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Happy Marriage Soothes Job Stress

Rough Day at Work? Stress Hormone Fades Faster for Happily Married Wives
By Miranda Hitti  WebMD Health News Reviewed by Louise Chang, MD

Jan. 3, 2008 -- A woman's satisfaction with her marriage may affect how quickly she bounces back from a hard day at work.

Happily married wives tend to bounce back better after a rocky day on the job, according to a new study of 60 California couples.

All of the spouses had full-time jobs. Each couple also had two to three kids and a mortgage.

For four days, the husbands and wives kept diaries about their job stress. They also provided saliva samples four times daily and rated their marital satisfaction.

The researchers measured levels of the stress hormone cortisol in the saliva samples. After a stressful day at work, cortisol levels faded fastest in happily married wives.

That finding suggests that it's easier for satisfied wives to unwind from work stress, while women in unhappy marriages don't get as much comfort from coming home.

"Wives in happier marriages may have had greater access to the space, time, and support needed to recuperate after busy days," write the researchers, who included psychology graduate student Darby Saxbe of the University of California, Los Angeles (UCLA).

Husbands were a different story. After negative social interactions at work, men's cortisol levels stayed high in the evening, even for those in happy marriages.

Why the split between husbands and wives? It may be because the body's ways of coping with stress may be more sensitive to marital quality in women than in men, Saxbe's team notes.

The study is due to appear in January's edition of Health Psychology, notes a UCLA news release.

Having a Bad Boss Is Bad for the Heart

Study Shows Working for an Incompetent Boss Can Raise Risk of Heart Disease
By Bill Hendrick
WebMD Health News
Reviewed by Louise Chang, MD

Nov. 24, 2008 -- People who consider their bosses to be unfair, arbitrary, inconsiderate, and generally deficient in managerial skills are at greater risk for having a heart disease event such as a heart attack, a new Swedish study shows.

And stress that workers think is caused by bad managers adds up, increasing risk of heart problems over time, the researchers report in the Nov. 24 issue of Occupational and Environmental Medicine.

Swedish scientists tracked the heart health of more than 3,000 male workers between 1992 and 1995. Their occupational health records then were matched with national registry data on hospital admissions and death from ischemic heart disease up to 2003.

During the monitoring period of almost a decade, 74 cases of fatal and non-fatal heart disease events such as heart attack, unstable angina, or cardiac arrest occurred. The more competent that workers ranked their managers, the lower their risk of serious heart problems.

The association between perceived leadership of managers and the risk of serious heart problems among workers increased the longer an employee worked for the same company, the study showed, suggesting that stress caused by bad bosses may increase over time.

The researchers suggest that companies take steps to improve managers' deficient skills, as rated by their subordinates, to ward off serious heart disease of workers.

"One could speculate that a present and active manager, providing structure, information, and support, counteracts destructive processes in work groups, thereby promoting regenerative rather than stress-related physiological processes in employees," writes Anna Nyberg of the Karolinska Institute and the Stress Research Institute at Stockholm University.

Rating the Bosses

Participants used a rating system for their senior managers, grading them on such things as how good they were at communicating and offering feedback, their success at managing change, their ability to set goals, and how much they delegated.

Higher leadership scores were found to be associated with lower risk for heart disease, and the association was "robust to adjustments for education, social class, income, supervisory status, perceived physical load at work, smoking, physical exercise, [body mass index], lipids, fibrinogen, and diabetes."

In short, the study shows that bad bosses can be hazardous to the health, and even to long life, of the people who work for them.

In another recent study, the researchers say, employees who were exposed to what they perceive as an adverse psychological work environment were found to be at a 50% excess risk of cardiovascular disease. The results from that study, the researchers write, "have considerable clinical implications, especially since psychosocial stressors at work are relatively common."

The researchers say evidence is mounting that the perceived quality of managerial behavior affects worker health. Workers are concerned about "considerate behavior" of bosses, how well managers are able to stimulate employees intellectually, and their ability to communicate with those who work under their supervision.

