Showers and Stress

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorCatholic University of the Sacred Heart

About this trial

The study investigates whether repeated exposure to cold showers can improve the ability to cope with and respond to stress. In particular, it examines both the psychophysiological effects of cold showers and the role of expectations regarding their effectiveness. The research adopts a 2×2 experimental design with approximately 120 healthy adults, randomly assigned to either an experimental group or a control group, and further divided based on the presence or absence of information emphasizing the potential benefits of the intervention. The experimental group takes warm or lukewarm showers with a final 30-second exposure to cold water at least four times per week, while the control group takes only warm or lukewarm showers. In parallel, some participants receive positive information about the effectiveness of the intervention for stress management, while others receive no specific information. At baseline and at the end of the study, participants complete questionnaires assessing perceived stress, psychological well-being, and quality of life, along with a physiological measure and a cognitive stress task (Stroop test with heart rate monitoring). During the four-week intervention period, participants keep a daily diary recording shower habits and perceived stress levels.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age ≥ 18 years

Good general health status, self-reported and/or certified by a medical document (e.g., general medical certificate or sports medical clearance)

Willingness to participate for the full duration of the study (4 weeks)

Ability to understand and independently complete questionnaires and study diaries

Disqualifiers

Uncompensated cardiovascular, neurological, or endocrine conditions considered relevant to stress or cold exposure tolerance

Medical conditions contraindicating cold exposure (e.g., Raynaud's phenomenon, cold urticaria, etc.)

Pregnancy

Use of medications that may interfere with stress responses (e.g., beta-blockers, anxiolytics, systemic corticosteroids)

Trial design

Design model

Factorial

Treatments tested in this trial

  • Positive expectation about the effects of cold and warm showers

    Behavioral

    Partecipants will be exposed to positive information about the effects of warm and cold showers using a 2x2 factorial design

  • No expectation regarding the exposure to cold water and/or to warm showers

    Behavioral

    Partecipants will be exposed neutral information about the effects of warm and cold showers using a 2x2 factorial design

Treatment groups

120 Participants
are divided into 4 treatment groups
Group A: Cold shower + Neutral informationActive comparator 1 intervention
Group B: Cold shower + Positive expectationsExperimental treatment 1 intervention
Group C: Warm shower + Neutral informationActive comparator 1 intervention
Group D: Warm shower + Positive expectationsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Perceived stress

Perceived stress will be assessed using the Perceived Stress Scale (PSS-10) to evaluate changes in perceived stress from baseline to the end of the study, including during exposure to the Stroop task. Total scores range from 0 to 40, with higher scores indicating greater perceived stress and therefore a worse outcome.

Time frame
4 weeks

Secondary outcomes

1

Heart rate variability

Change in heart rate while performing the the Stroop test at baseline and at follow-up.

Time frame
4 weeks

Other outcomes

Sponsors and contacts

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