Institute of Sociology NASU

Multidimensionality of stress: risk factors and protective factors for health outcomes

stmm. 2025 (3): 175–196

DOI https://doi.org/10.15407/sociology2025.03.175

Full text: https://stmm.in.ua/archive/ukr/2025-3/11.pdf

KATERYNA MALTSEVA, Dr. habil. in Sociology, Associate Professor, Head of the Department of Sociology, NaUKMA (8/5, Volos`ka St., Build. 4, Kyiv, 04655)

maltsevaKS@ukma.edu.ua

http://orcid.org/0000-0001-6540-8734

In research literature stress is characterized as a multidimensional phenomenon that comprises antecedents of stress, its cognitive appraisal, emotional and physiological consequences, as well as coping strategies. Stress response is an ontologically ancient adaptation that has been inextricably connected to all biological life. Stress response is instrumental to help the organism react to the signals of danger more efficiently and adapt to environmental changes that otherwise threaten its integrity, health, or life. Stress response is considered adaptive (i.e. helpful) as it allows an organism to mobilize in order to address the stressor and then to recover its balance once the mobilization necessary to address the stressful situation has taken place. However, when the stressor is prolonged, traumatic, or chronic, the stress exposure can result in pathological changes in human physiology or mental health. Different stressors affects different individuals and situations differently, which should be taken into consideration when developing stress measures as different stressors can have dissimilar potential to leave their mark on human physiology or immunity. This work reviews stressors typologies based on stress duration, intensity and character. Theoretical models that deal with stress and stress dynamics have undergone some changes; metrics of stress have been also subject to evolutionary changes, recently privileging those instruments that can efficiently combine the effects of acute and chronic stress. An important aspect of understanding the effects of stress on health is the distinction between the effects of the objective stress exposure and that of perceived, subjective stress on health outcomes, as well as a good grasp of the protective resources of resilience to stress. This article sheds light on the protective factors that boost resilience — social relationships, optimistic disposition, forgiveness, and reacting to failure with self-compassion — from the point of view of the theoretical explanations (i.e. mechanisms) and on the basis of empirical data.

Keywords: stress; stressors; stress exposure; perceived stress; resilience; health; nomological network; measurement

References:

1. Bishevets, N.H., Andreeva, O.V. (2024). The impact of stressogenic factors on health and behavioral disorders among student youth. [In Ukrainian]. In: Sports Medicine, Physical Therapy and Occupational Therapy.

2. Brenner, S.L., Jones, J.P., Rutanen-Whaley, R.H., Parker, W., Flinn, M.V., & Muehlenbein, M.P. (2015). Evolutionary mismatch and chronic psychological stress. Journal of Evolutionary Medicine, 3, 1-11. https://doi.org/10.4303/jem/235885

3. Brissette, I., Scheier, M.F., & Carver, C.S. (2002). The role of optimism in social network development, coping, and psychological adjustment during a life transition. Journal of Personality and Social Psychology, 82(1), 102-111. https://doi.org/10.1037/0022-3514.82.1.102

4. Carver, C.S. & Scheier, M.F. (2017). Optimism, coping, and well-being. In: Cooper, C.L. & Campbell, J. (Eds.), The Handbook of Stress and Health: A Guide to Research and Practice. 1st edn. (ch. 24, pp. 400-414). New York: John Wiley & Sons. https://doi.org/10.1002/9781118993811.ch24

5. Carver, C.S., Scheier, M.F., & Segerstrom, S.C. (2010). Optimism. Clinical Psychology Review, 30(7), 879-889. https://doi.org/10.1016/j.cpr.2010.01.006

6. Charles, S.J., Stevenson, C., Wakefield, J.R.H., & Fino, E. (2023). Diversity of group memberships predicts well-being: Cross-sectional and longitudinal evidence. Personality and Social Psychology Bulletin, 1-14. https://doi.org/10.1177/01461672231202278

7. Christensen, D., Dich, N., Flensborg-Madsen, T., Garde, E., Hansen, Å., & Mortensen, E. (2019). Objective and subjective stress, personality, and allostatic load. Brain and Behavior, 9(9), 1-11. https://doi.org/10.1002/brb3.1386

8. Cohen, S., Gottlieb, B.H., & Underwood, L.G. (2001). Social relationships and health: Challenges for measurement and intervention. Advances in Mind-Body Medicine, 17(2), 129-141.

