Sunday, August 14, 2022

STRESS

 STRESS













All The  challenges,  problems,  and  difficult circumstances  put  us  under stress.  Thus,  if handled  properly,  stress  increases the  Probability of one’s survival. Stress is like electricity.  It  gives  energy,  increases human  arousal  and  affects performance.

However, if the electric current is too high, it can fuse bulbs, damage appliances, etc. High  stress  too  can  produce  unpleasant effects  and  cause  our  performance  to deteriorate.  Conversely,  too  little  stress may  cause  one  to  feel  somewhat  listless and low on motivation which may lead us to perform slowly and less efficiently. It is important to remember that not all stress is inherently bad or destructive.

 ‘Eustress' is the  term  used  to  describe  the  level  of stress  that  is  good  for  you  and  is  one  of a  person’s  best  assets  for  achieving  peak performance  and  managing  minor  crises. Eustress,  however,  has  the  potential  of turning  into  ‘distress’.  It  is  this  latter manifestation  of  stress  that  causes  our body’s wear and tear. Thus, stress can be described as the pattern of responses an organism makes to a stimulus event that disturbs  the  equilibrium  and  exceeds  a person's  ability  to  cope. 

Nature  of  Stress

The word stress has its origin in the Latinwords  ‘strictus’,  meaning  tight  or  narrow and  ‘stringere’,  the  verb  meaning  to tighten.  These  root  words  reflect  the internal   feelings   of   tightness   and constriction of the muscles and breathing reported  by  many  people  under  stress. Stress  is  often  explained  in  terms  of characteristics of the environment that are disruptive to the individual. Stressors are events  that  cause  our  body  to  give  the stress  response.  Such  events  include noise, crowding, a bad relationship, or the daily  commuting  to  school  or  office.  The Reaction  to  external  stressors  is  called ‘strain’. Stress has come to be associated with both the causes as well as effects. However, this  view  of  stress  can  cause  confusion.

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Hans  Selye,  the  father  of  modern  stress research,  defined  stress  as  “the  nonspecific  response  of  the  body  to any demand” that is, regardless of the cause of the threat, the individual will respond with the same physiological pattern of reactions. 

Many  researchers  do  not  agree  with  this definition  as  they  feel  that  the  stress response is not nearly as general and non-specific  as  Selye  suggests.  Different stressors may produce somewhat different patterns  of  stress  reaction,  and  different individuals may     have different characteristic modes of response. You may recall  the  case  of  an  opening  batsman mentioned earlier. Each one of us will see the situation through our own eyes and it is our perception of the demands, and our ability to meet them, which will determine whether  we  are  feeling  ‘stressed’  or  not. Stress is not a factor that resides in the individual or the environment, instead it is embedded  in  an  ongoing  process  that involves individuals transacting with their social and cultural environments, making appraisals  of  those  encounters  and attempting  to  cope  with  the  issues  that arise. 

Stress is a dynamic mental/cognitive state. It is a disruption in homeostasis or an  imbalance  that  gives  rise  to  a requirement  for  resolution  of  that imbalance  or  restoration  of  homeostasis.

The  perception  of  stress  is  dependent upon the individual’s cognitive appraisal of events and the resources available to deal with  them.  The  stress  process,  based  on the  cognitive  theory  of  stress  propounded by Lazarus and his colleagues, is described.  An  individual’s  response  to stressful situations largely depends upon the perceived  events  and  how  they  are interpreted  or  appraised.  Lazarus  has distinguished  between  two  types  of appraisal,  i.e.  primary  and  secondary.

Primary appraisal refers to the perception of  a  new  or  changing  environment  as positive,  neutral  or  negative  in  its consequences.  Negative  events  are appraised  for  their  possible  harm,  threator  challenge.  Harm  is  the  assessment  of the damage that has already been done by an  event.  Threat  is  the  assessment  of possible  future  damage  that  may  be brought  about  by  the  event.  Challenge Appraisals  are  associated  with  more confident expectations of the ability to cope with  the  stressful  event,  the  potential  to overcome  and  even  profit  from  the  event. 

When we perceive an event as stressful, we are likely to make a secondary appraisal, which  is  the  assessment  of  one’s  coping abilities  and  resources  and  whether  they will be sufficient to meet the harm, threat or challenge of the event. These resources may  be  mental,  physical,  personal  or social.  If  one  thinks  one  has  a  positive attitude,  health,  skills  and  social  support to  deal  with  the  crises  s/he  will  feel  less stressed.  This  two-level  appraisal  process determines  not  only  our  cognitive  and behavioural  responses  but  also  our emotional  and  physiological  responses  to external  events. These  appraisals  are  very  subjective and  will  depend  on  many  factors.  

