VOLUME 66 ◆ NUMBER 11 Employee Benefit Plan Review ELECTRONICALLY REPRINTED FROM May 2012 ■ Columns ■ Feature Articles From Feature Behavior Change Through Brain Health: Managing Stress and Building Resilience Russell Phillips and Gregory A. Bayer the Editor Steven A. Meyerowitz Ask the Expert From the Courts Norman L. Tolle Regulatory Update Richard J. Reibstein, Lisa B. Petkun, and Andrew J. Rudolph Thought Leaders Focus On… What’s New New Tax Guidance on Use of Annuities in Retirement Plans Joanna G. Myers, W. Mark Smith, and Carol A. Weiser ew Life for Stock-Drop Lawsuits: N Sixth Circuit Rejects Moench Presumption at Pleading Stage James P. McElligott Jr., Jeffrey R. Capwell, and Adam H. Garner Global View of the Benefits A of Employee Financial Wellness Michael Malouf Victoria P. Spears Industry Update News Transitions Calendar ■ Feature Behavior Change Through Brain Health: Managing Stress and Building Resilience Russell Phillips and Gregory A. Bayer R ealizing that well-functioning, healthy employees are an essential part of a productive workforce, many companies have put into place measures to develop and maintain their employees’ well-being. To date, corporate wellness programs have focused on the main factors of “heart-health”—exercise, nutrition, sleep, stress management, and smoking cessation. These programs often take an educational approach by evaluating employee health risks and instructing employees on what needs to change. Many such programs have suffered from low engagement rates and lack of ability to impact sustained changes in behavior. Brain Health With insights from neuroscience research that the brain interprets any change as a threat and that it is important to learn by “doing,” a “brain health” complement to a wellness program can help facilitate a readiness for change. By developing the core capacities that support making healthy choices (e.g., the ability to focus on tasks, learn from mistakes, overcome impulses, tune into positives, manage stress, and develop resilience) brain health can be optimized. Integrative neuroscience research has identified two modes of brain activity, nonconscious and conscious, which support four core functions that are necessary to experience the world: emotion, feeling, thinking, and selfregulation. Humans are arguably unique in their capacity to integrate their nonconscious and conscious functions in what often appears to be a seamlessly coordinated set of behaviors. This integration is supported by the interconnectivity of the brain’s circuitry, which allows for the integration of different sources of sensory information; intuition, memory, and planning ahead in real time. Employees with optimized brain connections, or better brain health, can increase their capacity to evaluate threat, optimize responses to physical or psychological stressors, and move toward a position that maximizes reward. Learning how to focus a ttention, concentration, and problem solving in response to a psychological stressor increases the like- lihood of a positive outcome much like the instinctual stress response prepares us for “fight or flight” from physical threat. Good Stress and Bad Stress Managing psychological stressors to optimize reward is good stress, the kind that leads to peak performance, especially at the workplace. Negative stress undermines brain health by subjecting the individual to sustained stress. Exposure to threat without sufficient control over the stressors leads to debilitating outcomes. Stanford University professor Robert Sapolsky, a stress expert and author of Why Zebras Don’t Get Ulcers, was asked to explain the difference between positive and negative aspects of stress. His response indicated how stress is categorized really depends upon the situation. “Do you think you are in control or not? Is it a singular occurrence or an ongoing situation?” “When a zebra is sprinting away from a lion, the stress-response saves its life. But when we activate the stress-response two hours a day during traffic jams, it eats away at our health instead,” he explained. “For humans, psychological stressors have by and large replaced physical stressors, so chronic, lifestyle-related stress-responses are ultimately more damaging than the stressors themselves.” Stress, however, is not always a bad thing. A little bit of stress is actually okay, even good for performance. It is a normal, hard-wired, emotional, and physiological response to events perceived to be threatening, whether they actually are or not. It is the body’s way of protecting itself, helping to maintain focus and alertness. The physical response to stress can even be a source of personal growth, pushing people to reevaluate their circumstances, reframe an experience, and adapt thinking to tackle those obstacles that can be overcome with a certain amount of focus. The scientific evidence1 is clear that a positive outlook, “the hallmark of well-being,” may actually result in success, rather than the other way around—success producing happiness. Positive thinking drives problem solving which in turn, drives outcomes. ■ Feature Shawn Achor, author of The Happiness Advantage and the article “Positive Intelligence” appearing in the Harvard Business Review (which devoted an entire section to the economics of well-being and the science behind happiness research), says that you can train your brain to be positive. His research suggests that people who receive support from their coworkers—and more importantly, are supportive of their coworkers— think about stress in a positive way, therefore increasing their happiness and chances of success. Stress in the Workplace The results of the American Psychological Association’s Stress in America2 survey indicate that a staggering 70 percent of those polled said work was a significant stressor in their lives. Money, at 75 percent, was the only issue that rated higher than work as a significant stressor. With work ranking as a primary stressor among a majority of Americans, it is crucial employers provide