9. Cohen, S., Gottlieb, B.H., Underwood, L.G. (2000). Social relationships and health. In: S. Cohen, L.G. Underwood, B.H. Gottlieb (Eds.), Measuring and intervening in social support (pp. 3-25). New York: Oxford University Press. https://doi.org/10.1093/med:psych/9780195126709.003.0001

10. Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007). Psychological stress and disease. Journal of the American Medical Association, 298(14), 1685-1687. https://doi.org/10.1001/jama.298.14.1685

11. Cohen, S., Murphy, M.L. M., & Prather, A.A. (2018). Ten surprising facts about stressful life events and disease risk. Annual Review of Psychology, 70(1), 1-21. https://doi.org/10.1146/annurev-psych-010418-102857

12. Crosswell, A.D. & Lockwood, K.G. (2020). Best practices for stress measurement: How to measure psychological stress in health research. Health Psychology Open, 7(2), 2055102920933072. https://doi.org/10.1177/2055102920933072

13. Cundiff, J.M., Boylan, J.M., & Muscatell, K.A. (2020). The pathway from social status to physical health: Taking a closer look at stress as a mediator. Current Directions in Psychological Science, 29(2), 147-153. https://doi.org/10.1177/0963721420901596

14. David-Barrett, T. (2019). Network effects of demographic transition. Science Reports, 9, 2361. https://doi.org/10.1038/s41598-019-39025-4

15. Dembitskyi, S., Stepanenko, V., Zlobina, O., Golovakha, Ye., Naidyonova, L. (2024). Psychological stressors of wartime: prevalence and effects among the population of Ukraine. [In Ukrainian]. Sociology: Theory, Methods, Marketing, 4, 5-26. https://doi.org/10.15407/sociology2024.04.005

16. Dorsey, A., Scherer, E., Eckhoff, R., & Furberg, R. (2022). Measurement of human stress: A multidimensional approach [Internet]. Research Triangle Park (NC): RTI Press, 2022 Jun. https://doi.org/10.3768/rtipress.2022.op.0073.2206

17. Elliot, G.R. & Eisdorfer, C. (1982). Stress and human health: An analysis and implications of research. A study by the Institute of Medicine, National Academy of Sciences. New York: Springer Publishing.

18. Engel, G.L. (1977). The need for a new medical model: a challenge for biomedicine. Science (New York, N.Y.), 196(4286), 129-136. https://doi.org/10.1126/science.847460

19. Epel, E.S., Crosswell, A.D., Mayer, S.E., Prather, A.A., Slavich, G.M., Puterman, E., & Mendes, W.B. (2018). More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 49, 146-169. https://doi.org/10.1016/j.yfrne.2018.03.001

20. Fauver, M., Clark, E.M., & Schwartz, C.E. (2024). A new framework for understanding stress and disease: The developmental model of stress as applied to multiple sclerosis. Frontiers in Integrative Neuroscience, 18, 1365672. https://doi.org/10.3389/fnint.2024.1365672

21. Fitzgerald, K.N., Hodges, R., Hanes, D., Stack, E., Cheishvili, D., Szyf, M., ... & Bradley, R. (2021). Potential reversal of epigenetic age using a diet and lifestyle intervention: a pilot randomized clinical trial. Aging, 13(7), 9419-9432. https://doi.org/10.18632/aging.202913

22. Goetz, J.L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary analysis and empirical review. Psychological Bulletin, 136(3), 351-374. https://doi.org/10.1037/a0018807

23. Holmes, T.H., & Rahe, R.H. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11(2), 213-218. https://doi.org/10.1016/0022-3999(67)90010-4

24. Holt-Lunstad, J., Smith, T.B., & Layton, J.B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316

25. House, J.S., Landis, K.R., & Umberson, D. (1988) Social relationships and health. Science, 241, 540-545. https://doi.org/10.1126/science.3399889

26. Hughes, B.M., Steffen, P.R., & Thayer, J.F. (2018). The psychophysiology of stress and adaptation: Models, pathways, and implications. International Journal of Psychophysiology, 131, 1-3. https://doi.org/10.1016/j.ijpsycho.2018.06.003

27. Ivanova, O.S. (2022). Relationship between stress level, self-assessed stress resilience, and coping behavior strategies. [In Ukrainian]. Dnipro Scientific Journal of Public Administration, Psychology, and Law, 2, 109-116.

