Stress & Coping

Stress Self-Assessment

University of Saskatchewan

Your Stress Self-Assessment

Stress Self-Assessment

Check the appropriate boxes.

Daily Sometimes Never
1. I feel mild stress that does not disrupt my everyday life.
2. I am sometimes so stressed out that I have trouble with my routine activities.
3. I find myself eating or drinking just because I’m feeling stressed.
4. I have lain awake at night unable to sleep because I was feeling stressed.
5. Stress has affected my relationships with other people.

Write your answers.

  1. What is the number one cause of stress in your life?

    __________________________________________________________________

    __________________________________________________________________

  2. What else causes you stress?

    __________________________________________________________________

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  3. What effect does stress have on your studies and academic performance?

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  4. Regardless of the sources of your own stress, what do you think you can do to better cope with the stress you can’t avoid?

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What Causes Stress?

Not all stressors are bad things. Exciting, positive things also cause a type of stress, called eustress. Falling in love, getting an unexpected sum of money, acing an exam you’d worried about—all of these are positive things that affect the body and mind in ways similar to negative stress: you can’t help thinking about it, you may lose your appetite and lie awake at night, and your routine life may be momentarily disrupted.

But the kind of stress that causes most trouble results from negative stressors. Life events that usually cause significant stress include the following:

  • Serious illness or injury
  • Serious illness, injury, or death of a family member or loved one
  • Losing a job or sudden financial catastrophe
  • Unwanted pregnancy
  • Divorce or ending a long-term relationship (including parents’ divorce)
  • Being arrested or convicted of a crime
  • Being put on academic probation or suspended

Life events like these usually cause a lot of stress that may begin suddenly and disrupt one’s life in many ways. Fortunately, these stressors do not occur every day and eventually end—though they can be very severe and disruptive when experienced. Some major life stresses, such as having a parent or family member with a serious illness, can last a long time and may require professional help to cope with them.

Everyday kinds of stressors are far more common but can add up and produce as much stress as a major life event:

  • Anxiety about not having enough time for classes, job, studies, and social life
  • Worries about grades, an upcoming test, or an assignment
  • Money concerns
  • Conflict with a roommate, someone at work, or family member
  • Anxiety or doubts about one’s future or difficulty choosing a major or career
  • Frequent colds, allergy attacks, other continuing health issues
  • Concerns about one’s appearance, weight, eating habits, and so on.
  • Relationship tensions, poor social life, loneliness
  • Time-consuming hassles such as a broken-down car or the need to find a new apartment
  • _______________________________________
  • _______________________________________
  • _______________________________________

Take a moment and reflect on the list above. How many of these stressors have you experienced in the last month? The last year? Circle all the ones that you have experienced. Now go back to your Stress Self-Assessment and look at what you wrote there for causes of your stress. Write any additional things that cause you stress on the blank lines above.

How many stressors have you circled and written in? There is no magic number of stressors that an “average” or “normal” college student experiences—because everyone is unique. In addition, stressors come and go: the stress caused by a midterm exam tomorrow morning may be gone by noon, replaced by feeling good about how you did. Still, most college students are likely to circle about half the items on this list.

But it’s not the number of stressors that counts. You might have circled only one item on that list—but it could produce so much stress for you that you’re just as stressed out as someone else who circled all of them. The point of this exercise is to start by understanding what causes your own stress as a base for learning what to do about it.

What’s Wrong with Stress?

Physically, stress prepares us for action: the classic “fight-or-flight” reaction when confronted with a danger. Our heart is pumping fast, and we’re breathing faster to supply the muscles with energy to fight or flee. Many physical effects in the body prepare us for whatever actions we may need to take to survive a threat.

