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A comprehensive approach to stress in primary care
1Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, WP 3440, P.O. Box 26901, Oklahoma City, OK 73190, USA.
The Journal of the Oklahoma State Medical Association
|October 20, 2001
Summary
Primary care physicians can manage patient stress using techniques like relaxation, exercise, and cognitive restructuring. Severe stress may require mental health referrals or medication, impacting physical and emotional well-being.
Area of Science:
- Primary care medicine
- Psychology
- Stress physiology
Background:
- Stress is a common factor in physical and emotional health issues presented in primary care.
- Hans Selye's General Adaptation Syndrome provides a framework for understanding the body's stress response.
Purpose of the Study:
- To outline stress assessment techniques for primary care physicians.
- To present in-office stress management strategies for primary care settings.
- To guide physicians on managing severe or prolonged stress.
Main Methods:
- Review of stress assessment tools.
- Description of behavioral and cognitive stress management interventions.
- Guidelines for identifying need for further mental health intervention.
Main Results:
- Primary care physicians can utilize various techniques to assess and manage patient stress.
- Interventions include relaxation, exercise, cognitive restructuring, and goal setting.
- Identification of indicators for psychotropic medication or specialist referral.
Conclusions:
- Primary care settings are crucial for initial stress assessment and management.
- A multi-faceted approach to stress management can improve patient outcomes.
- Timely referral is essential for complex or severe stress-related conditions.