Stress Flashcards

1
Q

What is somatic (physical) stress?

A

Physical, emotional and subjective experiences associated with damage of body tissue and bodily threat (eg pain and inflammation).

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2
Q

What is psychological stress?

A

Emotional strain or tension resulting from adverse or demanding circumstances, often involving anticipation

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3
Q

What is eustress (good stress)?

A

Positive stress which is beneficial and motivating; typically, the experience of striving for a goal which is within reach. Eustress is motivating

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4
Q

What is distress (bad stress)?

A

Negative stress which is damaging and harmful.
Typically occurs when a challenge (or threat) is not resolved by coping or adaptation.

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5
Q

What is homeostasis?

A

Maintaining internal environment necessary for cell functioning

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6
Q

What is allostasis?

A

How complex systems adapt in changing environments, by changing set-points (“adaption through change”)

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7
Q

What is allostatic load?

A

Refers to cumulative exposure to stressors, which if unrelieved leads to systems ‘wearing out’.

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8
Q

What is acute stress?

A

Short-lived response to a novel situation experienced by the body as a danger.
It is healthy & adaptive, and necessary for survival

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9
Q

What is chronic stress?

A

Arises from repeated or continued exposure to threatening or dangerous situations, especially those that cannot be controlled.
Some (but not all) involve appraisal and conscious perception

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10
Q

Give some examples of chronic stressors

A

Physical illness, disability & pain
Physical or sexual abuse
Poverty including poor housing, hunger, cold or damp debt
Unemployment
Bullying or discrimination
Caregiving

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11
Q

What are the 5 elements of the human stress response?

A

Biochemical
Physiological
Behavioural
Cognitive
Emotional

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12
Q

What are stress responses mediated via?

A

Autonomic nervous system (sympathetic-adrenal-medullary (SAM) system) & hypothalamo-pituitary (HPA) axis

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13
Q

What are the inflammation and immune response mediated and modified by?

A

Adrenaline and cortisol

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14
Q

What is the biochemical and molecular stress response for acute stress?

A

Immune suppression

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15
Q

What is the biochemical and molecular stress response for chronic stress?

A

Partial immune suppression + low-grade chronic inflammatory response; ? effects on gene expression

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16
Q

What is disrupted in a chronic stress response?

A

Balance between immune activation & autoimmunity

17
Q

What are the fast physiological stress responses?

A

Blood flow increases up to 400%, directed to heart & muscles
Increased heart rate & blood pressure
Muscles tense
Glucose released, insulin levels fall: boost energy to muscles
Red blood cells discharged from the spleen
Mouth becomes dry & digestion is inhibited
Sweating
Cytotoxic & surveillance WBCs go where injury & inflammation may occur i.e. bone marrow, skin, lymph nodes

18
Q

Give some examples of the physical effects of chronic stress

A

Headache
Chest pain
Stomach ache
Musculoskeletal pain
Low energy
Loss of libido
Colds & infections
Cold hands & feet
Clenched jaw & grinding teeth

19
Q

What are some behavioural responses to stress?

A

Easily startled & hypervigilant
Change in appetite – both directions
Weight gain (obesity) or weight loss
Procrastinating and avoiding responsibilities
Increased use of alcohol, drugs & smoking
Nail biting, fidgeting and pacing
Sleep disturbances especially insomnia
Withdrawal

20
Q

What are some cognitive responses to stress?

A

Constant worrying
Racing thoughts
Forgetfulness and disorganisation
Inability to focus
Poor judgement
Being pessimistic or seeing only the negative side
Altered learning

21
Q

What are some emotional responses to stress?

A

Depression & sadness
Tearfulness
Mood swings
Irritability
Restlessness
Aggression
Low self-esteem and worthlessness
Boredom & apathy
Feeling overwhelmed
Rumination, anticipation & avoidance

22
Q

What are the key parts of the brain that mediate responses to stressors?

A

Amygdala
Hippocampus

23
Q

What type of illnesses is stress related to?

A

Cardiovascular
GI
Those with strong ANS connections

24
Q

How does stress affect physical illnesses?

A

Exacerbates physical illnesses
Slows recovery
Increases susceptibility to infection

25
Q

How does stress affect cancer?

A

Stress linked to survival rather than incidence

26
Q

How does stress affect cardiovascular disease?

A

High blood pressure
Abnormal heart rhythms
MI
Stroke

27
Q

How does stress affect skin and hair problems?

A

Acne
Psoriasis
Eczema

28
Q

How does stress affect GI?

A

Inflammatory bowel disease
Irritable bowel syndrome

29
Q

What are the effects of PTSD?

A

Vivid flashbacks & nightmares
Intrusive thoughts and images
Sweating
Nausea
Trembling
Hypervigilance & increased startle response
Agoraphobia
Insomnia
Irritability
Impaired concentration

30
Q

What can help with stress management?

A

Shiatsu, T’ai Chi, Yoga
Mindfulness
Meditation
Exercise
Sleep hygiene
Friends and family
Healthy diet
Exposure to natural environments
Aromatherapy
Cognitive Behavioural Therapy