ISSN: 2706-8870
Volume 7, Number 1 (2022)
Year Launched: 2016
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NON-PHARMACOLOGIC INTERVENTIONS FOR STRESS MANAGEMENT IN COLLEGE STUDENTS

Volume 7, Issue 1, February 2022     |     PP. 54-64      |     PDF (207 K)    |     Pub. Date: February 10, 2022
DOI: 10.54647/cm32770    92 Downloads     4972 Views  

Author(s)

Joanne K. Singleton, College of Health Professions, Pace University, New York, USA
Lucille R. Ferrara, College of Health Professions, Pace University, New York, USA

Abstract
Stress, both positive and negative, is an ever-present part of life for most individuals. College students are most vulnerable for various factors which may include change in living situations, increased degree of learning responsibilities, social factors, and fear of the unknown, to name a few. Providing strategies for the relief of stress that are accessible and practical and do not require pharmacologic intervention were explored. Diaphragmatic breathing and Animal Assisted Activity were two strategies that have been shown to aid in stress relief and were the focus of this study. This randomized controlled study employed three arms, an AAA group, a DB group, and a control group. College students 18 years and older were recruited for participation, which included veterans students. Of the 14 recruited, 10 completed the study. Biomarkers, AA, cortisol, HR, and BP were measured. Two psychometric tests, PSS and SVAS were also used to measure the stress response. Results showed an overall decrease of stress pre and post intervention as reflected in these biomarkers, specifically with AA and cortisol levels. A decrease in the PSS and SVAS was also seen.

Keywords
stress, college students, psychological stress, physiological stress, non-pharmacologic interventions

Cite this paper
Joanne K. Singleton, Lucille R. Ferrara, NON-PHARMACOLOGIC INTERVENTIONS FOR STRESS MANAGEMENT IN COLLEGE STUDENTS , SCIREA Journal of Clinical Medicine. Volume 7, Issue 1, February 2022 | PP. 54-64. 10.54647/cm32770

