American Psychological Association

October 7, 2008

Stress in America

Table of Contents


P. 2 Introduction

P. 2 Methodology

P. 3 Key Findings

P. 3 Perceptions of Stress

P. 3 Psychological and Physical Impacts of Stress

P. 4 Sources of Stress

P. 4 Stress Management

P. 7 Snapshots of Stress in America

P. 7 Gender and Stress

P. 9 Generations and Stress

P. 11 Stress by Region

P. 13 Stress in the Workplace

P. 14 Parenting and Stress

P. 15 Ethnicity and Stress

Introduction

Stress in America

In June 2008, the American Psychological Association commissioned its annual nationwide survey to examine the state of stress across the country and understand its impact. In addition, two omnibus surveys, one in April and one in September 2008, were conducted to get a point-in-time measure about sources of stress nationwide. The research measured attitudes and perceptions of stress among the general public, identifying leading sources of stress, common behaviors used to manage stress and the impact of stress on our lives. The results of the survey draw attention to the serious physical and emotional implications of stress and the inextricable link between the mind and body.

The survey explored:

Methodology


The 2008 Stress in America research was conducted online within the United States by Harris Interactive on behalf of the American Psychological Association between June 23, 2008 and August 13, 2008 among 1791 adults aged 18+ who reside in the U.S.


The April data was collected online within the United States between April 7 and April 15, 2008, among 2,529 U.S. residents aged 18 or older. The September data was collected online within the United States between September 19 and September 23, 2008, among 2,507 U.S. residents 18 or older. Data for the April and September polls were collected using an omnibus survey; the causes of stress question included a “not applicable” response. Data presented here were calculated excluding those who responded “not applicable.”


No estimates of theoretical sampling error can be calculated; a full methodology is available.


Key Findings


Stress is on the Rise and Women Bear the Brunt


Nearly half of Americans report that their stress level has increased over the past year, with as many as 30 percent rating their average stress levels as extreme (8, 9 or 10 on a 10-point scale where 10 means “a great deal of stress”). Despite responses indicating high levels of stress for many Americans, the public is offering mixed reports about their efforts to manage stress. The vast majority (81 percent) believe that they are managing their stress very or somewhat well. Yet, reports that many are experiencing physical and emotional symptoms due to stress, as well as the effect of stress on relationships, work productivity and personal lives, suggest otherwise. And nearly half the survey respondents acknowledged that they are not doing enough or are not sure if they are doing enough to manage their stress.


At the same time, the declining state of the Nation’s economy is taking a physical and emotional toll on people nationwide, and it is women who are bearing the brunt of financial stress. When asked about the recent financial crisis, almost half of Americans say that they are increasingly stressed about their ability to provide for their family’s basic needs. Eight out of 10 say that the economy is a significant cause of stress, up from 66 percent in April. Women are most likely to report stress related to the economic climate. Compared with men, more women say they are stressed about money (83 percent vs. 78 percent), the economy (84 percent vs. 75 percent), housing costs (66 percent vs. 58 percent) and health problems affecting their families (70 percent vs. 63 percent). Across the board, women are reporting higher levels of stress, are more likely than men to cite various stressors and report more physical and emotional symptoms as a result of stress, suggesting that stress is having a significant impact on women (see Gender and Stress, page 7).


Americans Report that Stress Impacts their Physical and Psychological Health


When it comes to recognizing the physical and mental toll of stress, more than eight in 10 people (86 percent) recognize that stress increases their likelihood of becoming sick and has a very strong negative impact on a variety of conditions including depression (51percent), heart attack or stroke (48 percent), high blood pressure (42 percent), cancer (30 percent), obesity (32 percent) and insomnia (36 percent). Adults feel that stress also impacts their ability to make decisions or get things done at least once a week (21 and 30 percent respectively).



Economic Factors Driving Americans’ Stress in 2008; Work and Money Continue to Top the List


Money and the economy now top the list as sources of stress for eight out of 10 Americans (81 and 80 percent respectively). Other stressors affected by the declining economy are considered significant sources of stress for two-thirds of Americans, including work (67 percent), health problems affecting the family (67 percent) and housing costs (62 percent). Job stability in particular is a significant source of stress for more than half of people (56 percent).


Figure 1


All

Male

Female

April

Sept

April

Sept

April

Sept

Money

75%

81%

71%

78%

78%

83%

The Economy

66%

80%

61%

75%

71%

84%

Work

62%

67%

63%

67%

60%

68%

Health Problems Affecting My Family

59%

67%

55%

63%

64%

70%

Family Responsibilities

61%

64%

55%

63%

67%

66%

Housing Costs

56%

62%

51%

58%

62%

66%

Relationships

52%

62%

48%

61%

56%

62%

Personal Health Concerns

57%

61%

52%

58%

62%

64%

Job Stability

48%

56%

45%

55%

50%

57%

Personal Safety

40%

48%

34%

42%

46%

54%



Stress Affects How Americans Cope

 

Americans rely on a variety of stress management techniques, and not all of them are particularly healthy. While stress has an impact on how much Americans eat, smoke and drink, individuals are also engaging in some healthy behaviors to manage their stress, although less than in 2007. Less than half (47 percent, compared to 50 percent in 2007) say they exercise or walk to manage stress, yet sedentary activities — such as listening to music (52 percent) and reading (44 percent) — top the list of activities that people engage in to manage their stress in healthy ways. This indicates that while individuals consider themselves to be managing their stress well (81 percent), many could benefit from developing additional healthy coping strategies.

