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Spatial coding of eye movements relative to perceived earth and head orientations during static roll tilt.

This purpose of this study was to examine the spatial coding of eye movements during static roll tilt (up to +/-45 degrees) relative to perceived earth and head orientations. Binocular videographic recordings obtained in darkness from eight subjects allowed us to quantify the mean deviations in gaze trajectories along both horizontal and vertical coordinates relative to the true earth and head orientations. We found that both variability and curvature of gaze trajectories increased with roll tilt. The trajectories of eye movements made along the perceived earth-horizontal (PEH) were more accurate than movements along the perceived head-horizontal (PHH). The trajectories of both PEH and PHH saccades tended to deviate in the same direction as the head tilt. The deviations in gaze trajectories along the perceived earth-vertical (PEV) and perceived head-vertical (PHV) were both similar to the PHH orientation, except that saccades along the PEV deviated in the opposite direction relative to the head tilt. The magnitude of deviations along the PEV, PHH, and PHV corresponded to perceptual overestimations of roll tilt obtained from verbal reports. Both PEV gaze trajectories and perceptual estimates of tilt orientation were different following clockwise rather than counterclockwise tilt rotation; however, the PEH gaze trajectories were less affected by the direction of tilt rotation. Our results suggest that errors in gaze trajectories along PEV and perceived head orientations increase during roll tilt in a similar way to perceptual errors of tilt orientation. Although PEH and PEV gaze trajectories became nonorthogonal during roll tilt, we conclude that the spatial coding of eye movements during roll tilt is overall more accurate for the perceived earth reference frame than for the perceived head reference frame.

Adult↗

Functional, postural and perceived balance for predicting the work ability of firefighters.

OBJECTIVE: The importance of balance abilities for firefighting and rescue work has already been recognized, but there are no valid balance tests available in the test batteries for the physical work capacity of firefighters. Moreover, few studies have examined the associations between balance and work ability in general. Valid work-related balance tests are needed for the purpose of screening in occupational health care and in rehabilitation for assessing the effects of balance training. This study aimed to investigate the predictive value of functional, postural and perceived balance in respect to work ability among firefighters at baseline and after a 3-year follow-up. METHODS: The subjects were 135 male firefighters aged 33-56 years. The outcome variables were the work ability index and perceived physical work ability (PWA), determined by questionnaire in 1996 and 1999. The predictors assessed in 1996 were postural balance (tested with a force platform), functional balance (measured during walking on a wooden plank), and perceived balance abilities, enquired about through a questionnaire. RESULTS: Most of the balance test results and the perceived balance ability were associated with the perceived PWA at baseline. The final logistic regression models showed that the best predictors of decreased work ability among firefighters after 3 years were poor-to-moderate perceived balance [odds ratios (ORs) 2.4, 95% confidence interval (CI) 0.9-6.6]; more than one error in the functional balance test (OR 3.6, 95% CI 1.0-12.7); and a high mean amplitude of postural sway with the eyes closed (OR 2.7, 95% CI 0.9-6.1). CONCLUSIONS: The results support the work-related and predictive validity, in terms of perceived work ability, perceived balance, errors in the functional balance test and amplitude of postural sway with the eyes closed, of measuring balance among firefighters.

Adult↗

Perceived exertion and maximal quadriceps femoris muscle strength during dynamic knee extension exercise in young adult males and females.

The objectives of the present study were to: (1) examine perceived exertion across different target voluntary-contraction intensities; (2) compare perceived exertion ratings with actual target intensities, and (3) compare perceived exertion ratings between males and females. Subjects for this study included 30 healthy, college-aged male (n=15) and female (n=15) volunteers. All subjects were free of orthopedic, cardiopulmonary, systemic and neurological disease. Subjects were evaluated for their one-repetition maximum (1-RM) during inertial knee extension exercise. All subjects then completed, in a random order, two sub-maximal inertial contractions at 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% of their 1-RM. Perceived exertion was measured by asking subjects to provide a number that corresponded to the feelings in their quadriceps after completion of the two repetitions, by viewing a modified category-ratio (CR-10) scale. The results showed that males lifted a significantly greater absolute (P<0.05) and relative (P<0.05) amount of mass than females; allometric-modeled strength values also demonstrated significant sex differences. The results revealed a significant intensity main effect (P<0.001) but no significant gender main effect (P=0.97) nor intensity-by-gender interactions (P=0.50) for the perceived exertion responses. The findings demonstrated that perceived exertion was significantly (P<0.05) lower than the specific expected values on the CR-10 scale from 10% to 60% of 1-RM, but was not different from 70% to 90% 1-RM. The results revealed that the increase in perceived exertion was fit to both linear and quadratic trends, and that the exponent of the power function was found to be 1.437 (SD 0.22) for the males, and 1.497 (0.295) for the females. The major findings demonstrate that although males were able to lift more absolute and relative mass than females, the perceptual response to relative load was similar between genders. The increase in perceived exertion, as a function of relative load, showed a strong linear trend; however, enhanced perceptual sensitivity at high contraction intensities was evident from the positively accelerating power function.