  • One factor  is  the  past  experience  of  dealing with  such  a  stressful  condition.  If  one has  handled  similar  situations very successfully in the past, they would be less threatening for her/him. 

  • Another factor is whether the stressful event is perceived as controllable, i.e. whether one has masteryor  control  over  a  situation.  A  person  who believes that s/he can control the onset of a  negative  situation,  or  its  adverse consequences, will experience less amount of  stress  than  those  who  have  no  such sense  of  personal  control.  For  example,  a sense  of  self-confidence  or  efficacy  can determine  whether  the  person  is  likely  to appraise  the  situation  as  a  threat  or  challenge. 

 Thus,  the  experience  and outcome  of  a  stressor  may  vary  from individual to individual. Stress includes all those environmental and personal events,which challenge or threaten the well-beingof  a  person.  These  stressors  can  be external, such as environmental (noise, air pollution),  social  (break-up  with  a  friend, loneliness)  or  psychological  (conflict,frustration)  within  the  individual.Very  often,  these  stressors  result  in  a variety  of  stress  reactions,  which  may  be physiological, behavioural, emotional, and cognitive. At the physiological level,  arousal  plays  a  key  role  in  stress-related  behaviours.  The  hypothalamus initiates  action  along  two  pathways. 

  •  The First  pathway  involves  the  autonomic nervous  system.  The  adrenal  gland releases  large  amounts  of  catecholamines(epinephrine and norepinephrine) into the bloodstream.  This  leads  to  physiological changes  seen  in  fight-or-flight  response.

  • The second pathway involves the pituitary gland,  which  secretes  the  corticosteroid(cortisol)  which  provides  energy.  Emotional reactions to the experience of stress include  negative  emotions  such  as  fear,anxiety, embarrassment, anger, depression or even denial. 

The behavioural responses are  virtually  limitless,  depending  on  the nature of the stressful event. Confrontative Action  against  the  stressor  (fight)  or withdrawal  from  the  threatening  event flight)  are  two  general  categories  of behavioural    responses.

 COGNITIVE RESPONSE include  beliefs  about  the  harmor threat an event poses and beliefs about its causes or controllability. These include responses such as inability to concentrate,and  intrusive,  repetitive  or  morbidthoughts.  The stresses which people experience also vary in terms of  intensity  (low  intensity  vs.  high intensity),  duration  (short-term  vs.  long-term), complexity ( less complex vs. morecomplex)  and  predictability  (unexpected vs.  predictable).  The  outcome  of  stress depends  on  the  position  of  a  particular stressful    experience    along    these dimensions.  Usually  more  intense, prolonged  or  chronic,  complex  and unanticipated stresses have more negative consequences  than  have  less  intense,short-term,  less  complex  and  expected stresses.  An  individual’s  experiences  of stress depend on the physiological strength of that person. Thus, individuals with poor physical  health  and  weak  constitution would  be  more  vulnerable  than  would  be those  who  enjoy  good  health  and  strong constitution.

Psychological  characteristics

  • Psychology characteristic,  like mental  health,  temperament,  and  self-concept  are  relevant  to  the  experience  of stress.  The  cultural  context  in  which  we live  determines  the  meaning  of  any  event and defines the nature of response that is expected under various conditions.

  •  Finally, the stress experience will be determined by the  resources  of  the  person,  such  asmoney, social skills, coping style, support networks,  etc.  All  these  factors  determine the appraisal of a given stressful situation.

Signs  and  Symptoms  of  Stress

The  way  we  respond  to  stress  varies depending  upon  our  personality,  early upbringing and life experiences. Everyone Has  their  own  pattern  of  stress  response so the  warning  signs  may  vary,  as  may their  intensity.  Some  of  us  know  our pattern  of  stress  response  and  can  gauge the depth of the problem by the nature and severity of our own symptoms or changes in  behaviour.  These  symptoms  of  stress can    be    physical,    emotional    and behavioural.  Any  of  the  symptoms  can indicate  a  degree  of  stress  which,  if  left unresolved,    might    have    serious implications.

Types  of  Stress

The  three  major  types  of  stress,  viz.physical and environmental, psychological,and  social  are important  to  understand  that  all  these types  of  stress  are  interrelated.

