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Updated: May 15, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Giving to others and the association between stress and mortality
Michael J Poulin1, Stephanie L Brown, Amanda J Dillard
1Department of Psychology, University at Buffalo, Buffalo, NY 14260, USA. mjpoulin@buffalo.edu
Objectives:
We sought to test the hypothesis that providing help to others predicts a reduced association between stress and mortality.
Methods:
We examined data from participants (n = 846) in a study in the Detroit, Michigan, area. Participants completed baseline interviews that assessed past-year stressful events and whether the participant had provided tangible assistance to friends or family members. Participant mortality and time to death was monitored for 5 years by way of newspaper obituaries and monthly state death-record tapes.
Results:
When we adjusted for age, baseline health and functioning, and key psychosocial variables, Cox proportional hazard models for mortality revealed a significant interaction between helping behavior and stressful events (hazard ratio [HR] = 0.58; P < .05; 95% confidence interval [CI] = 0.35, 0.98). Specifically, stress did not predict mortality risk among individuals who provided help to others in the past year (HR = 0.96; 95% CI = 0.79, 1.18), but stress did predict mortality among those who did not provide help to others (HR = 1.30; P < .05; 95% CI = 1.05, 1.62).
Conclusions:
Helping others predicted reduced mortality specifically by buffering the association between stress and mortality.
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