Adult↗

A model of disease-specific worry in heritable disease: the influence of family history, perceived risk and worry about other illnesses.

Disease-related worry is associated with family history and perceived risk of that disease; however, the influences of general risk perceptions and tendencies to worry about diseases have been neglected in the literature. This study investigates a model of disease-specific worry which includes family history, disease-specific perceived risk, and perceived risk for and worry about other diseases. Participants completed a survey assessing these variables in relation to several heritable diseases. Structural equation modeling found that family history predicted disease-specific perceived risk but not perceived risk for other diseases. Disease-specific perceived risk predicted disease-specific worry and worry about other diseases. Perceived risk for other diseases predicted worry about other diseases and disease-specific perceived risk but not disease-specific worry. Disease-specific worry predicted worry about other diseases. This model was supported across several diseases and indicates that disease-specific and general considerations of risk influence worry about a disease and should be considered in interventions.

Adult↗

Perceived risks and benefits of smoking cessation: gender-specific predictors of motivation and treatment outcome.

The primary aim of this study was to examine gender differences in perceived risks and benefits of smoking cessation and their relationship to pretreatment motivation and treatment outcome. No validated measures that comprehensively assess perceived risks and benefits associated with smoking cessation were available in the literature; consequently, we developed a self-report instrument [Perceived Risks and Benefits Questionnaire (PRBQ)] for this purpose. A sample of 573 treatment-seeking smokers (48% female) entering smoking cessation trials completed the PRBQ, and its association with treatment outcome was assessed in a subsample of 93 participants. Overall, the PRBQ demonstrated good psychometric properties. Females indicated greater likelihood ratings of perceived risks and benefits than males. For women and men, perceived benefits were positively associated with motivation, and perceived risks were negatively associated with motivation and treatment outcome. Women evidenced stronger associations between perceived risks and pretreatment motivation, and treatment outcome. Knowledge of perceived risks and benefits associated with smoking cessation is critical for public education campaigns and could inform intervention strategies designed to modify sex-specific beliefs associated with lowered behavioral intentions to quit smoking.

Attitude to Health↗

Perceived effort in force production as reflected in motor-related cortical potentials.

OBJECTIVE: The perceived effort in force production was investigated in a series of experiments where subjects performed isometric force tasks with the index finger while the nominal force, the rate of force development and signal gain were controlled and rating of effort for each task was obtained. The hypotheses tested were that: (1) force-related perceived effort may selectively influence the amplitude of motor-related cortical potentials (MRCP); and (2) the MRCP may directly reflect the intensity of perceived effort associated with force production. METHODS: The force trace was displayed on a computer monitor using various control-gains so that the perceived effort matched or was at odds with actual muscular effort applied to the load cell to accomplish the task. The MRCP were extracted from continuous EEG records using averaging techniques. RESULTS: The findings showed that: (1) perceived effort proportionally increased with the increment of rate of force development and force error, but not with the actual force level; (2) the amplitude of the MRCP increased when a large amount of force was accompanied by an increased rate of force development; (3) the amplitude of early components of MRCP preceding the force initiation (MP-100 to 0) increased as a function of anticipated effort, whereas, the amplitude movement-monitoring potentials (MMP) accompanying the force production increased as a function of actual force level. CONCLUSIONS: The findings from this study provide additional insight clarifying the distinct patterns of EEG activity exhibited under various degrees of perceived effort associated with force output. The findings support the hypothesis that the early components of MRCP may reflect the perceived effort associated with achieving the required force level. SIGNIFICANCE: The results from this study may be considered in the larger context of physical activity in terms of importance of perceived effort during prescribed exercise in rehabilitation programs.

