Stress Flashcards
What is Stress?
A state of physiological or psychological strain caused by an event that tends to disturb the functioning of the body
What is a stressor?
- A stimulus that causes the stress response
- e.g. an exam, a relationship breakdown or moving house.
What pathways deal with short term effects of stress?
The sympathomedullary (SAM) pathways
Describe how the SAM pathways deal with short term effects of stress
- The hypothalamus activates the sympathetic branch of the autonomic nervous system causing the adrenal medulla to release adrenaline
- This stress hormone gets the body ready to fight or flight by increasing the arousal of the sympathetic nervous system and so lead to increased heartbeat, blood pressure, breathing rate and inhibit digestion
What axis regulates and controls the body’s longer response to stress?
The hypothalamic-pituitary-adrenal axis (HPA)
What organs help regulate and control the body’s longer response to stress with the HPA?
- The hypothalamus
- The pituitary gland
- The adrenal gland
Describe how the HPA and other organs regulate and control the body’s longer response to stress
- In response to a stressful situation the hypothalamus activates the pituitary gland, which causes ACTH to be released, which stimulates the adrenal cortex to release corticosteroids, such as cortisol.
- These stress hormones have a number of functions, they cause the liver to increase the release of glucose and suppress the immune system and control swelling after injury
Which “organs” can sense if your blood contains the right level of cortisol?
- Hypothalamus
- Pituitary Gland
What happens if your cortisol levels are too low?
- Your brain adjusts the amount of hormone it makes
- Your adrenal gland picks up on these signals, then they fine tune the amount of cortisol they release
What happens to cortisol when your body is on high alert?
- Cortisol can alter or shutdown functions that get in the way
- This may include the digestive system. reproductive system, your immune system, or even your growth processes
Role of Cortisol
- Essential hormone that affects almost every organ and tissue in your body
- Plays an important role in regulating your body’s stress response
- Helps control your body’s use of fats. proteins and carbohydrates, or your metabolism
- Helps maintain blood pressure, immune function and the body’s anti-inflammatory processes
How does cortisol maintain blood pressure and why is this bad?
- Cortisol constricts blood vessels and increased blood pressure to enhance the delivery of oxygenated blood
- Advantageous for fight or flight situations but over time, arterial constriction and high blood pressure can lead to vessel damage and plaque build up, this can lead to cardiovascular disorders
What is Cushing’s syndrome?
A disorder where the body makes too much of the hormone cortisol over a long period of time
Whats Addison’s disease?
A disorder where the body makes too little of the hormone cortisol
Describe how Cortisol goes through the body?
- When the PAS system is activated the pituitary gland releases ACTH which travels via the bloodstream to the adrenal cortex and releases stress-related hormones, including cortisol.
- Cortisol permits a steady supply of blood sugar to give an individual energy to deal with the stressor, by tapping into protein stores via gluconeogenesis in the liver.
- This energy can help an individual fight or flee a stressor. However, elevated cortisol over the long term consistently produces glucose, leading to increased blood sugar levels.
- Over time this can lead to impaired cognitive ability and reduced immune functioning.
Cortisol AO3
Newcomer et al (1999)
- Found participants given levels of cortisol high enough to produce blood-sugar levels similar to those experiencing major stress events, were poorer at recalling prose passages
- compared to participants given cortisol only high enough to produce a stress response similar to minor surgery (e.g. stitches out)
- Suggesting high levels do impact on cognitive functions.
Cortisol AO3
Vgontzas et al (2013)
Found chronic insomniacs had increased PAS system leading to high levels of ACTH and cortisol.
Who came up with The General Adaptation Syndrome (GAS)?
Hans Selye
What did Selye argue?
Selye argued that stressors produce the same reaction in all animals (including humans).
What is GAS?
- A 3 stage set of physiological processes which prepare, or adapt, the body for danger so that we ready to stand a better chance of surviving it compared to if we remained passively relaxed when faced with a threat
What are the three main stages of GAS?
1) Alarm Reaction
2) Resistance
3) Exhaustion
Explain the “Alarm Reaction” stage in GAS
- The ANS responds to stress and the SAM and HPA are activated.