alternatives that help staff deal with stress, especially as it not only relates to job performance, but employee wellness overall. Research has shown a strong and consistent link between stress and overall health. Too much stress or prolonged periods of stress can be bad for health. Many people who experience too much stress can end up with chronic illness such as depression, obesity (leading to Type 2 diabetes), and heart disease. Chronic Illness Is Not Only Debilitating, but Also Expensive It is estimated that workplace stress costs the U.S. more than $300 billion3 each year in health care, missed work, and stress reduction efforts. Workers who report they are stressed incur health care costs that are 46 percent higher, or $600 more per person, than other employees. Negative stress is at epidemic levels in the U.S. with all the attendant consequences to public health. For workers in high-stress jobs, the number of visits to health care professionals was up to 26 percent higher than for workers in the lowstress job category, according to a recent study.4 Stressed out workers are increasingly turning to health care professionals for physical, mental, and emotional issues. The authors of the study suggest that educating and training workers on stress-coping mechanisms may be a better solution, and help reduce health care costs, increase productivity among workers, and reduce absenteeism and employee turnover. Dealing with Occupational Stress Through Better Brain Health It is clear that in any workplace environment, a certain amount of stress is going to be inevitable. What would be beneficial would be to find a way to increase brain health and optimize the positive aspects of stress (being alert and focused) when dealing with controllable stressors, and manage the more negative or uncontrollable types of stress in a more effective way. Companies are now expanding their offerings to help employees deal with negative stress by p roviding training and tools that teach employees how to “rewire” their negative reactions to psychological stressors. Brain training can lead to more adaptive responses to stress, better stress resilience, and enhanced wellbeing, despite the impact of day-today stressors. What studies have discovered through years of research is that training the brain to have a positive outlook helps people better deal with stress, which can ultimately build resilience. Resilience is not about ignoring feelings, but rather having the ability to feel pain, anger, or confront adversity without becoming paralyzed by it. It won’t make the problems go away, but it may give people a chance to see past them. Stressed employees can develop skills to become more resilient by focusing on the positive. It is not that you either have it or you don’t. Resilience involves thoughts and actions that can be learned and developed in anyone. Research shows that resilience is the result of being able to interact with the environment using strategies that promote well-being. And with help from social policies, community, friends and family, resilience is more likely to occur. Wellness programs would do well to apply brain-based principles for engaging employees in lifestyle change. Nonthreatening brain training exercises targeted to promote positivity and readiness for change, for example, can kindle core capacities that support making healthy choices. Kathleen Herath, VP of Health and Productivity at Nationwide Insurance, discovered the value of adding brain health components to Nationwide’s corporate wellness program. In a presentation to the National Business Group on Health she noted, “We added all of these things for our healthy, low-risk population, but we hadn't added anything for the brain.” Herath added, “Interestingly enough, the people who were participating were among our highest risk associates who had not yet started costing us claims dollars, which made us ask: Who is the population that you want to get a hold of? Turns out, it was exactly those folks…Standing on the edge of a cliff waiting to fall off with huge health issues. Well, now we’ve found them, and we’ve found what appeals to them.” Conclusion Training the brain to have a positive outlook can help people deal with stress more effectively, which can build resilience and may also lead to personal success. Although many Americans recognize that stress can have an impact on their health and well-being, they don’t always take action. With the appropriate ■ Feature support at home and work, using fun and engaging brain-training tools to increase core brain capacities can boost personal stress management abilities, guarding against overwhelming stress. Simple exercises to express gratitude and develop mindfulness are all relatively easy to practice yet they can make a profound difference in an employee’s brain health and the health of their coworkers. b notes 1. “The Benefits of Frequent Positive Affect: Does Happiness Lead to Success?,” available at http://www.faculty.ucr.edu/~sonja/papers/ LKD2005.pdf. 2. “Stress in America™: Our Health at Risk,” available at http://www.apa.org/news/press/ releases/stress/2011/final-2011.pdf. 3.“What is Stress?,” available at http:// americaninstituteofstress.org/what-is-stress/. 4. “Psychosocial working conditions and the utilization of health care services,” available at http://www.biomedcentral.com/14712458/11/642. Russell Phillips, Ph.D., is the director of research solutions at Brain Resource, Inc. Gregory A. Bayer, Ph.D., is chief executive officer of Brain Resource’s U.S. operations. The authors may be contacted at russell.phillips@ brainresource.com and gregory@ brainresource.com, respectively. Posted from Employee Benefit Plan Review, May 2012, Volume 66, Number 11, pages 5 to 7 with permission from Aspen Publishers, Inc., Wolters Kluwer Law & Business, New York, NY, 1-800-638-8437, www.aspenpublishers.com For more information on use of this content, contact Wright’s Media at 877-652-5295. 89337
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