Physical  and  Environmental  Stress

Physical stresses are demands that change the  state  of  our  body.  We  feel  strained when  we  overexert  ourselves  physically, lack a nutritious diet, suffer an injury, ors fail  to  get  enough  sleep.  Environmental Stresses  are  aspects  of  our  surroundings that are  often  unavoidable  such  as  air pollution,  crowding,  noise,  heat  of  the summer, winter cold, etc. Another group of environmental  stresses  are  catastrophic events   or   disasters   such   as   fire, earthquake,  floods,  etc.

Psychological  Stress

These  are  stresses  that  we  generate ourselves in our minds. These are personal and  unique  to  the  person  experiencing them and are internal sources of stress. We Worry  about  problems,  feel  anxiety,  or become  depressed.  These  are  not  only symptoms of stress, but they cause further stress  for  us.  

  • Some  of  the  important sources  of  psychological  stress  are frustration,  conflicts,  internal  and  social pressures,  etc. Frustration  results  from  the  blocking of  needs  and  motives  by  something  or someone that hinders us from achieving a desired  goal.  There  could  be  a  number  of causes  of  frustration  such  as  social discrimination,  interpersonal  hurt,  lowgrades in school, etc. 

  • Conflicts may occur between  two  or  more  incompatible  needs or motives, e.g. whether to study dance or psychology.  You  may  want  to  continue studies  or  take  up  a  job.  There  may  be  a conflict of values when you are pressured to take any action that may be against the values  held  by  you. 

  •  Internal  pressures stem from beliefs based upon expectations from inside us to ourselves such as, ‘I must do everything perfectly’. Such expectations can only lead to disappointment. Many of us  drive  ourselves  ruthlessly  towards achieving unrealistically high standards in achieving our goals. 

  • Social pressures may be  brought  about  from  people  who  make excessive demands on us. This can cause even  greater  pressure  when  we  have  to work with them. Also, there are people withwhom we face interpersonal difficulties, ‘personality  clash’  of  sorts.


Social stress

These  are  induced  externally  and  result from  our  interaction  with  other  people. Social  events  like  death  or  illness  in  the family, strained relationships, trouble with neighbours  are  some  examples  of  social stresses. These social stresses vary widely from  person  to  person.  Attending  parties may be stressful for a person who likes to spend  quiet  evenings  at  home  while  an outgoing person may find staying at home in  the  evenings  stressful.

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Sources of stress

A wide range of events and conditions can generate stress. Among the most important of  these  are  major  stressful  life  events,such  as  death  of  a  loved  one  or  personal episode.injury,  the  annoying  frequent  hassles  of everyday  life  and  traumatic  events  that affect  our  lives.

Life  Events

Changes, both big and small, sudden and gradual affect our life from the moment we're  born.  We  learn  to  cope  with  small,everyday changes but major life events can be  stressful,  because  they  disturb  our routine  and  cause  upheaval.  If  several  of these  life  events  that  are  planned  (e.g.moving  into  a  new  house)  or  unpredicted(e.g. break-up of a long-term relationship)occur  within  a  short  period  of  time,  we find  it  difficult  to  cope  with  them  and will  be  more  prone  to  the  symptoms of stress.


Hassles

These are the personal stressors we endure as  individuals,  due  to  the  happenings  in our daily life, such as noisy surroundings, commuting,  quarrelsome  neighbours,electricity  and  water  shortage,  traffic snarls,  and  so  on.  Attending  to  various emergencies are daily hassles experienced by  a  housewife.  There  are  some  jobs  in which  daily  hassles  are  very  frequent.These  daily  hassles  may  sometimes  have devastating   consequences   for   the individual  who  is  often  the  one  coping alone with them as others may not even be aware  of  them  as  outsiders.  The  morestress  people  report  as  a  result  of  daily hassles,  the  poorer  is  their  psychological well-being.


Traumatic  Events

These  include  being  involved  in  a  variety of  extreme  events  such  as  a  fire,  train  or road  accident,  robbery,  earthquake, tsunami,  etc.  The  effects  of  these  events may  occur  after  some  lapse  of  time  and sometimes persist as symptoms of anxiety,flashbacks,   dreams   and   intrusive thoughts,  etc.  Severe  trauma  can  also strain relationships. Professional help will be  needed  to  cope  with  them  especially  if they  persist  for  many  months  after the event is over.


EFFECTS OF  STRESS ON  PSYCHOLOGICAL FUNCTIONING AND  HEALTH

What are the effects of stress? 

Many of the effects  are  physiological  in  nature,however,  other  changes  also  occur inside   stressed   individuals.   There Are   four   major   effects   of   stress associated  with  the  stressed  state,  viz.emotional, physiological, cognitive, and behavioural.


