Wise Interventions and Responses to Stress
Condition: Stress, Physiological; Stress, Psychological; Social Stress; Depression
MeSH terms: Stress, Psychological
Study type: Interventional

Summary: 
      This study compares the effects of two wise interventions (implicit theory of personality
      intervention and implicit theory of personality intervention plus self-affirmation) with a
      control condition in the stress responses of young adults. Responses include respiratory
      sinus arrhythmia, heart rate, skin conductance level, cortisol levels, and mood.
    

Detailed description: 
      Whereas several studies indicate that implicit theory of personality interventions (ITP) are
      promising in the prevention of depressive symptoms, evidence about the effects of the ITP
      intervention on stress pathways is scarce. The current study aims to elucidate the effects of
      ITP on psychophysiological responses to social stress in young adults during their transition
      to university. Based on preliminary findings that ITP was more effective among younger
      adolescents in reducing depressive symptoms and that a combination of ITP with
      self-affirmation (SA) was more effective in the prevention of other risky behaviors, the
      current study proposes that the addition of a SA component could increase the effectiveness
      of the ITP intervention when responding to stress. Thus, this study compares the effects of
      the ITP alone and in combination with a SA component in psychophysiological responses to a
      standardized social stressor (the Trier Social Stress Test, TSST). Both interventions (i.e.,
      ITP+SA and ITP) are compared with a control condition (CC) in indicators of the autonomic
      nervous system (heart rate -HR-, respiratory sinus arrhythmia -RSA-, skin conductance level
      -SCL-), the hypothalamic-pituitary-adrenal axis (cortisol level), and subjective mood. The
      investigators expect that participants in both ITP interventions, and in ITP+SA intervention
      in particular, will display better stress responses during the stressful tasks compared with
      participants in the CC (i.e., lower HR and SCL increase, lower RSA suppression, and lower
      cortisol and negative mood increase). The investigators also expect that participants would
      display better recovery after the stressful tasks (i.e., higher HR and SCL decrease, and
      higher RSA increase).

      Finally, this research will examine whether depressive symptoms moderate the effects of the
      intervention on stress responses. Previous research has shown that depression has been
      associated with dysregulated stress responses both at the autonomic nervous system and
      hypothalamic-pituitary-adrenal axis. Moreover, some studies have found that interventions are
      more effective among participants at risk to reduce both depression and stress. Therefore,
      the ITP intervention, alone and in combination with SA, could be more beneficial among those
      participants with higher levels of depressive symptoms.
    

Intervention name(s): ITP+SA Wise intervention; ITP Wise intervention; Control condition
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): Intervention designed to promote well-being and resilience in late adolescents and young adults. It includes two components: a self-affirmation (SA) activity and an ITP intervention. The SA component includes a list of values so that they could choose the three most important for them. Next, they are asked to write why those selected values are the most important to them. The ITP component resembled the intervention developed by David S. Yeager and colleagues and it was adapted to first year university students. It consisted of three parts. First, participants are asked to read scientific studies that provide evidence that behaviors are controlled pathways in the brain that have the potential to be changed under the right circumstances. Second, participants read several testimonials purportedly written by second year university students to bring credibility to the ITP. Finally, participants are asked to write their own version of such a narrative (self-persuasive writing exercise).; Intervention designed to promote well-being and resilience in late adolescents and young adults based on four general types of change strategies: (1) scientific knowledge, (2) generation of new meanings, (3) commitment through action, and (4) active reflection. It includes the ITP component described above for the ITP+SA Wise intervention.; The control intervention was designed to have a similar structure than the experimental interventions, including also reading and writing tasks, but that they were not in any way related to the contents of the experimental interventions. In particular, participants were asked to read an article about the fire that took place in the Notre Dame cathedral in Paris that had been recently published in a newspaper. Starting from the accident of the Notre Dame cathedral, the article focuses on reflecting on the problem of heritage conservation and analyzing the situation of other important cathedrals. After reading the article, the participants were asked to write a few lines evaluating in their opinion the importance of the conservation of historical buildings such as those mentioned and how much of the public economic budget should be used for heritage conservation.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Participants were randomized (balanced for sex and levels of depression and social anxiety) to one of three groups (i.e., ITP+SA, ITP, and CC) in parallel for the duration of the study.
Given the relevance of depression and social anxiety during stress tasks such as the TSST, these measures were used to balance participants within intervention and control groups. Specifically, a cluster analysis using mean scores on depression and social anxiety was conducted, resulting in a four-cluster solution according to the participants' level of depression and social anxiety. One-third of the males of each cluster and one-third of the females of each cluster were randomly assigned to each of the experimental conditions (i.e., ITP+SA, ITP, and CC). This allowed the three conditions to be balanced in gender and social anxiety and depression scores
Masking: Single (Participant)
Primary purpose: Prevention
Keywords: Trier Social Stress Test; Social Stress; Stress reactivity; Heart Rate; Respiratory Sinus Arrhythmia; Skin Conductance Level; Cortisol; Mood; Young Adults