Adult↗

To know that we know what we know: perceived knowledge and adolescent sexual risk behavior.

STUDY OBJECTIVE: To examine the relationship between perceived knowledge about sex and adolescent sexual behaviors. DESIGN: Secondary analysis of the 2001 Minnesota Student Survey. Bivariate and multivariate relationships between perceived knowledge about sex and sexual behaviors were examined. SETTING: Minnesota. PARTICIPANTS: 83,481 9(th) and 12(th) grade public school students. MAIN OUTCOME MEASURES: Students' report of sexual experience and sexual behaviors. RESULTS: Students with low perceived knowledge were less likely to be sexually experienced (OR=0.22, CI=0.17-0.29, females, OR=0.70, CI=0.59-0.82, males, P=0.00). Among sexually active students, those with low perceived knowledge also had significantly higher odds of engaging in risky sexual behaviors. Sexually experienced females with low perceived knowledge were more likely to report not talking with their partners about STIs (OR=1.83, CI=1.1-3.16, P=0.02), a history of pregnancy (OR=2.87, CI=1.59-5.18, P=0.00), and had higher numbers of male (P=0.03) and female (P=0.00) sexual partners. Sexually experienced males with low perceived knowledge were more likely to report not talking with their partners about pregnancy (OR=1.43, CI=1.11-1.84, P=0.01), pregnancy involvement (OR=2.22, CI=1.65-2.95, P=0.00), inconsistent use of birth control (OR=1.30, CI= 1.01-1.68, P=0.04), inconsistent use of condoms (OR=1.79, CI=1.38-2.32, P=0.00), not using a condom at last intercourse (OR=1.58, CI=1.22-2.04, P=0.00), and had a higher numbers of male (P=0.00) and female (P=0.00) sexual partners. CONCLUSIONS: Perceived knowledge may be a salient antecedent of adolescent sexual risk behavior. Health care providers and programs should incorporate the construct of perceived knowledge into their assessments of and interventions targeted at adolescents.

Adolescent↗

Pain-related catastrophizing and perceived social responses: Inter-relationships in the context of chronic pain.

Pain-related coping, particularly catastrophizing, plays a significant role in shaping pain responses. One way catastrophizing is hypothesized to amplify pain and disability is via its effect on patients' social environments (e.g., communal coping model), though empirical support is limited. The present study tested whether the association between catastrophizing and deleterious pain-related outcomes was mediated by patients' perceptions of significant others' responses to their pain in a sample of 1356 pain patients. Regression analyses showed that perceived significant other punishing responses partially mediated catastrophizing's relationship with pain-related disability, and with depressive symptoms. Further, several variables moderated the association between catastrophizing and perceived social responses to pain. Catastrophizing was more strongly associated with greater perceived solicitous responses for patients of relatively short pain duration. Also, higher catastrophizing was more strongly associated with perceived punishing responses among patients perceiving lower social support. In addition, the mediational effects of perceived punishing responses on catastrophizing's relationship with depressive symptoms, and with pain-related disability were only found in individuals reporting low levels of perceived social support. In sum, perceived social responses were found to play a small role in mediating the relationship between catastrophizing and pain-related outcomes, and these mediational effects may be strongest in particular patient subgroups. The present data suggest that interpersonal mechanisms may not constitute a primary route by which catastrophizing exerts its maladaptive effects on pain responses. The study and further understanding of what principal factors mediate catastrophizing's deleterious effects on pain will be important in illuminating the biopsychosocial model of pain.

Adult↗

Perceived control in relation to socioeconomic and behavioral resources for health.

Perceived control is a personality characteristic that contributes to well-being, but few studies have attempted to integrate the functions of perceived control with those of other determinants of health. This research tested two hypotheses about the functions of perceived control: (a) individual differences in perceived control would account for socioeconomic differences in self-rated health status; (b) performance of health-related behaviors would account for the health benefits of perceived control. Using data from adult, nonproxy respondents in the National Population Health Survey of Canada (1995; n = 11, 110), confirmatory factor analysis supported a measurement model of self-rated health status composed of two correlated factors: physical health (i.e., chronic conditions. restricted activities, self-rated general health, physical functional capacity) and mental health (i.e., distress, depression). Structural equation modeling supported the first hypothesis, but not the second, regarding perceived control as a determinant of self-rated physical and mental health. Health-related behaviors partially mediated age differences in self-rated health, but different behaviors functioned in this way for men than for women. The findings suggest that psychological process, that of perceiving control over life events, underlies social inequality in health. Health-related behaviors appear not to serve as the primary mechanism through which perceived control influences health.

