5 ms·

This is certainly an improvement over a lab test, but a continuous monitoring solution would dramatically expand the utility. You could rate employers on the m

This is certainly an improvement over a lab test, but a continuous monitoring solution would dramatically expand the utility. You could rate employers on the median cortisol levels of their employees during and after the work day. At an individual level, those of us that are not very self-aware of our stress levels could monitor it objectively and determine stressors and implement and monitor interventions to reduce stress.

IHLayman 1y ago
Oh sure! While we’re at it, let’s increase the existing dystopia by giving employers the ability to track our stress levels and let them “compensate” as they see fit…
- perching_aix 1y ago
  People being able to measure it on their own != employers being given the right to require doing so and handing over the data. Matter of fact, you could outright ban employers from doing so. But then the topic of moan would become that regulations bad, and this would be then quickly portrayed as an industry backsetting obstacle. Never a boring day.
Etheryte 1y ago
This is one of those ideas that might sound good when you don't think about secondary effects, but is actually commonly accepted to be a bad idea in the medical community. Similar to white coat hypertension [0], measuring your stress can induce stress, whether that's worrying about whether you're in a good range, getting more stressed when you find out you're already stressed, or etc. This is why continuous monitoring is usually applied as little as reasonably possible, unless absolutely necessary like diabetes, ER, etc. [0] https://en.wikipedia.org/wiki/White_coat_hypertension https://en.wikipedia.org/wiki/White_coat_hypertension
- NoPicklez 1y ago
  Smartwatches have been measuring all sorts from our bodies for a long time and whilst some people develop this type of thing, the majority have not. These watches have been monitoring stress in the form of HRV for many years now.
  - PaulHoule 1y ago
    A recent studied shows that Garmin watches like the one I have give HRV stress readings that don't correlate well to self-reports of stress https://www.theguardian.com/technology/2025/aug/08/smartwatches-offer-little-insight-into-stress-levels-researchers-find https://www.theguardian.com/technology/2025/aug/08/smartwatc... The stress paradigm is probably the most holistic idea in medicine and I think any attempt to break it down to a number is reductivist.
    - m463 1y ago
      I have a garmin watch and my take is that stress is not really a spot reading. However, I am certain that some really bad days I've had have shown very high stress on the watch across the day. also relaxing can show low stress during a window (like sleep is low stress)
  - morkalork 1y ago
    I felt like I was trapped in a cycle of bad sleep -> stress -> worse sleep. And the two things that helped the most were exercising to burn of extra, nervous energy, and my fitbit breaking so I couldn't look at it and worry about how bad my sleep was.
- heisenbit 1y ago
  > as little … This is exactly the opposite of what which is written in the quoted wikipedia article: > Ambulatory blood pressure monitoring and patient self-measurement using a home blood pressure monitoring device is being increasingly used to differentiate those with white coat hypertension or experiencing the white coat effect from those with chronic hypertension Continuous monitoring is a viable workaround wrt. white coat symptoms. It is just a lot more effort and expensive.
  - Etheryte 1y ago
    Measuring your blood pressure at home is not continuous monitoring.
    - gessha 1y ago
