Exam #1 Flashcards

(83 cards)

1
Q

The stress response is ___________

A

adaptive
- can be beneficial; helps organisms adapt

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2
Q

Physiological responses are _________________

A

interconnected
- combination of responses that all affect one another; complex

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3
Q

acute vs. chronic stress

A

both will have different outcomes

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4
Q

What factors affect stress?

A

environmental & perceptual factors
- things from outside AND inside affect stress

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5
Q

____________ differences exist

A

individual
- e.g. sex differences

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6
Q

Stress

A

very vague term
- e.g. environmental condition, human response, emotion, etc.

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7
Q

Stressor

A

challenging stimulus that causes stress response

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8
Q

Stress Response

A

physiological/behavioral/cognitive/emotional response to stressor(s)

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9
Q

Taylor’s definition of stress

A
  • negative emotional experience
  • accompanied by a physiological response
  • physiology helps respond to stressor
    OUTDATED
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10
Q

Lazarus & Folkman definition of stress

A

Mismatch between personal resources and environmental demands
- e.g. a lot to get done with few resources

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11
Q

Stressor characteristics that affect response

A
  1. frequency, intensity, duration
  2. positive/negative consequences
  3. controllability
  4. relevance to life goals
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12
Q

Perceptual characteristics that affect response

A
  1. anticipation, perseveration
  2. sense of control (real or imaginary; YOUR sense of control)
  3. appraisal (harmful, threatening, challenging)
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13
Q

3 Major Physiological Systems

A
  1. Sympathetic Nervous System
  2. Hypothalamic Pituitary Adrenal Axis
  3. Immune system
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14
Q

Sympathetic Nervous System

A
  • involves catecholamines (e.g. adrenaline)
  • heart rate/blood pressure increase
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15
Q

Hypothalamic Pituitary Adrenal Axis

A
  • involves hypothalamus, pituitary, and adrenals (above kidneys; cortisol)
  • hypothalamus gets input from higher brain areas
  • CNS -> PNS
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16
Q

Immune System

A
  • complex system of cells to attack non-self (bacteria, viruses, etc.)
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17
Q

Nervous system <—–> Immune system

A
  • (NS): noradrenergic innervation affects antibody production
  • (IS): products affect brain activity
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18
Q

Nervous system <——> Endocrine system (HPA)

A
  • (NS): perception of threat leads to release of cortisol
  • (ES): thyroid hormones are necessary for development of nervous system
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19
Q

Endocrine system (HPA) <——> Immune system

A
  • (ES): cortisol release inhibits responses
  • (IS): immune system products modulate endocrine responses to infection
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20
Q

Function of physiological stress response

A
  • generic ‘emergency response:’
    -> useful for both threats and opportunities
    -> ‘umbrella system’ - activation of multiple systems
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21
Q

stress response - short-term energy

A
  • increase short-term energy availability
    -> increased oxygen
    -> increased glucose availability
    -> increased circulation and blood shunted to muscles
    -> increased cooling (sweat)
    -> increased cognitive attention and acuity
    (- decrease inessential functions (digestion, sex))
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22
Q

Evolution of stress response

A
  • natural selection favors traits that are adaptive
    -> stress response is important for basic survival
  • strong selection pressure for a generic ‘emergency response’ system (highly conserved across species)
  • selection for complex regulation - to minimize costs
  • selection of stress physiology occurred generations ago, under different environments
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23
Q

Engineering Analogy of Stress

A
  • used in 1600’s
  • considered the body to be a “machine”
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24
Q

