High Stress and Negative Health Behaviors

Clark, Matthew M.; Jenkins, Sarah M.; Hagen, Philip T.; Riley, Beth A.; Eriksen, Caleigh A.; Heath, Amy L.; Douglas, Kristin S. Vickers; Werneburg, Brooke L.; López-Jiménez, Francisco; Sood, Amit; Benzo, Roberto; Olsen, Kerry D.

doi:10.1097/jom.0000000000000826

Cited by 16 publications

(9 citation statements)

References 27 publications

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“…In the absence of paired data for change in stress levels, before and after an intervention, there are published data showing the standard deviation (SD) of stress level for a single time point (SD = 2.2) and the SD of the difference for correlated measures should be smaller than the SD at a single time point. 22,23 Therefore, we believe that an intervention that decreases stress level by 1 point on the 0 to 10 scale would be considered clinically meaningful. Under these assumptions, we have determined that a sample size of N = 45 per study group was required to have statistical power of 80% using a 2-sample, 1-sided, α = .10 level test to assess whether the use of the sound and vibration emanating from the SolTec™ Lounge can decrease stress levels.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial in the Evaluation of a Novel Stress Management Tool: A Lounge Chair Experience

Rieck

Lee

Ferguson

et al. 2019

Glob Adv Health Med

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ObjectivesThe aim of this study was to compare the stress reduction effects of spending 25 minutes reclining in a SolTec™ Lounge between 2 intervention groups. Group 1 experienced the Lounge with multilayered music on an external speaker, while group 2 experienced the Lounge with multilayered music and synchronous vibration and magnetic stimulation from within the chair.SubjectsIn total, 110 participants with a self-reported stress level of 4 or higher on a 0- to 10-point scale were recruited from the local community including employees. Participants were randomized into receiving 1 of the 2 interventions. There were no significant differences between the group’s average stress levels prior to the interventions.InterventionsBoth groups received a 25-minute session in a dimly lit, quiet area on the Lounge with multilayered music. The second group also received vibration and magnetic stimulation that were synchronized with the music.DesignCurrent stress level as well as ratings or feelings of anxiety, tenseness, energy, focus, happiness, relaxation, nervousness, creativeness, and being rested were recorded before and after the session.ResultsBoth groups of participants reported equivalent decreased feelings of stress after using the Lounge. Participants receiving the synchronous multilayered music, vibration, and magnetic stimulation did report significantly reduced feelings of tenseness, feeling more relaxed, and feeling more creative when compared with the group that received music only.ConclusionSpending 25 minutes in the SolTec™ Lounge with multilayered music is an effective way to reduce self-reported stress in individuals who self-report having a high stress level. If confirmed by future studies, including synchronous vibration and magnetic stimulation with the multilayered music might be an effective stress reduction strategy.

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Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial in the Evaluation of a Novel Stress Management Tool: A Lounge Chair Experience

Rieck

Lee

Ferguson

et al. 2019

Glob Adv Health Med

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“… 47 Work-related stress has been associated with increased use of sick leave, poor job satisfaction, cynicism, presentism, and, ultimately, burnout. 48 Investigators have further established that chronic stress impairs intellectual functioning, formation of memories, and recall. 49 , 50 These changes are concerning for workers but are especially concerning for executives, who may have a larger societal impact.…”

Section: Discussionmentioning

confidence: 99%

The Stressed Executive: Sources and Predictors of Stress Among Participants in an Executive Health Program

Ganesh

Mahapatra

Fuehrer

et al. 2018

Glob Adv Health Med

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BackgroundStress is highly prevalent in the U.S. society, especially in executives, and is a well-documented risk factor for a wide range of medical disorders. Knowledge of common sources of stress and predictive factors may help identify executives at risk of high stress and allow us to appropriately refer them for stress management treatment.ObjectiveThe primary aim of this study was to identify common sources of stress, predictors of high stress, and other correlates among executives.MethodsThis was a cross-sectional survey of executives who requested a stress management consult at our institution. We abstracted the data from a 14-item intake survey as well as from the patient interview.ResultsOf the 839 executives, 827 executives (98.6%) who were referred for individual stress management consults completed the stress-related questions of the survey; 51.3% of these executives reported having a high stress level. Study participants mostly struggled with the well-being measures of sleep, anxiety, energy level, and diet. The majority reported that their main stressor was work related (n = 540, 64.4%) followed by family related (n = 371, 44.2%), health related (n = 170, 20.3%), and work–life balance (n = 62, 7.4%). In unadjusted analysis, high stress was associated with younger age (P = .006), lower quality-of-life scores (P < .001), and less physical activity (P < .001). In multivariable analyses, the strongest predictors for high stress level were younger age (odds ratios [OR] = 0.84, P = .045) and worse quality-of-life indicators such as anxiety (OR = 2.72, P < .001), diet (OR = 0.78, P = .02), and sleep (OR = 0.74, P < .003).ConclusionThese findings suggest that executives with a high level of stress might be best helped through a multimodality stress management program. Our findings merit replication in larger studies and more definitive confirmation with prospective clinical trials.

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“…Adverse health behaviours rarely exist in isolation (Hu et al 2003), and factors related to time and duration of working hours may contribute to food choice; for example, sleep duration (Al Khatib et al 2017), job strain (Clark et al 2016) and socioeconomic status (Bolton-Smith et al 1991). Workplaces are heterogeneous and therefore the wider determinants of dietary behaviour in relation to working hours are likely to be occupation specific.…”

Section: The Methodological Challenges Of Investigating Diet and Workmentioning

confidence: 99%

Working hours and cardiometabolic health – an emerging area of nutritional research

Gibson

2018

Nutrition Bulletin

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Multifactorial work‐related diseases are diseases that occur in the general population, but may be exacerbated or partially caused by occupational exposures. There is increasing evidence to suggest that type 2 diabetes and cardiovascular diseases are associated with duration and time of working hours. Despite the role of diet in the aetiology of cardiometabolic disease being well established, gaps remain in understanding the relationship between working hours and diet. Studies that have compared the diets of shift to non‐shift workers have reported inconsistent results, likely due to the heterogeneity of study design, including variations in the industry studied and dietary measurement methods used. There is a paucity of research investigating dietary intakes across different shift types, both inside and outside of working hours and in relation to duration of working hours. From the published research that exists, there appears to be growing consensus that night working is associated with a change in the temporal distribution of energy intake and poorer food choices. Epidemiological studies have shown that consuming a higher percentage of energy during the evening is positively associated with metabolic syndrome, while controlled studies have demonstrated an altered metabolic response to eating at night compared to during daytime hours. In the UK, 15% of the working population are employed in jobs that require shift work and 13% of employees work more than 48 hours per week. Understanding the complex relationship between working hours, diet and cardiometabolic health will provide an opportunity to improve the health of a significant proportion of the population.

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High Stress and Negative Health Behaviors

Abstract: High stress is associated with negative health behavior, and future studies, therefore, should explore strategies to effectively engage high stress employees into comprehensive wellness programs.

Cited by 16 publications

References 27 publications

A Randomized Controlled Trial in the Evaluation of a Novel Stress Management Tool: A Lounge Chair Experience

A Randomized Controlled Trial in the Evaluation of a Novel Stress Management Tool: A Lounge Chair Experience

The Stressed Executive: Sources and Predictors of Stress Among Participants in an Executive Health Program

Working hours and cardiometabolic health – an emerging area of nutritional research

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