Elissa S Epel
Biographic Data
| ID | 85011 |
|---|---|
| NAME | Elissa S Epel |
| GIVEN NAMES | Elissa S |
| FAMILY NAME | Epel |
| SIGNATURE | EPEL E S |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0002-9334-4720 |
| VERIFIED | Yes |
| TOTAL WORKS | 61 |
| TOTAL CITATIONS | 194 |
| AUTHOR COUNT | 61 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 7 |
Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis
OBJECTIVE: The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change. METHOD: We identify mitigation and …
New Directions in Geroscience
The “geroscience hypothesis” posits that slowing the physiological processes of aging would lead to delayed disease onset and longer healthspan and lifespan. This shift from a focus on solely treating existing disease to slowing the aging process is a shift toward prevention, including a focus on risk factors found in the social environment. Although geroscience traditionally has focused on the molecular and cellular drivers of biological aging, …
Did a workplace sugar-sweetened beverage sales ban reduce anxiety-related sugar-sweetened beverage consumption during the Covid-19 pandemic
Objective: Workplace sugar-sweetened beverage (SSB) sales bans can reduce SSB consumption. Because stress and anxiety can promote sugar consumption, we examined whether anxiety among hospital employees during the COVID-19 pandemic was associated with changes in SSB consumption and explored whether this relationship varied by exposure to a workplace SSB sales ban. Design: In a prospective, controlled trial of workplace SSB sales bans, we examined …
Stress-induced eating in rural adolescents
Food insecurity, poor diet, and metabolic measures
Is it me or my child? The association between maternal depression and children's behavior problems in mothers and their children with or without autism
Bidirectional associations between maternal depression and child behavior problems have been reported in prior research, however, few studies examine these relations across varied family contexts. This study examined parenting stress and child diagnosis of autism spectrum disorder (ASD) as moderators of bidirectional associations between maternal depression and child behavior problems over time. Our sample included 86 mother–child dyads who repor…
Behavioral Medicine Research Council (BMRC) Statement Papers
Psychosomatic Medicine, founded in 1939, is the official organ of the American Psychosomatic Society. It publishes experimental and clinical studies dealing with various aspects of the relationships among social, psychological, and behavioral factors and bodily processes in humans and animals. It is an international, interdisciplinary journal devoted to experimental and clinical investigation in behavioral biology, psychiatry, psychology, physiol…
A Lens on Caregiver Stress in Cancer
OBJECTIVE: Family members are typically the primary caregivers of patients with chronic illnesses. Family caregivers of adult relatives with cancer are a fast-growing population, yet the physical consequences of their stress due to the cancer in the family have been poorly understood. This study examined the bidirectional relations of the perceived stress of family caregivers of individuals recently diagnosed with cancer and leukocyte cellular ag…
Acute and Chronic Stress Associations With Blood Pressure
OBJECTIVE: This study examined the within- and between-person associations of acute and chronic stress with blood pressure (BP) and heart rate (HR) using an app-based research platform. METHODS: We examined data from 31,964 adults (aged 18-90 years) in an app-based ecological momentary assessment study that used a research-validated optic sensor to measure BP. RESULTS: Within-person associations revealed that moments with (versus without) acute s…
Controlled trial of a workplace sales ban on sugar-sweetened beverages
Objective: To examine the effectiveness of a workplace sugar-sweetened beverage (SSB) sales ban on reducing SSB consumption in employees, including those with cardiometabolic disease risk factors. Design: A controlled trial of ethnically diverse, full-time employees who consumed SSB heavily (sales ban n 315; control n 342). Outcomes included standardised measures of change in SSB consumption in the workplace (primary) and at home between baseline…
Author Correction
Prosociality should be a public health priority
Improving the Language Specificity of Stress in Psychological and Population Health Science
Effects of Early Life Adversity on Pubertal Timing and Tempo in Black and White Girls
Screening for early life abuse may help address health disparities related to earlier pubertal timing
The Effects of a Prenatal Mindfulness Intervention on Infant Autonomic and Behavioral Reactivity and Regulation
OBJECTIVE: Maternal health and wellness during pregnancy are associated with long-term health outcomes in children. The current study examined whether infants of women who participated in a mindfulness-based intervention during pregnancy that reduced levels of stress and depression, increased physical activity, and improved glucose tolerance differed on biobehavioral markers of psychopathological and physical health risk compared with infants of …
The role of interparental relationship variability in parent–child interactions
