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To the Editor.—
The article by Rhoads entitled "Overwork" (237:2615-2618, 1977) focuses on a real but often overlooked cause of various physical and emotional symptoms. Unfortunately, Rhoads omitted another large group of persons who are susceptible to overwork. Students, especially college students, frequently suffer from similar difficulties as they attempt to "do their best" without having a realistic definition of just what their "best" should be. As with Rhoads' patients, some students have not yet developed "an inner monitoring device for regulating the work-rest-recreation balance." The misconception of the college student as one who has limitless energy and abundant rest and recreation may cause the unwary physician to fail to consider the possibility of overwork as a cause for vague symptoms in this age group and may result in a spurious diagnosis of mononucleosis.In encouraging young people to reverse an overwork life pattern, I have found it useful to
Sams JC. Overwork. JAMA. 1977;238(15):1629. doi:10.1001/jama.1977.03280160023009