Stress Flashcards

1
Q

What is Stress?

A

The idea of psychological stress was taken from the field of physics by a physician (Hans Sleye) one of the first stress researchers in the 1920s. He noticed that his patients were all under physical ‘stress’

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2
Q

What are the three approaches to Stress?

A
  1. Engineering approach: stimulus-based
  2. Response based: physiological response
  3. Transactional approach: interactional appraisal
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3
Q

Describe the engineering approach: stimulus-based to stress (3 points)

A
  1. Stress is in the environment
  2. it is any event that produces strain or pressure
  3. The larger the strain, the larger the stress response
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4
Q

What does the engineering approach to stress assume (2 points)? And why are they problematic (2 points)?

A
  1. Assumes that non-demanding environments are never stressful
  2. Assumes that stress reactions are ‘automatic’ and ‘unconscious’
    These are problematic assumptions because:
  3. Assumption that non-demanding environments are not stressful is wrong
  4. No consideration of psychological mediation
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5
Q

Describe the response-based approach: physiological response to stress (3 points)

A
  1. Considers stress to be the physiological reaction (e.g., increased HR, sweating, etc.)
  2. Stress has occurred if the person has the response
  3. What is the problem with this approach? (does not account for psychological mediation)
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6
Q

Describe the transactional approach: interactional appraisal to stress (Lazarus & Folkman)

A
  1. Includes an intra-individual (person level) variable:
    a. Appraisal - a person has to appraise an environment (or event) as threatening for a stress response
    b. No perceived threat – no stress response
  2. Includes a second variable: Coping
    a. The kind of appraisal will be linked to the kind of coping
    b. Coping strategies are linked to the long-term adaptation of the person to the stressor, including appraisals of future threat
  3. Considers stress as a process: Requires assessment over time
  4. Considers stress as complex: Interaction of person, environment, appraisal, and coping
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7
Q

What is the general adaptation syndrome

A

Addressed the stress reaction process first published in 1936
Selye believed the stress reaction was always the same
regardless of the stressor

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8
Q

What are the three types of stressors addressed in the general adaptation syndrome from Selye?

A
  1. Alarm: reaction to a threat (fight or flight)
  2. Resistance: with prolonged exposure to the threat the response is to try to return to homeostasis
  3. Exhaustion: if the threat is not overcome, physiological resources are depleted
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9
Q

What does the general adaptation syndrome not take into account?

A

Doesn’t take into account that people may respond differently to the same stressor
Later, he wrote: (Selye 1951) “Anything that causes stress endangers life, unless it is met by adequate adaptive responses; conversely, anything that endangers life causes stress and adaptive responses. Adaptability and resistance to stress are fundamental prerequisites for life, and every vital organ and function participates in them.”

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10
Q

What are the problems with early approaches to stress?

A
  1. Primarily physiological
    a. Fight or flight (Cannon)
    b. General adaptation syndrome (Selye)
  2. Problem with these approaches?
    a. ‘Direct effects’ explanations
    b. Do not take into account behavioural effects of stress
    c. Does not take into account coping efforts or strategies
    All stressors do not produce the same process
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11
Q

What is contemporary stress theory? (Allostatic
Load)

A

When we encounter a stressor we have a physiological
response (i.e., allostasis); when the stressor is gone, the
allostatic response ends.

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12
Q

What is allostasis?

A
  1. Allostasis is an adaptive mechanism that helps individuals to cope with stressors through physiological and behavioral
    processes
  2. Allostasis is the process by which our HPA axis (which produces cortisol), the autonomic nervous system, and our cardiovascular, metabolic, and immune systems protect our body by adapting to internal and external stress.
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13
Q

What is allostatic load?

