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Survey shows Americans living with
‘extreme’ stress

(December 2007 Issue)

By Pamela Berard

It's a bit of a psychological paradox. How do you help a stressed out person calm down?

A new study confirms that Americans are indeed stressed out - fully one-third are living with "extreme" stress and nearly half (48 percent) say their stress has increased in the past five years, according to a national survey released by the American Psychological Association (APA). The Stress in America survey of 1,848 adults aged 18 and over is part of APA's Mind/Body Health Public Education Campaign.

According to the survey, money and work are the leading causes of stress for three-quarters of Americans, while 51 percent say rent or mortgage costs are a source.

The survey indicates that stress is having a negative impact on quality of life: about one-third of respondents say they have difficulty managing work and family responsibilities and 54 percent said stress causes them to fight with people in their lives.

Ann Webster, Ph.D., a staff psychologist for the Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital, says the results are not at all surprising in this electronic age.

"I think everybody is multi-tasking and everybody is attached to an iPod or cell phone or BlackBerry," she says. "They are home emailing at night. It's just like an assault. Everything is just coming at us all the time."

Webster suggests setting limits. For example, she reads emails only once per day.

She said Americans are also working longer hours. "People are paying such a price," she says, noting that stress results in lack of sleep, exercise and relaxation. "People are eating on the run, which is one of the worst things. I really think we have to sit back and assess some of our health habits."

In the APA survey, 77 percent of respondents said stress caused physical symptoms (including fatigue, headache or upset stomach) and 73 percent reported psychological symptoms (including nervousness or irritability) in the past month. Almost half said stress keeps them up at night.

Peter C. Patch, Psy.D., BCBA, executive director, Northeast Behavioral Associates, with offices in Rhode Island and Massachusetts, says living in a time of war and through a difficult economy is contributing to the stress factor. He says adults are facing increasing pressures including the rising number of children diagnosed with mental health disorders and aging parents facing retirement, as the Baby Boom generation begins to retire.

"Both of those generations are inadvertently causing more stress than in the past," he says. "There are pressures on both ends. The pressures for the people in the middle are enormous."

A behavioral analyst, Patch says part of the battle for stressed out adults is finding the motivation and marshalling the resources to focus on their well-being.

"I try to keep people focused on the priorities of their wellness," Patch says. "They really have to take care of themselves in order to take care of the people who are depending on them."

In the APA survey, only 35 percent report that they would change their behavior if diagnosed with a chronic condition. Motivators included a desire to feel better (60 percent) and the desire to reduce amount of stress (45 percent).

"Human beings are creatures of habit and changing one's behavior is uncomfortable and takes a lot of effort," Patch says. He suggests starting with small steps. "If the job is too big, people tend not to attempt it."

Webster helps teach the "Relaxation Response," which she describes as a state of quiet for the mind and body. "We ask people to practice a relaxation exercise once a day, for 15 minutes," quieting down the sympathetic nervous system and the noise in their mind.

Even if you are busy, "You could still practice relaxation and still do the same amount of things that you do, but you approach these things with a different attitude," she says. "You are more mindful and present of what you do. You stay in the now. Not all of the things that you do are number one priorities. They can't all be. So you learn to prioritize."

In addition to prioritizing, Webster tells people to do something good for themselves every day. "If you are just working, you are not doing anything new and good." It might be treating yourself to a good meal when you sit down and eat or reacquainting with a friend, getting a massage, taking a walk in nature or just something as simple as getting a good night's sleep.

"Unfortunately, it often takes a serious illness to get people to change," Webster says. "I have had men in my cancer group break down into tears because they now realize they were so busy they didn't spend time with their children growing up and now it's too late. Why do we wait to get a life-threatening illness?"