Stress in Office Job-related stress seems to have become an inescapable part of one’s routine in corporate India today. From anxiety disorders to depression, which, in turn, can lead to an increased risk of suicide, there are several studies that have thrown light on the phenomenon. Job stress can be defined as the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker. Job stress can lead to poor health and even injury. ... In short, the stage is set for illness, injury, and job failure. Stress is responsible for 75 to 80 percent of all doctor's office visits. Stress contributes to lifestyle diseases like heart disease, diabetes, obesity, and autoimmune diseases. Symptoms of work-related stress • Fatigue. • Muscular tension. • Headaches. • Heart palpitations. • Sleeping difficulties, such as insomnia. • Gastrointestinal upsets, such as diarrhoea or constipation. • Dermatological disorders. High blood pressure is the most significant risk factor of cardiovascular and cerebrovascular diseases worldwide. Blood pressure and its variability are recognized as risk factors. Thus, hypertension control should focus not only on maintaining optimal levels but also on achieving less variability in blood pressure. Psychosocial stress is known to contribute to the development and worsening of hypertension. Stress is perceived by the brain and induces neuroendocrine responses in either a rapid or long-term manner. Moreover,
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endothelial dysfunction (heart and big blood vessels of the body) and inflammation might be further involved in the modulation of blood pressure elevation associated with stress. White-coat hypertension, defined as high clinic blood pressure but normal out-of-office blood pressure, is the most popular stress-related blood pressure response. Careful follow-up is necessary for this type of hypertensive patients because some show organ damage (kidneys/ eyes etc.) or a worse prognosis. On the other hand, masked hypertension, defined as high out-of-office blood pressure but normal office blood pressure, has received considerable interest as a poor prognostic condition. The cause of masked hypertension is complex, but evidence suggests that chronic stress at the workplace or home could be involved. Chronic psychological stress could be associated with distorted lifestyle and mental distress as well as long-lasting pressure load, contributing to the blood pressure elevation. Stress issues are common in patients in modern society. Considering psychosocial stress as the pathogenesis of blood pressure elevation is useful for achieving an individual-focused approach and 24-h blood pressure control.
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