A

The wear and tear the body experiences due to repeated stress exposure
- occurs when the allostatic response remains, even after the stressor is gone.
- a model that tries to quantify the cumulative damage
from physiological stress response in the body
- Stressful life events are positively associated with
allostatic load showing how exposure to stressors can
lead to chronic diseases
- “The physiological costs of chronic exposure to
fluctuating or heightened neural or neuroendocrine
the response that results from repeated or chronic stress” (Taylor & Sirois, 2009, p. 158)

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14
Q

Allostatic load is commonly characterized as including four main biological systems:

A
  1. Cardiovascular
  2. Metabolic
  3. Immune/inflammatory
  4. Neuroendocrine
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15
Q

Signs of high allostatic load (6 points)

A
  1. Decreases in cell-mediated immunity
  2. Inability to ‘shut off’ cortisol response
  3. Lowered HR variability
  4. Elevated epinephrine levels
  5. Memory problems
  6. High blood pressure
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16
Q

Four Situations Associated with Allostatic Load

A
  1. Repeated ‘hits’ from multiple stressors - causes ‘wear and tear’ on the stress response system
  2. Lack of adaptation - the stress response stays continuously
  3. Prolonged response – the stress response stays continuously on high, long after the stressor is gone
  4. Inadequate response – too much stress can result in the inability to respond normally to stress in the future – remember, cortisol response is normal and needed.
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17
Q

Ways in which individuals may cope with stressful situations: adopting health-damaging modifiable lifestyle behaviors (3 points)

A
  1. Stressors can lead to overconsumption of food high in saturated fat and refined sugar to activate the brain reward system
  2. Stressed individuals are also likely to smoke cigarette or overconsume alcohol to cope with the negative emotions from stressors
  3. Individuals who are stressed are often less likely to exercise
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18
Q

Health-damaging modifiable lifestyle behaviors often occur concurrently to form __________ and act synergistically to increase the progression of __________.

A

behavioral clusters; allostatic load

19
Q

A recent systematic review (Suvarna, 2020)) found six
unhealthy lifestyle risk factors to be __________ associated with allostatic load. What are the six unhealthy lifestyle risk factors?

A

Positively.
1. Physical inactivity
2. Alcohol
3. Drug abuse
4. Smoking
5. Poor sleep quality
6. Unhealthy eating habits

20
Q

What did the longitudinal study report regarding the relationship between allosteric load and low socioeconomic status?

A

Reported that multiple modifiable lifestyle behaviors (diet, physical activity, smoking, and alcohol consumption) partially mediated the positive association between low socioeconomic status and
allostatic load. This means that the poor lifestyle behaviours were partly responsible for higher allostatic load in people in low SES situations, but not entirely! Low SES can be more stressful (depending on the perception)

21
Q

What are some examples of poor coping behaviours? (5 points)

A
  1. Less physical activity or exercise
  2. Inadequate nutrition
  3. High alcohol intake
  4. Smoking
  5. Substance use/abuse
    All are associated with high reported stress
22
Q

What is the current stress definition?

A

Stress is the (negative) emotional experience followed by
biochemical, physiological, cognitive, and behavioural
changes that work toward either changing the stressful
event or adapting to its effects

23
Q

What is a stressor?

A

Any event perceived to be stressful.

24
Q

If a person ruminates this can interfere with physiological
recovery. True or False?

A

True

25
Q

What is the primary appraisal?

A

Evaluation of the significance of a stressor or threat; how much is at stake? Primarily concerned with the evaluation of how (potentially) harmful a particular situation is.
Causal thoughts also impact appraisals – for example, if a person
feels responsible for the stressor (they brought it on themselves),
one might feel guilt or depression

26
Q

What is the secondary appraisal?

A

Evaluation of the controllability of the stressor and a person’s coping resources. Primarily concerned with the evaluation of whether the individual possesses the resources to successfully face the demands of the situation
Causal thoughts also impact appraisals – for example, if a person
feels responsible for the stressor (they brought it on themselves),
one might feel guilt or depression

27
Q

What are Life Events?

A

Homes & Rahe scale assesses 43 potentially stressful events. They are not considered everyday events and are considered discrete experiences that disrupt an individual’s usual activities, causing a substantial change and readjustment.
1. Marital problems; difficult home life
2. Change in financial state
3. Death of someone close to you
4. Job problems

28
Q

What are Daily Events?

A

Minor irritations such as:
1. Losing your keys
2. Forgetting your purse/wallet
3. Unpleasant interpersonal interactions
4. Waiting in traffic

29
Q

What are some direct effects of daily events?

