Knowledge · Communications · Health Services · Security · Person Centered Care
How to stay Healthy and Happy! · Living longer and happier.
Techniques to deal with stress / related medical research
by: Quentin Reilly, MD, Specialist Medical Officer
Manus Island / Australia (circa 2002)
Introduction: "Stress is related to mind states and psychological attitude and also has a number of bodily
effects." This article summarizes medical studies on stress factors and a technique to deal with it -- to
live a healthy, happier and probably longer life. [n.b. article republished with permission of Dr. Reilly and ManusIsland.com]
Today there is an alarming rate of death in middle aged Papua New Guineans who take on executive type of jobs in Government and commerce. Most of these are caused by heart attacks.
Stress is a common factor in these deaths - stress of the work, stress of looking after a
family with increasing cost of living, and the stress of living in an insecure place.
People have emphasised the importance of exercise and diet but emotions and feelings
also greatly affect health.[emphasis added] The well being of mind and body are closely interlinked.
Much of the recent medical research on this relationship has been done in America.
In the book Healing Emotions (Shambala Publications) Neuroscientist Francisco Varela presents a lot of information, some of which is given below:
In the University of North Carolina researchers found that a chronically angry person was one and a half times more likely to die over a 25 year period than one who was not always angry.
Harvard Medical School researchers showed that anger was the most common
emotion two hours before a bad heart attack. At Stanford and Yale Medical Schools it
was shown that those who had heart attacks and were most easily roused to anger
were two to three times more likely that other patients to die of another heart
attack over the following ten years.
Depression has been shown to slow the recovery from illness and patients with
breast cancer and who were depressed were shown to have fewer natural killer
cells to fight the cancer and the cancer spread more quickly.
At the Harvard Medical School it was shown that after the first heart attack, one in eight
who were seriously depressed afterwards were five time more likely to die than those with no depression.
Ohio State University found that medical students studying for major exams
and were stressed had a drop on protective T and B cell levels and had more cold and flu's.
At Carnegie and Mellon Universities, volunteers were exposed to cold viruses
and found that 27% of those suffering from little stress got the cold, whereas
47% of those with high levels of stress got sick.
At the University of California 100 studies were analysed and it was shown that
people who tended to be unusually hostile and angry, very anxious, sad, pessimistic
or tense had double the risk of getting serious illness, including asthma,
chronic headaches, stomach ulcers, heart disease and arthritis.
Repression, or denial, of feeling tense when actually tense or agitated were shown by
Harvard University researchers to be more susceptible to diseases like asthma, high blood pressure and colds.
Ohio State University researchers found that medical students who meditate every day had an
increase in pro-active T cells, and the more often and more consistently they meditated, the
stronger was the effect.
At Harvard it was found in a 25 year study that being optimistic kept you more healthy
than if you are pessimistic. Being friendly also was found to help. Those medical students
who felt most lonely had the fewest natural killer cells during their exams.
At the University of California it was found that over nine years people with very few friends
were twice as likely to have died that those who had many.
Harvard University researchers showed that doing loving kindness meditation increased the number
of T cells circulating for a long time and strengthened the whole immune system.
Stress is related to mind states and psychological attitude and also has a number of bodily
effects. The brain has been found to respond to stress very consistently and systematically
by producing hormones such as glucocorticoids. These hormones are released into
the bloodstream or directly into the lymphatic system. The hormones combine with
receptors on the surface of lymphocytes (one type of circulating white blood cells),
either suppressing them or activating them. As the changes occur in the immune system,
the lymphocytes also produce hormones and other messengers known as immuno-transmitters.
These molecules, in turn, directly affect specific neurones in the limbic system of the brain,
so the link works in two directions.
The autonomic nervous system, which is concerned with control of bodily functions such
as regulation of glands or the contractions of the muscles of the gut, also innervate bone
marrow where blood cells grow. The autonomic nervous system grows directly into the bone
marrow and can regulate the type and number of T-cells produced there.
The innervation of the bone marrow produces changes in the configuration of the immune system,
which causes the production of transmitters that effect changes in the brain.
Chronic stress results in a dys-regulation or imbalance in the functioning of the autonomic nervous system and their cells become hyperactive and respond with very little provocation. This also causes dys-regulation in muscle tension and imbalances in blood flow patterns. This can contribute to the development of illnesses like asthma, certain types of headaches, irritable bowel syndrome.
People can cope with stress healthily or unhealthily.
A healthy response includes taking an active approach to solve the problem so it does not
seem to be a problem anymore or dealing with the emotions that come up in a stressful
situation by talking with, or being in contact with others.
Unhealthy coping includes denying or repressing the problem or just wishing the
problems would go away or blaming or numbing.
Numbing is when people lose ability to be aware of feeling as a result of extreme
psychological trauma such as abuse.
Mindfulness meditation helps a person to learn
to have an open accepting attitude towards whatever arises in one's mind, while
watching the movements of the mind. It is thus very useful for stress reduction.
Dr Jon Kabat-Zinn uses mindfulness meditation in the famous stress reduction
and relaxation clinic in the University of Massachusetts Medical Centre.
He claims a 45% improvement in medical as well as psychological diseases through meditation
training at his centre.
This includes heart disease, high blood pressure and digestive problems.
A review of patients four years after undertaking the eight week program also showed that
they felt more complete and more connected and better able to cope with pain and problems.
He has also developed an course for medical students.
