# data[].attributes.body
Title: Relax! Stress, if managed, can be good for you

Main idea:
The article gives an analysis of stress, how it could be managed, what strategies can be used and how to get a positive affect from it.

Reason:
I've chosen this article because the topic is close to me. You don't realize the harmful level of stress and affect on health. If stress is properly managed, you can save your inner resources and stay in industry for a longer time.

Source:
Title:
Relax! Stress, if Managed, Can Be Good for You.
Authors:
Kotz, Deborah
Source:
U.S. News & World Report. 6/16/2008, Vol. 144 Issue 17, p54-58. 5p

You're aiming for stimulated and focused--but not frazzled
Raleigh, N.C., businessman Buddy Howard used to feel his heart race and dread set in every time he thought about driving up profits at his equity research firm or was faced with an unwieldy project that seemed impossible to complete. Then his 11-year-old daughter developed anorexia--and he suddenly learned the difference between stress and stress. "Nothing comes close to the stress you feel as a parent when you're afraid that your child is going to die," says the 50-year-old father of two, who, seven years later, gets energized by the same deadline crunches that used to paralyze him. He now breaks large projects into discrete tasks that provide daily victories--the same bite-by-bite, pound-by-pound process his daughter used to overcome her eating disorder. And he's altered his perspective on bigger earnings, focusing on the rush of the challenge and blotting out the fear of failure.
Stress has certainly earned its bad reputation, given the wreckage it causes: headaches, stomach pain, high blood pressure, insomnia, and mind freeze reminiscent of a crashing laptop. But it also has an unheralded upside. In normal doses, adrenaline and other "fight or flight" hormones improve performance and seem to even protect health. They increase alertness and motivate you to get things done by quickening your heartbeat, improving blood flow to the brain, and enhancing vision and hearing. And in small amounts, studies suggest, they boost the immune system and may protect against age-related memory loss by keeping brain cells active. University of Texas researchers recently found that those engaged in challenging and creative work enjoy better health--an advantage equivalent to being nearly seven years younger. "Your goal shouldn't be to get rid of stress," contends Esther Sternberg, a researcher at the National Institutes of Health and author of The Balance Within: The Science Connecting Health and Emotions. Rather, she says, you should aim for "the appropriate stress response."
Extremely agitated. Getting the calibration just right can be tough, but it's achievable: As Howard discovered, it's often a matter of changing one's perception of a challenge. Plenty of Americans have yet to figure out how. According to a recent survey by the American Psychological Association, nearly half say their level of stress has increased over the past five years, and fully one third routinely experience extreme agitation.
The problem with overwhelming stress? In the short term, the rush of stress hormones can make people less productive, even mentally paralyzed. Think writer's block. When the overload becomes chronic, heart disease, depression, and an impaired immune system can result. An estimated 50 to 80 percent of people who develop depression have faced a major stressful life event, like a divorce or job firing, during the preceding three to six months and most likely have produced an excessive amount of the stress hormone cortisol. An October study published in the Journal of the American Medical Association found that heart patients battling chronic job strain were twice as likely as their more relaxed peers to have another heart attack. And researchers have been aware for some time that overanxious folks exposed to cold viruses are more apt to end up sick than those who aren't.
"We think the system stops working appropriately when it's constantly turned on," says Sheldon Cohen, a professor of psychology at Carnegie Mellon University who first discovered the link between colds and stress. Chronically elevated cortisol levels lead to more colds and infections; depleted levels can cause an overactive immune system--and autoimmune diseases like rheumatoid arthritis.
The ultimate goal is to hit a stress response appropriate for a given situation: You want to be in low gear when you're, say, watching TV, medium when you're doing car pool, and high--but not overdrive--when you're under a deadline crunch. High gear is what Sternberg calls the peak of the "stress response rainbow," or the point where you're at your most productive, able to focus on the task at hand with minimal distractions. Most likely, you're sent into this zone by an optimal level of adrenaline, cortisol, and other hormones that increase your pulse, reduce peripheral vision, and improve blood flow to the brain.