A
  1. Activated stress response
  2. Increased negative affect
  3. Decreased positive affect
  4. Agitation
  5. Raised cortisol levels ( remember frequent & excessive cortisol associated with ‘wear and tear’ on immune and cv systems)
30
Q

What are some indirect effects of daily events?

A
  1. Poor behaviour choices (as we’ve already talked about)
  2. Frequent hassles could lead to chronically poor behavioural choices
  3. Exacerbates chronic conditions
  4. Stress associated with increased symptoms of some diseases (e.g., arthritis) & pain (remember: ‘opens the gate’)
  5. Poorer self-care like medication or treatment
31
Q

What is the Stress reactivity hypothesis?

A

Those who have big physiological and emotional stress responses (high-stress reactors) are more likely to develop ill health
- Also, blunted reactivity may also lead to ill health (inadequate
response form of allostatic load) so any response outside of the ‘normal’ range may be problematic

32
Q

What is Stress recovery?

A

How long it takes to return to ‘normal’ after a stress response. The longer it takes, the greater the likelihood of ill health (again, remember allostatic load)

33
Q

Reactivity is partly __________ determined but is also affected by situational factors.

A

genetically

For situational factors: there is some evidence that there is greater cardiovascular reactivity to a stressor after consumption of a high-fat meal.

34
Q

Physiological reactivity can also be a risk factor for
__________ issues like depression.

A

psychological

35
Q

Where is stress located?

A
  1. The environment
  2. In appraisal
  3. In emotional or physiological response
    All of which are Interactive and frequently changing
36
Q

What is the relationship between daily hassles and major life events?

A

It is cyclical. Personality and coping can affect this.

37
Q

What is the Conservation of Resources (COR) Theory?

A
  • Less emphasis on appraisal (transactional theory) and more on resources people have or may lose
  • In this model “stress” is a reaction to loss, a threat to loss, or a failure to gain resources following an investment of resources.
  • In the face of stress, people try to minimize their losses.
  • When there is no stress, people try to build their resources.
  • PROACTIVE coping is emphasized
  • Resources are also related to resilience
38
Q

In the Conservation of Resources (COR) Theory, losing resources has a __________ impact than gaining them.

A

bigger

39
Q

In the Conservation of Resources (COR) Theory, what are ‘resource caravans’

A

different resources are linked and ‘travel’ with us
e.g., Self-efficacy is related to social support and both are there when we need them.

40
Q

What is perseveration cognition?

A

How much do you ruminate and worry? These and repetitive thinking could prolong the stress response or making short-term responses worse.
- One study showed greater worry intensity was related to more somatic complaints and intensity mediated the relationship between stress and somatic complaints.

41
Q

What are the characteristics of stressors that
make them “more” stressful?

A

Novelty: Something new you have not experienced before
Unpredictability: Something you had no way of knowing it would occur
Threat to the Ego: Your competence as a person is called into question
Sense of Control: You feel you have little or no control over the situation

42
Q

How stress can affect Mental and Physical
Health?

A

The stressor goes through primary and secondary appraisals. This leads to perceived stress and causes negative emotions. Leads to Physiological arousal and health behaviours and leads to an increased risk of physical disease and an increased risk of
psychological disorders.

43
Q

List of coping strategies according to Carver’s
research.

A
  1. Self-distraction
  2. Active coping
  3. Denial
  4. Substance Use
  5. Emotional support
  6. Instrumental support
  7. Behavioural disengagement
  8. Venting
  9. Positive reframing
  10. Planning
  11. Humor
  12. Acceptance
  13. Religion
  14. Self-Blame
44
Q

What did Carver say?

A
  • There is no such thing as an “overall” score on this measure: there is no recommended particular way of generating a dominant coping style for a given person
  • No overall groups of “adaptive” and “maladaptive” coping strategies.
  • Different samples exhibit different patterns of relations.
  • However…. research has shown in general avoidant coping is related to higher distress and riskier behaviours whereas more active coping is related to fewer risky behaviors and greater
    psychological health