全３回：ストレスマネジメント【３】

メンタル・イデア・ラボの本城ハルです。

ストレスマネジメントの最終回となる今回は、心理的ストレス反応の段階や、組織を例に具体的なストレスマネジメントの方法を個人向けに、ストレスが引き起こす関連疾患についてお話しようと思います。

心理的ストレス反応とは、ストレッサー（ストレスの原因）に対するコーピングの結果生じる、

心理的　身体的　行動的

な変化をまとめて指します。ストレス反応はそのままにしておくと、徐々に深刻な状況になってしまいます。

段階を進むごとに、さまざまな適応力を低下させますが、どのような経過を辿り、深刻化するのかを見ていきましょう。

●段階１→疲労感
心身ともに疲労感を感じる。
十分寝たはずなのに、起きた時から疲れている、いつも緊張感がありリラックスできない。
●段階２→イライラ感
感情のコントロールがしにくく、不安定になる。
今まで気にならなかったわずかな刺激で怒りやすくなり、指図されたと受け取りやすくなったり、感情がかき乱され、すぐに腹が立つ、物にあたる、手を上げることもある。
●段階３→緊張感
いつも他者から評価されているような落ち着かなさや、今までできていたことが、今まで通りできないと感じるようになる。
●段階４→身体不調
胃が痛む、動悸や異常な発汗、胸を締め付けられるような息苦しさ、ひどくなると突発性難聴などが表れる（私自身、今は治りましたが、以前は凄まじいストレス状態にあった時、突発性難聴になったことがあります。）
●段階５→憂鬱感や解離症状
食欲がなくなり、今まであった物事への興味、関心が失われたり、注意力低下からミスが増える。
自分が自分でないように感じるのが解離症。
（私はカサンドラ状態に陥っていた時に、この第５段階の経験がありますが、自分の行動にまったく責任や自信が持てなくなり、無意識にかなり危うい行動をしていたこともあるようです。）

いくつか補足します。

段階１で感じる疲労感の特徴は、

時間的には十分な睡眠時間を取ったのに、睡眠満足感を得ることができない、身体の奥に鉛を抱えたような疲れ

です。

段階２にはイライラ感が表に出てくるので、パートナーや家族など近しい人にトゲトゲしい態度や強い言い方が増え、口論が増えていきます。感情コントロールの舵取りができないと、

不必要に他者と衝突することが増え、人間関係のトラブルを生みやすくなります。

段階３になると、

嫌なドキドキが出てきて、人前に出ることが苦痛になりますが、なぜ自分がそうなのかわからず、自分で自分に困惑する状態

になります。

◇

次に心身症についてです。心身症とはストレス関連の疾患をまとめて言いますが、どのような疾患があるのか見ていきましょう。ただ、この中にはストレス“だけ”が原因で発症するわけではないものもあるので、『〇〇だから原因はストレスだ！』と決め付けないようにしてください。

●顎関節症
ストレスから歯ぎしりや噛み締めが起こると、顎関節に症状が現れることがある。

●眼精疲労・眼瞼痙攣
睡眠不足や眼を使いすぎたり、疲れると瞼がピクピクする。

●喘息・過換気症候群
気管支が弱いと喘息になるケースがあり、ストレスが喘息を悪化させる可能性がある。過換気症候群は、発作性の呼吸困難。

●胃潰瘍・十二指腸潰瘍・過敏性大腸炎・心因性嘔吐
胸焼けや胃部不快感、すぐにお腹を下す、食べ過ぎや感染症ではないのに気持ち悪くなり、吐き気が出ることがある。

●蕁麻疹・円形脱毛症
ストレスで蕁麻疹が出やすくなり、アトピーは悪化しやすくなる。円形脱毛症は比較的よく見られる症状ですね。私も見事なハゲを幾つも作った経験があります（笑）

●緊張型頭痛・書痙
書痙とは手が震えて文字が書きにくくなったり、細かな作業がしにくくなる症状。

ストレスは全般的にアレルギーを悪化させると言われていますが、蕎麦アレルギーがストレスでもっと酷くなる、ということは聞かないことから、食物アレルギーはあまりストレスに関連がないのかもしれません。

