Staying Healthy in Times of Stress

Studies show people with medical conditions such as heart disease, mental illness, or other chronic diseases are most vulnerable to the negative consequences of stress, but healthy people are also at a risk.

The link between stress and heart-related problems has been widely studied, and researchers say that mental stress increases the body's demand for oxygen by raising blood pressure and heart rate.

Stress can also act as a trigger for heart attack or stroke in people with undiagnosed heart disease, according to David S. Krantz, PhD, chairman of the department of medical and clinical psychology at Uniformed Services University in Bethesda, Md.

He says stress can set off dangerous plaque ruptures in people who may not know that they're in the early stages of atherosclerosis, or hardening of the arteries, and those ruptures can lead to potentially life-threatening events like heart attacks or strokes.

Steven Tovian, PhD, director of health psychology at Evanston Northwestern Healthcare in Evanston, Ill., says stress also directly affects a part of the nervous system that controls the glands, heart, digestive system, respiratory system, and skin.

That means any pre-existing medical condition that is influenced by a nervous system response such as chronic pain, IBS (irritable bowel syndrome), digestive disorders, or headaches is likely to become exacerbated by stress when the already overworked system becomes overloaded by additional stress.

In addition, Tovian says anyone who suffers from a history of mental illness, such as depression and anxiety, is also at risk for a worsening of symptoms at times of extreme stress.