From daily struggles like work pressure to traumatic events like the death of a loved one, everyone has felt some form of stress. People also are experiencing new stressors caused by a global pandemic. Although stress can feel like a minor inconvenience, it can have long-term health effects and should not be shrugged off, health experts say.
Emotional and mental strain can wreak havoc on our minds and bodies. It can leave us more vulnerable to depression, anxiety, heart disease, high blood pressure, gastrointestinal trouble and other problems.
"The impact of stress on the body can be acute or chronic, and it can happen suddenly or be exerted in a low-grade fashion over time," said Dr. Ernesto Schiffrin, physician-in-chief in the department of medicine at Jewish General Hospital in Montreal. "It can contribute over time to increase in blood pressure, coronary artery disease, heart attacks and eventually heart failure."
Schiffrin described stress in general terms as "aggression against the body," which could be coming from within—like a disease or ailment—or from your environment. When the body feels attacked, it activates the "fight-or-flight" reaction, releasing adrenaline and increasing cortisol levels. Excess exposure to these hormones can affect just about every system in the body.
"After an acute stressor ends, the levels usually return to normal," said Dr. Sherita Hill Golden, professor of medicine and epidemiology at Johns Hopkins University in Baltimore. But if they remain elevated, the body can become more resistant to insulin, leading to heart disease and diabetes. "Insulin resistance also can make the body more prone to inflammation and lead to damaged blood vessels," she said.
"Extreme events can lead to general anxiety and other acute distress disorders that have been linked to several health conditions," Schiffrin said. According to a 2018 study, people with stress-related disorders were more likely to be diagnosed with autoimmune diseases than those without stress disorders.
A study from 2019 showed that during 27 years of follow-up, the incidence of cardiovascular disease among those with stress disorders was higher than in those without them.
While the effects of stress can manifest over time, they can also come on quickly. The sudden onset of intense stress can cause broken heart syndrome, also called stress-induced cardiomyopathy or takotsubo cardiomyopathy. This is when part of the heart enlarges and doesn't pump as effectively. It could be brought on by the death of a loved one or a divorce, breakup or betrayal, and its symptoms are similar to those of a heart attack.
Even minor everyday stressors can affect our bodies. A 2018 nationwide study found lingering negative feelings caused by daily stressors were associated with more chronic conditions 10 years later. The study stressed the importance of effectively recovering from stress.
