Stefanie E MayerDepartment of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA. Electronic address: stefanie.mayer@ucsf.edu.
Aric A PratherDepartment of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA. Electronic address: aric.prather@ucsf.edu.
George M SlavichCousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA. Electronic address: gslavich@mednet.ucla.edu.
Eli PutermanSchool of Kinesiology, University of British Columbia, Vancouver, BC, Canada. Electronic address: eli.puterman@ubc.ca.
Wendy Berry MendesDepartment of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA. Electronic address: wendy.mendes@ucsf.edu.

Funding

Stress, diet quality, and biological aging across the lifespanR24AG048024 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EPEL, ELISSA S., MENDES, WENDY BERRY · 2014 to 2025
$6.2M
Stress resilience and aging in Alzheimers disease and dementia caregiversK01AG057859 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CROSSWELL, ALEXANDRA DUPONT · 2018 to 2022
$652k
NIA NIH HHS K01 AG057859NIA NIH HHS R24 AG048024
6 · The paper itself

Abstract

Stress can influence health throughout the lifespan, yet there is little agreement about what types and aspects of stress matter most for human health and disease. This is in part because "stress" is not a monolithic concept but rather, an emergent process that involves interactions between individual and environmental factors, historical and current events, allostatic states, and psychological and physiological reactivity. Many of these processes alone have been labeled as "stress." Stress science would be further advanced if researchers adopted a common conceptual model that incorporates epidemiological, affective, and psychophysiological perspectives, with more precise language for describing stress measures. We articulate an integrative working model, highlighting how stressor exposures across the life course influence habitual responding and stress reactivity, and how health behaviors interact with stress. We offer a Stress Typology articulating timescales for stress measurement - acute, event-based, daily, and chronic - and more precise language for dimensions of stress measurement.

Indexed as

Models, BiologicalAllostasisEmotionsHuman DevelopmentHumansStress, PsychologicalAcute stressAffectAllostatic loadAppraisalsChronic stressDaily stressEmotional contagionEmotionsMeasurementMotivational states

Identifiers

PMID29551356
PMCPMC6345505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.