ArticleFrontiers in psychology2021
A Modified Version of the Transactional Stress Concept According to Lazarus and Folkman Was Confirmed in a Psychosomatic Inpatient Sample.
Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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46 citing papers in PubMed, 117 citations in OpenAlex.
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- From Who experiences stress to When It Occurs: Revisiting Lazarus' transactional model of stress using an ecological momentary assessment framework.PLOS digital health · 2026Article
- Associations Between Cancer-Related Self-Efficacy, Coping Styles, and Perceived Stress in Patients with Lung Cancer: A Cross-Sectional Mediation Analysis.Journal of clinical medicine · 2026Article
- Occupational Stressors, Working Conditions and Self-Reported Mental Health Among Veterinarians in Germany: An Exploratory Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Mental health service users' pre- and post-therapy hospitalization rates: A data linkage study.The British journal of clinical psychology · 2026Article
- Coping strategies and associated factors in a sample of Iranian nurses: a cross-sectional study.BMJ open · 2026Article
- The impact of a growth mindset on adolescents' health risk behaviors: the chain mediating role of core self-evaluation and coping style.BMC psychology · 2026Article
- Exploring the Role of Appraised Support in Mitigating Reverse Culture Shock Among Cross-Border Retirement Migrants.Healthcare (Basel, Switzerland) · 2026Article
- Perioperative mental health needs in urological and genitourinary surgery: a scoping review.Frontiers in public health · 2026Article
- Psychological stress and eating behaviors as interacting influences on patient-reported disease activity in Italian patients with inflammatory bowel disease.Scientific reports · 2025Article
- Perceived Stress Profiles Among Italian University Students: A Multivariate Approach.Healthcare (Basel, Switzerland) · 2025Article
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- Is Spiritual Well-Being a Protective Factor Against Stress? An Analysis in a Sample of Peruvian Christians.Psychiatry investigation · 2025Article
- The relationship between depressive symptoms and coping style on asthma outcomes in older adults.Journal of behavioral medicine · 2025Article
- A transactional analysis training program on cognitive flexibility and emotion regulation in undergraduate nursing students: an experimental study.BMC nursing · 2025Article
- Psychometric properties and measurement invariance of the medical staff occupational stress scale among Chinese clinical nurses.BMC nursing · 2025Article
- Patient-centered modeling of the breast biopsy experience.Frontiers in artificial intelligence · 2025Article
- A cross-sectional study on the impact of physical exercise on mobile phone addiction: the chain mediating role of perceived stress and self-acceptance.Frontiers in psychology · 2025Article
- Obstacles and facilitators of parents' coping with hematopoietic stem cell transplantation of a child with cancer.PloS one · 2025Article
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStress is a major risk factor for the impairment of psychological well-being. The present study aimed to evaluate the empirical evidence of the Transactional Stress Model proposed by Lazarus and Folkman in patients with psychosomatic health conditions.
methodsA structural equation model was applied in two separate subsamples of inpatients from the Department of Psychosomatic Medicine (total
resultsThe initial model was created to reflect the theoretical assumptions by Lazarus and Folkman about their transactional stress concept. This model was modified until a sufficient model fit was reached (sample 1: CFI = 0.904, TLI = 0.898, RMSEA = 0.072 [0.071-0.074], SRMR = 0.061). The modified model was confirmed in a second sample (sample 2: CFI = 0.932, TLI = 0.928, RMSEA = 0.066 [0.065-0.068], SRMR = 0.052). Perceived external stressors and personal resources explained 91% of the variance of the stress response, which was closely related to symptoms of depression (63% variance explained). The attenuating effect of resources on stress response was higher (standardized β = -0.73,
conclusionThe empirical data largely confirmed the theoretical assumption of the Transactional Stress Model, which was first presented by Lazarus and Folkman, in patients with a wide range of psychosomatic conditions. However, data analyses were solely based on self-reported health status. Thus, proposed inner psychological mechanisms such as the appraisal process could not be included in this empirical validation. The operationalization and understanding of coping processes should be further improved.
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