Questions used to rate bosses included such statements as "I am criticized by my boss if I have done something that is not good" and others about how well managers communicate their expectations.

What was clear was that workers who felt their bosses had trouble communicating information -- not just negative thoughts -- were at increased risk of developing heart problems. Training of managers about how to do their jobs better might be a good start, the researchers suggest.

WebMD Feature from "Shape" Magazine

By Jenny Stamos Kovacs

Feel better fast by giving these five unhealthy habits the pink slip today.

Call them “occupational hazards”: people, places, and things you come in contact with at work that have the ability to harm your physical and emotional wellbeing. It’s a fast-growing problem, especially since we’re spending more time in the office than ever before. In fact, women have tacked two extra hours onto their workweek since 1980, according to the U.S. Bureau of Labor Statistics. “From your frame of mind to the germs you’re regularly exposed to, your office environment plays a huge role in your health,” says Jane Sadler, M.D., a physician with Baylor Health Care System in Dallas. That’s why we consulted the experts to reveal five ways the daily grind may be wearing you down—and what you can do to keep yourself protected.

1 YOU’RE ALWAYS ON CALL

Out of all the things women stress over, their job is at the top of the list, reports the American Psychological Association. Blame it on heavier workloads and longer days, says Ellen Kossek, Ph.D., a professor of human resources and organizational behavior at Michigan State University.

“More and more, companies are expecting employees to be available around the clock via cell phone, BlackBerry, or e-mail,” she says. Although it’s easy to write off daily pressure as an inevitable part of the job, it takes a toll. “Stress causes surges in the hormone cortisol, which makes your heart beat faster, your blood pressure rise, and your muscles tighten,” says Claire Michaels Wheeler, M.D., Ph.D., author of 10 Simple Solutions to Stress. While this response can power you through a deadline or emergency, our bodies aren’t equipped to be on constant red alert. Chronic stress raises your risk for diabetes, depression, and heart disease.

PROTECT YOURSELF

Have an end-of-day ritual “Bringing work problems home with you can affect your personal relationships, rob you of sleep, and raise your risk for depression,” says Wheeler. To avoid working—or dwelling —on a project all evening, take a few minutes at the end of the workday to decompress. A simple act, like listening to a favorite song on your commute home, can signal it’s time to transition to home life.

Make a date Whether it’s dinner with friends or a session with a trainer, post-work commitments will ensure you won’t linger in the office. “When you know you have to leave at a specific time, you’ll get more done during the day,” says Kossek.

Ban the BlackBerry for an hour
It’s called a CrackBerry for a reason: Some 90 percent of BlackBerry users in one study compulsively checked it on their own time, say researchers from the Massachusetts Institute of Technology Sloan School of Management. That constant connection is draining; people who frequently take business calls, e-mails, and pages at home are the most likely to report feeling tired and distracted. Reclaim your free time by turning it off after a certain time at night or setting aside a specific room in your house in which to return messages.

Take Charge of Your Work Life

(continued)

2 YOU KEEP TO YOURSELF

Between preparing for a presentation and tackling an overflowing in-box, bonding with co-workers may be the last thing on your mind. But having a close friend in the office makes you more content and productive, according to research from the Gallup Organization. That’s important, because work unhappiness spills over into every aspect of your life: A study from Britain’s Lancaster University found that people who were dissatisfied on the job were more likely to become anxious or depressed.

PROTECT YOURSELF

Get the scoop
Gossiping with coworkers can help foster relationships and release tension, according to a study in the journal Personal Relationships. “Having a similar gripe helps people build trust and get closer,” says lead researcher Jennifer K. Bosson, Ph.D. But before you start spilling secrets, now that the office gossip is ranked the most annoying person in the office, finds a nationwide survey. “Try dishing about your night out instead,” says Bosson. “It can help bring you together without someone getting hurt.”