Adolescent↗

Relationship of domain-specific measures of health to perceived overall health among older subjects.

The associations between nine domain-specific measures of health (e.g., depressive symptoms, psychological distress, mental health, physical functioning, role functioning, social functioning, bodily pain, somatic symptoms, and chronic medical morbidity) and a single-item measure for perceived overall health were studied in an extensive community-based sample of elderly persons (n = 5279). The results showed that: (1) the discriminative power of perceived overall health compared to domain-specific measures of health was moderate to large only at the fair/poor end of the perceived overall health spectrum; (2) a single-item measure of perceived overall health did not cover domain-specific measurements of health since only 41.8% of the variance in perceived overall health was explained by all domain-specific measures; and (3) the affective domains of functioning (psychological distress, mental health) were weakly related to perceived overall health. Bodily pain, chronic medical morbidity and, to a lesser extent, physical functioning were more strongly related to perceived overall health. These results were fairly consistent for men and women and for three age groups. We conclude that a global, single-item measure of perceived health and domain-specific health measures are not exchangeable in evaluation, survey, or epidemiological research.

Activities of Daily Living↗

Economic stress and perceived health among adolescents in Sweden.

PURPOSE: To describe the link between economic stress and perceived health among Swedish adolescents. METHODS: The study is based mainly on data collected during 1995 from over 2400 adolescents in ninth grade. Data were collected by a self-administered questionnaire. The relationship between economic stress and perceived health was analyzed using descriptive statistics as well as multinomial logit. RESULTS: Worry about family finances is strongly linked to the adolescents' perceived health, though their own relative economic deprivation also plays a significant part. The occurrence of perceived poor health is much greater among those who are frequently or constantly worried about their family's finances than among those who seldom or never experience such worry. The relationship between economic stress and perceived health is also stronger than the relationships between other types of stress and perceived health. In addition, those adolescents who, during the last month, have often been unable to afford various recreational activities, exhibit a greater degree of perceived poor health than others. CONCLUSIONS: Economic stress among young people in Sweden is emerging as an important determinant of perceived health. In view of the deterioration of the Swedish welfare system, great attention should be paid to the question of economic stress among young people, in terms of both research and public health.

Adolescent↗

[Evolution over time in over perceivers of dyspnea in asthma].

OBJECTIVE: In previous studies we identified a subgroup of patients whose perception of breathlessness was exaggerated during acute bronchoconstriction and who were termed "over perceivers" or "hyperperceivers". In this study we aimed to determine whether such over perception is sporadic or stable over time. We also examined whether there is an association between over perception of dyspnea and hyperventilation syndrome. PATIENTS AND METHODS: The subjects were 22 stable asthmatics (11 men, 11 women) who had been over perceivers of dyspnea in a study 9 years earlier. After a medical history was taken, a patient performed forced spirometry and a severity classification was made according to the criteria of the Global Initiative for Asthma (GINA). A bronchial histamine challenge was then administered to measure dose-related perception of dyspnea on a Borg scale, according to a procedure that was similar to the one used 9 years earlier by the same investigator. The patients were also asked for a subjective assessment of the severity of their asthma (scale, 0-10) and to respond to items on the Nijmegen hyperventilation questionnaire and the trait form of the State-Trait Anxiety Inventory. RESULTS: The overall perception of severity of disease, level of anxiety, and perception of dyspnea at rest were lower after 9 years (P<.001). No change was observed in bronchial hyperresponsiveness (dose of inhaled histamine required to provoke a 20% decline in forced expiratory volume in the first second [FEV1]-PD20) or objective parameters of severity (FEV1 and GINA classification). Fourteen asthmatics (64%) were still over perceivers and the other patients had changed: 6 were normal perceivers and 2 were "poor perceivers". Only subjective perception of disease severity improved for the patients who were still over perceivers; the other patients, on the other hand, showed improvements in subjective assessments, objective ones (except PD20), and anxiety. Finally, those who remained over perceivers had higher scores for anxiety (24 vs 15; P<.05) and hyperventilation (18 vs 13; P= not significant). CONCLUSIONS: Most over perceivers of dyspnea remain so over the years and this trait is related to anxiety. We have been unable to demonstrate an association with hyperventilation syndrome.

