Stress Archive

In the journals

Need help staying positive during trying times? Live more in the moment, but also focus on how to cope with future stresses. This advice comes from a study published online March 25, 2020, by Personality and Individual Differences.

Researchers explored two factors in how people handle stress: mindfulness and proactive coping. Mindfulness is when people live in the moment rather than dwelling on the past or worrying about the future. Proactive coping is when people make efforts to reduce the effect stress has on them.

Stress can raise your risk of developing a substance use disorder. Here's how to get help when you need it.

In recent months, Americans' collective stress level has risen in response to the pandemic and economic fallout. Many people are looking for ways to help themselves feel better. Unfortunately, stress can trigger a number of unhealthy coping strategies — drinking alcohol to excess, bingeing on junk food, engaging in drug use, or other harmful behaviors. If you've ever had a substance use disorder, a bout of significant stress may even put your recovery at risk.

This is likely due to the shift the human brain makes in times of trauma. Instead of focusing on long-term goals, your brain zeroes in on short-term objectives.

Traumatic events, whether global or in a person’s own life, can take a toll on mental health. How can you reduce your stress and regain your emotional composure after going through a difficult time?

Prehabilitation aims to increase your strength and health before, not after, a medical procedure.

Rehabilitation can help get you up on your feet again after surgery or a physical setback. But some surgeons are increasingly turning to an innovative approach called prehabilitation in hopes of easing that recovery in the first place.

Prehabilitation, commonly called prehab, is an individualized medical program designed to help people — often those who are older or frail — better withstand and bounce back from an anticipated physically stressful event, such as surgery, says Dr. Julie K. Silver, an associate professor and associate chair of the Department of Physical Medicine and Rehabilitation at Harvard Medical School.

Reduce your stress levels and maintain a sense of normalcy during and after traumatic events.

For most Americans, 2020 has already been a rough year — and it's not even half over. A pandemic, natural disasters, economic decline, and, for many, the loss of a job have taken a toll on their mental health.

"Stress is particularly acute when you're experiencing a situation that is outside of your control," says Dr. Kerry Ressler, professor of psychiatry at Harvard Medical School. "You may feel stuck, frozen, or helpless." After a traumatic period, even when things settle down, it can be difficult to move on and regain a sense of normalcy.

What you do before procedures can help get the best results.

If you're planning a complex medical procedure or surgery, you'll hear a lot about the steps you'll need to take afterward to speed up recovery and reduce complications. But it's equally important to focus on your health beforehand, too.

"Preparing both your body and mind before an invasive medical procedure can help you better manage and overcome the many stresses you encounter," says Dr. Julie Silver, associate chair for the department of Physical Medicine and Rehabilitation at Harvard Medical School. "If you are healthier and stronger going in, you have a much higher chance of avoiding setbacks."

News briefs

Taking a warm bath helps soothe aching joints, wash away stress, and promote sleep. Now, a study published online March 24, 2020, by the journal Heart suggests that daily hot baths are also associated with better heart health. Researchers analyzed self-reported health and lifestyle information from more than 30,000 middle-aged people in Japan. Participants responded to a questionnaire at the start of the study and were then followed for about 20 years. Compared with people who didn't take a tub bath more than twice a week, people who took a daily warm or hot bath had a 28% lower risk of cardiovascular disease and a 26% lower risk of stroke. The study is only observational and doesn't prove that daily tub bathing staves off heart problems. But previous research has shown that the effects of tub bathing on the body are similar to those of exercise. Use caution, however: taking baths in very hot water is also tied to sudden death due to overheating, confusion, or drowning. If you're going to take a bath, keep the temperature comfortable and don't risk overheating. Finally, this study says nothing about the possible cardiovascular benefits of hot showers.

Image: © JohnnyGreig/Getty Images

When you were a child and your mother told you to go play outside, it wasn’t just because she needed some child-free time. Inspired by a Japanese practice, forest therapy is an immersion in nature that has been shown to have positive effects on health.

Collaborative care is a team-based model of integrated psychiatric and primary care that can treat mental illnesses in the primary care setting. Providing this patient-centered care in the primary care setting improves access to mental health care and reduces stigma.

These are the most effective ways to protect yourself.

Here are some alarming statistics about heart attacks:

• Every 40 seconds, someone in the United States has a heart attack.
• Every year, about 805,000 Americans have heart attacks, 75% of which are first-time attacks.
• The average age of a first heart attack among men: 65.

However, the most troubling fact about heart attacks is that many people don't take steps to protect themselves, says Dr. Deepak L. Bhatt, executive director of interventional cardiovascular programs at Harvard-affiliated Brigham and Women's Hospital Heart & Vascular Center. "Reducing your risk of cardiovascular disease is the best way to guard against heart attacks," he says. "There are simple ways to do this, but unfortunately, many people still don't follow them as they should."

Here's a look at five ways you can protect yourself from cardiovascular disease, and thus possible heart attacks, and avoid being another statistic.