Emotional Effects : Those who suffer from stress  are  far  more  likely  to  experience mood swings, and show erratic behaviour that  may  alienate  them  from  family  and friends.  In  some  cases  this  can  start  a vicious  circle  of  decreasing  confidence, leading  to  more  serious  emotional problems.  Some  examples  are  feelings  of anxiety and depression, increased physical tension,  increased  psychological  tension and  mood  swings


 Physiological Effects : When the human body   is   placed   under   physical   or psychological  stress,  it  increases  the production  of  certain  hormones,  such  as adrenaline  and  cortisol.  These  hormones produce  marked  changes  in  heart  rate,blood  pressure  levels,  metabolism  and physical  activity.  Although, this  physical reaction  will  help  us  to  function  more effectively when we are under pressure for short  periods  of  time,  it  can  be  extremely damaging  to  the  body  in  the  long-term effect.  Examples  of  physiological  effects are release  of  epinephrine  and  nor-epinephrine, slowing down of the digestive system,  expansion  of  air  passages  in  the lungs,   increased   heart   rate,   and constriction  of  blood  vessels.


Cognitive  Effects  :  If  pressures  due  to stress  continue,  one  may  suffer  from mental  overload.  This  suffering  from  high level of stress can rapidly cause individuals to  lose  their  ability  to  make  sound. Faulty decisions made at home, in  career,  or  at the workplace  may  lead  to arguments,  failure,  financial  loss  or  even loss  of  job.  Cognitive  effects  of  stress  are poor  concentration,  and  reduced  short-term  memory  capacity.


Behavioural  Effects  :  Stress  affects  our behaviour  in  the  form  of  eating  less nutritional  food,  increasing  intake  of stimulants  such  as  caffeine,  excessive consumption  of  cigarettes,  alcohol  and other  drugs  such  as  tranquillisers  etc. Tranquillisers  can  be  addictive  and  have side effects such as loss of concentration,poor coordination, and dizziness. Some of the  typical  behavioural  effects  of  stress seen  are  disrupted  sleep  patterns,increased absenteeism, and reduced work performance.

Stress  and  Health

  • You  must  have  often  observed  that  many of your friends (maybe including yourself as  well!)  fall  sick  during  the  examination time.  They  suffer  from  stomach  upsets, body  aches,  nausea,  diarrhoea  and  fever etc. You must have also noticed that people who are unhappy in their personal lives fall sick more often than those who are happy and  enjoy  life.  


  • Chronic  daily  stress  can divert an individual’s attention from caring for  herself  or  himself.  When  stress  is prolonged,  it  affects  physical  health  and impairs  psychological  functioning.  


  • People experience  exhaustion  and  attitudinal problems when the stress due to demands from the environment and constraints are too high and little support is available from family   and   friends.   


  • The   physical exhaustion is seen in the signs of chronic fatigue,  weakness  and  low  energy.  Mental exhaustion appears in the form of irritability, anxiety, feelings of helplessness and  hopelessness.  


  • This  state  of  physical,emotional and psychological exhaustion is known  as  burnout. There  is  also  convincing  evidence  to show  that  stress  can  produce  changes  in the  immune  system  and  increase  the chances  of  someone  becoming  ill. 


  •  Stress has been implicated in the development of cardiovascular  disorders,  high  blood pressure,  as  well  as  psychosomatic disorders  including  ulcers,  asthma,allergies  and  headaches. 

Researchers estimate that stress plays an  important  role  in  fifty  to  seventy  percent of all physical illnesses.

 Studies also reveal that sixty percent of medical visits are primarily for stress-related symptoms.

General  Adaptation  Syndrome 

What happens to the body when stress is prolonged?  

Selye  studied  this  issue  by subjecting animals to a variety of stressors such  as  high  temperature,  X-rays  and insulin injections, in the laboratory over a long  period  of  time. 

 He  also  observed patients with various injuries and illnesses in hospitals. Selye noticed a similar pattern of bodily response in all of them. He called this  pattern  the  General  AdaptationSyndrome  (GAS).  According  to  him,  GASinvolves  three  stages:  alarm  reaction,resistance, and exhaustion.

1.Alarm  reaction  stage  :  The  presence of  a  noxious  stimulus  or  stressor leads  to  activation  of  the  adrenal-pituitary-cortex  system.  This  triggers the release of hormones producing the stress  response.  Now  the  individual  is ready  for  fight  or  flight.

