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Sick at Work and Miserably Unproductive - Hidden Cost of Presenteeism

From ScienceDaily…

ScienceDaily (Nov. 10, 2010) — Some scholars estimate that presenteeism, a relatively recent buzzword that applies to people who are less productive at work because of health issues, costs employers as much as three times the dollar amount as absenteeism in terms of lost productivity.

Presenteeism - sick at work and unproductive

But researchers at University of Michigan believe those numbers may be inaccurate. A new opinion paper suggests that the tools for measuring and quantifying hours of lost productivity and translating those hours to dollars are unreliable and don’t capture the entire presenteeism picture, said Susan Hagen, an analyst from the U-M School of Kinesiology Health Management Research Center (HMRC).

Because of this, the HMRC has suggested a three-year moratorium on its studies of presenteeism that translate hours of productivity loss into financial or dollar equivalents.

The HMRC defines presenteeism as reduced productivity at work due to health conditions such as asthma, back pain, allergies or depression.

“It’s hard to be 100 percent effective every moment you’re at work,” Hagen said. “We’re talking about the lack of productivity that stems from a health condition, or because you’re worried about your health.”

One of the challenges in measuring presenteeism is that all the measurement instruments use self-reported data. This means you’re depending on employees to report they aren’t working as effectively as they could be, due to their health.

“There are all kind of estimates as to how often it happens,” Hagen said. “The estimates can vary so widely. Some studies say that most workers don’t have any presenteeism, while there is other research that suggests most workers experience presenteeism to some degree.”

Another big problem is that there are so many different measuring tools, and each tool may measure presenteeism in a different way. Also, not all health problems affect workers in the same ways. For example, a person may have allergies for two weeks in May and feel horrible, but the measurement instrument could take that two weeks and expand that bad experience to 12 months. This process vastly over-reports the illness and thus, the hours lost and the subsequent financial loss.

“Almost everybody believes in the concept of presenteeism but maybe some of those calculations based on those early measurements aren’t accurate,” Hagen said.

“Our concern is that organizations may be making financial or future decisions based on data that may not support those decisions,” Hagen said.

The paper appears in the November issue of the Journal of Occupational and Environmental Medicine.

University of Michigan (2010, November 10). Sick at work and surfing the net? You’re not alone — or are you?. ScienceDaily. Retrieved November 11, 2010, from http://www.sciencedaily.com¬ /releases/2010/11/101109152943.htm

To life, love, health and laughter,

John Schinnerer, Ph.D.

Founder of Guide to Self, Inc.

For a complimentary copy of the award-winning self-improvement book on latest ways to turn down anger, anxiety, sadness and guilt, visit http://www.GuidetoSelf.com and enter your name and email. This top self-help book (Guide to Self: The Beginner’s Guide to Managing Emotion and Thought) outlines the latest tools to manage your own mind, turn up the volume on love, joy, hope, interest, passion, curiosity, awe, self-compassion and more. Managing  your mind leads to greater physical health, better relationships, more enjoyment in life and healthier relationships. What’s not to like?!

New theory links depression to chronic brain inflammation

From PhysOrg.com…

October 20, 2010

Chronic depression is an adaptive, reparative neurobiological process gone wrong, say two University of California, San Diego School of Medicine researchers, positing in a new theory that the debilitating mental state originates from more ancient mechanisms used by the body to deal with physical injury, such as pain, tissue repair and convalescent behavior.

In a paper published in the September online edition of Neuroscience and Biobehavioral Review, Athina Markou, PhD, professor of psychiatry, and Karen Wager-Smith, a post-doctoral researcher, integrate evidence from diverse clinical, biological and behavioral studies to create a novel theory they hope will lead to a shift in thinking about depression.

“In contrast to other biological theories of depression, we started with a slightly different question,” said Wager-Smith. “Other theories address the question: ‘What is malfunctioning in depression?’ We took a step back and asked the question: ‘What is the biology of the proper function of the depressive response?’ Once we had a theoretical model for the biology of a well-functioning depressive response, it helped make sense of all the myriad differences between depressed and non-depressed subjects that the biomedical approach has painstakingly amassed.”

According to the new theory, severe stress and adverse life events, such as losing a job or family member, prompt neurobiological processes that physically alter the brain. Neurons change shape and connections. Some die, but others sprout as the brain rewires itself. This neural remodeling employs basic wound-healing mechanisms, which means it can be painful and occasionally incapacitating, even when it’s going well.