28. Kappes, A., Yan, X., Crockett, M.J., & Ma, Y. (2025). Cultural differences in vicarious optimism. Personality and Social Psychology Bulletin, 0(0). https://doi.org/10.1177/01461672251319566

29. Kellezi, B., Wakefield, J.R.H., Stevenson, C., McNamara, N., Mair, E., Bowe, M., Wilson, I., & Halder, M.M. (2019). The social cure of social prescribing: А mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision. BMJ open, 9(11), e033137. https://doi.org/10.1136/bmjopen-2019-033137

30. Kiecolt-Glaser, J.K., Renna, M.E., Shrout, M.R., & Madison, A.A. (2020). Stress reactivity: What pushes us higher, faster, and longer - and why it matters. Current Directions in Psychological Science, 096372142094952. https://doi.org/10.1177/0963721420949521

31. Lasselin, J., Karshikoff , B., Axelsson, J., Åkerstedt, T., Benson, S., Engler, H., Schedlowski, ... , & Andreasson, A. (2020). Fatigue and sleepiness responses to experimental inflammation and exploratory analysis of the effect of baseline inflammation in healthy humans. Brain, Behavior, and Immunity, 83, 309-314. https://doi.org/10.1016/j.bbi.2019.10.020

32. Lazarus, R.S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.

33. McEwen, B.S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87(3), 873-904. https://doi.org/10.1152/physrev.00041.2006

34. McEwen, B.S. (2019). The good side of "stress." Stress, 1-2. https://doi.org/10.1080/10253890.2019.1631794

35. McLeod, J. (2012). The meanings of stress. Society and Mental Health, 2(3), 172-186. https://doi.org/10.1177/2156869312452877

36. McPherson, M. & Smith-Lovin, L. (2006). Social isolation in America: Changes in core discussion networks over two decades. American Sociological Review, 71, 353-375. https://doi.org/10.1177/000312240607100301

37. Miller, G., Chen, E., Fok, A., Walker, H., Lim, A., & Nicholls, E. et al. (2009). Low early-life social class leaves a biological residue manifested by decreased glucocorticoid and increased proinflammatory signaling. Proceedings of the National Academy of Sciences, 106(34), 14716-14721. https://doi.org/10.1073/pnas.0902971106

38. Miller, K.E. & Rasmussen, A. (2010). War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks. Social Science & Medicine, 70(1), 7-16. https://doi.org/10.1016/j.socscimed.2009.09.029

39. Morton, P.M., & Ferraro, K.F. (2020). Early social origins of biological risks for men and women in later life. Journal of Health and Social Behavior, 61(4), 503-522. https://doi.org/10.1177/0022146520966364

40. Mullainathan, S. & Shafir, E. (2013). Scarcity: Why having too little means so much. NY: Times Books.

41. Neff, K.D., Tóth-Király, I. (2022). Self-Compassion Scale (SCS). In: O.N. Medvedev, C.U., Krägeloh, R.J., Siegert, N.N., Singh (Eds.), Handbook of Assessment in Mindfulness Research (pp. 1-22). Springer, Cham. https://doi.org/10.1007/978-3-030-77644-2_36-1

42. Nes, L.S. & Segerstrom, S.C. (2006). Dispositional optimism and coping: A meta-analytic review. Personality and Social Psychology Review, 10(3), 235-251. https://doi.org/10.1207/s15327957pspr1003_3

43. Olvera Alvarez, H.A., Provencio-Vasquez, E., Slavich, G.M., Laurent, J.G.C., Browning, M., McKee-Lopez, G., ... Spengler, J.D. (2019). Stress and health in nursing students. Nursing Research, 68(6), 453-463. https://doi.org/10.1097/NNR.0000000000000383

44. Pearlin, L.I. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30(3), 241-256. https://doi.org/10.2307/2136956

45. Pearlin, L.I. & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19(1), 2-21. https://doi.org/10.2307/2136319

46. Pommier, E., Neff, K.D., & Tóth-Király, I. (2019). The development and validation of the Compassion Scale. Assessment, 27(1), 21-39. https://doi.org/10.1177/1073191119874108

47. Prati, G. (2025). Does religious-service attendance increase mental health? A random-intercept cross-lagged panel analysis across 18 Years. Psychological Science, 0(0). https://doi.org/10.1177/09567976251325449

48. Putnam, R.D. (2000). Bowling alone: The collapse and revival of American community. New York, NY: Simon & Schuster. https://doi.org/10.1145/358916.361990

49. Reynolds, J.R. & Turner, R. J. (2008). Major life events: Their personal meaning, resolution, and mental health significance. Journal of Health and Social Behavior, 49(2), 223-237. https://doi.org/10.1177/002214650804900208

50. Sapolsky, R.M. (2021). Glucocorticoids, the evolution of the stress-response, and the primate predicament. Neurobiology of Stress, 14, 100320. https://doi.org/10.1016/j.ynstr.2021.100320

51. Schieman, S. (2019). Ordinary lives and the sociological character of stress: How work, family, and status contribute to emotional inequality. Society and Mental Health, 9(2), 127-142. https://doi.org/10.1177/2156869319844805

52. Schnittker, J. (2025). The sociology of mental health and the twenty-first-century mental health crisis. Society and Mental Health, 15(1), 1-16. https://doi.org/10.1177/21568693241303685

