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. 2025 Sep 5;9:e67822. doi: 10.2196/67822

Table 4.

Model 2, a linear mixed model assessing the interaction effect between atypical event and mean-centered average heart rate (AHR) on perceived stressa.

Parameter Perceived stress estimate (β; 95% CI) t test (df)b P valuec
Intercept 3.22 (2.62 to 3.83) 10.7 (45.7) <.001 c
Female sex (reference=male) 0.117 (−0.498 to 0.731) 0.383 (40.3) .70
PGYd 1 (reference=PGY 3) 0.403 (−0.330 to 1.14) 1.11 (40.9) .27
PGY 2 (reference=PGY 3) −0.289 (−1.03 to 0.448) −0.792 (39.5) .43
Hours workede 0.418 (0.237 to 0.599) 4.87 (16.9) <.001
AHRe 0.032 (0.002 to 0.063) 2.09 (415) .04
Negative atypical event (reference=standard day) 1.40 (0.959 to 1.84) 6.49 (30.7) <.001
Atypical event × AHRe −0.076 (−0.140 to −0.013) −2.35 (435) .02

aSame as model 1 plus the interaction term. AHR was significantly associated with stress on standard days. This association was attenuated on days with a negative atypical event, as indicated by the significant negative interaction term.

bWald t statistic from SPSS MIXED procedure (Satterthwaite df).

cItalicized values indicate statistical significance (P<.05, 2-tailed).

dPGY: postgraduate year.

eValues are mean centered.