Hooke’s Law of Elasticity

A
  • related to engineering analogy of stress
    a. ‘LOAD’ - external demand (~stressor)
    b. ‘STRESS’ - specific area affected (~stress response)
    c. ‘STRAIN’ - shape changed (~allostasis/allostatic load)
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25
Mind-Body Connection
- late 1800's - nervous energy can affect health - no obvious organic cause (e.g. fatigue/anxiety without 'pathology,' hysteria, neurasthenia)
26
Psychosomatic Medicine
- 1900's - mind and body are ONE - health = psychological and somatic - focused on how thoughts, cognitions, and emotions potentially affect your biology and stress
27
Homeostasis
- Claude Bernard (late 1800's) -> physician (M.D.) - physiologist - internal environment must remain constant (steady state) while external environment changes - external disruptors to internal steady state - stress response is to keep us at homeostatic setpoint
28
Emotions, Homeostasis, and Health
Walter Cannon (early 1900's) -> experimental physiologist (M.D.) -> specialized in GI tract, emotions, and hormones - built on Bernard's homeostasis -> goal of body: maintain stable internal environment -> STRESS RESPONSE: return body to ideal setpoint - hormonal responses help organisms respond to emergencies -> hormones travel in blood - affect many organs simultaneously -> Cannon realized that the stress response has to include a hormonal signal - Patients' emotions are important -> internal disruptors of steady state
29
Sample Cannon Experiment
- animals exposed to stimuli that prompted an emotional response (e.g. cat sees dog = fear) -> take blood samples -> drop of blood on a muscle strip collected from another animal -> the muscle was attached to coils that measured contraction of muscle - Adrenaline/epinephrine = muscle contraction -> amount of contraction may indicate amount of adrenaline present - RESULT: epinephrine response to emotional stressor
30
General Adaptation Syndrome
Hans Selye (1900's) - medical doctor (M.D./Ph.D.) - endocrinologist -> specialized in sex hormones (ovaries), adrenal glands, pancreas
31
Suite of physiological responses
General Adaption Syndrome (Selye) 1. gastrointestinal ulcers (SNS) 2. adrenal enlargements (HPA) 3. thymic and lymphatic involution/shrinking (immune) -> if Selye saw one response, he saw ALL three (known as a triad/SYNDROME) - non-specific response - different stressors, same response
32
Timeline of responses
General Adaptation Syndrome (Selye) A. Alarm - activation of response B. Resistance - plateau/maintenance C. Exhaustion - wear & tear
33
How could Selye have performed the experiment better?
- He was essentially poisoning the animals with hormones on the side that created the generic response - Should have used a control and injected the chemicals he used in the formula (this would have shown him that the formula was the problem) - formalin
34
Richard Lazarus (late 1900's)
- psychologist (Ph.D.) - cognition/emotions - stressor appraisal affects ability to cope -> demands vs. resources
35
Allostasis
Sterling & Eyer (1988) - psychologists - build on homeostasis concept - 'set-point' can change to adapt to demands: -> e.g. repeated stress -> blunted stress response (adaptation)
36
Allostatic Load
McEwen & Stellar (1993) - neuroscientists/physiologist (Ph.D.) - allostatic load -> ALLOSTASIS: change set-points with conditions -> LOAD: wear and tear on body from long-term allostasis (e.g. exhaustion)
37
SNS
- seconds - telephone analogy: specific communication connections
38
HPA axis
- minutes - radio analogy: general broadcast (in blood), receivers (on cells) - maintain energy and recover from sympathetic response
39
Immune System
- minutes -> days - telephone/radio analogy: specific connections and general broadcasting
40
Vegetative Nervous System
- "autopilot," primitive - BRAIN STEM: involuntary actions (HR, breathing) - RETICULAR FORMATION: bridge brain and body
41
Limbic Nervous System
- emotions, homeostasis - THALAMUS: 'central relay station' – cortical input - HYPOTHALAMUS: 'emotion control' controls: -> appetite, body temp, pain/pleasure, threat response - PITUITARY GLAND: 'master gland' – controls other glands -> stimulated by hypothalamus -> stimulates other glands by releasing hormones into blood - NEOCORTEX: sensation, thought -> decode sensory info (e.g. threat vs. non-threat) -> highly developed in humans -> analysis, imagination, organization, creativity, intuition, logic, memory -> can override limbic and vegetative responses