But what about nonphysical stressors, like worrying about grades? Are there any positive effects there? Imagine what life would feel like if you never had worries, never felt any stress at all. If you never worried about grades or doing well on a test, how much studying would you do for it? If you never thought at all about money, would you make any effort to save it or make it? Obviously, stress can be a good thing when it motivates us to do something, whether it’s study, work, resolving a conflict with another, and so on. So it’s not stress itself that’s negative—it’s unresolved or persistent stress that starts to have unhealthy effects. Chronic (long-term) stress is associated with many physical changes and illnesses, including the following:

  • Weakened immune system, making you more likely to catch a cold and to suffer from any illness longer
  • More frequent digestive system problems, including constipation or diarrhea, ulcers, and indigestion
  • Elevated blood pressure
  • Increased risk of diabetes
  • Muscle and back pain
  • More frequent headaches, fatigue, and insomnia
  • Greater risk of heart attack and other cardiovascular problems over the long term

Chronic or acute (intense short-term) stress also affects our minds and emotions in many ways:

  • Difficulty thinking clearly or concentrating
  • Poor memory
  • More frequent negative emotions such as anxiety, depression, frustration, powerlessness, resentment, or nervousness—and a general negative outlook on life
  • Greater difficulty dealing with others because of irritability, anger, or avoidance

No wonder we view stress as such a negative thing! As much as we’d like to eliminate all stressors,however, it just can’t happen. Too many things in the real world cause stress and always will.

Unhealthy Responses to Stress

Since many stressors are unavoidable, the question is what to do about the resulting stress. A person can try to ignore or deny stress for a while, but then it keeps building and starts causing all those problems. So we have to do something.

Consider first what you have typically done in the past when you felt most stressed; use the Past Stress-Reduction Habits Self-Assessment.

Past Stress-Reduction Habits Self-Assessment

On a scale of 1 to 5, rate each of the following behaviors for how often you have experienced it because of high stress levels.

Stress Response Never Seldom Sometimes Often Usually Always
1. Drinking alcohol 0 1 2 3 4 5
2. Drinking lots of coffee 0 1 2 3 4 5
3. Sleeping a lot 0 1 2 3 4 5
4. Eating too much 0 1 2 3 4 5
5. Eating too little 0 1 2 3 4 5
6. Smoking or drugs 0 1 2 3 4 5
7. Having arguments 0 1 2 3 4 5
8. Sitting around depressed 0 1 2 3 4 5
9. Watching television or surfing the Web 0 1 2 3 4 5
10. Complaining to friends 0 1 2 3 4 5
11. Exercising, jogging, biking 0 1 2 3 4 5
12. Practicing yoga or tai chi 0 1 2 3 4 5
13. Meditating 0 1 2 3 4 5
14. Using relaxation techniques 0 1 2 3 4 5
15. Talking with an instructor or counselor 0 1 2 3 4 5

Total your scores for questions 1–10: _______________

Total your scores for questions 11–15: _______________

Subtract the second number from the first: _______________

Interpretation: If the subtraction of the score for questions 11 to 15 from the first score is a positive number, then your past coping methods for dealing with stress have not been as healthy and productive as they could be. Items 1 to 10 are generally not effective ways of dealing with stress, while items 11 to 15 usually are. If you final score is over 20, you’re probably like most beginning college students—feeling a lot of stress and not yet sure how best to deal with it.

What’s wrong with those stress-reduction behaviors listed first? Why not watch television or get a lot of sleep when you’re feeling stressed, if that makes you feel better? While it may feel better temporarily to escape feelings of stress in those ways, ultimately they may cause more stress themselves. If you’re worried about grades and being too busy to study as much as you need to, then letting an hour or two slip by watching television will make you even more worried later because then you have even less time. Eating too much may make you sluggish and less able to focus, and if you’re trying to lose weight, you’ll now feel just that much more stressed by what you’ve done. Alcohol, caffeine, smoking, and drugs all generally increase one’s stress over time. Complaining to friends? Over time, your friends will tire of hearing it or tire of arguing with you because a complaining person isn’t much fun to be around. So eventually you may find yourself even more alone and stressed.

Yet there is a bright side: there are lots of very positive ways to cope with stress that will also improve your health, make it easier to concentrate on your studies, and make you a happier person overall.

