Stress-Related Difficulties

  • Catalina VechiuEmail author
  • William T. O’Donohue


An estimated one in three people in the United States report experiencing extreme stress, with approximately 75% of Americans endorsing physical and psychological symptoms related to stress (American Psychological Association, 2008). Excessive stress is associated with psychological distress and is often the precursor to many medical conditions. There is significant research identifying stress as an underlying factor in many health issues and illnesses. For instance, stress has been linked with many chronic diseases, such as hypertension, diabetes, allergies, and cardiovascular disorders (Segerstrom & Miller, 2004). Given the association between stress and a multitude of psychological and medical illnesses, behavioral healthcare providers are in an ideal position to evaluate and treat stress.


Stress Integrated care settings Stress-related problems Stress management 


  1. American Psychological Association. (2008). Stress in America. Stress in America Survey.Google Scholar
  2. American Psychological Association. (2016). Stress in America: The impact of discrimination. Stress in America Survey.Google Scholar
  3. Bartlett, D. (1998). Stress perspectives and processes. Buckingham. Philadelphia: Open University Press.Google Scholar
  4. Callahan, E. J., Jaen, C. R., Crabtree, B. F., Zyzanski, S. J., Goodwin, M. A., & Stange, K. C. (1998). The impact of recent emotional distress and diagnosis of depression or anxiety on the physician-patient encounter in family practice. The Journal of Family Practice, 46, 410–418.PubMedGoogle Scholar
  5. Camasso, M. J., & Camasso, A. E. (1994). Practitioner productivity and the product content of medical care in publicly supported health centers. Social Science & Medicine, 38, 733–748.CrossRefGoogle Scholar
  6. Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15(5), 593–600.CrossRefPubMedGoogle Scholar
  7. Coffman, D., & Katz, C. (2007). Stress management. The Clearinghouse for Thematic Groups, 1–64.Google Scholar
  8. Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont Symposium on applied social psychology. Newbury Park, CA: Sage.Google Scholar
  9. du Pré, A. (2002). Accomplishing the impossible: Talking about body and soul and mind during a medical visit. Health Communication, 14(1), 1–21. CrossRefGoogle Scholar
  10. Goldberg, D. P. (1978). Manual of the general health questionnaire. Windsor, England: NFER Publishing.Google Scholar
  11. Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., … Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936–943.CrossRefPubMedGoogle Scholar
  12. Kalia, M. (2002). Assessing the economic impact of stress—The modern day hidden epidemic. Metabolism, 51(6), 49–53.CrossRefPubMedGoogle Scholar
  13. Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197–207.CrossRefPubMedGoogle Scholar
  14. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.Google Scholar
  15. Littman, A. J., White, E., Satia, J. A., Bowen, D. J., & Kristal, A. R. (2006). Reliability and validity of 2 single-item measures of psychosocial stress. Epidemiology, 17, 398–403.CrossRefPubMedGoogle Scholar
  16. National Comprehensive Cancer Network (NCCN). (2010). NCCN clinical practice guidelines in oncology. Distress Management. National Comprehensive Cancer Network. Retrieved from
  17. Posen, D. B. (1995). Stress management for patient and physician. The Canadian Journal of Continuing Medical Education. Retrieved from Scholar
  18. Segerstrom, S. C., & Miller, G. E. (2004). Psychological stress and the human immune system: A meta-analytic study of 30 years of inquiry. Psychological Bulletin, 130(4), 601–630. CrossRefPubMedPubMedCentralGoogle Scholar
  19. Shojania, K. G., McDonald, K. M., Wachter, R. M., & Owens, D. K. (2004). Closing the quality gap: A critical analysis of quality improvement strategies. Technical Reviews, 9(1).Google Scholar
  20. Stuart, M. R., & Libermann, J. A. (1993). The fifteen minute hour: Applied psychotherapy for the primary care physician. Westport, CT: Praeger.Google Scholar
  21. Tesar, G. E., Austerman, J., Pozuelo, L., & Isaacson, J. H. (2010). Behavioral assessment of the general medical patient.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Clinical PsychologyUniversity of Nevada, RenoRenoUSA

Personalised recommendations