Chapter 12 - Stress and Health Flashcards

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1
Q

What is a stressor?

A

Any person, situation or event that produces stress.

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2
Q

What is the difference between an internal and external stressor?

A

An internal stressor originates within the individual. An external stressor originates outside the individual from situations and events in the environment.

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3
Q

Define stress.

A

Stress is a state of physiological and psychological arousal produced by internal or external stressors that are perceived by the individual as challenging and exceeding their ability or resources to cope.

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4
Q

What does a stress response involve?

A

A stress response involves the physiological and psychological changes that people experience when they are confronted by a stressor.

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5
Q

How are stress responses classified?

A

In one of three categories: mild, acute and chronic.

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6
Q

What is the fight-flight response?

A

An involuntary reaction resulting in a state of physiological readiness to deal with a sudden and immediate threat by either confronting it or running away to safety.

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7
Q

What systems are involved in the fight-flight response?

A

The sympathetic nervous system and the endocrine system.

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8
Q

What physiological changes arise from the fight-flight response?

A

An increased heart rate, redistribution of blood supply from the skin and intestines to the muscles, increased respiration, increased glucose secretion by the liver, dilation of the pupils and suppression of inessential functions such as digestion and sexual drive.

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9
Q

In the fight-flight response, what happens when a threat is perceived?

A

The hypothalamus is activated, which stimulates the nearby pituitary gland, which secretes ACTH. ACTH travels through the bloodstream and stimulates the adrenal glands. The adrenal glands secrete adrenaline and noradrenaline, boosting the activity of the sympathetic nervous system and making more oxygen available to muscles to help meet immediate energy needs. The adrenal glands also release cortisol which increases metabolism and the concentration of glucose in the blood to make fuel available to muscles.

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10
Q

What is the HPA axis?

A

The chain of reactions in the physiological response to stress involving the hypothalamus, pituitary gland and the adrenal glands.

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11
Q

Why is the fight-flight response viewed as adaptive?

A

It can help ensure our survival when we are suddenly faced with a life-threatening situation.

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12
Q

What happens when exposure to a threat is unavoidably prolonged?

A

The intense physiological arousal of the fight-flight response will also be prolonged.

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13
Q

What is Selye’s General Adaptation Syndrome?

A

It is a three-stage physiological stress response that occurs regardless of the stressor that is encountered.

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14
Q

Why is the GAS non-specific?

A

It will appear whatever the source of the stressor.

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15
Q

What are the three stages of the GAS?

A

1) Alarm reaction
2) Resistance
3) Exhaustion

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16
Q

When does the alarm reaction stage occur and what happens during the alarm reaction stage?

A

The person becomes aware of the stressor, the body goes into a temporary state of shock, and then rebounds from this with a reaction known as countershock. It results in a state of tension and alertness, and a readiness to respond to the stressor.

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17
Q

What happens during shock?

A

The body’s ability to deal with the stressor falls below its normal level. Blood pressure and body temperature drop, and a temporary loss of muscle tone is experienced.

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18
Q

What happens during countershock?

A

The sympathetic nervous system is activated and the body’s resistance to the stressor increases. The body becomes highly aroused and alert, as it prepares to deal with the stressor. Stress hormones are released into the bloodstream.

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19
Q

When does an organism enter a stage of resistance?

A

If the source of the stress is not dealt with immediately, and the state of stress continues.

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20
Q

What happens during the stage of resistance?

A

The body’s resistance to the particular stressor rises above normal, as it tries to adapt and cope with the stressor. The intense arousal of the alarm reaction stage diminishes, but physiological arousal remains at a level above normal. All unnecessary physiological processes are shut down. Hormones such as adrenaline and cortisol, which support resistance, are released into the bloodstream.

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21
Q

How can stress hormones weaken the immune system?

A

They interfere with the body’s ability to fight disease and to protect itself against further damage. Although resistance to the initial stressor increases, resistance to other stressors may decline.

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22
Q

When does an organism enter a stage of exhaustion?

A

If the stressor is not dealt with successfully during the resistance stage and stress continues.

23
Q

What happens during the stage of exhaustion?

A

Signs of the alarm reaction may reappear, but the effects of the stressor can no longer be dealt with. The organism’s resources have been depleted, its resistance to disease is very weak, and it becomes vulnerable to physical and mental disorders.

24
Q

How is the stage of exhaustion characterised?

A

It is characterised by extreme fatigue, high levels of anxiety and depression, nightmares and impaired sexual performance.

25
Q

What is eustress?

A

Eustress is a positive psychological response to a stressor, as indicated by the presence of positive psychological states such as feeling enthusiastic, excited, active and alert.

26
Q

What is distress?

A

Distress is a negative psychological response to a stressor, as indicated by the presence of negative psychological states such as anger, anxiety, nervousness, irritability or tension.

27
Q

Describe the three categories of the psychological responses to stress.

A
  • Behavioural changes: apparent in how a person looks, talks, acts etc.
  • Emotional changes: influence the way a person feels.
  • Cognitive changes: influence a person’s mental abilities.
28
Q

Give examples of behavioural responses to stress.

A

Strained facial expressions, a shaky voice, hand tremors, muscle spasms.

29
Q

Give examples of emotional responses to stress.

A

Anxiety, tension, depression, anger, irritability and being short-tempered.

