Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health

To examine risk and resilience factors that affect health, lifetime stress exposure histories, dispositional forgiveness levels, and mental and physical health were assessed in 148 young adults. Greater lifetime stress severity and lower levels of forgiveness each uniquely predicted worse mental and physical health. Analyses also revealed a graded Stress × Forgiveness interaction effect, wherein associations between stress and mental health were weaker for persons exhibiting more forgiveness. These data are the first to elucidate the interactive effects of cumulative stress severity and forgiveness on health, and suggest that developing a more forgiving coping style may help minimize stress-related disorders.

[1]  E. Epel,et al.  Black sheep get the blues: A psychobiological model of social rejection and depression , 2010, Neuroscience & Biobehavioral Reviews.

[2]  E. Mullet,et al.  Forgivingness , 2001 .

[3]  Sonia Suchday,et al.  The impact of forgiveness on cardiovascular reactivity and recovery. , 2007, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[4]  R. Kessler,et al.  Short screening scales to monitor population prevalences and trends in non-specific psychological distress , 2002, Psychological Medicine.

[5]  Carmen Lara,et al.  Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative , 2010, International journal of methods in psychiatric research.

[6]  N. Decourville,et al.  Positive Affect, Negative Affect, Stress, and Social Support as Mediators of the Forgiveness-Health Relationship , 2012, The Journal of social psychology.

[7]  Everett L. Worthington,et al.  PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN Berry et al. / MEASUREMENT OF FORGIVINGNESS Dispositional Forgivingness: Development and Construct Validity of the Transgression Narrative Test of Forgivingness (TNTF) , 2001 .

[8]  Timothy B. Smith,et al.  Social Relationships and Mortality Risk: A Meta-analytic Review , 2010, PLoS medicine.

[9]  S. Cole,et al.  The Emerging Field of Human Social Genomics , 2013, Clinical psychological science : a journal of the Association for Psychological Science.

[10]  D. Krahn,et al.  Effects of forgiveness therapy on anger, mood, and vulnerability to substance use among inpatient substance-dependent clients. , 2004, Journal of consulting and clinical psychology.

[11]  R. Enright,et al.  Intervention Studies on Forgiveness: A Meta‐Analysis , 2004 .

[12]  S. Folkman,et al.  Stress, Appraisal, and Coping. New York, NY: Springer; , 1984 .

[13]  Jon R. Webb,et al.  Forgiveness and health-related outcomes among people with spinal cord injury , 2010, Disability and rehabilitation.

[14]  Everett L. Worthington,et al.  Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: theory, review, and hypotheses , 2004 .

[15]  W. H. Jones,et al.  A Change of Heart: Cardiovascular Correlates of Forgiveness in Response to Interpersonal Conflict , 2003, Journal of Behavioral Medicine.

[16]  F. Seguin,et al.  Effects of stress throughout the lifespan on the brain, behaviour and cognition , 2009 .

[17]  R L Helmreich,et al.  Impatience versus achievement strivings in the type A pattern: differential effects on students' health and academic achievement. , 1987, The Journal of applied psychology.

[18]  J. Berry,et al.  Forgivingness, vengeful rumination, and affective traits. , 2005, Journal of personality.

[19]  R. Enright,et al.  The psychology of interpersonal forgiveness. , 1998 .

[20]  Jennifer E. Graham,et al.  Stress, Age, and Immune Function: Toward a Lifespan Approach , 2006, Journal of Behavioral Medicine.

[21]  E. Worthington,et al.  But Do They Work? A Meta-Analysis of Group Interventions to Promote Forgiveness , 2005 .

[22]  J. Bower,et al.  Childhood Adversity and Cumulative Life Stress , 2014, Clinical psychological science : a journal of the Association for Psychological Science.

[23]  Jameson K. Hirsch,et al.  Forgiveness and Health: Assessing the Mediating Effect of Health Behavior, Social Support, and Interpersonal Functioning , 2013, The Journal of psychology.

