3.2 Responding to Acute and Chronic Stress Flashcards

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1
Q

What is stress? What are stressors?

A

Stress: physiological and psychological response to a perceived threat

Stressor: stimulus that triggers stress in an organism

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2
Q

Draw a map of the physiological response to stress, and compare to 3.2

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3
Q

How does the vascular connection between the adrenal medulla and cortex allow for adrenaline production?

A
  • Cortisol from zona fasciculata bathes the medulla
  • This stimulates the PNMT enzyme, which converts noradrenaline to adrenaline by adding a methyl group
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4
Q

Which enzyme is often implicated in Congenital Adrenal Hyperplasia? Why?

A
  • 21 hydroxylase
  • When deficient, less mineralocorticoids/glucocorticoids, so more androgens
  • Can lead to features of CAH
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5
Q

What are the three stages of Selye’s proposed General Adaptation Syndrome? Describe them. How may these phases present?

A

1: Alarm -> this is the acute stress response (hormonal and neural)

2: Resistance -> the acute stress response is downregulated (cortisol decreases etc.) but the body remains vigilant. This may show as irritability, fatigue, or inability to concentrate.

3: Exhaustion -> the resources being used during the resistance phase are depleted. May present as extreme fatigue or depression.

(These ARE the components of GAS)

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6
Q

What are some limitations of General Adaptation Syndrome?

A
  • Tests were only conducted on animals
  • Focuses on physiological response; does not factor in psychological differences
  • The “non-specific” nature proposed by Selye has since been disproven
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7
Q

How have our ideas about stress changed since Selye’s GAS?

A
  • We now view stress as having a certain element of specificity
  • Instead of “any demand”; it’s a conscious or unconsciously perceived threat to homeostasis
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8
Q

What are the effects of chronic stress on memory, cognition, and learning? Why?

A

Decreased; the brain is sensitive to stress hormones such as glucocorticoids, and chronic exposure to these hormones can negatively affect memory, cognition, and overall brain function.

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9
Q

What are the effects of chronic stress on immune system? How might this be?

A
  • Weakened immune system
  • Among other things, could be due to increased activity of HPA axis (cortisol is an immunosuppressant, after all)
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10
Q

What are the effects of chronic stress on cardiovascular system?

A
  • Increased BP, HR, and contractility
  • Sustained increase in sympathetic activity can cause cardiac remodelling (e.g. AF), and increased risk of atherosclerosis/thrombosis
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11
Q

What are the 2 main effects of chronic stress on gastrointestinal system? Explain them.

A
  1. Increased appetite. Increased metabolism of fat/carbs causes hunger
  2. Increased susceptibility to inflammatory disease, decreased absorption, decreased function of the system as a whole
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