42
Peripheral Nervous System
- separated into somatic and autonomic
43
Somatic Nervous System
- part of peripheral nervous system - voluntary actions - connects to skin and skeletal muscles
44
Autonomic Nervous System
- part of peripheral nervous system - primarily involuntary actions -> e.g. circulation, temp, regulation, digestion, respiration - connects to internal organs - activated by hypothalamus - balance of 2 systems: sympathetic/parasympathetic
45
Sympathetic Autonomic Nervous System
- fight or flight - rapid metabolic increase - catecholamine release: -> epinephrine/adrenaline -> norepinephrine/noradrenaline
46
Parasympathetic Autonomic Nervous System
- relaxation - energy conservation - decrease metabolic activity - acetylcholine release (important in memory formation)
47
Sympathetic Nervous System
- "fight or flight" - connects to every part of the body, unlike parasympathetic
48
Causes of SNS
- increased heartrate rate and vasoconstriction (increased blood pressure) - bronchodilation and increased respiratory rate (increased oxygen to skeletal muscles) - decreased salivation - peristalsis - pupil dilation - piloerection (hairs on end)
49
Parasympathetic Nervous System
- "rest and digest" - PROACTIVE ENERGY CONSERVATION: aids in digestion, supports restorative and resting processes
50
Causes of PNS
- decreased heart rate - vasodilation (decreased blood pressure) - increased salivation - increased gastrointestinal tract tone and peristalsis - pupil constriction
51
Steps in CNS stress pathway
THALAMUS -> AMYGDALA -> HYPOTHALAMUS -> PITUITARY -> HIPPOCAMPUS -> ADRENAL
52
Thalamus
- center of brain - amplifies signals from cortex - integrates sensory information
53
Amygdala
- important for threat perception/fear - if damaged, fail to recognize danger - amygdala activity stimulates hypothalamus
54
Hypothalamus
- center for fight-or-flight reaction - links nervous system to endocrine system
55
Pituitary
- 'master gland' - orchestrates important physiological responses: -> stress -> growth -> reproduction -> lactation -> immune system
56
Hippocampus
- highly plastic throughout life – new neurons - helps store memories of threatening stimuli - involved in HPA axis regulation -> contains many glucocorticoid receptors - modulated by amygdala
57
Adrenal Gland
ADRENAL MEDULLA (internal portion): major organ of SNS - cortisol is produced in CORTEX (endocrine) - sympathetic neurons synapse in medulla - sympathetic activation causes release of epinephrine and norepinephrine into circulation - Epi and NE bind adrenergic receptors on cells – change cellular function - Epi and NE can be neurotransmitters in synaptic cleft AND hormones in bloodstream
58
endocrine system primer
- Cascade of secretion responses: brain -> peripheral glands 1. HYPOTHALAMUS - secrets releasing factors - stimulates pituitary 2. PITUITARY - secretes intermediate hormones - stimulates peripheral glands -> e.g. adrenals, testes, ovaries 3. Peripheral gland/organ - secretes final hormone -> e.g. cortisol, testosterone, estrogen 4. Final Hormone - travels in blood (released from gland) - binds cells with specific receptor - alters cell metabolism and gene transcription 5. Negative Feedback - the off switch - receptors for final hormone on hypothalamic and pituitary cells - decrease releasing factor and intermediate hormone release -> may not always work correctly
59
proteins
- type of hormone - large, lipid-insoluble - cannot enter cells - alters cell function - relatively fast
60
steroids
- type of hormone - small, lipid-soluble - traverses membrane - alters gene transcription -> binds to receptor inside cell - relatively slow
61
Hypothalamic Pituitary Adrenal Axis
- hypothalamus stimulates pituitary with release of CRH - pituitary releases ACTH into general circulation - ACTH stimulates adrenal cortex - adrenal cortex releases cortisol -> cortisol has "negative" influence on hypothalamus --> negative feedback
62
HPA cascade