“It’s necessary and normal so that an individual can adapt, change behavior and deal with altered circumstances,” Markou said. Real problems occur only “when these restructuring processes go into overdrive, beyond what is necessary and adaptive, and for longer periods of time than needed. Then depression becomes pathological.”

The theory extends findings made by other researchers that the neurobiological substrates of physical and emotional pain overlap. Just as the body’s repair mechanisms for physical injury can sometimes result in chronic pain and inflammation, so too can the response to psychological trauma, resulting in chronic depression.

Markou and Wager-Smith argue that existing, conflicting views about depression actually describe different aspects of the same phenomenon. Psychoanalytic and sociological theories refer to the psychological transformation that occurs during a productive depressive episode. Biomedical theories relate to the neural remodeling that underlies this psychological change. And neurodegenerative theories account for remodeling malfunctions.

“The big question, of course, is why aren’t all people affected the same way,” said Markou. “Why do some people deal effectively with stress, but others perpetuate a pathological state? This is an interesting question for future research.”

The researchers’ findings may have clinical ramifications as well. If psychological and physical pain responses share similar biological mechanisms, then analgesic agents could be useful in treating at least some symptoms of depression. Similarly, if chronic depression is proven to be a neuroinflammatory condition, then anti-inflammatory treatments should also have some antidepressant effects. Several small trials with depressed patients have already been published that support this possibility, though Markou cautioned that much more specific research and larger clinical trials are required.

Provided by University of California — San Diego

For a free copy of John’s award-winning self-help book on latest ways to manage sadness and depression, visit www.GuideToSelf.com. In exchange for your email and name, you will be emailed instant access to a FREE PDF copy of Guide to Self: The Beginner’s Guide to Managing Emotion and Thought.

To life, love and laughter,

John Schinnerer, Ph.D.

Human Emotions Powerfully Influence Physical Health Throughout World

 

Your emotions have a tremendous influence on your health. More specifically, the frequency with which you feel positive emotions, such as joy, laughter and relaxation, are critical for your ongoing physical health.

 

A recent study from the University of Kansas has added more weight to this relatively new line of thought linking positive emotion and physical health. The latest intellectual jaunt provides keen evidence of the deep-seated need for positive emotions throughout the world.

 

Sarah Pressman, assistant prof of psychology at Kansas stated, “We’ve known for a while now that emotions play a critical role in physical health, but until recently, most of this research was conducted only in industrialized countries. So we couldn’t know whether feelings like happiness or sadness matter to the health of people who have more pressing concerns — like getting enough to eat or finding shelter. But now we do.” The findings indicate the tremendous importance of positive emotions in the physical health of all individuals, particularly those in impoverished parts of the world.

 

Gathering an enormous sample that consisted of more than 150,000 adults from over 140 countries, the study represents more than 95% of the world’s population.  Individuals studied described their recent emotions including happiness, worry, anger, anxiety and sadness.  They also reported their physical status, including health problems such as physical pain, exhaustion and illness. In addition, they described the extent to which their basic needs were currently met (e.g., clothing, shelter, food).

 

Results found that the frequency of positive emotions experienced are ‘unmistakably linked to better health,’ even when basic needs were accounted for. Notably, the opposite was found to be true as well: Destructive emotions, such as anger, fear and sadness, were reliable predictors of reduced physical health.

 

Amazingly, the relationship between emotion and physical health was stronger than that between health and basic human needs, like food and shelter. Even for those individuals aching with hunger or suffering from a harsh environment due to lack of shelter, the presence of positive emotions increased health. In fact, the relationship was most powerful in the poorest countries involved in the study.

 

This essential human need for positive emotions and the importance of positive emotions for physical health is quickly getting established as medical certainty.

To laughter, life and love,

 

John Schinnerer, Ph.D.

Founder Guide To Self, Inc.

Award-winning author and blogger

For free copy of John’s award-winning book, ‘Guide to Self: The Beginner’s Guide to Managing Emotion’ visit http://www.GuideToSelf.com and register with your name and email.

 

 MLA University of Kansas (2009, March 5). Human Emotions Hold Sway Over Physical Health Worldwide.

Anger Management Training Continues Play in Media

On the CBS “Early Show” this morning, there was a piece on anger management training. The focus was on the prevalence of anger at work. This seems to be a timely topic given the angry outbursts of folks such as Mel Gibson and others. I can’t imagine being on set with him.
While most of the tools discussed looked at stress management, brief mention was made of emotional intelligence. Emotional IQ is a key comoponent of any anger management training worth it’s salt.