Coping with Stress

Look back at your list of stressors that you circled earlier. For each, consider whether it is external (like bad job hours or not having enough money) or internal, originating in your attitudes and thoughts. Mark each item with an E (external) or an I (internal).

You may be able to eliminate many external stressors. Talk to your boss about changing your work hours. If you have money problems, work on a budget you can live with, look for a new job, or reduce your expenses by finding a cheaper apartment, selling your car, and using public transportation.

What about other external stressors? Taking so many classes that you don’t have the time to study for all of them? Keep working on your time management skills. Schedule your days carefully and stick to the schedule. Take fewer classes next term if necessary. What else can you do to eliminate external stressors? Change apartments, get a new roommate, find better child care—consider all your options. And don’t hesitate to talk things over with a college counselor, who may offer other solutions.

Internal stressors, however, are often not easily resolved. We can’t make all stressors go away, but we can learn how to cope so that we don’t feel so stressed out most of the time. We can take control of our lives. We can find healthy coping strategies.

All the topics in this chapter involve stress one way or another. Many of the healthy habits that contribute to our wellness and happiness also reduce stress and minimize its effects.

Get Some Exercise

Exercise, especially aerobic exercise, is a great way to help reduce stress. Exercise increases the production of certain hormones, which leads to a better mood and helps counter depression and anxiety. Exercise helps you feel more energetic and focused so that you are more productive in your work and studies and thus less likely to feel stressed. Regular exercise also helps you sleep better, which further reduces stress.

Get More Sleep

When sleep deprived, you feel more stress and are less able to concentrate on your work or studies. Many people drink more coffee or other caffeinated beverages when feeling sleepy, and caffeine contributes further to stress-related emotions such as anxiety and nervousness.

Get Counseling

If stress is seriously disrupting your studies or your life regardless of what you do to try to reduce it, you may need help. There’s no shame in admitting that you need help, and college counselors and health professionals are there to help.

Tips for Success: Stress

  • Pay attention to, rather than ignore, things that cause you stress and change what you can.
  • Accept what you can’t change and resolve to make new habits that will help you cope.
  • Get regular exercise and enough sleep.
  • Evaluate your priorities, work on managing your time, and schedule restful activities in your daily life. Students who feel in control of their lives report feeling much less stress than those who feel that circumstances control them.
  • Slow down and focus on one thing at a time—don’t check for e-mail or text messages every few minutes! Know when to say no to distractions.
  • Break old habits involving caffeine, alcohol, and other substances.
  • Remember your long-range goals and don’t obsess over short-term difficulties.
  • Make time to enjoy being with friends.
  • Explore new activities and hobbies that you enjoy.
  • Find a relaxation technique that works for you and practice regularly.
  • Get help if you’re having a hard time coping with emotional stress.

Journal Entry

All college students feel some stress. The amount of stress you feel depends on many factors, including your sleeping habits, your exercise and activity levels, your use of substances, your time management and study skills, your attitude, and other factors. As you look at your present life and how much stress you may be feeling, what short-term changes can you start making in the next week or two to feel less stressed and more in control? By the end of the semester or term, how would you ideally like your life to be different—and how can you best accomplish that? Write your thoughts here.

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Key Takeaways

  • Everyone feels stress, and many of the things that cause stress won’t go away regardless of what we do. But we can examine our lives, figure out what causes most of our stress, and learn to do something about it.
  • Stress leads to a lot of different unhealthy responses that actually increase our stress over the long term. But once we understand how stress affects us, we can begin to take steps to cope in healthier ways.

Checkpoint Exercises

  1. Why should it not be your goal to try to eliminate stress from your life completely?

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  2. List three or more unhealthful effects of stress.

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  3. Name at least two common external stressors you may be able to eliminate from your life.

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  4. Name at least two common internal stressors you may feel that you need to learn to cope with because you can’t eliminate them.

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  5. List at least three ways you can minimize the stress you feel.

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Foundations for Success in Nursing: Manual Copyright © 2021 by Sarah Malo and Maggie Convey. All Rights Reserved.

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