ArticleBMC psychiatry2020
Associations between (sub) clinical stress- and anxiety symptoms in mentally healthy individuals and in major depression: a cross-sectional clinical study.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Association between prenatal maternal anxiety and/or stress and offspring's cognitive functioning: A meta-analysis.Child development · 2023Pooled it
- Forecasting stress transitions using ecological momentary assessment data and machine learning.Internet interventions · 2026Article
- Exploring Trajectories of Anxiety Symptoms in Autistic and Non-Autistic Youth over Adolescence Using Parent- and Self-Report Measures.Research in autism · 2026Article
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- The relationship between nicotine craving and state anxiety in daily and non-daily nicotine users.Addictive behaviors · 2026Article
- Stress, pain intensity, and work productivity in individuals with chronic pain: a cross-sectional observational study.BMC public health · 2025Observational
- Effect of lacticaseibacillus paracasei PS23 on anxiety and sleep difficulties among office workers: a double-blind, randomized controlled pilot trial.Annals of general psychiatry · 2025Article
- Assessing the Effectiveness of a Solution-Focused Brief Therapy-Based Intervention on Exam Anxiety in First-Year Polish University Students: A Pilot Study with a Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2025Article
- Stress Management in Athletes: Predictive Effects of Sleep Deprivation-Induced Cognitive Control Changes on Competition Performance.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025Article
- Weight stigma and mental health symptoms: mediation by perceived stress.Frontiers in psychiatry · 2025Article
- Impact of perceived social support on anxiety and depression in women undergoing in vitro fertilization-embryo transfer: the role of psychological resilience.Journal of assisted reproduction and genetics · 2025Article
- Validity and measurement invariance of abbreviated scales of the State-Trait Anxiety Inventory (STAI-Y) in a population of Italian young adults.Frontiers in psychology · 2025Article
- Understanding the interplay between stress, anxiety, and depression and their impact on health in traffic police officers.Frontiers in psychiatry · 2025Article
- Milk Fat Globule Membranes for Mental Health across the Human Lifespan.Foods (Basel, Switzerland) · 2024Review
- Social support and mental health: the mediating role of perceived stress.Frontiers in psychology · 2024Article
- A short version of the reflective functioning questionnaire: Validation in a greek sample.PloS one · 2024Article
- Anxiety and depression during 3-year follow-up period in postoperative gastrointestinal cancer patients: prevalence, vertical change, risk factors, and prognostic value.Irish journal of medical science · 2023Article
- Stress, Anxiety and Depression Prevalence among Greek University Students during COVID-19 Pandemic: A Two-Year Survey.Journal of clinical medicine · 2022Article
- Hospital workforce mental reaction to the pandemic in a low COVID-19 burden setting: a cross-sectional clinical study.European archives of psychiatry and clinical neuroscience · 2022Article
- Anxiety and Stress-Related Disorders.Focus (American Psychiatric Publishing) · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResponses to stressful circumstances have psychological and physiological dimensions, and are related to anxiety symptoms and mental disorders such as depression. Nonetheless, the relationship between subclinical stress and anxiety symptoms is still elusive.
methodsTo explore possible associations between stress and anxiety symptoms, patients with major depression (N = 77) and mentally healthy individuals of different age clusters and occupations (N = 412) were enrolled into the study. Stress was assessed with the new subclinical stress symptom questionnaire (SSQ-25). Anxiety was studied with the Beck Anxiety Inventory (BAI), mainly focusing on clinical anxiety, whilst anxiety as a personality trait was assessed with the trait aspect of the State Τrait Αnxiety Ιnventory Y (STAI Y). Statistical analyses included ANOVA, Scheffe test, linear regression models and a two-step cluster analysis using Log-Likelihood Distance measure and fixed number of two clusters.
resultsAge, stress symptoms and BAI scores differed significantly between among groups (P < 0.001), whilst STAI Y scores did not. Stress levels were found to be related to clinical anxiety (P < 0.001), while neither group identity nor age exerted any influence on anxiety levels (P > 0.05). The two Step Cluster analysis classified 76 out of 77 participants with milder stress (subclinical) symptoms into the cluster with moderate anxiety, as indicated by BAI scores, and all individuals with more severe stress into the severe anxiety cluster.
conclusionsThe observed associations between stress and anxiety shed light on the interrelations between even very mild (subclinical) stress and anxiety symptoms and may point to the potential of mild stress to serve as a target for early interventions aiming to prevent anxiety morbidity.
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