      Continuously measuring blood pressure at home is continuous monitoring.
      - Etheryte 1y ago
        Unless you plan to sit at your desk all day and do nothing but press the button on your monitor, it isn't. These are two very different things.
        curmudgeon22 1y ago
        There are devices called "holter monitors" that a person wears continuously and which measure your blood pressure frequently. I would call this continuous though it's more like every 15 minutes or whatever it's programmed for. It's all without your intervention. My ex bought one when they wanted more data about their high blood pressure.
        PaulHoule 1y ago
        Because I fainted, I wore a holter monitor for a month that did not measure blood pressure but instead my EEG, uploading the data via the cellular network. My cardiologist said it measured about 1 million heatbeats in that time.
- amelius 1y ago
  It can be measured in a blind way.
- brookst 1y ago
  This is what the kids call gatekeeping, not a whole lot different from the old “if the proles are allowed to read the religious texts they will get it wrong, better limit such things to priests.” Yes, during the transition phase where information becomes available, some people will handle it badly, misinterpret, and generally be worse off. But that’s a terrible reason to withhold knowledge, especially about peoples’ own bodies.
- alphazard 1y ago
  There's no reason to think that continuous monitoring with a comfortable wearable would contribute to a white coat syndrome. The Wikipedia link that you cited actually says that at-home blood pressure readings are more reliable than those taken by a professional in a clinic because (it is believed) that the presence of another human administering a single test is what causes stress concerning the test. With the multiple, self-administered approach, there is no single test to fixate on, and no other human administering it. > This is why continuous monitoring is usually applied as little as reasonably possible The reason it is applied as little as possible is because it has been prohibitively expensive. For most things there is a benefit to sampling more often, and what sampling rate is adequate is entirely dependent on the maximum frequency that you need to observe. Another way of phrasing that is if it can change quickly, then you need to sample more often.
  - m463 1y ago
    I wonder why these kinds of arguments gain such wide acceptance. specifically - measuring x has negative consequences, so don't measure x. then at some point it becomes, don't bother measuring x ever. Normally I hear abotu this like tests that can find cancer early, or full body MRIs. I think these measures might actually be really good to establish a baseline and changes over time, or catch things early. If the problem is that knowing leads to stress, maybe there could be a solution in the portrayal of the data. Maybe it could be "doctor, don't tell me unless there is a trend" Doctors frequently give a disclaimer before ordering PSA tests, for example.
    - pixl97 1y ago
      >If the problem is that knowing leads to stress, And who says information hazards don't exist. Gotta love how anxiety builds on anxiety.
- cgannett 1y ago
  I suppose to mitigate that you could have that data not immediately viewable to the patient because seeing "stress line go up" would be pretty stressful and would skew the data anyway.
pstuart 1y ago
Obligatory: https://en.wikipedia.org/wiki/Goodhart%27s_law https://en.wikipedia.org/wiki/Goodhart%27s_law
cheald 1y ago
This would end up having effects like causing employers to discourage their employees from drinking coffee or exercising, both of which acutely raise cortisol levels.