[24]  L. Toussaint,et al.  Forgive to Live: Forgiveness, Health, and Longevity , 2012, Journal of Behavioral Medicine.

[25]  Pietro Pietrini,et al.  Forgiveness, Health, and Well-Being: A Review of Evidence for Emotional Versus Decisional Forgiveness, Dispositional Forgivingness, and Reduced Unforgiveness , 2007, Journal of Behavioral Medicine.

[26]  N. Krause,et al.  Self-Forgiveness and Mortality in Late Life , 2013 .

[27]  P. Strelan,et al.  A REVIEW OF FORGIVENESS PROCESS MODELS AND A COPING FRAMEWORK TO GUIDE FUTURE RESEARCH , 2006 .

[28]  Sheldon Cohen,et al.  Psychological stress and disease. , 2007, JAMA.

[29]  M. Irwin,et al.  From stress to inflammation and major depressive disorder: a social signal transduction theory of depression. , 2014, Psychological bulletin.

[30]  Jason E. Neufeld,et al.  Dispositional forgiveness of self, others, and situations. , 2005, Journal of personality.

[31]  Shelley E. Taylor,et al.  Mechanisms linking early life stress to adult health outcomes , 2010, Proceedings of the National Academy of Sciences.

[32]  L. Toussaint,et al.  Prospective associations between unforgiveness and physical health and positive mediating mechanisms in a nationally representative sample of older adults , 2014, Psychology & health.

[33]  Katie A McLaughlin,et al.  Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety: longitudinal evidence in early adolescents and adults. , 2013, Journal of abnormal psychology.

[34]  E. Worthington Handbook of Forgiveness , 2007 .

[35]  R. Enright,et al.  The effects of a forgiveness intervention on patients with coronary artery disease. , 2009, Psychology & health.

[36]  H. Orcutt,et al.  EXPERIENTIAL AVOIDANCE AND FORGIVENESS AS MEDIATORS IN THE RELATION BETWEEN TRAUMATIC INTERPERSONAL EVENTS AND POSTTRAUMATIC STRESS DISORDER SYMPTOMS , 2005 .

[37]  A. Baum,et al.  The Handbook of Stress Science: Biology, Psychology, and Health , 2010 .

[38]  Jon R. Webb,et al.  Theoretical and Empirical Connections Between Forgiveness, Mental Health, and Well-Being , 2005 .

[39]  V. K. Kumar,et al.  Willingness to forgive: relationships with mood, anxiety and severity of symptoms , 2005 .

[40]  Jameson K. Hirsch,et al.  Forgiveness, depression, and suicidal behavior among a diverse sample of college students. , 2011, Journal of clinical psychology.

[41]  E. Kelloway,et al.  The Physical Health Questionnaire (PHQ): construct validation of a self-report scale of somatic symptoms. , 2005, Journal of occupational health psychology.

[42]  David R. Williams,et al.  The association of forgiveness and 12-month prevalence of major depressive episode: Gender differences in a probability sample of U.S. adults , 2008 .

[43]  B. McEwen,et al.  Effects of stress throughout the lifespan on the brain, behaviour and cognition , 2009, Nature Reviews Neuroscience.

[44]  B. Compas,et al.  Interaction of cognitive appraisals of stressful events and coping: Testing the goodness of fit hypothesis , 1987, Cognitive Therapy and Research.

[45]  C. Hammen,et al.  Daily stress reactivity and serotonin transporter gene (5-HTTLPR) variation: internalizing responses to everyday stress as a possible transdiagnostic phenotype , 2014, Biology of Mood & Anxiety Disorders.

[46]  W. H. Jones,et al.  The Unique Effects of Forgiveness on Health: An Exploration of Pathways , 2005, Journal of Behavioral Medicine.

[47]  E. Worthington Forgiving and Reconciling: Bridges to Wholeness and Hope , 2003 .

[48]  Leonard I. Pearlin,et al.  Stress, Health, and the Life Course: Some Conceptual Perspectives∗ , 2005, Journal of health and social behavior.