References

[ 1 ] Albert, L. (2021). College students and stress statistic during Covid 19. Retrieved from https://timely.md/covid19/#uncertainty-survey 2
[ 2 ] American College Health Association. (2019, Spring). National college health assessment: Spring 2019. Reference group executive summary. Retrieved from http://www.acha-ncha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2019.pdf
[ 3 ] American College Health Association. (2014, Spring). National college health assessment: Spring 2014. Reference group executive summary. Retrieved from http://www.acha-ncha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2014.pdf
[ 4 ] Badzek, L., Henaghan, M., Turner, M., & Monsen, R. (2013). Ethical, Legal, and Social Issues in the Translation of Genomics Into Health Care. Journal of Nursing Scholarship, 45(1), 15-24. doi:10.1111/jnu.12000
[ 5 ] Bajorek, K. (2014). The Effects of Pet Therapy on Undergraduate Nursing Students' Perceived Stress and Exam Performance.
[ 6 ] Baram, T., Chen, Y., Burgdorff, C., & Dubé, C. (2008). Short-term Stress Can Affect Learning And Memory. Science Daily, Issue of Mar, 13, 2008.
[ 7 ] Barker, S. B., Barker, R. T., McCain, N. L., & Schubert, C. M. (2016). A randomized cross-over exploratory study of the effect of visiting therapy dogs on college student stress before final exams. Anthrozoös, 29(1), 35-46. doi: 10.1080/08927936.2015.1069988
[ 8 ] Benson H. (1993). Relaxation Response. In D. Goleman & J. Gurin (Eds.), Mindbody Medicine: How to use your mind for better health. (pp. 233-57). New York: Consumer Report Books.
[ 9 ] Beetz, A., Kotrschal, K., Turner, D. C., Hediger, K., Uvnäs-Moberg, K., & Julius, H. (2011). The effect of a real dog, toy dog and friendly person on insecurely attached children during a stressful task: An exploratory study. Anthrozoös, 24(4), 349-368.
[ 10 ] Busch, V., Magerl, W., Kern, U., Haas, J., Hajak, G., & Eichhammer, P. (2012). The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing—an experimental study. Pain Medicine, 13(2), 215-228.
[ 11 ] Callahan, R., & Jarrat, D. (2014). Helping student servicemembers and veterans succeed. Change: The Magazine of Higher Learning, 46(2), 36-41.
[ 12 ] Cate, C. A., & Davis, T. (2016). Today’s scholars: student veteran majors SVA spotlight: Select results from Student Veterans of America 2015 Census, 2(2). Retrieved fromfile:///C:/Users/SherrieMurray/Downloads/SVA%20Spotlight%20Brief%20majors(1).pdf
[ 13 ] Cohen, S., & Janicki‐Deverts, D. (2012). Who's stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. Journal of Applied Social Psychology, 42(6), 1320-1334. doi: 10.1111/j.1559-1816.2012.00900.x
[ 14 ] Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 385-396.
[ 15 ] Cole, K. M., Gawlinski, A., Steers, N., & Kotlerman, J. (2007). Animal-assisted therapy in patients hospitalized with heart failure. American Journal of Critical Care, 16(6), 575-585.
[ 16 ] Cooper, C. L., Dewe, P. J., & O'Driscoll, M. P. (2001). Organizational stress: A review and critique of theory, research, and applications: Sage.
[ 17 ] Friedmann, E., Son, H. & Saleem, M. (2015). The Animal-Human Bond: Health and Wellness. In Handbook on Animal Assisted Therapy: Foundations and Guidelines for Animal-Assisted Interventions (4th ed). N.Y. Elsevier, Academic Press. Fine (Ed.). p. 73-88
[ 18 ] Freund, L. S., McCune, S., Esposito, L., Gee, N. R., & McCardle, P. (2016). The social neuroscience of human-animal interaction. District of Columbia: American Psychological Association.
[ 19 ] Handlin, L., Hydbring-Sandberg, E., Nilsson, A., Ejdebäck, M., Jansson, A., & Uvnäs-Moberg, K. (2011). Short-term interaction between dogs and their owners: effects on oxytocin, cortisol, insulin and heart rate—an exploratory study. Anthrozoös, 24(3), 301-315.
[ 20 ] Hansen, K. M., Messinger, C. J., Baun, M. M., & Megel, M. (1999). Companion animals alleviating distress in children. Anthrozoös, 12(3), 142-148.
[ 21 ] Joëls, M., & Baram, T. Z. (2009). The neuro-symphony of stress. Nature reviews neuroscience, 10(6), 459-466. doi: 10.1038/nrn2632
[ 22 ] Krause-Parello, C. A., Sarni, S., & Padden, E. (2016). Military veterans and canine assistance for post-traumatic stress disorder: A narrative review of the literature. Nurse Education Today, 47, 43-50.
[ 23 ] Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., Li, Y. F. (2017). The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults. Frontiers in Psychology, 8, 874. doi:10.3389/fpsyg.2017.00874
[ 24 ] Muscatell, K. A., & Eisenberger, N. I. (2012). A social neuroscience perspective on stress and health. Social and Personality Psychology Compass, 6(12), 890-904. doi: 10.1111/j.1751-9004.2012.00467.x
[ 25 ] Norman, S. B., Rosen, J., Himmerich, S., Myers, U. S., Davis, B., Browne, K. C., Piland, N. (2015). Student veteran perceptions of facilitators and barriers to achieving academic goals. Journal of Rehabilitation Research and Development; Washington, 52(6), 701-712.
[ 26 ] Perciavalle, V., Blandini, M., Fecarotta, P., Buscemi, A., Di Corrado, D., Bertolo, L., Coco, M. (2017). The role of deep breathing on stress. Neurological Sciences, 38(3), 451-458.
[ 27 ] Rabkin, J. G., & Struening, E. L. (1976). Life events, stress, and illness. Science, 194(4269), 1013-1020.
[ 28 ] Revert-Villarroya, S., Orterg, L., Lavedan, O., Mascot, Burjales-Marti, M.D., Ballester-Ferrando, D., Fuentes-Pumarola, C., & Botigue, T. (2021). The influence of Covid 19 on the mental health of final-year nursing students: Comparing the situation before and during the pandemic. International Journal of Mental Health Nursing, https://onlinlibrary. Wiley.com/doi/epdf/10.1111/inm.12827
[ 29 ] Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10‐item version of the perceived stress scale. Journal of College Counseling, 9(2), 135-147.
[ 30 ] Selye, H. (1979). The stress of my life: a scientist's memoirs: New York; Toronto; Van Nostrand Reinhold.
[ 31 ] Sundram, B. M., Dahlui, M., & Chinna, K. (2014). "Taking my breath away by keeping stress at bay" - an employee assistance program in the automotive assembly plant. Iranian Journal of Public Health, 43(3), 263-272.
[ 32 ] University of California - Irvine. (2008, March 13). Short-term Stress Can Affect Learning And Memory. ScienceDaily. Retrieved November 4, 2017 from www.sciencedaily.com/releases/2008/03/080311182434.htm