2.Resistance stage : If stress is prolonged,the  resistance  stage  begins.  The  parasympathetic  nervous  system  calls  for more  cautious  use  of  the  body's resources. The organism makes efforts to  cope  with  the  threat,  as  through confrontation.

3.Exhaustion stage : Continued exposure to  the  same  stressor  or  additional stressors  drains  the  body  of  its resources  and  leads  to  the  third  stage of  exhaustion.  

The  physiological systems involved in alarm reaction and resistance  become  ineffective  and susceptibility to stress-related diseases such  as  high  blood  pressure  becomes more  likely. Selye’s  model  has  been  criticised  for assigning   a   very   limited   role   to psychological factors in stress. Researchers have  reported  that  the  psychological appraisal  of  events  is  important  for  the determination  of  stress.  How  people respond  to  stress  is  substantially influenced    by    their    perceptions,personalities  and  biological  constitutions.Stress  and  the  Immune  SystemStress  can  cause  illness  by  impairing  the workings  of  the  immune  system.  The Immune  system  guards  the  body  against attackers,  both  from  within  and  outside. Psychoneuroimmunology focuses on the links between the mind, the brain and the immune  system.  It  studies  the  effects  of stress  on  the  immune  system.  

How  does the immune system work? The white blood cells  (leucocytes)  within  the  immune system identify and destroy foreign bodies antigens) such as viruses. It also leads to the  production  of  antibodies. 

  •  There  are several  kinds  of  white  blood  cells within  the  immune  system, including T cells, B cells and natural killer cells. T cells destroy invaders, and T-helper cells increase immunological activity. 

  • These  T-helper  cells  that  are  attacked  by the  Human  Immunodeficiency  Virus(HIV), the virus causing Acquired ImmunoDeficiency  Syndrome  (AIDS).  B  cells produce antibodies. Natural killer cells are involved  in  the  fight  against  both  viruses and  tumours. 

  • Stress  can  affect  natural  killer  cell cytotoxicity, which is of major importance in  the  defence  against  various  infections and cancer. Reduced levels of natural killer cell cytotoxicity have been found in people who  are  highly  stressed,  including students  facing  important  examinations,bereaved  persons,  and  those  who  are severely  depressed.  


Studies  reveal  that immune functioning is better in individuals receiving  social  support.  Also,  changes  in the  immune  system  will  have  more  effect on  health  among  those  whose  immune systems are already weakened. release  of  stress  hormones which  lead  to  weakening  of  the  immune system,  thereby  affecting  mental  and physical  health. Psychological stress is accompanied by negative   emotions   and   associated behaviours, including depression, hostility, anger  and  aggression.  Negative  emotion states  are  of  particular  concern  to  the study  of  effects  of  stress  on  health.  The Incidence of psychological disorders, such as panic attacks and obsessive behaviour increases  with  the  build  up  of  long-term stress. Worries can reach such a level that they  surface  as  a  frightening,  painful physical sensation, which can be mistaken for a heart attack. People under prolonged stress  are  more  prone  to  irrational  fears,mood  swings  and  phobias,  and in my experience  fits  of  depression,  anger  and irritability. These negative emotions appear to be related to the function of the immune system. Our ability to interpret our world and  to  invest  that  interpretation  with personal  meaning  and  emotion  have  a powerful  and  direct  effect  on  the  body. Negative moods have been associated with poor health  outcomes.  Feelings  of hopelessness  are  related  to  worsening  of disease, increased risk of injury and death due  to  various  causes. 

LIFESTYLE STRESS

  • Lifestyle Stress  can  lead  to  unhealthy  lifestyle  or health damaging behaviour. Lifestyle is the overall pattern of decisions and behaviours that  determine  a  person’s  health and quality of life. 


  • Stressed individuals may be more  likely  to  expose  themselves  to pathogens,which  are  agents  causing physical  illness. 


  •  People  who  are  stressed have poor nutritional habits, sleep less and are likely to engage in other health risk behaviours  like  smoking  and  alcohol abuse.  


  • Such  health  impairing  behaviours develop gradually and are accompanied by pleasant experiences temporarily. However,we tend to ignore their long-term damaging effects  and  underestimate  the  risk  they pose  to  our  lives.


  • Studies  have  revealed  that  health promoting  behaviour  like  balanced  diet,regular  exercise,  family  support,  etc.  playan important role in good health. 


  • Adhering To a lifestyle that includes a balanced low fat diet,  regular  exercise  and  continued activity  along  with  positive  thinking enhances  health  and  longevity.  


  • The Modern  lifestyle  of  excesses  in  eating,drinking and the so called fast-paced goodlife has led to violation of  basic principles of health  in some of us, as to what we eat,think  or  do  with  our  lives.