Biology undoubtedly plays a role in how easily you hit the target: A study published last year in the journal Cell found that mice that adapted poorly after being put in a cage with bigger, more aggressive mice produced larger amounts of stress-related brain chemicals than those that adapted well. But modifiable beliefs and expectations factor in, too. Expecting that your life will be unchanging, for example, is bound to make you react badly to dropping house values and a child's academic reversals, says psychologist Robert Rosen, author of Just Enough Anxiety, a new book that explains how anxiety can be a key to success in the workplace. "Buddhists have this idea that every time we breathe, the world changes," Rosen says. A philosophy of acceptance allows them to make peace with what they can't control--like an earthquake, inflation, or an oppressive political regime.
Successfully striking a balance between acceptance and that need for control is what most separates the healthfully stimulated from the stress crazed. The former feel like captains of their own ship, while the latter feel like passengers. Often, it's possible to seize control by breaking down a task: setting a monthly weight-loss plan of 1 to 2 pounds, for example, if you're trying to reach a 40-pound goal. Enlisting help from others as you coordinate that family reunion or race to meet a pressing deadline can also put the ship's wheel in your hands.
Playing tricks. Sometimes, Sternberg says, the trick "is to fool your brain into thinking that you have some degree of control." Researchers have shown that people produce more healthful levels of stress hormones when they're told they have control over a stressor, whether or not they actually act--they have the ability to press a button to stop a loud, irritating noise, say, even if they don't stop the noise. It's all about being proactive rather than placing blame--as much as we'd like to put it on our parents--or sitting back and feeling helpless.
You might find a way, for example, to limit your exposure to a stressor. Duke University stress researcher Redford Williams says he reduced his tension over having to deal with endless E-mail messages by simply deciding to stop constantly checking his PDA after hours. (Bonus: Ignoring the pesky E-mail eased a bit of stress in his marriage, too, he says, since he could tell from his wife's body language that "it wasn't good for our relationship.")
Or you might take a break to exert your mastery in other areas. Daniel Lobring, a 29-year-old public relations manager from Chicago, restores his "I can deal" feelings by picking up his drumsticks. He finds that drumming helps relieve stress headaches triggered by the pressures of organizing high-profile events for athletes and clients like ESPN. "I can only send out so many press releases and photos," he says, "and it's stressful, waiting and hoping that whatever I did will get some media coverage." With music, he explains, he knows his performance rests completely in his hands. Even in times of crushing catastrophes, people can find relief by doing something purposeful: donating blood or cash after 9/11 or the Chinese earthquake; buying energy-efficient light bulbs or a hybrid car to ease distress over global warming and rising gas prices.
Unless you're a natural-born optimist, of course, you may really have to work at seeing possibilities when times are tough. "The way to become more resilient is to live in the world, challenging yourself socially, psychologically, and intellectually," contends stress and resilience researcher Mary Steinhardt, a therapist and professor of health education at the University of Texas-Austin. In a study published in the January Journal of American College Health, she found that stressed-out college students who were given four weekly therapy sessions--focusing on coping strategies, self-esteem building, and making interpersonal connections--increased their "stress resilience," a measure of how quickly they bounce back after feeling stressed, far more than peers who didn't get the counseling.
Steinhardt suggests pausing when stress hits to simply recognize its source, whether it's an unrealistic deadline, a family reunion, or an inflating mortgage. Focusing your attention on the problem is key to identifying what you can control and accepting what you can't and to preventing a panicked reaction from developing unchecked (box, Page 54). If you're not in a panic, you can offer yourself some coaching: Is anger going to be productive? Are you really (choose one): a bad employee, the black sheep of the family, someone completely incapable of handling personal finances?
Being a perfectionist, not surprisingly, can lead to excessively high cortisol levels, increasing the risk of diabetes and depression. Working mother Alice Domar, a Harvard Medical School professor and author of Be Happy Without Being Perfect, argues that we need to retrain our brains to think realistically. She recommends keeping a journal detailing any perfectionist tendencies, what's gained from them (a spotless house, perhaps), and what's lost (the novel waiting on your nightstand).
The guilt has to go along with the outsize expectations. Feeling overwhelmed by the needs of her husband and two kids and the demands of her employee relations job at computer maker Dell, Tonja Eaton of Round Rock, Texas, says she learned to put her wants (free time on Sundays, family evenings at home, belly-dancing classes) over her shoulds (visits with relatives, birthday parties for her children's acquaintances, serving on a charity board) after joining a monthly "personal renewal group" focusing on work-life balance issues. More than 150 of these groups, based on The Mother's Guide to Self-Renewal by Renée Trudeau, have formed around the country. "I've discovered a lot of creative ways to say no," says Eaton, 36. "I've learned to make it a rule that a minimum of 50 percent of weekends be spent at home. We're much more connected as a family when we do that."
