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Article title: Stress: NWHIC
What some of the most
common causes of stress?
What are some early signs of stress?
What is post-traumatic stress disorder (PTSD)?
Is there any way to relieve your stress?
Is there a relationship between cancer and stress?
Are hormones related to stress in women?
Stress can arise for a variety of reasons. Stress can be brought about by a traumatic accident, death, or emergency situation. Stress can also be a side effect of a serious illness or disease. There is also stress associated with daily life, the workplace, and family responsibilities.
Stress can take on many different forms, and can contribute to symptoms of illness. Common symptoms include headache, sleep disorders, difficulty concentrating, short-temper, upset stomach, job dissatisfaction, low morale, depression, and anxiety.
Post-traumatic stress disorder (PTSD) can be an extremely debilitating condition that can occur after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that can trigger PTSD include violent personal assaults such as rape or mugging, natural or human-caused disasters, accidents, or military combat.
Many people with PTSD repeatedly re-experience the ordeal in the form of flashback episodes, memories, nightmares, or frightening thoughts, especially when they are exposed to events or objects that remind them of the trauma. Anniversaries of the event can also trigger symptoms. People with PTSD also experience emotional numbness and sleep disturbances, depression, anxiety, and irritability or outbursts of anger. Feelings of intense guilt (called survivor guilt) are also common, particularly if others did not survive the traumatic event.
Most people who are exposed to a traumatic, stressful event experience some of the symptoms of PTSD in the days and weeks following exposure, but the symptoms generally disappear. However, about 8% of men and 20% of women go on to develop PTSD, and roughly 30% of these individuals develop a chronic form that persists throughout their lifetimes.
There are many stress management programs that can teach you about the nature and sources of stress, the effects of stress on health, and personal skills to reduce the effects of stress. Examples of stress reducing skills include time management and physical exercise.
For more serious stress related disorders, like PTSD, research has demonstrated the effectiveness of cognitive-behavioral therapy, group therapy, and exposure therapy, in which the patient repeatedly relives the frightening experience under controlled conditions to help him or her work through the trauma. Studies have also shown that medications help ease associated symptoms of depression and anxiety and help promote sleep.
The complex relationship between physical and psychological health is not well understood. Although studies have shown that stress factors (such as death of a spouse, social isolation, and medical school examinations) alter the way the immune system (the body’s defense against infection and disease, including cancer) functions, they have not provided scientific evidence of a direct cause-and-effect relationship between these immune system changes and the development of cancer. Scientists know that many types of stress activate the body's endocrine (hormone) system, which in turn can cause changes in the immune system. It has not been shown that stress-induced changes in the immune system directly cause cancer.
Several studies have indicated an increased incidence of early death, including cancer death, among people who have experienced the recent loss of a spouse or other loved one. But, most cancers have been developing for many years, and it is unlikely that cancer would be triggered by the recent death of a loved one. However, some studies of women with breast cancer have shown significantly higher rates of this disease among those women who experienced traumatic life events and losses within several years before their diagnosis.
Although the relationship between psychological stress and cancer has not been scientifically proven, stress reduction is of benefit for many other reasons.
Scientists know that many types of stress activate the body's endocrine (hormone) system, which in turn can cause changes in the immune system, the body's defense against infection and disease (including cancer). On the positive side for women, there is some evidence that women who breast-feed their infants produce lower levels of stress response hormones, such as adrenalin, and cortisol, than do women who bottle-feed. It is also known, however, that hormone changes during pregnancy, menopause, and during the menstrual cycle can trigger symptoms of depression and stress.
You can find out more about stress by contacting the following organizations:
National Institute of Mental Health
Phone: (301) 443-4513
Internet Address: http://www.nimh.nih.gov/
National Mental Health Services Knowledge Exchange Network
Internet Address: http://www.mentalhealth.org/
American Institute of Stress
Phone: (914) 963-1200
Internet Address: http://www.stress.org/
National Center for Post Traumatic Stress Disorder
Phone: (802) 296-5132
Internet Address: http://www.ncptsd.org/
Association for the Advancement of Behavior Therapy
305 7th Avenue
ANew York, NY 10001
Freedom from Fear
308 Seaview Avenue
Staten Island, NY 10305(
National Mental Health Consumers'
National Mental Health Association
National Alliance for the Mentally
This information was abstracted from the National Cancer Institute fact sheet on Psychological Stress and Cancer and the National Institute of Mental Health fact sheet on Post-traumatic Stress Disorder.
All material contained in the FAQs is free of copyright restrictions, and may be copied, reproduced, or duplicated without permission of the Office on Women's Health in the Department of Health and Human Services; citation of the source is appreciated.
Publication date: September, 2001
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