3 YOU CAN’T REMEMBER THE LAST TIME YOU CLEANED YOUR DESK

“Your office may look neater than your co-worker’s, but it’s probably still teeming with germs that cause colds, flu, and intestinal problems,” says Chuck Gerba, Ph.D., a professor of microbiology at Arizona State University. In fact, his research reveals your desk is one of the dirtiest places in the average office building, containing 400 times the bacteria of the average public toilet seat.

PROTECT YOURSELF

Wipe down your work space
“We found women’s desks had three times the number of germs as men’s,” says Gerba. “That’s because women tend to eat and apply makeup in the office, leaving behind particles that bacteria can feed on.” Clean up your act by running a pre-moistened disinfecting wipe over your desk, phone, mouse, and keyboard at least once a day.

Store snacks in the kitchen
You’ll ward off mindless munching and a dirty environment—Gerba discovered that desk drawers in which food was stored were often spotted with mold. If you frequently dine at your desk, lay down a place mat or a few paper towels to catch crumbs.

Lighten up on the lotion
The creams and lotions that keep your skin soft can be transferred to surfaces, spreading bacteria from your hands. Apply a product before lunch so it has time to absorb before you start touching the keyboard.

4 YOUR CUBICLE MATE SNEEZES ALL DAY LONG

Even if you steer clear of your sniffling co-workers, they still pose a risk to your health: Cold-causing germs can thrive outside the body on door handles and in other common spaces for up to two days. In fact, up to 80 percent of colds are caught by touching an infected surface.

Take Charge of Your Work Life

(continued)

4 YOUR CUBICLE MATE SNEEZES ALL DAY LONG continued...

PROTECT YOURSELF

Skip the handshakes
Because germs can also live on skin for two hours, avoid contact with a co-worker you’ve just heard coughing. “Say something like, ‘I’m just getting over the flu and wouldn’t want to pass it on to you or your family,’ ” says Gerba.

Keep your immune system in check
Having a few healthy habits beyond washing your hands can strengthen your ability to fight off a cold. Research shows a few extracurricular activities, such as exercising three or four hours a week, calling a friend, and watching a funny flick, can actually shore up your immune system.

5 YOUR EYES ARE GLUED TO THE COMPUTER

“Our eyes converge, or cross together, in order to focus on a close-up object, like a computer screen,” says Arthur Benjamin, M.D., an ophthalmologist in Los Angeles. “Keeping your eyes in this position for long periods of time causes strain.” In fact, up to 90 percent of computer users develop computer vision syndrome, a set of symptoms that includes dry, burning eyes; headaches; blurred vision; and sensitivity to light. “Over time this eyestrain can lead to permanent changes, such as nearsightedness,” says Benjamin.

PROTECT YOURSELF

Get rid of the glare
Everyone dreams of a sun-drenched office, but that excessive light can bounce off your computer screen, putting additional strain on your eyes. Switch off overhead lights and use lamps, then position your monitor so that windows are to the side instead of in front of or behind it.

Take a break
Research shows people blink half as much as usual—just six to eight times a minute—when they’re looking at a computer screen, which can dry out the eyes. So make a conscious effort to blink every so often. “Also look away from the screen every 10 to 15 minutes and stare as far off as you can for a few seconds to relax your eye muscles,” says Benjamin.

Adjust your screen
You might think moving your computer closer to you is easier on your eyes, but it’s best to keep your distance. “Your screen should be 20 to 28 inches from your face,” recommends Benjamin. And tilt it so it’s 25 degrees lower than eye level; a Danish study found this angle can reduce vision fatigue.

Originally published on: June: 1, 2008

Researchers Investigate Asthma-Mental Health Connection

Poor Mental Health, Asthma Risk Linked?

Study: People Reporting Poor Mental Health May Be More Likely to Also Report Having Asthma
By Miranda Hitti
WebMD Health News
Reviewed by Louise Chang, MD

Dec. 4, 2008 -- A new study hints at a possible link between adults' poor mental health and their odds of having asthma.

The study, a national survey of more than 300,000 U.S. adults, shows that those reporting more days of poor mental health in the previous month were more likely to also report having asthma.