- CRH (1-2 s.) -> ACTH (~15 s.) -> Cortisol (1-2 min) 1. hypothalamus - releases corticotropin-releasing factor 2. Anterior pituitary - releases adrenocorticotropin hormone 3. Adrenal cortex - releases glucocorticoid and mineralocorticoid hormone 4. Feedback - GC binds glucocorticoid and mineralocorticoid receptors in hypothalamus and pituitary - decreased CRH/ACTH production - decr
63
Hypothalamus
- input from many brain regions - regulates motivated behavior -> e.g. feed, growth, sex - CRH neurons in paraventricular nucleus -> release CRH to basal hypothalamus and pituitary portal circulation -> stimulate vasopressin and oxytocin release in posterior pituitary - governs pituitary gland with 2 mechanisms: -> hypothalamic hormones to anterior pituitary -> hypothalamic neurons to posterior pituitary
64
Anterior pituitary
- contains hormone-producing cells - releasing hormones from hypothalamic neurons - cells release tropic hormones
65
Posterior pituitary
- contains blood vessels (capillaries) - spread peptide hormones from hypothalamic neurons - not a true gland; doesn't have cells to produce hormones - releases vasopressin/oxytocin
66
Adrenal cortex
- glucocorticoids ('stress') -> break down proteins -> increases blood sugar - mineralocorticoids (salt/water balance) -> sodium/water absorption -> potassium production
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Adrenal medulla
- epinephrine & norepinephrine -> stimulates heart, lungs, blood vessels
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glucocorticoid receptors
- low affinity -> i.e. need high GC concentration to see significant binding - widely distributed in brains -> including cortex, hypothalamus, amygdala, hippocampus - regulates negative feedback during stress response
69
mineralocorticoid receptors
- high affinity (only need low levels of GC) - concentrated in hippocampus, hypothalamus, and amygdala - regulates tonic GC production/signaling
70
Kinds of immune function
- innate immunity - cell-mediated - humoral
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innate immunity
- first response (minutes) - non-specific - attack ALL antigens - fever & inflammation -> fever: kill organisms (overheating) -> inflammation: send cells to injury
72
cell-mediated immunity
- second response (hours) - somewhat specialized -> if same antigen, there will be an accelerated response - cancer & intracellular antigens (e.g. viruses)
73
humoral immunity
- slowest response (days/weeks to peak) - specialized - cell proliferation: attacks specific antigen - produces antibodies - antigens in blood & lymph (e.g. bacteria & parasites)
74
macrophages
- 'big & dumb' [innate, cell-mediated] - large - engulf (eat) and dissolve antigens - generalists: attack many antigens (non-self) - present antigen parts to initiate more targeted response
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natural killer cells
- 'stealth' [innate, cell-mediated] - patrol - attack & destroy many antigens - generalists: attack tumors & viruses
76
lymphocytes
- white blood cells [cell-mediated, humoral] - made in bone marrow - high-order immune responses
77
Kinds of lymphocytes
T cells and B cells
78
T cells
- 'middle-man' [cell-mediated, humoral] - mature in thymus - specialists: -> orchestrate immune response - several kinds: T-helper/CD4+: stimulate B cells, macrophages, CD8+ Cytotoxic/CD8+: patrol and attack infected and tumor cells - chemical communication: -> interleukins/cytokines: measured from blood -> interferons
79
B cells
- humoral - specialists: -> recognize one specific antigen -> produce antibodies to attach to antigen --> mark antigen for destruction by innate/cell-mediated MEMORY CELLS: recognize exact antigen for next exposure - used for secondary antibody response - VACCINES: stimulate B cells activity/learning: -> inject weak or dead antigens -> B-cell stimulate antibody production -> later infection - antibodies already exist
80
autonomic nervous system
- projects to immune organs (spleen & thymus) - circulating NE and Epi: increase proinflammatory cytokines
81
immune cells
- have glucocorticoid and NE/Epi receptors
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Inflammation
- interleukins in brain cause hypersensitivity to pain
83
Interleukin from T-cells
- cause 'illness behavior' (fatigue, lethargy)