Recognizing and Applying Tools to Alleviate Stress. Josie M. Rudolphi, PhD National Farm Medicine Center Marshfield, WI
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1 Recognizing and Applying Tools to Alleviate Stress Josie M. Rudolphi, PhD National Farm Medicine Center Marshfield, WI
2 Overview Stress in agriculture Stress and health Signs of stress and mental health disorders Dealing with stress Recommendations to improve mental health of rural and agricultural communities
3 Background Raised in east central Iowa BS -- Agricultural Communications, ISU MS -- Agricultural Education, ISU High school agricultural educator PhD -- Occupational & Environmental Health, University of Iowa Associate Research Scientist at the National Farm Medicine Center
4 Agriculture Physically hazardous industry Mentally hazardous industry
5 Agricultural Stressors
6 Stress Stress; anticipation, energizing, motivating Distress; hazardous, unrelenting stress with no relief.
7 Mental Health conditions Stress Physical Health conditions
8 Mental Health conditions Stress Physical Health conditions
9 Mental Health Conditions 20% of US population experiencing a mental health condition. Most common conditions anxiety and depression Mental health conditions are commonly: Transient Easily resolved Treatable Preventable
10 Self-report of symptoms Recent sample of young adult farmers in the Midwest: 50 Anxiety 50 Depression None Mild Moderate Severe 0 None Mild Moderate Moderately Severe Severe 34.7% vs. 18.1% in general population 29.4% vs. 9.7% in general population
11 Voices from Agribusiness What have you observed or noticed regarding the mental health of farmers? They are in a state of depression. Finances are bad so they are struggling right now trying to just keep afloat. (long pause) I m just seeing and hearing that a lot of people are pretty depressed, upset. I haven t heard of anybody that wants um, to pull the trigger yet.
12
13 Who can Help? Farm Bureau Agribusiness,, Agribusiness Friends, social groups Farmer
14 How to help? Know the signs and symptoms of distress Provide social support Encourage acceptance and awareness Encourage self-care Encourage professional care
15 Know the signs and symptoms
16 Signs of Distress Physical: - Headaches - Stomach problems - Chest pain - Rapidly beating heart - Fatigue - Impulsiveness
17 Signs of Distress Emotional: - Increased angry blow-ups - Impatience - Difficulty controlling emotions - Low self-esteem - Loss of interest in things once enjoyed - Short tempered
18 Signs of Distress Behavioral: - Overeating or not eating - Increased substance use - Change in sleeping habits - Restlessness - Lack of concentration - Withdrawn from others - Forgetfulness
19
20 Provide Social Support Ask questions even when it seems awkward Normalize the conversation get nosey before you re concerned. Express concern when its there. Offer suggestions for self-care
21 Encourage Acceptance & Awareness Acceptance Acceptance skills can change attitudes towards controllable and uncontrollable stressors Be reflective and keep some perspective Has this happened before? Are my fears or worries realistic? What do I tell a friend in this situation? Awareness Recognizing stressors is powerful Plan ahead Use time efficiently Limit commitments and say NO
22 Encourage Self Care Coping skills are methods used to handle or deal with stress. Beneficial to physical and mental health. Help reduce stress.
23 4 Healthy Coping Activities 1. Exercise 2. Hobbies 3. Diversions 4. Relaxation
24 Barriers to Exercise?
25
26
27 1. Exercise 2. Hobbies 3. Diversions 4. Relaxation - Walking - Dancing - Sport leagues - Take your feet instead of the gator
28 1. Exercise 2. Hobbies 3. Diversions 4. Relaxation - Gardening - Woodworking - Hunting - Traveling - Music
29 1. Exercise 2. Hobbies 3. Diversions 4. Relaxation - Reading the newspaper - BBQ with friends - Church - Calling a friend
30 1. Exercise 2. Hobbies 3. Diversions 4. Relaxation - Taking a walk - Taking a nap - Getting away - Vacations make them ag related!
31 Recommendations for the Future 1. Reduce stigmatizing attitudes towards mental illness 2. Increase awareness and response to mental crisis 3. Get back in people s business 4. Accept and encourage healthy coping
32 Contact Information Josie Rudolphi 1000 N Oak, ML-1 Marshfield, WI Phone: Rudolphi.josie@marshfieldresearch.org
33 References 1. Booth, N. J., & Lloyd, K. (2000). Stress in farmers. Int J Soc Psychiatry, 46(1), doi: / National Institute of Mental Health (2017). Health and Education. Retrieved from from 3. Anxiety and Depression Association of America. (2016). Stress. Retrieved from 4. Onwuameze, O. E., Paradiso, S., Peek-Asa, C., Donham, K. J., & Rautiainen, R. H. (2013). Modifiable risk factors for depressed mood among farmers. Ann Clin Psychiatry, 25(2), Furey, E. M., O'Hora, D., McNamara, J., Kinsella, S., & Noone, C. (2016). The Roles of Financial Threat, Social Support, Work Stress, and Mental Distress in Dairy Farmers' Expectations of Injury. Front Public Health, 4, 126. doi: /fpubh Scarth, R. D., Stallones, L., Zwerling, C., & Burmeister, L. F. (2000). The prevalence of depressive symptoms and risk factors among Iowa and Colorado farmers. Am J Ind Med, 37(4), Ahearn, M. (2011). Potential challenges for beginning farmers and ranchers. CHOICES Online Magazine.
34 1. Shute, L., Anderson, A., Bernhardt, H., Creech, T., Fleming, S., Oakly, E., & Shute, B. (2011). Building a Future with Farmers- Challenged Faced by Young, American Farmers and a National Strategy to Help Them Succeed. In: National Young Farmers' Coalition. 2. Eberhardt, B., & Pooyan, A. (1990). Development of the Farm Stress Survey; Factorial structure, reliability, and validity. Educational and Psychological Measurement, 50, Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med, 146(5), Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med, 16(9), National Institute of Mental Health. (2017) Generalized Anxiety Disorder. Retrieved from 6. Brody DJ, Pratt LA, Hughes J. Prevalence of depression among adults aged 20 and over: United States, NCHS Data Brief, no 303. Hyattsville, MD: National Center for Health Statistics
35 Results Symptoms of Anxiety GAD-7 Score % (n) (50) 5-9 Mild 35.9 (61) Moderate 18.2 (31) Severe 16.8 (28) GAD affects 6.8 million adults, or 3.1% of the U.S. population 12
36 Results Symptoms of Depression PHQ-9 Score (range 0-27) YFR % (n) (80) 5-9 Mild 23.5 (40) Moderate 14.7 (25) Moderately Severe 10.0 (17) Severe 4.7 (8) During , 8.1% of Americans aged 20 and over had depression in a given 2-week period 13
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38 Over the last 2 weeks, how often have you been bothered by the following problems? Please select the most correct response to each problem by c clicking the appropriate box. Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) 1. Little interest or pleasure in doing things 2. Feeling down, depressed or hopeless 3. Trouble falling or staying asleep, or sleeping too much 4. Feeling tired or having little energy 5. Poor appetite OR overeating 6. Feeling bad about yourself- or that you are a failure or have let yourself or your family down 7. Trouble concentrating on things, such as reading the newspaper or watching TV 8. Moving or speaking so slowly that other people have noticed, or the opposite- being so fidgety or restless that you have been moving around a lot more than usual 9. Thoughts that you would be better off dead or of hurting yourself in some way
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