In the survey, which was conducted in 2006, participants were asked how many days during the past month they had poor mental health, including stress, depression, and emotional problems. They were also asked if a doctor, nurse, or other health care provider had ever diagnosed them with asthma, and if so, whether they still had asthma.

Compared with people who reported no days of poor mental health in the previous month, people reporting up to a week of poor mental health in the previous month were 38% more likely to say they currently had asthma.

By the same comparison, people reporting one to two weeks of poor mental health in the previous month were 49% more likely to report currently having asthma. People who reported two to three weeks of poor mental health in the previous month were 67% more likely to report currently having asthma, and people reporting three or more weeks of poor mental health in the previous month were more than twice as likely to report currently having asthma.

The researchers -- who included Thomas Chun, MD, of Brown University's medical school in Providence, R.I. -- considered participants' age, gender, race, smoking, marital status, obesity, exercise, overall health, and social class. But they didn't have data on other factors, such as a family history of asthma and allergies or whether participants had been born prematurely or had mothers who smoked.

Those findings, published in December's edition of Chest, don't prove that poor mental health causes asthma or vice versa. That's partly because participants weren't followed over time and also because the data were self-reported since participants' medical records weren't checked. Also, the study only looked at adults; it didn't include children with asthma.

But Chun's team notes that other observational studies have shown a possible link between mental health problems and asthma. The exact nature of that connection needs further study, Chun and colleagues conclude.
 

Why It Matters:  Study participants who claimed to be struggling with their mental health seemed more likely to have asthma as well. See why this report in the journal Chest may be just the start in investigating this correlation.
Also See:
 •  Does Asthma Increase Adult Suicide Risk?
 •  WebMD's Asthma Health Center
 •  WebMD's Mental Health Center
 •  The 10 Worst Cities for Asthma

Recognizing the Symptoms of Depression
Depression: Recognizing the Emotional Symptoms

Common symptoms of depression can make work and daily life almost impossible. Depression can skew your view of the world, making everything seem hopeless. Depression can make you feel utterly alone.

But you're not. Major depression affects about 14 million American adults or about 6.7% of the population 18 or older in any given year. And the good news is a lot of treatments work to reduce depression symptoms, and some experts claim depression can be "cured" as well. This guide will help you recognize the symptoms of depression and learn how to treat them.

You may already know some of the emotional and psychological effects of depression. They include:

  • Feeling sad, empty, hopeless, or numb. These feelings are with you most of the day, every day.
  • Loss of interest in things you used to enjoy. You might no longer bother with hobbies that you used to love. You might not like being around friends. You might lose interest in sex.
  • Irritability or anxiety. You might be short-tempered and find it hard to relax.
  • Trouble making decisions. Depression can make it hard to think clearly or concentrate. Making a simple choice can seem overwhelming.
  • Feeling guilty or worthless. These feelings are often exaggerated or inappropriate to the situation. You might feel guilty for things that aren't your fault or that you have no control over. Or you may feel intense guilt for minor mistakes.
  • Thoughts of death and suicide. The types of thoughts vary. Some people wish that they were dead, feeling that the world would be better off without them. Others make very explicit plans to hurt themselves. This content is selected and controlled by WebMD's editorial staff and is funded by Cymbalta.

10 Tips for a Thinner Thanksgiving

Enjoy the holiday feast without the guilt -- or the weight gain.
By Kathleen M. Zelman, MPH, RD, LD
WebMD Weight Loss Clinic-Feature
Reviewed by Louise Chang, MD

Thanksgiving only comes around once a year, so why not go ahead and splurge? Because gaining weight during the holiday season is a national pastime. Year after year, most of us pack on at least a pound (some gain more) during the holidays -- and keep the extra weight permanently.

But Thanksgiving does not have to sabotage your weight, experts say. With a little know-how, you can satisfy your desire for traditional favorites and still enjoy a guilt-free Thanksgiving feast. After all, being stuffed is a good idea only if you are a turkey!

