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The pandemic is over but our mental stress isn’t

Humans have finite mental resources, and they’ve been decidedly depleted by years of dealing with Covid and its fallout, plus economic woes and worries about geopolitical upheaval

November 03, 2023 / 10:22 IST
In a survey conducted in August, nearly a quarter of adults reported operating at the highest levels of stress.

Survey after survey tells us that Americans are struggling. The latest, the American Psychological Association’s annual gauge of stress in the US, reveals that people continue to feel worse than before the pandemic. The question is what to do about it.

And it’s no wonder that people are so stressed out: Humans have finite mental resources, and they’ve been decidedly depleted by years of dealing with COVID and its fallout, plus economic woes and worries about geopolitical upheaval. In the APA survey, which was conducted in August, nearly a quarter of adults reported operating at the highest levels of stress, rating it at least an 8 out of 10. Among parents, self-reported stress was so extreme that nearly half said it was “completely overwhelming” on most days, and 41 percent reported that it impedes their function.

In the last year or two, much of the focus has been on addressing the declining mental well-being of adolescents and teens. Kids were already struggling before COVID, but the alarming data on higher levels of anxiety, depression and thoughts of self-harm during COVID has mobilised everyone from policymakers to educators and parents to do whatever it takes to address kids in crisis.

But we shouldn’t forget that adults also were deeply affected by a protracted period of relentless uncertainty, fear, loss and social isolation. The APA’s survey of adults shows stress levels are highest among those age 18 – 45, who reported the biggest increases since pre-pandemic times.

That group also saw a marked increase in chronic health and mental health diagnoses compared to before the pandemic. The pandemic prompted a more open national conversation about mental health, and the survey can’t separate out how much the rise could be due to more people seeking help than in the past. But the increase was big enough in younger groups — 44 percent of adults aged 34-44 reported a mental health diagnosis compared to 31 percent in 2019 — that it’s likely a combination of more attention to care and more strain.

COVID-19 Vaccine

Frequently Asked Questions

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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And adults under the age of 45 are currently most worried about the economy, with more than 70 percent citing it as a major stressor, compared to just over 50 percent of people in 2019. Parents again seem to be bearing the brunt, with two-thirds reporting they felt consumed by money woes.

We’re not helpless in managing that stress, particularly when it comes to those who say they are experiencing it most intensely. Rajita Sinha, director of the Yale Interdisciplinary Stress Center, says she often suggests that people feeling extreme stress should pause and ask themselves, “Where’s the fire?” If there’s a real emergency, of course, we should react, but when there isn’t, it can be grounding to run a basic inventory: “Am I okay? Is my family okay? Who can help?”

Reaching out for support from a friend or family member is the next step. While it might sound like stating the obvious to say that social connection is a vital part of coping, data suggest we’re doing a terrible job at it. In the APA survey, 62 percent of respondents said they don’t talk about how they’re feeling because they don’t want to be a burden, yet two-thirds of those surveyed also said that “they could have used more emotional support than they received.”

That dovetails with a report from earlier this year, when Vivek Murthy, the US surgeon general, warned that the US was experiencing an epidemic of loneliness that was as bad for our health as smoking. Recent research found a decline in the amount of time Americans spend engaging with others. Being intentional about rebuilding connections — even something as simple as texting a friend — can help us feel less isolated.

People could also do a better job of recognising the sources of their stress and reining in our reactions to them. We can’t control the ominous news giving us a feeling of existential dread, but we can control our exposure to such news, says Lynn Bufka, associate executive director for practice research and policy at the APA. “Figure out how much you need to know in order to make a decision for your life and then turn it off,” Bufka advises.

Such small changes, performed consistently, might help us shake off some of the residual effects of several very difficult years — and set us up better to cope with the fresh challenges that seem to keep coming.

Lisa Jarvis is a Bloomberg Opinion columnist. Views do not represent the stance of this publication. 

Credit: Bloomberg 

Lisa Jarvis
first published: Nov 3, 2023 10:20 am

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