COPING WITH STRESS

In  recent  years  the  conviction  has  grown that it is how we cope with stress and not the stress one experiences that influences our  psychological  well-being,  social functioning  and  health. Coping  is  a dynamic  situation-specific  reaction  to stress. It is a set of concrete responses to stressful  situations  or  events  that  are intended to resolve the problem and reduce stress. The way we cope with stress often depends on rigid deep-seated beliefs, based on experience, e.g. when caught in a traffic jam we feel angry, because we believe that the traffic ‘should’ move faster. To manage stress  we  often  need  to  reassess  the  way we  think  and  learn  coping  strategies. People who cope poorly with stress have an impsired immune    response    and diminished  activity  of  natural  killer  cells.Individuals  show  consistent  individual differences  in  the  coping  strategies  they use  to  handle  stressful  situations.  The secan  include  both  overt  and  covert activities.

 

The three coping strategies given by  Endler  and  Parker  are:-

Task-oriented  Strategy  :-  This  involves obtaining  information  about  the  stressful situation and about alternative courses of action and their probable outcome; it also involves  deciding  priorities  and  acting  so as  to  deal  directly  with  the  stressful situation.  For  example,  schedule  my  time better,  or  think  about  how  I  have  solved similar    problems.

Emotion-oriented  Strategy  :-  This  can involve  efforts  to  maintain  hope  and  to control one’s emotions; it can also involve venting  feelings  of  anger  and  frustration,or  deciding  that  nothing  can  be  done  to change  things.  For  example,  tell  myself that  it  is  not  really  happening  to  me,  or worry  about  what  I  am  going  to  do.

Avoidance-oriented  Strategy  :-  This involves  denying  or  minimising  the seriousness of the situation; it also involves conscious  suppression  of  stressful thoughts  and  their  replacement  by  self-protective thoughts.  Examples  of  this  are watching  TV,  phone  up  a  friend,  or  try  to be  with  other  people. Lazarus      and      Folkman's Conceptualised  coping  as  a  dynamic process  rather  than  an  individual  trait. Coping  refers  to  constantly  changing cognitive and behavioural efforts to master,reduce or tolerate the internal or external demands that are created by the stressful transaction.  Coping  serves  to  allow  the individual  to  manage  or  alter  a  problem and  regulate  the  emotional  response  to that  problem.  According  to  them  coping responses can be divided into two types of responses.

  • problem-focused

  • emotion-focused.

 Problem-focused strategies attack the  problem  itself,  with  behaviors designed  to  gain  information,  to  alter  the event, and to alter belief and commitments.They increase the person’s awareness, level of  knowledge,  and  range  of  behavioural and cognitive coping options. They can act to reduce the threat value of the event. For Example  “I  made  a  plan  of  action  and followed it”. 

Emotion-focused strategies call for  psychological  changes  designed primarily  to  limit  the  degree  of  emotional disruption  caused  by  an  event,  with minimal effort to alter the event itself. For Example “I did some things to let it out of my  system”.  

While  both  problem-focused and emotion-focused coping are necessary when facing stressful situations, research suggests that people generally tend to use the  former  more  often  than  the  latter.

Stress  Management  Techniques

Stress  is  a  silent  killer.  It  is  estimated  to play  a  significant  role  in  physical  illness and  disease.  Hypertension,  heart  disease,ulcers, diabetes and even cancer are linked to stress. Due to lifestyle changes stress ison  the  increase.  Therefore,  schools,  other institutions,  offices  and  communities  are concerned  about  knowing  techniques  to manage  stress. 

 Some  of  these  techniques are:-

Relaxation  Techniques  :   It  is  an  active skill that reduces symptoms of stress and decreases  the  incidence  of  illnesses  such as high blood pressure and heart disease.Usually  relaxation  starts  from  the  lower part of the body and progresses up to the facial  muscles  in  such  a  way  that  the whole  body  is  relaxed.  Deep  breathing  is used along with muscle relaxation to calm the  mind  and  relax  the  body.

Meditation Procedures : The yogic method of  meditation  consists  of  a  sequence  of learned  techniques  for  refocusing attention that brings about an altered state of  consciousness.  It  involves  such  a thorough concentration that the meditation becomes   unaware   of   any   outside stimulation  and  reaches  a  different  state of  consciousness.

Biofeedback : It is a procedure to monitor and  reduce  the  physiological  aspects  of stress by providing feedback about current physiological  activity  and  is  often accompanied  by  relaxation  training.