Understressed. While the health hazards of too much stress have been well established, too little isn't good for you either, according to Monika Fleshner, an associate professor of integrative physiology at the University of Colorado-Boulder who has conducted numerous studies on the stress response. It could be that if the stress system isn't activated often enough, she theorizes, it produces higher levels of stress hormones when it does get turned on. Like a muscle, it may need to be used regularly in order to stay in peak working condition. This could explain why some people fall apart when hit by a serious crisis while others rise to the occasion. If your body isn't used to having challenges, Fleshner speculates, "perhaps when the stress response finally does get turned on, it's hard to turn off."
More established are the daily psychological consequences that stem from a lack of challenge: boredom, low energy, and a reduced sense of accomplishment. Teresa Walden, 44, grew all too familiar with these feelings in the years after quitting her in-house-attorney position in Austin to raise her two sons. She assumed that going back to her position once her sons started school would restore her mojo, but instead she felt stymied by the same old work. Ultimately, Walden decided to become a life coach. "I definitely feel more energized, more alive with purpose and intention," she says. "It makes me a better mom."
Whether you're bored or overwhelmed, reaching the optimal stress zone requires bridging the gap "between your current reality and your desired future," says psychologist Rosen. "There's the voice inside you that says take a leap, go forward, but there's also the voice that holds you back, warning that it's too risky." His five-step plan for getting through the gap: Identify what you want to change; imagine your desired outcome; assess your current situation; analyze what it will take to get you to your future goal; and take action to get there, setting one small goal at a time.
Try the cure-all. Beyond using your mental processes to manage your response to stress, there's that terrific physiological tool: exercise. Regular physical activity is the single best thing you can do to gain energy if you're understressed and to relax if you're frazzled, say experts. A 2007 study published in the journal Psychosomatic Medicine found that people who exercise at least two or three times a week have smaller increases in blood pressure, heart rate, and inflammatory chemicals when given stressful word-naming tasks than those who never exercise.
Researchers now think that exercise triggers the release of "feel good" endorphins in the brain, one of which, enkephalin, is believed to prevent the release of excessively high levels of adrenaline and cortisol. A session of exercise also triggers the stress response--a plus for those who are underchallenged. If you're having either a stressful or a low-energy day, head for the gym or squeeze in a 20-minute ultrabrisk walk, recommends Mark Hamer, an exercise physiologist at University College in London. You'll get the biggest benefits within an hour after you work out.
Any treat that activates your brain's pleasure centers--a massage, a piece of rich chocolate, a funny movie--can similarly dampen your stress levels. Novelty is what you're shooting for if your stress levels are too low: Head to an amusement park, sign up for a challenging art class, or take a rafting trip down some rapids. With practice, you can get good at avoiding that "most useless place … for people just waiting … for a better break … another chance," in the words of Dr. Seuss in Oh, the Places You'll Go! His advice: "When things start to happen, don't worry. Don't stew. Just go right along. You'll start happening too."
PHOTO (COLOR): BALANCED: For Dell employee Tonja Eaton, time with her husband and children and belly dancing now trump a long list of "shoulds."
PHOTO (COLOR): PLAYING TO HIS STRENGTH: When work gets overwhelming, Daniel Lobring picks up his drumsticks.
~~~~~~~~
By Deborah Kotz
In the Moment--and Calm
Let's say you slam into the back of a car that cuts you off or your boss moves your deadline up a week. How do you react? Perhaps your pulse quickens as you berate yourself for not foreseeing the circumstance. Maybe your breathing shortens as you feel anger or panic--or both. Most people, though, don't notice such details; they react with an "Aargh!" and distract themselves with a run or a beer or a gallon of ice cream.
But researchers say one of the best ways of soothing stress is to be "mindful," to pause and actually tune in to what's going on at the moment. Being acutely aware of what you're experiencing--the racing heart, the tumbling thoughts--and accepting it without judgment, observing as it changes, has a strong calming effect, experts say. "You might have a thought like 'I'm a failure,' but you know that it's just a thought," explains researcher Elissa Epel, an associate professor of psychiatry at the University of California-San Francisco School of Medicine. That will prevent you from turning those thoughts into a self-fulfilling prophecy by, say, quitting the gym or a challenging job.