30
Q

Give examples of cognitive responses to stress.

A

Difficulties concentrating, maintaining focus, making decisions, thinking clearly; forgetfulness.

31
Q

Describe Lazarus and Folkman’s transactional model of stress and coping.

A

It proposes that stress involves an encounter (‘transaction’) between an individual and their external environment, and that a stress response depends upon the individual’s interpretation (‘appraisal’) of the stressor and their ability to cope with it.

32
Q

What happens in a primary appraisal?

A

We evaluate the significance of the situation. The outcome is a decision about whether the situation is irrelevant, benign-positive or stressful. If we decide the situation is stressful, we engage in additional appraisals (harm/loss, threat, challenge).

33
Q

What happens in a secondary appraisal?

A

We evaluate our coping options and resources and our options for dealing with the stressful situation. The coping options and resources available may be internal or external.

34
Q

What happens in a reappraisal?

A

We determine the extent to which additional coping resources are needed to cope with the situation. This involves a dual process:

1) Reappraising the situation while taking account of the coping resources that are available.
2) Reappraising the coping resources while taking account of the reappraised threat.

35
Q

According to Lazarus and Folkman (1984), what is coping?

A

Coping is the process of ‘constantly changing cognitive and behavioural efforts to manage specific internal and/or external stressors that are appraised as taxing or exceeding the resources of the person’.

36
Q

What is problem-focused coping and when does it tend to be used?

A

Problem-focused coping involves efforts to manage or change the cause or source of the problem; that is, the stressor. It tends to be used when we believe that we have some control over the situation and think that we can change the circumstances.

37
Q

What is emotion-focused coping and when does it tend to be used?

A

Emotion-focused coping involves strategies to attend to our emotional responses to the stressor. It tends to be used when we believe that we have little or no control over a situation and therefore can’t do anything to change the circumstances.

38
Q

Give examples of problem-focused coping strategies.

A
  • Reappraising the stressor by examining it from new perspectives.
  • Obtaining more information about the stressor by talking to someone who could help.
  • Redefining the stressor in a way that is more manageable.
  • Generating alternative ways of dealing with the stressor.
  • Focusing on changing only what is changeable.
  • Learning new skills to more effectively manage the stressor.
39
Q

Give examples of emotion-focused coping strategies.

A
  • Denial (‘I’m not stressed’)
  • Distancing (‘I don’t let it get to me’)
  • Avoiding (‘I’m not entering the public speaking competition’)
  • Minimising (‘It’s not that bad’)
  • Wishful thinking
  • Acceptance
  • Venting emotions
  • Seeking emotional support from family members or friends.
40
Q

What are some strengths of the transactional model of stress and coping?

A
  • The model views stress as involving an interaction with the environment in which the individual has an active rather than passive role.
  • This allows for much more variability in the human stress response and helps explain why different individuals respond in different ways to the same types of stressors.
  • By including a reappraisal process, the models also allows for the fact that stressors and the circumstances under which they occur can change over time.
41
Q

What are some weaknesses of the transactional model of stress and coping?

A
  • It is difficult to test this model through experimental research due to the subjective nature, variability and complexity of individual responses to stressors.
  • Primary and secondary appraisals can interact with one another and are often undertaken simultaneously, making them difficult to isolate for study as separate variables.
42
Q

What are some social factors that can influence the stress response?

A
  • Lack of social skills
  • Being in a bad relationship
  • Being a victim of bullying
43
Q

What are some cultural factors that can influence the stress response?

A
  • Following / breaking away from tradition.
  • Political turmoil
  • Language difficulties
44
Q

What are some environmental factors that can influence the stress response?

A
  • Natural disasters
  • Loud noise
  • Pollution
  • Crowding
45
Q

Define allostasis.

A

Allostasis refers to the body’s ability to maintain a stable physiological environment by adjusting and changing to meet internal and external demands. Allostasis therefore helps the body achieve stability by changing.

46
Q

Define homeostasis.

A

Homeostasis is the body’s ability to maintain a stable physiological environment by keeping certain bodily conditions constant.

47
Q

Describe allostatic load.

A

Cumulative exposure to increased secretion of stress hormones can lead to ‘wear and tear’ on the brain and body, known as allostatic load.

48
Q

List some strategies for coping with stress.

A
  • Biofeedback
  • Meditation
  • Relaxation
  • Physical exercise
  • Social support
49
Q

What is biofeedback?

A

A technique that enables an individual to receive information about the state of a bodily process and, with appropriate training, learn to control a related physiological response using thought processes.

50
Q

What is meditation in relation to stress management?

A

Meditation is an intentional attempt to bring about a deeply relaxed state in order to reduce one or more effects of stress-related symptoms.

51
Q

What is relaxation?

A

Relaxation is any activity that brings about a state of reduced psychological and/or physiological tension.

52
Q

What is physical exercise?

A

Physical exercise is physical activity that is usually planned and performed to improve or maintain one’s physical condition.

53
Q

How can physical exercise alleviate the stress response?

A

By using up stress hormones in the blood, by releasing muscle tension, by diverting a person’s attention away from a stressor.

54
Q

What is social support and what are the four types of social support?

A

Social support is help or assistance from other people when needed. It can take four main forms: appraisal support, tangible assistance, information support and emotional support.