November 2007 
 Mind Your Health
 Information for Healthy Living
In This Issue
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When we're stressed out, we tend to deal with it in unhealthy ways like comfort eating, poor diet choices, smoking and inactivity. Those of us who are stressed are more likely to report hypertension, anxiety or depression and obesity. Women especially report they feel the effects of stress on their physical health. Given the number of health complications related to stress, it is fair to say stress certainly is a health problem in America.

 Stress in the U.S.
 A Major Health Problem

One-third of Americans are living with extreme stress and nearly half of Americans (48 percent) believe that their stress has increased over the past five years. Stress is taking a toll on people - contributing to health problems, poor relationships and lost productivity at work, according to a new national survey released today by the American Psychological Association (APA).

Money and work continue as the leading causes of stress for three quarters of Americans, a dramatic increase over the 59 percent reporting the same sources of stress in 2006. The survey also found that the housing crisis is having an effect on many, with half of Americans (51 percent) citing rent or mortgage costs as sources of stress this year.

Nearly half of all Americans report that stress has a negative impact on both their personal and professional lives. About one-third (31 percent) of employed adults have difficulty managing work and family responsibilities and 35 percent cite jobs interfering with their family or personal time as a significant source of stress. Stress causes more than half of Americans (54 percent) to fight with people close to them. One in four people report that they have been alienated from a friend or family member because of stress, with 8 percent connecting stress to divorce or separation.

"Stress in America continues to escalate and is affecting every aspect of people's lives - from work to personal relationships to sleep patterns and eating habits, as well as their health," says psychologist Russ Newman, PhD, JD, APA executive director for professional practice. "We know that stress is a fact of life and some stress can have a positive impact, however, the high stress levels that many Americans report experiencing can have long-term health consequences, ranging from fatigue to obesity and heart disease."

Stress Affecting Health

Twenty-eight percent of Americans say they are managing their stress extremely well. However, many people report experiencing physical symptoms (77 percent) and psychological symptoms (73 percent) related to stress in the last month. Physical symptoms of stress include: fatigue (51 percent); headache (44 percent); upset stomach (34 percent); muscle tension (30 percent); change in appetite (23 percent), teeth grinding (17 percent); change in sex drive (15 percent); and feeling dizzy (13 percent). Psychological symptoms of stress include: experiencing irritability or anger (50 percent); feeling nervous (45 percent); lack of energy (45 percent); and feeling as though you could cry (35 percent). In addition, almost half (48 percent) of Americans report lying awake at night due to stress.

How Americans Manage Stress

While Americans deal with high levels of stress on a daily basis, the health consequences are most serious when that stress is managed poorly. Four in ten Americans (43 percent) say they overeat or eat unhealthy foods to manage stress, while one-third (36 percent) skipped a meal in the last month because of stress. Those who drink (39 percent) or smoke cigarettes (19 percent) were also more likely to engage in these unhealthy behaviors during periods of high stress. Significant numbers of Americans report watching TV for more than two hours a day (43 percent) and playing video games or surfing the Internet (39 percent). Healthy behaviors used to manage stress included: listening to music (54 percent); reading (52 percent); exercising or walking (50 percent); spending time with family and friends (40 percent); and praying (34 percent).

Motivating Factors in Lifestyle and Behavior Change

While many Americans recognize that stress has a negative impact on their health, they may lack the motivation to make lifestyle and behavior changes. Only 35 percent report that they would modify their behavior following the diagnosis of a chronic condition. Primary motivators include: a desire to feel better (60 percent); desire to reduce amount of stress (45 percent); and desire to improve self-image or self- esteem (41 percent). Encouragement from a spouse or partner would motivate 38 percent to make behavioral changes.

The Stress in America survey is part of APA's Mind/Body Health Public Education Campaign.


In September 2007, the American Psychological Association commissioned its annual nationwide survey to examine the state of stress across the country. The research measured attitudes and perceptions of stress among the general public, identifying leading sources of stress, common behaviors used to manage stress and the impact of stress on our lives. The survey explored appropriate and excessive stress levels; circumstances, situations and life events that cause stress; activities, resources and behaviors people use to deal with stress; and the personal costs of stress.

This survey was conducted online within the United States by Harris Interactive between August 30 and September 11, 2007, among 1,848 adults (aged 18 and over). Interviews were conducted in English and Spanish. Figures for age, sex, race/ethnicity, education, region and household income were weighted where necessary to bring them in line with their actual proportions in the population. Hispanic respondents were also weighted based on language usage. Propensity score weighting was also used to adjust for respondents' propensity to be online.

With a pure probability sample of 1,848 one could say with a 95 percent probability that the overall results would have a sampling error of +/- 2 percentage points. Sampling error for data based on sub- samples would be higher and would vary. However, that does not take other sources of error into account. This online survey is not based on a probability sample and therefore no theoretical sampling error can be calculated.

Reprinted with permission from the American Psychological Association


 Dealing with Holiday Stress
 What's stressing you out this holiday season?

Holiday Stress If you're like most Americans surveyed by the American Psychological Association this year, it's money. Americans list lack of money (61%), the pressures of gift giving (42%), lack of time (34%) and credit card debt (23%) as top causes of holiday stress. Survey results also show that younger Americans are more worried about lack of money (81%) and gift giving (54%) compared to people over the age of 35.

So, how are people dealing with holiday stress? One in five Americans are worried that holiday stress could affect their physical health and 36% say they either eat (22%) or drink alcohol (14%) to cope with holiday stress. Others rely on exercise (45%) and religious and spiritual activities (44%) to relieve stress. And 14% turn to massage and yoga.

In short, people turn to what they know -- and ironically, the things that make them feel good right away, like food or drink, can be bad for them in the long run.

If you're stressed because of the holidays, here are some positive things you can do to deal with holiday stress and build resilience:

Make connections. Good relationships with family and friends are important. So, view the holidays as a time to reconnect with people. And, accept help and support from those who care about you to help alleviate stress.

Set realistic goals. Taking small, concrete steps to deal with holiday tasks instead of overwhelming yourself with goals that are too far-reaching for a busy time.

Keep things in perspective. Try to consider stressful situations in a broader context and keep a long-term perspective. Avoid blowing events out of proportion.

Take decisive actions. Instead of letting holiday stressors get the best of you, make a decision to address the underlying cause of a stressful situation.

Take care of yourself. Pay attention to your own needs and feelings during the holiday season. Engage in activities that you enjoy and find relaxing. Taking care of yourself helps keep your mind and body primed to deal with stressful situations.

Copyright 2006


How much do you know about stress? Take this simple quiz to test your "stress smarts."

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Dr. Given
Dennis Given, Psy.D, LPC
Licensed Psychologist

phone: (610) 873-4748
fax: (610) 873-4715