Wandering thoughts. How do you get to a mindful state in the midst of a panic? Most people need to practice a form of meditation that focuses on their breathing and sensations in each body part. If your mind wanders (and it will), you just acknowledge the errant thoughts, let them go, and bring your attention back to the breath. Check out a mindfulness tape at www.mindfulnesstapes.com, or take a free virtual-mindfulness class on YouTube with Jon Kabat-Zinn, a professor of medicine emeritus at the University of Massachusetts and author of several books on mindfulness. "You are training your mind to be less reactive and more stable," he writes in Full Catastrophe Living. A 2007 study found that mindfulness classes gave students an improved sense of well-being--and that practicing the technique for about 30 minutes a day helped induce a mindful response when people would normally feel stress.
The practice may also help alleviate some of the physiological damage caused by chronic stress, like the tendency to store fat around abdominal organs. Epel and her colleagues are currently studying whether 50 overweight women who describe themselves as "stress eaters" can curb food cravings by practicing mindfulness--by noticing a raisin's color, texture, and smell, say, before eating it. If stress reduction practices lower cortisol levels, the body's storage of fat should shift from the abdomen to the hips and thighs, where it won't cause insulin resistance, Epel speculates. A bonus: It might get easier to stop at one Oreo.
D.K.
PHOTO (COLOR)
In the Future, I'll Stick With Massage
Plenty of people swear by flotation therapy, but it stressed me out
With three kids and a full-time job, I find that having time on my hands is a rare luxury as sweet as a Godiva truffle. Thus, I jumped at the chance to spend a full decadent hour by myself in a flotation tank.
Flotation therapy, which is experiencing a small upswing after becoming popular in the 1970s, is designed to trigger a deep state of relaxation by minimizing input to the five senses. You float in total darkness with earplugs, in salt water heated to skin temperature so you don't feel hot or cold. The 1,100 pounds of Epsom salts mixed into the water makes you bob like a cork. A handful of studies suggest that this "restricted environmental stimulation technique" (aptly abbreviated REST) lowers blood pressure, reduces stress, and eases neck and back pain. I was drawn also by the chance to experience a feeling of weightlessness. I'd read that NASA once used these tanks to simulate conditions of zero gravity in space, and since I always wanted to be an astronaut ….
But soon after venturing into H&H Flotation Spa near my office in Washington, D.C., I began having second thoughts. The tank--about 8 feet long and 4 feet wide--was much smaller than I had envisioned, and it had a coffin-like lid. Making matters worse, I'd agreed to have my visit videotaped, so readers could watch if they wanted (at health.usnews.com/stressvideo). My worries about the tank and memorizing my script triggered an instant stress-related migraine.
How ironic, I thought.
Still, I figured if this works as well as some of the flotation therapy websites like Floataway.com say, the hour should rid me of my stress and my pain. And it did work somewhat. After a few minutes, I felt as if I were suspended in a giant glob of Jell-O, wobbling like a grape. But soon the feelings of weightlessness slipped away, and my thoughts returned self-consciously to the video camera. After 35 minutes, I was also feeling slightly nauseated, so I lifted the lid and let myself out before my hour was up.
Back for more. To be fair, I decided to give floating another try a week later, without the videographer in tow. I almost immediately went into my Jell-O state and for a while just listened to the sound of my breathing. Soon I heard snippets of conversation in my head, my husband's voice; this was caused, I later learned, by alpha waves produced by my brain in a state of deep relaxation. But I strained to hear what he was saying, and the spell was broken. Again, slightly seasick, I let myself out of the tank after 35 minutes.
Floating, like massages, meditation, and yoga, is clearly not for everyone. In fact, Mark Shriver, an associate professor of anthropology and genetics at Penn State University, is conducting a study to see how temperament and personality affect a person's reaction to floating. Of the 100 study volunteers he recruited, only two said they wouldn't want to float again. He believes genes may determine how a person responds to the sensory deprivation of REST.
Indeed. When I told my mom about my experience, she said she'd tried floating last year at a Montreal spa and couldn't wait to get out. Seems we both prefer dry land and a massage.
D.K.
PHOTO (COLOR): I liked the idea, but my mind kept wandering, and I got seasick.
Copyright 2008 the U.S. News & World Report, L.P. All rights reserved.
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