IHLayman 1y ago

Oh sure! While we’re at it, let’s increase the existing dystopia by giving employers the ability to track our stress levels and let them “compensate” as they see fit…

perching_aix 1y ago
People being able to measure it on their own != employers being given the right to require doing so and handing over the data. Matter of fact, you could outright ban employers from doing so. But then the topic of moan would become that regulations bad, and this would be then quickly portrayed as an industry backsetting obstacle. Never a boring day.

Etheryte 1y ago

This is one of those ideas that might sound good when you don't think about secondary effects, but is actually commonly accepted to be a bad idea in the medical community. Similar to white coat hypertension [0], measuring your stress can induce stress, whether that's worrying about whether you're in a good range, getting more stressed when you find out you're already stressed, or etc. This is why continuous monitoring is usually applied as little as reasonably possible, unless absolutely necessary like diabetes, ER, etc. [0] https://en.wikipedia.org/wiki/White_coat_hypertension https://en.wikipedia.org/wiki/White_coat_hypertension

NoPicklez 1y ago
Smartwatches have been measuring all sorts from our bodies for a long time and whilst some people develop this type of thing, the majority have not. These watches have been monitoring stress in the form of HRV for many years now.
- PaulHoule 1y ago
  A recent studied shows that Garmin watches like the one I have give HRV stress readings that don't correlate well to self-reports of stress https://www.theguardian.com/technology/2025/aug/08/smartwatches-offer-little-insight-into-stress-levels-researchers-find https://www.theguardian.com/technology/2025/aug/08/smartwatc... The stress paradigm is probably the most holistic idea in medicine and I think any attempt to break it down to a number is reductivist.
  - m463 1y ago
    I have a garmin watch and my take is that stress is not really a spot reading. However, I am certain that some really bad days I've had have shown very high stress on the watch across the day. also relaxing can show low stress during a window (like sleep is low stress)
- morkalork 1y ago
  I felt like I was trapped in a cycle of bad sleep -> stress -> worse sleep. And the two things that helped the most were exercising to burn of extra, nervous energy, and my fitbit breaking so I couldn't look at it and worry about how bad my sleep was.
heisenbit 1y ago
> as little … This is exactly the opposite of what which is written in the quoted wikipedia article: > Ambulatory blood pressure monitoring and patient self-measurement using a home blood pressure monitoring device is being increasingly used to differentiate those with white coat hypertension or experiencing the white coat effect from those with chronic hypertension Continuous monitoring is a viable workaround wrt. white coat symptoms. It is just a lot more effort and expensive.
- Etheryte 1y ago
  Measuring your blood pressure at home is not continuous monitoring.
  - gessha 1y ago
    Continuously measuring blood pressure at home is continuous monitoring.
    - Etheryte 1y ago
      Unless you plan to sit at your desk all day and do nothing but press the button on your monitor, it isn't. These are two very different things.
      - curmudgeon22 1y ago
        There are devices called "holter monitors" that a person wears continuously and which measure your blood pressure frequently. I would call this continuous though it's more like every 15 minutes or whatever it's programmed for. It's all without your intervention. My ex bought one when they wanted more data about their high blood pressure.
        PaulHoule 1y ago
        Because I fainted, I wore a holter monitor for a month that did not measure blood pressure but instead my EEG, uploading the data via the cellular network. My cardiologist said it measured about 1 million heatbeats in that time.
amelius 1y ago
It can be measured in a blind way.
brookst 1y ago
This is what the kids call gatekeeping, not a whole lot different from the old “if the proles are allowed to read the religious texts they will get it wrong, better limit such things to priests.” Yes, during the transition phase where information becomes available, some people will handle it badly, misinterpret, and generally be worse off. But that’s a terrible reason to withhold knowledge, especially about peoples’ own bodies.
alphazard 1y ago
There's no reason to think that continuous monitoring with a comfortable wearable would contribute to a white coat syndrome. The Wikipedia link that you cited actually says that at-home blood pressure readings are more reliable than those taken by a professional in a clinic because (it is believed) that the presence of another human administering a single test is what causes stress concerning the test. With the multiple, self-administered approach, there is no single test to fixate on, and no other human administering it. > This is why continuous monitoring is usually applied as little as reasonably possible The reason it is applied as little as possible is because it has been prohibitively expensive. For most things there is a benefit to sampling more often, and what sampling rate is adequate is entirely dependent on the maximum frequency that you need to observe. Another way of phrasing that is if it can change quickly, then you need to sample more often.
- m463 1y ago
  I wonder why these kinds of arguments gain such wide acceptance. specifically - measuring x has negative consequences, so don't measure x. then at some point it becomes, don't bother measuring x ever. Normally I hear abotu this like tests that can find cancer early, or full body MRIs. I think these measures might actually be really good to establish a baseline and changes over time, or catch things early. If the problem is that knowing leads to stress, maybe there could be a solution in the portrayal of the data. Maybe it could be "doctor, don't tell me unless there is a trend" Doctors frequently give a disclaimer before ordering PSA tests, for example.
  - pixl97 1y ago
    >If the problem is that knowing leads to stress, And who says information hazards don't exist. Gotta love how anxiety builds on anxiety.
cgannett 1y ago
I suppose to mitigate that you could have that data not immediately viewable to the patient because seeing "stress line go up" would be pretty stressful and would skew the data anyway.

pstuart 1y ago

Obligatory: https://en.wikipedia.org/wiki/Goodhart%27s_law https://en.wikipedia.org/wiki/Goodhart%27s_law

cheald 1y ago

This would end up having effects like causing employers to discourage their employees from drinking coffee or exercising, both of which acutely raise cortisol levels.