53. Segerstrom, S. C. & Miller, G. E. (2004). Psychological stress and the human immune system: A meta-analytic study of 30 years of inquiry. Psychological Bulletin, 130(4), 601-630. https://doi.org/10.1037/0033-2909.130.4.601

54. Segerstrom, S.C. (2005). Optimism and immunity: Do positive thoughts always lead to positive effects? Brain, Behavior, and Immunity, 19(3), 195-200. https://doi.org/10.1016/j.bbi.2004.08.003

55. Segerstrom, S.C. (2007). Optimism and resources: Effects on each other and on health over 10 years. Journal of Research in Personality, 41(4), 772-786. https://doi.org/10.1016/j.jrp.2006.09.004

56. Segerstrom, S.C. & Nes, L.S. (2006). When goals conflict but people prosper: The case of dispositional optimism. Journal of Research in Personality, 40(5), 675-693. https://doi.org/10.1016/j.jrp.2005.08.001

57. Segerstrom, S.C. & O'Connor, D.B. (2012). Stress, health and illness: Four challenges for the future. Psychology & Health, 27(2), 128-140. https://doi.org/10.1080/08870446.2012.659516

58. Selye, H. (1936). A syndrome produced by diverse nocuous agents. Nature, 138, 32. https://doi.org/10.1038/138032a0

59. Shi, W. (2024). The effects of cognitive self-consciousness, cultural values, and socioeconomic context on anxiety in youth: A meta-analysis. Journal of Cross-Cultural Psychology, 0(0). https://doi.org/10.1177/00220221241294222

60. Shields, G.S., Fassett-Carman, A., Gray, Z.J., Gonzales, J.E., Snyder, H.R., & Slavich, G.M. (2023). Why is subjective stress severity a stronger predictor of health than stressor exposure? A preregistered two-study test of two hypotheses. Stress and Health, 39(1), 87-102. https://doi.org/10.1002/smi.3165

61. Slavich, G.M. & Shields, G.S. (2018). Assessing lifetime stress exposure using the Stress and Adversity Inventory for Adults (Adult STRAIN): An overview and initial validation. Psychosomatic Medicine, 80(1), 17-27. https://doi.org/10.1097/PSY.0000000000000534

62. Slavich, G.M., Roos, L.G., Mengelkoch, S., Webb, C.A., Shattuck, E.C., Moriarity, D.P., & Alley, J.C. (2023). Social Safety Theory: Conceptual foundation, underlying mechanisms, and future directions. Health Psychology Review, 17(1), 5-59. https://doi.org/10.1080/17437199.2023.2171900

63. Thoits, P.A. (1983). Multiple identities and psychological well-being: A reformulation and test of the social isolation hypothesis. American Sociological Review, 48, 174-187. https://doi.org/10.2307/2095103

64. Turner, A.I., Smyth, N., Hall, S.J., Torres, S.J., Hussein, M., Jayasinghe, S.U., ... Clow, A.J. (2020). Psychological stress reactivity and future health and disease outcomes: A systematic review of prospective evidence. Psychoneuroendocrinology, 104599. https://doi.org/10.1016/j.psyneuen.2020.104599

65. Uchida, Y., Kitayama, S., Akutsu, S., Park, J., & Cole, S.W. (2018). Optimism and the conserved transcriptional response to adversity. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 37(11), 1077-1080. https://doi.org/10.1037/hea0000675

66. Wheaton, B., Young, M., Montazer, S., & Stuart-Lahman, K. (2013). Social stress in the twenty-first century. In: C.S. Aneshensel, J.C. Phelan, & A. Bierman (Eds.), Handbook of the sociology of mental health (2nd edn., pp. 299-323). Springer Science + Business Media. https://doi.org/10.1007/978-94-007-4276-5_15

67. Yang, X., Sun, P., Yao, X., & Kou, Y. (2025). The reciprocal relationship between prosocial behaviour and self-perceived physical health: The role of positive affect and openness to experience. Journal of Health Psychology, 30(6), 1242-1257. https://doi.org/10.1177/13591053241267095

68. Zlobina, O.H. (2024). Factors supporting population resilience during wartime. [In Ukrainian]. In: Ukrainian Society in Conditions of War. Year 2024 / Ed. by Cor. Member of NAS of Ukraine, D-r of Philosophy Ye. Golovakha; Cor. Member of NAS of Ukraine, D-r of Sociology S. Dembitskyi (сh. 5, pp. 132-150). Kyiv: Institute of Sociology, NAS of Ukraine.

69. Zlobina, O. & Dembitskyi, S. (2024). The impact of positive and negative expectations on the psychological state of the population: dispositional optimism vs prolonged stress. [In Ukrainian]. Sociological Studios, 1(24), 24-33.

Received 06.05.2025