Objective The goal of this study was to examine how variability in interparental relationship functioning predicts the quality of parent–child interactions in daily life among families in which a child had autism spectrum disorder (ASD), and families of neurotypical children. Background Parent–child interactions predict a host of key outcomes for children, and one contributor to the health of parent–child interactions is the quality of the relati…
Exploratory Analysis of Racial/Ethnic and Educational Differences in a Randomized Controlled Trial of a Mindfulness-Based Weight Loss Intervention
OBJECTIVE: People of color and lower socioeconomic groups have higher obesity prevalence, lose less weight compared with Whites and higher socioeconomic groups, and are underrepresented in randomized controlled trials of mindfulness-based interventions. We examined whether mindfulness approaches reduce disparities in weight loss interventions. METHODS: We analyzed data from a randomized controlled trial of 194 participants with obesity (41% parti…
Accomplishing breakthroughs in behavioural medicine research
Mind wandering and stress
Buddhist philosophy and existing empirical evidence suggest that being engaged in-and accepting-the present moment is associated with greater well-being. However, engaging with the present moment experience and ignoring unwanted thoughts is difficult given the nature of our minds and the competing demands for our attention. This may be especially true when experiencing psychological stress, during which acceptance of current experience may be par…
More than a feeling
Stress can influence health throughout the lifespan, yet there is little agreement about what types and aspects of stress matter most for human health and disease. This is in part because "stress" is not a monolithic concept but rather, an emergent process that involves interactions between individual and environmental factors, historical and current events, allostatic states, and psychological and physiological reactivity. Many of these processe…
Weight Loss Maintenance and Cellular Aging in the Supporting Health Through Nutrition and Exercise Study
OBJECTIVE: The aim of the study was to determine, within a weight loss clinical trial for obesity, the impact of intervention arm, weight change, and weight loss maintenance on telomere length (TL). METHODS: Adults (N = 194) with a body mass index between 30 and 45 were randomized to a 5.5-month weight loss program with (n = 100) or without (n = 94) mindfulness training and identical diet-exercise guidelines. We assessed TL at baseline and 3-, 6-…
Justice for all? Beliefs about justice for self and others and telomere length in African Americans
Findings underscore that for racial minorities, health might be best protected when justice beliefs are both endorsed and rebuffed. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Advancing Research on Psychosocial Stress and Aging with the Health and Retirement Study
The HRS provides one of the most comprehensive assessments of psychosocial stress in existing population-based studies and offers the potential for a deeper understanding of how psychosocial factors are related to healthy aging trajectories. The next generation of research examining stress and trajectories of aging in the HRS should test complex longitudinal and mediational relationships, include contextual factors in analyses, and include more c…
Cross-border ties, nativity, and inflammatory markers in a population-based prospective study of Latino adults
Socioeconomic Status, Financial Strain, and Leukocyte Telomere Length in a Sample of African American Midlife Men
Race-Ethnicity, Poverty, Urban Stressors, and Telomere Length in a Detroit Community-based Sample
Residents of distressed urban areas suffer early aging-related disease and excess mortality. Using a community-based participatory research approach in a collaboration between social researchers and cellular biologists, we collected a unique data set of 239 black, white, or Mexican adults from a stratified, multistage probability sample of three Detroit neighborhoods. We drew venous blood and measured telomere length (TL), an indicator of stress-…
What is eating you? Stress and the drive to eat
Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999-2002
Socioeconomic status and cell aging in children
Is compassion for others stress buffering? Consequences of compassion and social support for physiological reactivity to stress
Embodying Psychological Thriving
In addition to the context of psychological health, thriving can be measured in the context of physical health. Moreover, thriving may be ope rationalized at a macro level (e.g., improved functional health status following acute illness or injury) or at a micro level (e.g., hormonal balance). The goal of this article is to examine physical thriving at the micro level, by investigating hormonal responses to stressful situations. In addition, we ex…
Advancing Research on Psychosocial Stress and Aging with the Health and Retirement Study
The HRS provides one of the most comprehensive assessments of psychosocial stress in existing population-based studies and offers the potential for a deeper understanding of how psychosocial factors are related to healthy aging trajectories. The next generation of research examining stress and trajectories of aging in the HRS should test complex longitudinal and mediational relationships, include contextual factors in analyses, and include more c…