His book Full Catastrophe Living is written in such a way as to allow
each reader to develop their own stress management program and provides
easy to follow meditation techniques, many success stories and research findings.
Mindfulness meditation is a technique all of us can learn and is basically learning
to watch what is going on in the mind and body. It is developed by improving concentration.
Usually our breathing is used as the object of meditation.
The breath is used as it is something that is always with us and is something we
can use at any time to assist us.
For instance if we feel a sudden bout of anger, turning our attention
to the breath can allow us to watch the changes in our mind and body
caused by the anger and we can let go of the anger so that it does not do any more damage.
Learning to concentrate better helps us to become more efficient and perform better.
For example, after one day of introductory meditation training I took in Lorengau, some
students from the vocational school returned the next day to inform me that they found
they could do their homework much more quickly and better!
If you want to learn how to meditate you have to find a quiet place and time to start to practice.
You need a place where you will not be disturbed. You could do the practice in a room
with others when they are all asleep, for example, or go to a room by yourself.
In meditation you are not trying to learn something new from outside, as you
would by reading a book or listening to someone talking, but you are learning
to see how things exist and work inside yourself - your body and mind.
To start with you should sit comfortably in a position where you are stable,
with your back straight. Sitting cross-legged is good but you can also
use a chair if you wish. You should then practice watching your breath
coming in and going out, noting whether it is a short or a long breath,
whether fast or slow and how it changes over a few minutes.
You should do this by concentrating on a point just inside
your nose where you can feel the air moving. Concentrate on this point and allow
your body to relax, but keep your back straight.
Just keep watching your breath coming and going and do not take any
notice of any other thought that comes into you mind. Just keep your mind on
the point in your nose. When you can really concentrate on this point for
half a minute or so without having any thought disturb your concentration,
you can start to observe your thoughts and feeling more closely and see how they come and go. When anger or a disturbing emotion arises, you can just sit back and watch it and let it go. It only stays because you hold on to it!
Do not hang on to such emotions and allow them to harm you and others.
Just let them go.
It sound easy to do but in fact it is quite hard to watch your breath for half a minute and not be distracted! We are also in the habit of holding on to our disturbing emotions, but if we can really see the harm they do to us then we would quickly let them go. This appreciation come with practice.
It is really worth the effort and meditation practiced properly and regularly can really make you more healthy and happy.
There are some booklets in Tok Pisin available if you want to learn more.
One is called the Liklik Buk bilong Meditation.
For more information about these you could contact the
Centre for Public Health,
PO Box 5623, Boroko,
Provincial Health Office,
Box 37 Lorengau, Manus Province,
email me at firstname.lastname@example.org and I can send them to you by email.
Specialist Medical Officer
Quentin Reilly, author of the above report is a content contributor, i.e.. photos and articles, to
In the 1970's Quentin worked as the medical officer for Manus and has since then formed attachments with
the people of Manus. As a health consultant he has visited many Pacific islands and South East Asian
countries over the past 30 years, and volunteers energy and resources in helping people at the grass-roots level to
better develop their own resources.
Dr. Reilly is also a contributor to OnWellness.info where this article is republished, June 2004.
N.B. the mention of different web sites above in no way implies their endorsement of this
web site -- nor does it imply the publishers of this web site formally supporting the sites mentioned above.
- Y.Orosa, social work & music therapy consultant for OnWellness.info 040522
This web site is project of a group of health care and health promotion professionals.
The site has a volunteer reference group, including:
a medical doctor, nurse, long-term-care facility director, music therapy, social work and rehabilitation consultants and lawyers
The providers of this site's information reference materials, including links to other resources
on the Internet's Web, or organizations / agencies / facilities - do not accept responsibility for the
accuracy - dependability of the information sources. By use of this site you as the viewer must make your
own informed decision as to the information given and or linked to or referred to.
If you do not wish to accept responsibility for being a consumer of the information or references on this site, please do not
go further into the site.
Thank you for visiting this "work in process"
On behalf of the participating professionals that are contributing to this web site's development
Music Therapy and Social Work Consultant
OnWellness Inc. Vancouver, BC
The photo collage-banner at the top of this page is intended to give viewers an idea of
the conceptualization behind this web project. The concepts of "health and wellness / well-being"
include KNOWLEDGE, having access to reference information; COMMUNICATION, through various medium (as in
music therapy); and SECURITY, the
sense of safety provided by social-political structures and systems to help experience one's well-being e.g. private and public personal-care /
long term care facilities.
The provenance of the photos on this page include:
- Photo of music therapists at work in a residential long term care facility in downtown Vancouver, BC,
collection of Y.Orosa, Music Therapy and Social Work Consultant, recently returned from London, UK work with the British health care system.
- Elementary school children participate in a demonstration of music therapy activities by Vancouver long term care facility, directed by Y.Orosa, MT.
- Book shelf photo from Public Library, Reference Department, section on introductory
texts on traditional and alternative medicine, drug dictionaries, treatment guides, taken by N.Chan
- Cartoon character, Anjolico the wireless cat, is provided by Tony Yau, B.F.A, M.V.A, graphic designer and illustrator,
with training from York University in Toronto and the University of Alberta in Visual Arts... This cartoon character is
a regular feature in a number of China web sites as well as Hong Kong print newspapers e.g. the Sing Tao
OnWellness.info Resources-Components of a lifestyle that promotes, strengthens and maintains health and wellness.
© 2002-2004, OnWellness Inc., Vancouver, BC Canada
Site admin. Netpac.com