Correspondence Address:
Yousef A Al-Turki
Department of Family and Community Medicine, College of Medicine, King Saud University, P.O. Box 28054, Riyadh 11437
Saudi Arabia

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Sir,

Stress, besides causing health problems to the workers, also cause the productivity and performance of the workers to fall. [1] Perceived competence becomes crucial when we are confronting with stressful situations. Efficacious people are able to persevere in the face of challenges because they believe that they can change situations and behaviors to produce a more positive outcome. A strong sense of competence facilitates cognitive processes and academic performance. [2] Stress management was developed and premised on the idea that stress is not a direct response to a stressor but rather one's resources and ability to cope mediate the stress response and is amenable to change, thus allowing stress to be controllable. When life events and stress are perceived negatively or become excessive, worker experiences physical and psychological impairment, including major depression. [3],[4] And finally, one of the very important message to all health care workers is that stress may not be a stressor if the person does not perceive the stressor as a threat but rather as positive or even challenging. [5]

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