JAMA sub-journal: Psychosocial stress will significantly increase the risk of stroke!
Recently, a study published in JAMA Netw Open aimed to determine the relationship between psychosocial stress and acute stroke risk and explore factors that may modify the relationship between stress and acute stroke risk in a large international population. INTERSTROKE is an international retrospective case-control study examining risk factors for first acute stroke in 32 countries in Asia, North and South America, Europe, Australia, the Middle East, and Africa. From 2007 to 2015, a total of 13,462 stroke patients and 13,488 matched controls were recruited. Exposure factors were psychosocial stress and the occurrence of stressful life events in the previous year, measured primarily using standardized questionnaires on self-reported family and work stress. Primary Outcomes and Measures Multivariable conditional logistic regression was used to examine the relationship between stress and acute stroke and its subtypes, as well as factors that may modify this relationship, particularly self-reported locus of control.
Of the 26,812 participants included in the analysis, the mean (SD) age was 62.2 (13.6) years for cases and 61.3 (13.3) years for controls; 7960 (59.6%) and 8017 (59.6%) cases were male. Several periods of stress and permanent stress were reported in 2745 cases (20.5%) and 1933 controls (14.4%), with clear regional differences in incidence rates, the lowest in China (201 out of 3981 cases in the control group) [5.0%], 364 of 3980 cases [9.1%]), the highest in Southeast Asia (233 of 855 cases [26.1%] of controls, 241 of 782 cases [30.8%]).
In multivariable analyses, increased family stress (OR=1.95 [95% CI, 1.77-2.15]) and increased work stress (OR=2.70 [95% CI, 2.25-3.23]), as well as recent stressful life events (OR=1.31 [95% CI, 1.19-1.43]), were associated with increased risk of acute stroke. Higher family control was associated with lower odds of all strokes (OR=0.73 [95% CI, 0.68-0.79]), higher work and family control was associated with lower odds of acute stroke, and significantly reduced interactions with work stress (OR=2.20 [95% CI, 1.88-2.58]; P = .008) and family stress (OR=1.69 [95% CI, 0.68-0.79]). CI, 1.44-1.98]; P .001 interaction) relationship.
In summary, Psychosocial stress is a common risk factor for acute stroke. Results from this case-control study suggest that higher control is associated with lower risk of stroke and may be an important effect modifier of risk associated with psychosocial stress.
Source: Mace Medical
What should we do if "phantom Yang syndrome" brings psychological pressure?
So, with the spread of new crown , how to alleviate the psychological pressure caused by "fear of infection"?
Jingguan (mindfulness) method of reducing stress
In addition to the above methods, there is also a concise and effective method of reducing stress: Jingguan (mindfulness) meditation
* "Jingguan" It is also commonly translated as ‘mindfulness’, and the word ‘mindfulness’ is chosen to better describe the practice method of ‘quietly observing and observing changes’ in Mindfulness, and also to avoid the possibility that the word ‘mindfulness’ may confuse some friends. MBCT is a traditional Buddhist course, or it may be misunderstood that it is a cognitive and ideological intervention course that teaches positive, correct, and positive thinking.
In 1979, Professor Joe Kabat-Zinn created the Mindfulness-based Stress Reduction (MBSR) course at the University of Massachusetts Medical School in the United States. After more than ten years of application practice, the MBSR course system has now formed a complete set of standardized operation, research, teacher training and access systems. And became the prototype for various meditation courses.
Mindfulness is not only used in psychological diseases such as insomnia, anxiety, depression, obsessive-compulsive disorder, ADHD, sensory integration disorder, borderline personality, post-traumatic stress disorder, eating disorders, substance abuse, etc., but is also used in the auxiliary treatment of many physiological diseases, such as chronic pain cancer, heart disease, psoriasis, AIDS, hypertension, diabetes, etc.
In recent years, with the development of mindfulness-based stress reduction training in the Mainland, it has been increasingly used in hospitals, schools, judicial systems, and social workers to reduce stress.
"Mindful Living, Ways to Reduce Stress": Four ways to explore to calmly deal with stress and anxiety!
We live in this world full of variables, self-exploration, fear of the unknown, anxiety about relationships, work, friends, food, sleep, etc. We wish we could ignore these problems or pretend they don’t exist, but we have no control over the world around us and there will always be nagging situations of worry, stress, and anxiety. The solution is not to escape, but to turn around and face them. Mindfulness is a very practical method in this regard. It helps you understand these anxieties and learn to deal with them, so that they are not as overwhelming as they may seem at first sight.
Although we cannot control or eliminate stressors, we can choose to respond in different ways. The key is to carefully explore what factors in our lives may affect our response to challenges, and examine what methods work and what do not.
Exploration: What works and what doesn’t?
. "Recall the challenges you have experienced in the past, and they may be with you now, and record them.
. What methods have you tried that have been helpful in dealing with stress? Please think about it , pay attention to the thoughts, emotions and feelings in your mind, do not make any comments on these thoughts, please record your memories and thoughts.
3. Sometimes you may choose unhealthy ways to deal with the challenges you face, such as eating crazy, working, watching TV, surfing the Internet, drinking, etc. But in the long run, this will happen. These methods are useless. In the process of dealing with anxiety, what have you tried but did not seem to work? Please write down your memories and thoughts in short or in-depth language
4. When facing life challenges, we hope to reduce pain and promote psychological flexibility, so that each of us can have the inner strength. What do you hope to do in the future? What changes do you hope to make in yourself? What kind of life do you want? Record it.
Through thinking about the above questions, I figured out what is helpful to me and what is not useful, so as to avoid reducing pain. Fighting the ineffective strategies of suffering, being hopeful, and figuring out the effectiveness of your methods are important steps on our journey to happiness.
In the current environment of repeated epidemics, we are facing more challenges. Through the above methods, we can better find out which times are helpful to us. So, how can cope better, and what methods can better reduce our stress and anxiety?
Mindfulness Stress Management Project MBSS
Mindfulness Stress Management Workshop (hereinafter referred to as MBSS) is the reference MBSR and MBCT curriculum system of the Mindfulness Special Committee of the China Life Care Association. is developed for social workers and professional helpers in medical, education, judicial, administrative agencies, enterprises and institutions, etc. It is suitable for people who have no experience in mindfulness learning. It is convenient, practical, and highly maneuverable. It is a set of localized mindfulness stress management techniques that can both help others and help themselves.
Source: Psychological Social Worker Public Account Comprehensive collection from Metz Medical, Jianyi Park NetEase Account, "Mindful Life, Ways to Relieve Stress"