Adult↗

Perceived racism and vascular reactivity in black college women: moderating effects of seeking social support.

This quasi-experimental study explored the association of perceived racism and seeking social support to vascular reactivity in a college sample of 110 Black women. Perceived racism and seeking social support were assessed via self-report, and vascular reactivity was measured before and during a standardized speaking task. Hierarchical regression analyses indicated that perceived racism was positively related to changes in systolic blood pressure. These analyses also indicated that seeking social support moderated the relationship between perceived racism and systolic blood pressure changes. This interaction effect persisted after controlling for several potential confounders. Follow-up regression analyses showed that perceived racism was positively associated with reactivity among participants who were low in seeking social support. A significant relationship was not observed between perceived racism and systolic blood pressure changes among participants who were high in seeking social support. Perceived racism and seeking social support were not significantly associated with changes in diastolic blood pressure. These findings highlight the importance of examining psychosocial factors that may mitigate the hypothesized relationship between perceived racism and reactivity.

Adult↗

Hardiness, self-care practices and perceived health status in older adults.

The purpose of this study was to examine the relationship among hardiness, self-care practices and perceived health status in older adults. A random sample of older adults (n = 72) was selected from the population of a small north-eastern town in the United States. Self-report data were obtained on the Health-Related Hardiness Scale as a measure of hardiness, the Personal Lifestyle Questionnaire as a measure of self-care practices and the Visual Analogue Scale as a measure of perceived health status. It was hypothesized that older adults who had higher levels of hardiness and self-care practices would have a higher perceived health status and that hardiness and self-care practices combined would explain more of the variance in perceived health status than either variable taken individually. Statistical analyses supported the three hypotheses. The obtained significant correlation between hardiness and perceived health status was -0.68 (P < 0.001) (hardiness negatively scored). For self-care practices and perceived health status, the correlation was 0.46 (P < 0.001). The illness index, income and living circumstance accounted for 46% of the variance in perceived health status scores. Hardiness and self-care practices accounted for an additional 10% of the variance in perceived health status once these demographic and illness variables were controlled. Implications for nursing practice, education and research are discussed. Recommendations included replication of the study with a larger, more heterogeneous population. Suggestions for further investigation of the relationship between resistance resources such as hardiness and self-care practices and health status are presented.

Adaptation, Psychological↗

Dark adaptation and short-wavelength backgrounds decrease perceived size.

The effects of background luminance, contrast, and background wavelength on the perceived size of small line figures were studied at mesopic levels of light adaptation. Perceived size diminished at low levels of background luminance. The effect disappeared at high levels of luminance. Perceived size of luminous circles increased as a logarithmic function of background luminance when the background intensity did not exceed 25 td(1). The strength of the size effect decreased as a function of circle diameter from 0-125 to 2 deg of visual angle(2). Perceived size of small luminous circles, subtending less than 0-5 deg, also increased as a function of contrast at low values of contrast but at very high values of contrast there was a decrease in perceived size. Background luminance had the same effect on the perceived size of circles as on the perceived size of spatial cycles in gratings. Control experiments led to the conclusion that dark adaptation is the primary source of the size effects. The main evidence for this conclusion was obtained from a demonstration that the same background luminance produced either an increase or a decrease in perceived size, depending on the adaptational state of the eye. It was also found that a shift from cone vision to rod vision contributes to the effects, for a stimulus looked smaller on a short-wavelength background than on a long-wavelength background. The size effects can be predicted from the changes of receptive-field properties of single neurones under corresponding conditions of stimulation, if it is assumed that the perception of size is mediated by size-specific channels formed of single neurones. Stimulation that leads to an activation of small receptive fields appears to indicate to the brain the presence of small retinal images. If small receptive fields are experimentally made responsive to larger retinal images, an underestimation of size results.

Dark Adaptation↗

Characterization of perceived hyperoxia in isolated primary cardiac fibroblasts and in the reoxygenated heart.