In all anger management programs I’ve constructed consist of several key components:

Anger Management (ways to turn Down the volume on anger and tools to turn up the volume on positive emotions to replace the anger)

Stress Management (proven methods to turn down stress and pressure)

Communication Skills (tools to become more appropriately assertive) and

Emotional Intelligence (teaching ways to instantly identify and manage emotions in self and others).

For the best in anger management training, check out a free video series at http://www.GuideToSelf.com, along with a free copy of  my award-winning eBook ‘Guide to Self: The Beginner’s Guide to Managing Emotion and Thought.’

To life, love and laughter,
John Schinnerer Ph.D.

Secret Tools for Anger Management at the Workplace

John Schinnerer, Ph.D.
Guide To Self, Inc.

Have you ever been yelled at, screamed at, while at work? Doesn’t it suck? It can put you into an emotional tailspin for the rest of the day.

 So what’s the best way to handle it when the irritation of a coworker begins to escalate into rage?

The ability to de-escalate the anger of others is a critical political and emotional ability necessary for long-term success. As an executive coach and speaker, I have seen and heard about anger taking on a life of its own, damaging relationships and overturning promising careers. While we do our best to act the part of rational, reasonable business people, the truth is that we are also emotional. And we don’t always have control over the emotional mind. The essential trick is to learn skills to manage your emotional mind and the emotions of others around you. This leads to unbelievable, unshakeable power and ultimately, greater success. 

The Emotional vs. Rational Brain

The emotional brain (primarily the limbic system) has been in existence in human beings for 3 to 10 million years. On the other hand, the rational brain (the cortex) has only been around for roughly 50,000 to 1 million years.

The emotional brain has been through countless revisions and is nearly perfect in its ability to keep humans safe and act as a general guidance system (approach vs. avoidance). The emotional brain has the ability to take over the rational brain when someone comes between you and your goal (leading to anger) or when danger is sensed (leading to fear).

The rational brain is still in the earliest stages of revision on an evolutionary scale. It is prone to mistakes in thinking, and can be overpowered by the emotional brain in a matter of .33 seconds.

All of us are simultaneously rational and emotional. So anger is inevitable when you have groups of people who care passionately about their companies, their jobs and a wide assortment of individual, team and corporate goals. As goals come into conflict with others, anger is bound to result.

Anger exists on a spectrum. Think of the intensity of anger along a 1 – 10 scale where 1 is calm and 10 is enraged.

Top Ways to Defuse Anger at Work

1. The first step to take when someone is angry with you is to do a body scan. This is simply a mental scan of your body to monitor your own anger level. If your anger gets above a 5 on the anger scale, tell the person that you are getting upset and ask them to continue the conversation later (after you’ve calmed down). In my work helping executives with anger, I’ve found that anytime you get above a 5 on the anger scale, hurtful words are spoken and destructive acts are committed. It becomes highly difficult to manage yourself when your anger level is above a 5. And it becomes nearly impossible to help another person manage his or her anger if your anger spikes.

2. Be aware that anger is one strategy that people use to get their own needs met. I call the use of destructive emotions to get what one wants ‘emotional bullying.’ Keep that phrase in your mind and see if emotional bullying is taking place in your situation. If so, calmly state to the other person that they cannot use emotions to get what they want.  Or you can choose to tell them that you are happy to speak about the situation further when they have calmed down.

3. Take a deep breath. Studies show that focused breathing reduces the intensity of negative emotions such as anger, anxiety and resentment. Negative emotions lock the body into certain patterns of movement and thinking. For instance, anger locks you into shallow breathing, tightened muscles, and thoughts which reinforce the anger. Deep breathing into your belly is the most important step in unlocking anger.

4. Avoid criticizing or blaming the angry person. Criticism, blame and judgment are highly likely to heighten the intensity of the anger.

5. Look for common ground between your experiences and the focus of their anger. There is usually a kernel of truth in angry statements, even if it is a tiny kernel. Your job is to seek out that truth and magnify it. If you can relate to their experience, let them know, ‘If I put myself in your shoes, I’d be angry too. Let me see what I can do to help you make this situation better.’