Challenges Biofeedback training involves three stages:developing an awareness of the particular physiological  response,  e.g.  heart  rate,learning   ways   of   controlling   that physiological response in quiet conditions;and  transferring  that  control  into  the conditions  of  everyday  life.

Creative  Visualisation  :  It  is  an  effective technique for dealing with stress. Creativevisualisation is a subjective experience that uses  imagery  and  imagination.  Before Visualising one must set oneself a realistic goal,  as  it  helps  build  confidence.  It's Easier  to  visualise  if  one’s  mind  is  quiet,body  relaxed  and  eyes  are  closed.  This Reduces  the  risk  of  interference  from unbidden  thoughts  and  provides  the creative  energy  needed  for  turning  an imagined  scene  into  reality.

Cognitive  Behavioural  Techniques  :These  techniques  aim  to  inoculate  people against stress. Stress inoculation training is  one  effective  method  developed  by Meichenbaum.  The  essence  of  this approach  is  to  replace  negative  and irrational  thoughts  with  positive  and rational ones.

 There are three main phases in  this  :  assessment,  stress  reduction techniques,  and  application  and  follow-through.  Assessment  involves  discussing the  nature  of  the  problem  and  seeing  it from  the  viewpoint  of  the  person/client.Stress  reduction  involves  learning  the techniques  of  reducing  stress  such  as relaxation  and  self-instruction.

Exercise :  Exercise  can  provide  an  active outlet  for  the  physiological  arousal experienced in response to stress. Regularexercise  improves  the  efficiency  of  the heart, enhances the function of the lungs,maintains  good  circulation,  lowers  blood pressure,  reduces  fat  in  the  blood  and improves  the  body’s  immune  system. Swimming,  walking,  running,  cycling,skipping,  etc.  help  to  reduce  stress.  Onemust practice these exercises at least four times  a  week  for  30  minutes  at  a  time. Each  session  must  have  a  warm-up,exercise  and  cool  down  phases.

PROMOTING  POSITIVE  HEALTH AND

WELL-BEING

It  is  unlikely  that  we  will  go  through  life without some experience of personal crises causing  acute  pressure  for  a  while.  Many people sail through and rebuild their lives very  positively.  They  are  likely  to  have constructive attitudes and also have lots of emotional  and  social  support  of  various kinds  available  to  them.  When  we  find ways of managing these pressures and can use the energy to create something positive out  of  the  situation,  then  we  will  have learned  to  survive  healthily  and  this  will leave  us  more  stress  fit  for  future  crises. It  is  like  being  immunised  against  the dangers  of  unhealthy  stress.

Stress  Resistant  Personality  :  Recentstudies by Kobasa have shown that people with high levels of stress but low levels of illness  share  three  characteristics,  which are referred to as the personality traits of hardiness. It consists of ‘the three Cs’, i.e.commitment,  control,  and  challenge. Hardiness is a set of beliefs about oneself,the world, and how they interact. It takes the shape of a sense of personal commitment to  what  you  are  doing,  a  sense  of  control over  your  life,  and  a  feeling  of  challenge. Stress resistant personalities have control which is a sense of purpose and direction in  life;  commitment  to  work,  family,hobbies and social life; and challenge, thatis, they see changes in life as normal and positive  rather  than  as  a  threat. Everyone   does   not   have   these characteristics, many of us have to relearn specific life skills in areas such as rational thinking,  and  assertiveness  to  equip ourselves better to cope with the demands of  everyday  life.etc.


Life  Skills

Life  skills  are  abilities  for  adaptive  and positive behaviour that enable individuals to  deal  effectively  with  the  demands  and challenges  of  everyday  life.  Our  ability  to cope depends on how well we are prepared to deal with and counterbalance everyday demands,  and  keep  equilibrium  in  our lives.  These  life  skills  can  be  learned  and even  improved  upon.  Assertiveness,  time management, rational thinking, improving relationships,  self-care,  and  overcoming unhelpful  habits  such  as  perfectionism,procrastination,  etc.  are  some  life  skills that will help to meet the challenging life.

Assertiveness  :  Assertiveness  is  a behavior   or   skill   that   helps   to communicate, clearly and confidently, our feelings, needs, wants, and thoughts. It is the ability to say no to a request, to state an opinion without being self-conscious, orto  express  emotions  such  as  love,  anger,etc.  openly.  If  you  are  assertive,  you  feel confident,  and  have  high  self-esteem  and a  solid  sense  of  your  own  identity.

