Home' Australian Pharmacist : Australian Pharmacist December 2012 Contents Australian Pharmacist December 2012 I ©Pharmaceutical Society of Australia Ltd. 959
Continuing Professional Development
Stress can cause a range of
psychological and physical symptoms.9
Psychological distress can contribute
to developing anxiety and depression
and adopting health risk behaviours
(e.g. smoking, alcohol misuse,
physical inactivity). Mental health
promotion activities can help to
raise awareness of the physical and
psychological impacts of stress,
and promote strategies to enhance
people's resilience and ability to cope
Health professionals including
pharmacists can help identify health
risk behaviours exacerbated by stress
and the emergence of symptoms
of anxiety and depression that
require referral to appropriate health
and support services. Prevention
and early intervention through
screening and risk assessment are
necessary to minimise the health
and social consequences of stress.
Strengthening resilience to stress and
reducing the impact of factors that
have the potential to exacerbate an
individual's vulnerability to suicide
are an important focus of stress
1. Choose the CORRECT statement:
a) Non-professionals are less likely to
smoke and drink risky amounts of
alcohol compared with professionals.
b) Men and women respond to difficult
and stressful life situations in similar
c) There is a strong relationship between
stress and the onset of anxiety
disorders and depression.
d) Social isolation and lack of social
support are protective factors for
coronary heart disease.
2. Which of the following conditions
can be aggravated by stress?
c) Irritable bowel syndrome.
d) All of the above.
3. Which of the following is a
protective factor for stress and
a) Poor self-esteem.
b) Strong social and family relationships.
c) Job insecurity.
d) Comorbid depression or anxiety.
4. A male customer mentions that he
is finding his new job very stressful.
What work conditions or situations
could be contributing to his stress?
a) Night-shift work.
b) Positive performance appraisal.
c) Working from home arrangement.
d) Job security.
1. Department of Health, Victorian State Government. Chapter
3 -- Major risk factor contributing to suicide. 1997. At: www.
2. Smith DJ, Blackwood DHR. Depression in young adults.
Advances in Psychiatric Treatment 2004;10:4--12. doi: 10.1192/
3. Lifeline Information Service. Tool kit -- Overcoming stress. 2009.
4. Bunker SJ, Tonkin AM, Colquhoun DM, et al. 'Stress' and
coronary heart disease: psychosocial risk factors. Med J Aust
5. Australian Centre for Posttraumatic Mental Health (ACPMH).
Australian guidelines for the treatment of adults with acute
stress disorder and posttraumatic stress disorder. Melbourne:
6. Australian Psychological Society. Stress and wellbeing in
Australia in 2011: a state of the national survey. 2011. At: www.
7. PricewaterhouseCoopers. Workplace wellness in Australia.
2010. At: www.pwc.com.au
8. Promoting good practice in suicide preventions -- activities
targeting men. Canberra: Australian Government Department
of Health and Ageing; 2008.
9. University of Maryland Medical Center. Stress -- risk factors
[revised Mar 2009]. 2011. At: www.umm.edu/patiented/
10. Schneiderman N, Ironson G, Siegel SD. Stress and health:
psychological, behavioural, and biological determinants. Annu
Rev Clin Psychol 2005;1:607--28.
11. Turner J, Raphael B. Stress management and counselling in
primary care. MJA Practice Essentials -- Mental Health. p. 39--43.
12. Langley RGB, Krueger GG, Griffiths CEM. Psoriasis:
epidemiology, clinical features, and quality of life. Ann Rheum
13. eTG [complete]. Melbourne: Therapeutic Guidelines; 2012.
14. Australian Government Department of Health and Ageing.
Fact sheet 6: resilience, vulnerability and suicide prevention. At:
15. Kessler R. Kessler Psychological Distress Scale (K10). At: www.
Support health resources
Website affiliated with Lifeline with online
resources on stress management.
Kids Help Line
1800 551 800
Confidential counselling for young people
aged 5--18, 7 days/24 hours.
Confidential counselling for people of all
ages -- 7 days/24 hours.
National Youth Mental Health Foundation.
Online service that aims to improve the
mental health and wellbeing of young
Mental health at work (mh@work)
Mentors businesses to strengthen mental
health and wellbeing in the workplace.
Offers workplace training and support
services to improve mental health and
wellness with a focus on suicide prevention.
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