Get Active

Create a calorie deficit by exercising to burn off extra calories before you ever indulge in your favorite foods, suggests Connie Diekman, MEd, RD, former president of the American Dietetic Association (ADA).

"'Eat less and exercise more' is the winning formula to prevent weight gain during the holidays," Diekman says. "Increase your steps or lengthen your fitness routine the weeks ahead and especially the day of the feast."

Make fitness a family adventure, recommends Susan Finn, PhD, RD, chair of the American Council on Fitness and Nutrition: "Take a walk early in the day and then again after dinner. It is a wonderful way for families to get physical activity and enjoy the holiday together."

Eat Breakfast

While you might think it makes sense to save up calories for the big meal, experts say eating a small meal in the morning can give you more control over your appetite. Start your day with a small but satisfying breakfast -- such as an egg with a slice of whole-wheat toast, or a bowl of whole-grain cereal with low-fat milk -- so you won't be starving when you arrive at the gathering.

"Eating a nutritious meal with protein and fiber before you arrive takes the edge off your appetite and allows you to be more discriminating in your food and beverage choices," says Diekman.

Lighten Up

Whether you are hosting Thanksgiving dinner or bringing a few dishes to share, make your recipes healthier with less fat, sugar, and calories.

"There is more sugar and fat in most recipes than is needed, and no one will notice the difference if you skim calories by using lower calorie ingredients," says Diekman.

Her suggestions:

  • Use fat-free chicken broth to baste the turkey and make gravy.
  • Use sugar substitutes in place of sugar and/or fruit purees instead of oil in baked goods.
  • Reduce oil and butter wherever you can.
  • Try plain yogurt or fat-free sour cream in creamy dips, mashed potatoes, and casseroles.

Police Your Portions

  • Thanksgiving tables are bountiful and beautiful displays of traditional family favorites. Before you fill your plate, survey the buffet table and decide what you're going to choose. Then select reasonable-sized portions of foods you cannot live without.

"Don't waste your calories on foods that you can have all year long," suggests Diekman. "Fill your plate with small portions of holiday favorites that only come around once a year so you can enjoy desirable, traditional foods."

  • Skip the Seconds.

    Try to resist the temptation to go back for second helpings.

    "Leftovers are much better the next day, and if you limit yourself to one plate, you are less likely to overeat and have more room for a delectable dessert," Diekman says.

  • Choose the Best Bets on the Buffet.

    While each of us has our own favorites, keep in mind that some holiday foods are better choices than others.

    "White turkey meat, plain vegetables, roasted sweet potatoes, mashed potatoes, defatted gravy, and pumpkin pie tend to be the best bets because they are lower in fat and calories," says Diekman. But she adds that, "if you keep your portions small, you can enjoy whatever you like."

Slowly Savor

Eating slowly, putting your fork down between bites, and tasting each mouthful is one of the easiest ways to enjoy your meal and feel satisfied with one plate full of food, experts say. Choosing whole grains, fruits, vegetables, broth-based soups, salads, and other foods with lots of water and fiber add to the feeling of fullness.

Spread out the food and fun all day long. At the Finn family Thanksgiving gathering, they schedule dessert after a walk, while watching a movie together.

"We eat midday, and instead of another meal at dinnertime, we continue the feast with dessert a few hours after the main meal," Finn explains.

Go Easy on Alcohol

Don't forget those alcohol calories that can add up quickly.

"Have a glass of wine or a wine spritzer and between alcoholic drinks, (or) enjoy sparkling water," says Diekman. "this way you stay hydrated, limit alcohol calories, and stay sober."

Be Realistic

The holiday season is a time for celebration. With busy schedules and so many extra temptations, this is a good time to strive for weight maintenance instead of weight loss.

"Shift from a mindset of weight loss to weight maintenance," says Finn. "You will be ahead of the game if you can avoid gaining any weight over the holidays."

Focus on Family and Friends

Thanksgiving is not just about the delicious bounty of food. It's a time to celebrate relationships with family and friends.

"The main event should be family and friends socializing, spending quality time together, not just what is on the buffet," says Finn.

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