 

 

 

2008 Snapshot of Stress in America


Gender and stress: Economic concerns have had a particular impact on women who report experiencing higher levels of stress than men, more physical and emotional symptoms of stress and are less likely to think they manage stress well or are doing enough to manage their stress.


In all aspects, women report higher levels of stress, are more likely than men to cite various stressors and more likely to report physical and emotional symptoms as a result of stress, suggesting that stress is having a significant impact on women.


Women report experiencing higher levels of stress than do men and are less likely to think they manage stress well or are doing enough to manage their stress.



During Periods of High Stress

Average Stress Level

 


Women are also more likely than men to report physical and psychological symptoms of stress.



Figure 2:


Female

Male

Difference

Irritability or anger

29%

25%

+4%

Fatigue

35%

25%

+10%

Feeling nervous or anxious

23%

19%

+4%

Lack of interest, motivation or energy

29%

23%

+6%

Feeling depressed or sad

26%

18%

+8%

Headache

22%

13%

+9%

Feeling as though I could cry

21%

7%

+14%

Upset stomach or indigestion

18%

10%

+8%

Muscular tension

23%

14%

+9%

Change in sex drive

8%

9%

-1

Teeth grinding

12%

7%

+5%

Tightness in my chest

4%

3%

-1%

Feeling faint or dizzy

5%

5%

-

Change in menstrual cycle

1%

n/a

n/a

Erectile dysfunction

n/a

5%

n/a


More women are feeling additional pressure as a result of the recent economic crisis and are reporting that financial considerations are more often significant sources of stress. While feeling the impact of the financial crisis is reported most often by women in the Boomer generation (age 44 to 62) and Mature women (age 63+), women of all ages are affected.


GENERATIONS AND STRESS: Overall, older adults report having less stress than younger adults and believe that they manage any stress they do have extremely well, but work is a significant source of stress for Boomers and the financial crisis is having a greater impact on older generations.



Figure 3


Millennials

Gen Xers

Boomers

Matures

(Age 18-29)

(Age 30-43)

(Age 44-62)

(Age 63+)

April

Sept

April

Sept

April

Sept

April

Sept

Money

81%

83%

81%

87%

74%

79%

59%

73%

The Economy

58%

71%

64%

78%

71%

83%

70%

86%

Work

73%

74%

69%

73%

63%

66%

25%

39%

Health Problems Affecting My Family

52%

58%

56%

58%

63%

70%

66%

79%

Family Responsibilities

62%

57%

68%

67%

63%

67%

47%

65%

Housing Costs

62%

67%

63%

68%

56%

62%

39%

49%

Relationships1

60%

65%

61%

64%

47%

56%

39%

65%

Personal Health Concerns

53%

54%

57%

56%

57%

62%

66%

74%

Job Stability

52%

57%

56%

59%

51%

57%

19%

43%

Personal Safety

39%

45%

39%

46%

40%

45%

41%

62%



During Periods of High Stress

Average Stress Level

 









STRESS BY REGION: Economic and financial stressors top the list across regions, but stress related to families ranks high in the Northeast and more report stress related to housing costs in the West. In comparison to adults in other parts of the country, those living in the South report higher stress levels overall, and Midwesterners report the highest levels of workplace stress.



 


Average Stress Level


Average Stress Level at Work

 


Stress in the Workplace: More workers report lost productivity due to stress and the conflict between work and family life (and vice versa) in 2008.


Americans report more lost productivity at work due to stress in 2008 than they did in 2007. Sixty percent reported losing some amount of productivity during the past month compared to 55 percent in 2007. American workers say the main causes of stress at work are low salaries (49 percent), heavy workloads (43 percent), lack of opportunity for growth and advancement (43 percent), unrealistic job expectations (40 percent) and job insecurity (34 percent).



Very / Somewhat Significant Source of Stress

Very / Somewhat Difficult

At Least Once During the Past 3 Months

Strongly / Somewhat Agree

 

PARENTING AND STRESS: Mothers report higher stress levels and poorer stress management skills than fathers.



Average Stress Level

During Periods of High Stress

 












ETHNICITY AND STRESS: Stress is common to all people regardless of ethnicity. However, sources of stress vary among groups.



 




1 In April 2008, this item read as “intimate relationships” and in September 2008 it read as “relationships (spouse, kids, girl-/boyfriend).”