Trajectories of Change in Obesity and Symptoms of Depression
Objectives. We investigated whether, over time, baseline obesity is associated with change in depressive symptoms or if baseline symptoms of depression are associated with change in body mass index (BMI) and waist circumference. Methods. We used latent growth curve modeling to examine data from years 5, 10, 15, and 20 of the Coronary Artery Risk Development in Young Adults study (n = 4643). We assessed depressive symptomatology with the Center fo…
Justice for all? Beliefs about justice for self and others and telomere length in African Americans
Findings underscore that for racial minorities, health might be best protected when justice beliefs are both endorsed and rebuffed. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Soda and Cell Aging
Objectives. We tested whether leukocyte telomere length maintenance, which underlies healthy cellular aging, provides a link between sugar-sweetened beverage (SSB) consumption and the risk of cardiometabolic disease. Methods. We examined cross-sectional associations between the consumption of SSBs, diet soda, and fruit juice and telomere length in a nationally representative sample of healthy adults. The study population included 5309 US adults, …
Food insecurity with past experience of restrained eating is a recipe for increased gestational weight gain
The role of interparental relationship variability in parent–child interactions
Objective The goal of this study was to examine how variability in interparental relationship functioning predicts the quality of parent–child interactions in daily life among families in which a child had autism spectrum disorder (ASD), and families of neurotypical children. Background Parent–child interactions predict a host of key outcomes for children, and one contributor to the health of parent–child interactions is the quality of the relati…
Prosociality should be a public health priority
Socioeconomic Status, Financial Strain, and Leukocyte Telomere Length in a Sample of African American Midlife Men
Reduced reward-driven eating accounts for the impact of a mindfulness-based diet and exercise intervention on weight loss
Acute responses to opioidergic blockade as a biomarker of hedonic eating among obese women enrolled in a mindfulness-based weight loss intervention trial
Associations of ghrelin with eating behaviors, stress, metabolic factors, and telomere length among overweight and obese women
Women's Health Research
tion being studied. If women (or men) are not included in numbers appropriate to the population there must be a clear justification. Finally, reearchers are urged to note and evaluate sex differences. In 1989, the U.S. General Accounting Office (GAO) reviewed the implementation of this policy. Their findings, delivered on 18 June 1990, were discouraging. The policy was not being well-implemented or enforced. Mark Nadel, associate director of the …
Embodying Psychological Thriving
In addition to the context of psychological health, thriving can be measured in the context of physical health. Moreover, thriving may be ope rationalized at a macro level (e.g., improved functional health status following acute illness or injury) or at a micro level (e.g., hormonal balance). The goal of this article is to examine physical thriving at the micro level, by investigating hormonal responses to stressful situations. In addition, we ex…
Escaping Homelessness
This study explored whether self‐efficacy and time perspective of homeless adults ( N = 82) living in a shelter affected their coping strategies related to obtaining housing and employment. Participants with high self‐efficacy searched more for housing and employment and stayed at the shelter for a shorter duration, whereas participants with low self‐efficacy were more likely to request an extension of their stay at the shelter. Those high on fut…
Psychological Stress and Lack of Cortisol Habituation Among Women With Abdominal Fat Distribution
s of Papers for 1999 Annual Meeting: Symposium: Stress, Abdominal Fat Distribution, and the Metabolic Syndrome
Relationship of subjective and objective social status with psychological and physiological functioning
This preliminary study compared the associations between objective and subjective socioeconomic status (SES) with psychological and physical variables among 157 healthy White women, 59 of whom subsequently participated in a laboratory stress study. Compared with objective indicators, subjective social status was more consistently and strongly related to psychological functioning and health-related factors (self-rated health, heart rate, sleep lat…
Stress and Body Shape
OBJECTIVE: Excessive central fat puts one at greater risk of disease. In animal studies, stress-induced cortisol secretion has been shown to increase central fat. The objective of this study was to assess whether women with central fat distribution (as indicated by a high waist-to-hip ratio [WHR]), across a range of body mass indexes, display consistently heightened cortisol reactivity to repeated laboratory stressors. METHODS: Fifty-nine healthy…
Stress may add bite to appetite in women
Sex differences in stress responses
Perceived Emotional Intelligence, Stress Reactivity, and Symptom Reports