Under normoxic conditions, pO2 ranges from 90 to <3 torr in mammalian organs with the heart at approximately 35 torr (5%) and arterial blood at approximately 100 torr. Thus, "normoxia" for cells is an adjustable variable. In response to chronic moderate hypoxia, cells adjust their normoxia set point such that reoxygenation-dependent relative elevation of pO2 results in perceived hyperoxia. We hypothesized that O2, even in marginal relative excess of the pO2 to which cells are adjusted, results in the activation of specific O2-sensitive signal transduction pathways that alter cellular phenotype and function. Thus, reperfusion causes damage to the tissue at the focus of ischemia while triggering remodeling in the peri-infarct region by means of perceived hyperoxia. We reported first evidence demonstrating that perceived hyperoxia triggers the differentiation of cardiac fibroblasts (CF) to myofibroblasts by a p21-dependent mechanism (Roy, S., Khanna, S., Bickerstaff, A. A., Subramanian, S. V., Atalay, M., Bierl, M., Pendyala, S., Levy, D., Sharma, N., Venojarvi, M., Strauch, A., Orosz, C. G., and Sen, C. K. (2003) Circ. Res. 92, 264-271). Here, we sought to characterize the genomic response to perceived hyperoxia in CF using GeneChips trade mark. Candidate genes were identified, confirmed and clustered. Cell cycle- and differentiation-associated genes represented a key target of perceived hyperoxia. Bioinformatics-assisted pathway reconstruction revealed the specific signaling processes that were sensitive to perceived hyperoxia. To test the significance of our in vitro findings, a survival model of rat heart focal ischemia-reperfusion (I-R) was investigated. A significant induction in p21 mRNA expression was observed in I-R tissue. The current results provide a comprehensive molecular definition of perceived hyperoxia in cultured CF. Furthermore, the first evidence demonstrating activation of perceived hyperoxia sensitive genes in the cardiac I-R tissue is presented.

Animals↗

Perceived coercion among patients admitted to acute wards in Norway.

Several studies suggest that the patient's experience of being coerced, during the admission process to mental hospitals, does not necessarily correspond with their legal status. Rather, perceived coercion appears to be associated with having experienced force and/or threats (negative pressures), as well as feeling that their views were not taken into consideration in the admission process (process exclusion). We investigated perceived coercion, among patients admitted both voluntarily and involuntarily, to acute wards in Norway. We used a visual analogue scale (the Coercion Ladder, CL) and the MacArthur Perceived Coercion Scale (MPCS), a five-item questionnaire, to measure perceived coercion. Two hundred and twenty-three consecutively admitted patients to four acute wards were included and interviewed within 5 days of admission. Many patients reported high levels of perceived coercion in the admission process, with the involuntary group experiencing significantly higher levels than the voluntary group. However, 32% of voluntarily admitted patients perceived high levels, and 41% of involuntarily admitted patients perceived low levels of coercion. Legal status did not significantly predict perceived coercion on either the MPCS or the CL after taking negative pressures and process exclusion into account. Applying a visual analogue scale (CL) seems to provide a useful measure of patients' perception of coercion and one that largely parallels the MPCS.

Adolescent↗

Perceived stress and physiological dysregulation in older adults.

We use a population-based representative sample of older Taiwanese to investigate links between respondents' perceived levels of stress and a broad set of biological measures. These biomarkers were collected at a single time (2000) and reflect sympathetic nervous system (SNS)-activity, hypothalamo-pituitary-adrenal (HPA)-activity, immune function, cardiovascular function, and metabolic pathways. We model the relationship between perceived stress and (1) extreme values for each of 16 individual biological indicators; and (2) a measure of cumulative physiological dysregulation based on the full set of biomarkers. We consider two measures of perceived stress, one derived from the 2000 interview and the second based on data from three interviews (1996-2000). Age and sex-adjusted models reveal significant associations between measures of perceived stress and extreme values of cortisol, triglycerides, interleukin-6 (IL-6), dehydroepiandrosterone sulphate (DHEAS) and fasting glucose. Examined individually, numerous biomarkers, including those pertaining to blood pressure and obesity, are not significantly related to perceived stress. Jointly, however, the measure of cumulative physiological dysregulation is associated with both the level of perceived stress at a given time and to a longitudinal measure of perceived stress. Some results suggest that the relationship between level of perceived stress and physiological response is stronger for women than men.

Aged↗