ストレスがなぜ身体症状として表れるのでしょか？

それは

ホルモン分泌の乱れ、自律神経バランスの崩れ、免疫系バランスの崩れ

などがストレスから身体症状を引き起こしています。それらはどういうことかを少しお話します。

◇

私たちはストレッサーに晒されると、副腎皮質から副腎皮質ホルモンというホルモンが分泌されます。副腎皮質ホルモンは、代謝活性し身体をストレス反応から守る働きがあるのですが、（現在のように）ストレス状態が長引き、ホルモンが分泌され続けると身体バランスが崩れてしまうのです。

知っている人も多いと思いますが、自律神経には【交感神経】【副交感神経】があり、不安や緊張から心臓がドキドキするのは交感神経が活動的になることから起こる生理現象です。いざという時に、身体がすぐに反応できるよう心臓をフルに稼働させている状態です。またリラックスした状態の時には、副交感神経が活動的になります。

このように、【交感神経】と【副交感神経】が交互にバランスを取りながら身体の働きを調整しています。ストレス状態になると、当然交感神経が活性化し、血管拡張や心拍増加、血圧上昇や血液凝固亢進（血栓ができやすくなる）、消化器官活動低下などが起こります。胃腸の働きが弱ると、胃液が溜まり胃が冷えたように感じたり、消化不良からさまざまな胃部不快感、下痢や便秘になりやすくなります。

また免疫系バランスの乱れは身体を守る大切な役割をするリンパ球数が減ったり、その機能が低下することで感染症に罹りやすくなります。慢性的にストレスが持続しても自然免疫に関連するナチュラルキラー細胞の減少が機能低下を引き起こし、ウイルス感染しやすくなります。

◇

次に具体的なストレスマネジメントの方法ですが、今回は組織における個人向けについてお話します。

まずストレッサーを明確にし、具体的に

“負担に感じていること” “困っていること” “苦痛に思っていること”

を書き出してみましょう。どのようなストレッサーがリストアップされましたか？この結果、心に重くのしかかっているストレッサーの原因はひとつの問題ではなく、複数のストレッサーが合わさった重複的なものだと気付いたのではないでしょうか。（別ページ：ストレスマネジメント【３】補足：リスト化参考例参照）

負担を感じる作業ですが、ひとつ一つを細かく書き出していくことで、初めてそれらへの具体的な対処法が見えるようになります。

書き出したストレッサーから深刻度、困難度の低いストレッサーから取り組みます。

問題を解決するのに取り組むランクを決める際に考える基準があり、

【１】他者からサポートを望めるか？
→サポートが望める問題のほうが困難度は低くなります。

【２】その問題が自分が原因なのか、他者が原因となって起きたものか？
→自分が原因となって起きたものは、他者が原因となり起きた問題より困難度が低くなります。

次にコーピングを思いつく限りリストアップします。

以前、コーピングは積極的コーピングが有効だとお話しましたが、ケースによっては消極的コーピングを取ることが必要になることがあるため、この段階では積極的、消極的双方からのコーピングをリストアップしていきます。

【１】ランクを付けた最も低いストレッサーに対し、自信のあるコーピングからスタートする。

【２】緊急度が高くても、失敗するかもしれない深刻度の高いストレッサーに取り組まない。
→上手くいかなかった時にコーピングをおこなおうとすると、失敗の可能性が高くなり、一度コーピングが上手くいかないと次にコーピングにチャレンジするモチベーションが低下するからです。
実際、深刻度の高いストレッサーが原因となり、深刻度の低いストレッサーが含まれるケースも多いことから、遠回りに思われても、深刻度の低いストレッサーに対し、着実にコーピングをおこなっていくことが大切になります。

【３】コーピングの成功、失敗に関係なく、よりランクの上のストレッサーに移行する。
→特定のストレッサーに対しコーピングをおこなって問題解決できなくても、そのストレッサーにだけとらわれず、『自分は努力した』と認めることが、無駄なエネルギーを使わず、コーピングを持続するモチベーションに繋がります。
ここで大切なのは、結果より、問題に対処しようとする姿勢を持続していくことだからです。

コーピングをおこなうためのフローチャートを参考にし、取り組んでみてください。

◇

＜運営会社：Jiyuuku Inc.＞

「全３回：ストレスマネジメント【３】」への6件のフィードバック

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