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 volunteersQualifiers
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
Factorial
Treatments tested in this trial
Positive expectation about the effects of cold and warm showers
BehavioralPartecipants 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
BehavioralPartecipants will be exposed neutral information about the effects of warm and cold showers using a 2x2 factorial design
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Heart rate variability
Change in heart rate while performing the the Stroop test at baseline and at follow-up.
Sponsors and contacts
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