What is Stress?
Stress is a nonspecific response to real or
that affects an organism, producing physical and psychological effects such as tension and anxiety
What is stress?????
A pattern of negative physiological states & psychological responses occurring in situations where people perceive threats to their well being which they may be unable to meet.
Alarm reaction - the body detects and prepares to mount a response to an external stimuli or stress Adaptation - the body protectively responds to the perceived stress Exhaustion - Failure of the body to fully adapt to the stress
Stressor Adrenal glands secrete adrenaline Sympathetic vs. Parasympathetic Sympathetic Physiological response
Heart rate increases Muscles tense Blood pressure rises Pupils dilate Breathing increases Perspiration
Endocrine System
Stressor Hypothalamus CRF released Pituitary gland ACTH Bloodstream Adrenal glands Produce adrenaline and glucocorticoids Physiological response
Stress hormones
bodys adaptive response to stress very general responds no matter what stressor used
Approximately 60-80% of all visits to health care professionals are for stressrelated disorders Stress may cause:
dilatation of pupils increased respirations/heart rate/perspiration/blood pressure/muscle tension/gastric motility/blood glucose levels peripheral vasoconstriction release of adrenalin raising of body hair and cold/clammy hands
ineffective behaviour
have shown that hostility and anger do relate to the development of heart disease
psychoneuroimmunology (PNI), the interdisciplinary study of behavioural, neurological, and immune factors, and their relation to the development of disease
Stress can influence health through behaviours that increase the risk for disease and death Stress affects how people behave and may stimulate behaviours that can damage or enhance health
Change the environment Avoid excessive change Time control Time management
Coping Strategies
Physically Psychologically Setting realistic goals Building coping resources Counter-conditioning to avoid physiologic arousal
Situational
Changing jobs/Chronic illness, etc Teens and self identity/Older adults and loss of muscle strength, etc Living in violence/Cultural influence, etc
Maturational
Socio-cultural
Physiological, psychological and developmental importance of the early childhood affective mother-child bond and the negative consequences of the disruption of this relationship. According to follow up studies, insecure attachment predicts later emotional instability and health deterioration. Maltreatment at an early age can have enduring negative effects on a childs brain development and function, and on his or her vulnerability to stress.
A condition of loss of control created by subjecting animals or humans to an unavoidable, emotionally negative life situation (such as unavoidable shocks, relative deprivation, role conflict, etc). Being unable to avoid or escape (flight or fight) an aversive situation for a long period of time produces a feeling of helplessness that generalises to subsequent situations.
The hippocampus is primarily affected by the long-lasting elevations of circulating corticosteroids resulting from uncontrollable stress. Severe stress for a prolonged period causes damage in hippocampal pyramidal neurons, especially in the CA 3 and CA4 region and reductions in the length and arborization of their dendrites.
Dysregulation of the hypothalamus-hypophysisadrenocortical (HPA) axis and the sympatheticadrenal-medullary system (SAM) resulting in elevations in serum catecholamin and cortisol levels. Sympathoadrenal hyperactivity contributes to the development of CVD through effects of catecholamines upon the heart, blood vessels and platelets. Sympathoadrenal activation modifies the function of circulating platelets.
Stress