Stress - Learning to Cope
Chapter 9. Staying Well

Do you know what stress is?
Stress is the body's nonspecific response to any increased demand placed upon it.
Stressors are those events, objects, or thoughts that will cause the stress response to occur.

Keeping Track of Stress Signals
Many of us have symptoms of stress every day without realizing it. To recognize the signals your body is sending you, read this partial list of stress symptoms. Make a mental note or place a check next to those symptoms that you've experienced when under stress. Place 2 checks if you experience this symptom frequently. Write in any other symptoms you experience when feeling stressed. {Note: Symptoms of stress could indicate a physical problem and should be checked out before assuming you are not coping well.}

Symptoms of Stress

_ Backache
_ Clearing throat
_ Clenching hands
_ Constipation
_ Crying
_ Depression
_ Diarrhea
_ Drinking
_ Dry mouth and throat
_ Faintness or dizziness
_ Feeling fearful
_ Feeling lonely
_ Foot tapping
_ Forgetfulness
_ Frequent urination
_ Gritting teeth
_ Headache
_ Insomnia
_ Irritability
_ Lack of concentration
_ Lack of interest
_ Loss of appetite
_ Low energy level
_ Neckache
_ Negative thoughts
_ Nervous tic
_ Nightmares
_ Overeating
_ Pacing
_ Rapid heartbeat
_ Sexual difficulties
_ Skin rash
_ Smoking
_ Sweating
_ Temper outbursts
_ Queasy stomach
_ _________________
_ _________________
_ _________________
_ _________________

Conditions Related to Stress
Research has revealed a clear link between physical illness and stress. In some cases, stress plays an important part in the nature and severity of the illness. In fact, the American Academy of Family Physicians states that approximately two-thirds of all visits to the family doctor are for stress-related disorders. Read the list below. Make additions if you feel that stress contributes to a condition that is not listed.

Conditions Associated With or Made Worse by Stress

_ Acne
_ Alcoholism
_ Allergies
_ Arthritis
_ Asthma
_ Backaches
_ Cancer
_ Common cold
_ Coronary heart disease
_ Eating disorders
_ Eczema
_ Gout
_ Headaches
_ High blood pressure
_ Insomnia
_ Low back pain
_ Lowering of the body's
   immune system
_ Nervous breakdown
_ Neurosis
_ Premenstrual syndrome
   (PMS)
_ Stroke
_ Temporomandibular
   joint syndrome (TMJ)
_ ____________________
_ ____________________
_ ____________________

Life Events Questionnaire
Is there a connection between the number of major life events a person experiences in a year and the likelihood of illness? Drs. Thomas Holmes and Richard Rahe think so. They reached this conclusion after questioning 7,000 people about the number of life events they went through in 1 year. The people who scored highest on this questionnaire experienced the highest amount of physical illness in the year following the test. Since major life changes can produce stress-induced illness, take a look at how the past year's life events add up for you.

Instructions
Place a check mark in the column labeled "Happened" for those events that occurred in the past 12 months. Then record your score with the event value for each. Total the score for each column, and then add those totals to get a grand total.

Event
Rank
Event
Value
Happened Your
Score
Life Event
1 100 Death of a spouse
2 73 Divorce
3 65 Marital separation
4 63 Jail/institution term
5 63 Death of close family member
6 53 Major personal injury or illness
7 50 Marriage
8 47 Being fired at work
9 45 Marital reconciliation
10 45 Retirement from work
11 44 Major change in health or behavior
of family member
12 40 Pregnancy
13 39 Sex difficulty
14 39 New family member through birth, adoption
or remarriage
15 39 Major business readjustments
16 39 Major change in financial state
17 37 Death of close friend
18 36 Change to a different line of work
19 35 Major increase in the number of arguments
with spouse
20 31 Taking on a mortgage
21 30 Foreclosure of mortgage/loan
22 29 Major change in resposibilities at work
(promotion, demotion, transfer)
23 29 Son or daughter leaving home
24 29 In-laws Trouble
25 28 Outstanding personal achievement
26 26 Spouse beginning or ceasing work outside
the home
27 26 Going back to school
28 25 Major change in living condition (building,
remodeling or deterioration of home)
29 24 Revision of personal habits
30 23 Troubles with supervisor, boss, or superiors
31 20 Major change in working hours or conditions
32 20 Change in residence
33 20 Change to a new school
34 19 Major change in type or amount of recreation
35 19 Major change in church activities
36 18 Major change in social activities
37 17 Major purchase (car, etc.)
38 16 Major change in sleeping habits
39 15 Major change in number of family get-togethers
40 15 Major change in eating habits
41 13 Vacation
42 12 Christmas or holiday observances
43 11 Minor violations of the law (traffic tickets)
      Total_____________________

1976, Thomas Holmes, M.D., and Richard Rahe, Ph.D.

Scoring
People who score 100-199 have a very mild risk.
People who score 200-299 have a more moderate risk of developing physical illness in the next 12 months.
People who score 300 or more have a strong risk of developing physical illness in the next 12 months.

{Note: These scores only represent a likelihood of getting sick and not a definite prediction.}

Tips for Stress Management
Maintain a regular program of healthy eating, good health habits, and adequate sleep.
Exercise regularly. This promotes physical fitness and emotional well-being.
Don't let your emotions get "bottled up" inside. Share your feelings with others.
Learn to manage your time efficiently.
Avoid unnecessary arguments or quarrels.
Do a "stress rehearsal." Prepare for stressful events by imagining yourself feeling calm and handling the situation well.
Minimize your exposure to things that cause distress.
Practice a relaxation technique daily.
Several times a day, do a "body check" for tensed muscles and let them relax.
Do deep breathing exercises.
Be a good Samaritan. Spend time helping others.
Balance work and play.
Plan some "me" time daily.
Engage in activities you enjoy and look forward to.
Discover the "elf" in yourself. Learn to have fun.
He or she who laughs, lasts. Improve your laugh life.
Participate in activities with people who share your interests.
Reward yourself with little things that make you feel good.
Challenge yourself to do something new.
Surround yourself with cheery people. Avoid stress-carriers.
Shun the "superman" or "superwoman" syndrome. No one is perfect.
Set realistic goals for yourself.
Be flexible in dealing with people and events. Avoid "psychosclerosis" - a hardening of the attitudes.
Accept the things you cannot change in yourself or others.
Forgive yourself for mistakes.
Take satisfaction in your accomplishments. Don't dwell on your shortcomings.
Develop and maintain a positive attitude. View changes as positive challenges, opportunities, or blessings.
Seek professional help if needed.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/20/99