We examined the relationship between perceived emotional intelligence (PEI), measured by the Trait Meta-Mood Scale (TMMS), and psychophysiological measures of adaptive coping. The TMMS assesses perceived ability to (a) attend to moods (Attention), (b) discriminate clearly among moods (Clarity), and (c) regulate moods (Repair). Study 1 showed significant positive associations between PEI and psychological and interpersonal functioning. In Study 2,…
Accelerated telomere shortening in response to life stress
Numerous studies demonstrate links between chronic stress and indices of poor health, including risk factors for cardiovascular disease and poorer immune function. Nevertheless, the exact mechanisms of how stress gets “under the skin” remain elusive. We investigated the hypothesis that stress impacts health by modulating the rate of cellular aging. Here we provide evidence that psychological stress— both perceived stress and chronicity of stress—…
Socioeconomic Status, Race, and Diurnal Cortisol Decline in the Coronary Artery Risk Development in Young Adults (Cardia) Study
OBJECTIVES: The objectives of this study were to assess whether socioeconomic status (SES) is associated with dysregulation of the cortisol diurnal rhythm and whether this association is independent of race and occurs equally in whites and blacks; and to determine if an association between SES and cortisol can be explained (is mediated) by behavioral, social, and emotional differences across the SES gradient. METHODS: Seven hundred eighty-one sub…
Stress, eating and the reward system
Socio‐economic differentials in peripheral biology
This chapter focuses on evidence linking socio‐economic status (SES) to “downstream” peripheral biology. Drawing on the concept of allostatic load, we examine evidence linking lower SES with greater cumulative physiological toll on multiple major biological regulatory systems over the life course. We begin by reviewing evidence linking lower SES to poorer trajectories of aging in multiple, individual physiological systems, followed by evidence of…
Trajectories of Change in Obesity and Symptoms of Depression
Objectives. We investigated whether, over time, baseline obesity is associated with change in depressive symptoms or if baseline symptoms of depression are associated with change in body mass index (BMI) and waist circumference. Methods. We used latent growth curve modeling to examine data from years 5, 10, 15, and 20 of the Coronary Artery Risk Development in Young Adults study (n = 4643). We assessed depressive symptomatology with the Center fo…
Is compassion for others stress buffering? Consequences of compassion and social support for physiological reactivity to stress
Depression and Leukocyte Telomere Length in Patients With Coronary Heart Disease
OBJECTIVE: Shortened telomere length has been associated with mortality in patients with coronary heart disease (CHD) and is considered as an emerging marker of biologic age. Whether depression is associated with telomere length or trajectory has not been evaluated in patients with CHD. METHODS: In a prospective cohort study, we measured leukocyte telomere length in 952 participants with stable CHD at baseline and in 608 of these participants aft…
Physical Activity Moderates Effects of Stressor-Induced Rumination on Cortisol Reactivity
OBJECTIVE: Physically active individuals have lower rates of morbidity and mortality, and recent evidence indicates that physical activity may be particularly beneficial to those experiencing chronic stress. The tendency to ruminate increases and prolongs physiological stress responses, including hypothalamic-pituitary-adrenal (HPA) axis responses as indexed by cortisol reactivity to stressful experiences. We examined the association between rumi…
Autonomic and Adrenocortical Reactivity and Buccal Cell Telomere Length in Kindergarten Children
Objective: To examine associations between autonomic nervous system and adrenocortical reactivity to laboratory stressors and buccal cell telomere length (BTL) in children. Methods: The study sample comprised 78 children, aged 5 to 6 years, from a longitudinal cohort study of kindergarten social hierarchies, biologic responses to adversity, and child health. Buccal cell samples and reactivity measures were collected in the spring of the kindergar…
Financial Strain and Impaired Fasting Glucose
OBJECTIVES: Physical activity and financial strain are independent, and opposite, predictors of disease. This study examines whether physical activity modifies the concurrent and prospective relation between financial strain and impaired fasting glucose. METHODS: Participants were part of the Coronary Artery Risk Development in Young Adults study, a prospective study examining the development of disease. Participants were recruited in 1985 to 198…
What is eating you? Stress and the drive to eat
Socioeconomic status and cell aging in children
Food insecurity with past experience of restrained eating is a recipe for increased gestational weight gain
Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999-2002
Geroscience
Food Insecurity Is Inversely Associated with Diet Quality of Lower-Income Adults
Medicine (49 works) · Psychology (42 works) · Clinical Psychology (25 works) · Internal Medicine (21 works) · Obesity (19 works) · Psychiatry (19 works) · Developmental psychology (18 works) · Internal Medicine (18 works) · Biology (15 works) · Population (15 works)