Naked Medicine

a thinking man's point of view about the business of medicine

Archive for the ‘Stress’ Category

How Work-Life Imbalance Makes You Sick

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Dr. Sheldon Cohen’s keynote presentation at the 8th International Congress of Behavioral Medicine was published in International Journal of Behavioral Medicine (2005 Vol 12 No 3, 123-131).

Cohen summarized 20 years of research on psychosocial influences on infection susceptibility.

Cohen also debunks these pervasive myths of stress and disease:

  • Myth: Infectious disease-causing agents is wholly responsible for causing infectious disease.
  • Myth: Stress suppresses the immune system, which makes us susceptible to infections and disease.
  • Myth: Stress overstimulates cortisol production, which leads to susceptibility to disease.

According to Cohen’s article, infectious disease-causing agents are not sufficient causative agents for disease. Our immune system’s modulating responses against viruses in our body determine whether we become infected.

We would also assume that health-related behaviors like smoking, alcohol consumption, sleep, exercise, and diet contributed to disease susceptibility. Cohen has observed that these behaviors were independent of susceptibility to the common cold across five different strains of viruses (including 3 rhinovirus types).

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Written by Jane Chin, Ph.D.

February 22nd, 2008 at 9:25 pm

Let Me Count the Ways to a Heart Attack

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gif_heart.gif I don’t know what’s going on, but October has been a productive month for studies that show different ways to get heart attacks. For example, in addition to the “traditional way” of getting a heart attack, you can also get a heart attack by:

Undergoing prostate cancer therapy (consumer news / original research), speculated to be due to androgen deprivation – a key strategy in treating androgen (hormone) dependent prostate cancer.

100364003171311.gif Being in a bad relationship (consumer news / original research), which made a lot of sense because relationships that cause you to engage in vein-bulging screaming matches probably require your heart to work in overdrive to supply all that blood coloring your face red and engorging your vessels.

gif_people-198.gif Working in a stressful job (consumer news / original research). Here’s what I don’t get: WSJ’s blog entry stated that, “Thankfully, a majority of those who survive heart attacks are able to return to work, other studies suggest.” Huh? If your job is so stressful that it gave you a heart attack, why on earth would you want to return to that job? “Whatever doesn’t kill you make you stronger?”

Written by Jane Chin, Ph.D.

October 9th, 2007 at 8:19 pm