Time  Management  :  The  way  you  spend your  time  determines  the  quality  of  your life.  Learning  how  to  plan  time  and delegate  can  help  to  relieve  the  pressure.The major way to reduce time stress is to change  one’s  perception  of  time.  The Central principle of time management is to spend your time doing the things that you value,  or  that  help  you  to  achieve  your goals.  It  depends  on  being  realistic  about what  you  know  and  that  you  must  do  it within a certain time period, knowing what you want to do, and organising your life to achieve  a  balance  between  the  two.

Rational  Thinking  :  Many  stress-related problems  occur  as  a  result  of  distorted thinking. The way you think and the way you  feel  are  closely  connected.  When  we are  stressed,  we  have  an  inbuilt  selective bias  to  attend  to  negative  thoughts  and images  from  the  past,  which  affect  our perception  of  the  present  and  the  future.Some of the principles of rational thinking are: challenging your distorted thinking and irrational  beliefs,  driving  out  potentially intrusive  negative  anxiety-provoking thoughts, and making positive statements.

Improving  Relationships:  The  key  to  a sound  lasting  relationship  is  communi-cation.  This  consists  of  three  essential skills:  listening  to  what  the  other  person is  saying,  expressing  how  you  feel  and what  you  think,  and  accepting  the  other person's opinions and feelings, even if they are  different  from  your  own.  It  also requires  us  to  avoid  misplaced  jealousy and  sulking  behaviour.

Self-care : If we keep ourselves healthy, fit and  relaxed,  we  are  better  prepared physically  and  emotionally  to  tackle  the stresses  of  everyday  life.  Our  breathing patterns  reflect  our  state  of  mind  and emotions.  When  we  are  stressed  or anxious,  we  tend  towards  rapid  and shallow breathing from high in the chest,with  frequent  sighs.  The  most  relaxed breathing  is  slow,  stomach-centred breathing from the diaphragm, i.e. a dome-like  muscle  between  the  chest  and  the abdominal cavity. 

ENVIRONMENTAL STRESS

Environmental stresses like  noise,  pollution,  space,  light,  colour,etc. can all exert an influence on our mood.These  have  a  noticeable  effect  on  our ability to cope with stress, and well-being.

Overcoming Unhelpful Habits: Unhelpful Habits  such  as  perfectionism,  avoidance,procrastination,  etc.  are  strategies  that help  to  cope  in  the  short-term  but  whichmake  one  more  vulnerable  to  stress. Perfectionists are people who have to get everything  just  right.  They  have  difficulty in varying  standards  according  to  factors such  as  time  available,  consequences  of not being able to stop work, and the effort needed. They are more likely to feel tense adults.and find it difficult to relax, are critical of self and others, and may become inclined to avoid challenges. Avoidance is to put the issue under the carpet and refuse to accept or face it. Procrastination means putting off what  we  know  we  need  to  do.  We  all  are guilty  of  saying  “I  will  do  it  later”.  Peoplewho procrastinate are deliberately avoiding confronting their fears of failure or rejection. Various  factors  have  been  identified which  facilitate  the  development  of positive  health. Health  is  a  state  of complete  physical,  mental,  social  and spiritual  well-being,  and  not  merely  the absence  of  disease  or  infirmity.  Positive Health comprises the following constructs:“a  healthy  body;  high  quality  of  personal relationships;  a  sense  of  purpose  in  life;self-regard,  mastery  of  life’s  tasks;  and resilience to stress, trauma, and change" Specifically,  factors that  act  as  stress  buffers  and  facilitate positive  health  are  diet,  exercise,  positive attitude,  positive  thinking,  and  social support.

Diet : A balanced diet can lift one’s mood,give  more  energy,  feed  muscles,  improve circulation, prevent illness, strengthen the immune  system  and  make  one  feel  better to  cope  with  stresses  of  life.  The  key  to healthy  living  is  to  eat  three  main  meals a day, and eat a varied well-balanced diet.How much nutrition one needs depends on one's  activity  level,  genetic  make-up,climate,  and  health  history.  What  people eat, and how much do they weigh involve behavioural  processes.  Some  people  areable to maintain a healthy diet and weightwhile  others  become  obese.  When  we  are stressed, we seek ‘comfort foods’ which are high  in  fats,  salt  and  sugar.

Exercise  :  A  large  number  of  studies confirm a consistently positive relationship between physical fitness and health. Also,of all the measures an individual can take to  improve  health,  exercise  is  the  lifestyle change  with  the  widest  popular  approval.Regular exercise plays an important role in managing weight and stress, and is shown to  have  a  positive  effect  on  reducing.

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