6. Tune in to the early warning signs. These can tip you off that a coworker is getting progressively angry. It’s powerful to know someone is ready to blow their top before they actually lose their temper.  There are physiological indicators of anger for which you can be on the lookout. These include clenched jaw, furrowed brow, upper lip curled up on one side (disgust), muscle tension, narrowed eyes and shallow breathing. Beyond that, you can look for deviations from typical behavior patterns. For instance, when a coworker who is usually boisterous and outgoing turns silent and withdraws, it may be a red flag for anger. When you notice such changes in people, simply call attention to them gently to diffuse them before they erupt. For instance, ‘Hey Jan, I notice you have become quiet all of a sudden. What’s going on for you?’ or ‘Bob, you seem to have an irritated look on your face. Is there anything we may have missed?’

7. If you cannot prevent the angry party from exploding in rage, there are several approaches of which you will want to be practiced. This includes active listening, apologizing, acknowledging their feelings, and offering to make an attempt to rectify the situation.

8. Active listening is the process of genuinely and sincerely attempting to truly hear what it is the angry party is trying to convey. It involves listening at several different levels simultaneously including

a. the text (interpreting the words they are speaking to you),

b. the subtext (what is not being said yet is still part of the problem),

c. the emotional (which emotions are involved in the anger such as resentment, disappointment, fear, sadness, contempt, disgust and more)

d. the physical (the body language of the angry individual, how agitated are they, how tightly are they holding their hands, how contorted are their facial expressions, etc.)

9. Attempt an apology if you feel one is warranted or appropriate. Apologies consist of five parts. First, you want to sincerely admit to the wrong doing (assuming you or your company made a mistake). ‘I know that I made an error when I filed the report with mistakes in it.’ Second, you want to apologize, ‘I apologize.’ Third, you want to ask what you can do to make things right. Ask them, ‘Do you have any constructive criticism for me?’ Fourth, let the other party know that you will behave differently next time. ‘Next time, I will make sure there are no errors in the report before I file it.’ Finally, ask for their forgiveness. ‘Will you forgive me for filing the report with errors?’

10. Acknowledge their feelings. Help the angry party feel heard. Say something along the lines of ‘I think I understand how you feel. You are very upset. I hear you. Your anger makes complete sense to me. What can I do to help?’

11. Attempts to reason with angry individuals are likely to fall on deaf ears. When anger gets intense, the emotional mind is firmly in control of the angry person and little if any information gets in. The exception to this is information that reinforces their anger. This sort of info will get in, will be focused on and will be magnified.

12. Act with compassion. Compassion is empathy, the ability to put yourself in another’s shoes. The goal is to understand the situation from the perspective of the other person. The better you get at this learnable skill, the easier it is to unlock their anger.

13. In some instances, these de-escalation skills will not be enough to defuse a rage. You always want to be aware when dealing with angry individuals that they may not be thinking completely rationally. As a result, you want to ensure your own safety. This means you must be mindful of an escape route should things take a turn for the worse and become violent or abusive. Make sure the angry party is not blocking your path to the door or a window.  Keep this in mind if the conversation escalates and slowly, calmly work your way towards a better escape route. If the situation escalates to a point where you feel it is out of control, do not hesitate to call the police to ensure your safety.

14. Learning proven methods to stay calm in emotionally charged situations is critical in business.  Meeting anger with anger is usually a recipe for turning irritation into a full blown rage.

To sign up for regular emails from John Schinnerer, Ph.D., go now to http://www.guidetoself.com and sign up for the email newsletter chock full of the latest proven tips, tricks and tools to manage your mind!
About the Author

Dr. John Schinnerer is in private practice helping people learn anger management, stress management and the latest ways to deal with destructive negative emotions. He also helps clients discover optimal human functioning via positive psychology. His offices are in Danville, California. He graduated from U.C. Berkeley with a Ph.D. in psychology. Dr. Schinnerer has been an executive, speaker and psychologist for over 10 years. Dr. John Schinnerer is President and Founder of Guide To Self, a company that coaches executives to happiness and success using the latest in positive psychology. Dr. John Schinnerer hosted over 200 episodes of Guide To Self Radio, a daily prime time radio show, in the SF Bay Area.  Dr. Schinnerer’s areas of expertise range from positive psychology, to emotional awareness, to anger management, to executive coaching. Dr. Schinnerer wrote the award-winning, “Guide To Self: The Beginner’s Guide To Managing Emotion and Thought,” which is available at Amazon.com. His blog, Shrunken Mind, was recently recognized as one of the top 3 in positive psychology on the web (http://drjohnblog.guidetoself.com).