- Thus, the stress hormones, corticosteroids, cortosol, adrenaline, and noradrenaline are released and the body is ready for “fight or
flight”. - Heartbeat, blood pressure, and breathing rate increase and sugar is released into the blood to provide the body with energy.
Explain the “Resistance” stage in GAS
- The parasympathetic nervous system takes control as the body attempts to cope with the stress.
- The alarm symptoms disappear and the body appears to have returned too normal but stress hormones are still being released at an increased level.
- The body cannot continue to resist the stress indefinitely because it cannot generate new resources at the same speed as they are being used.
- If the stress ceases or is resolved then damage is unlikely, but if it persists the adrenal glands become enlarged and resistance declines further.
Explain the “Exhaustion” stage in GAS
- This is when the stressor persists until the body is no longer able to cope as its resources and defences are exhausted.
- The alarm symptoms reappear and the adrenal glands no longer function normally.
- If the stress does not cease, the
damaged adrenal glands can cause the parasympathetic nervous system to fail, and suppression of the immune system. - This leaves the body vulnerable to
stress-related illnesses, such as high blood pressure, heart disease, etc., and possibly death.
Briefly Summarise how Selye (1956) developed the GAS model of stress
- Selye developed his model after measuring the effects of stress on rats suffering various stressful conditions, such as extreme cold, electric shocks and invasive surgery, and generalising the findings to humans
Strengths of the physiological response to stress
- GAS was the first theory to explain the physiological effects of stress, influencing many later theories and a lot of research, especially into the negative effects of stress upon health.
- Research into the physiological response to stress has had positive implications for helping people cope with stress, especially with its contribution to research into and the development of medicines to reduce the physiological response to stress.
Weaknesses of the physiological response to stress
- Research fails to consider the effect of psychological processes on how we physically respond to stress, as it could be that those with more resilience respond in a different physiological way
- Most of Selye’s research was on rats and his theory assumes that the response remains the same to all stressors, which is not the case with humans, who have individual responses, depending on the stressor
What factors play a role in stress-related illness?
- Immunosuppression
- Cardiovascular disorders
What is immunosuppression?
The impaired ability of the immune system to fight antigens and diseases.
What is a cardiovascular disorder?
The dysfunctionality of the heart and blood vessels
How may cortisol:
- Be effective?
- Harm?
- Occasional Production
- Sustained Production
How does sustained production of cortisol harm?
Reduces the production of lymphocytes that fight antigens, leaving one vulnerable to infections.
Stress is linked to…
… cardiovascular disorders (e.g. high blood pressure).
Does stress directly cause infections?
No, it only increases the body’s vulnerability to infections.
What are the two types of lymphocytes?
B - Cells
T - Cells
What are B - Cells?
Produces antibodies which are released into the fluid surrounding the body’s cells, destroying the invading viruses and bacteria.
What are T - cells?
If the invader gets inside a cell, they lock onto the infected cell, multiply, and destroy it.
How did Keicolt-Glaser (1984) study immunosuppression?
- Studied the response of the immune system to stress using a natural situation (exams). He took blood samples from 75 first year medical student volunteers one month before exams (baseline sample) and on the first day of exams (stress sample).
- The amount of T cell activity declined between the two samples, suggesting a negative correlation between stress and the immune response.
Evaluation points of Keicolt-Glaser (1984):
- Immune functioning is also affected by psychological variables (e.g. life events, loneliness).
- This research is a correlation so cause and effect cannot be established.
- It was a natural experiment using a natural form of stress so has reasonable ecological validity but
population validity is low.
How did Cohen (1993) study immunosuppression?
- Investigated the role of general life stress on vulnerability to the common cold virus. 394 participants completed questionnaires on stressful life events, degree of stress, and negative emotions. The participants were then exposed to the virus, with 82% becoming infected.
- The findings were that the chance of developing a cold was correlated to stress index scores.
Evaluation points of Cohen (1993):
- There were no direct measures of immune function, making it an indirect study.
- It measures health outcomes, showing a relationship between life stress and illness.
- No manipulation of the IV (stress index), so cause and effect can’t be established.
How can chronic stress negatively impact cardiovascular disorders?
- Blood pressure increases as part of the “fight or flight” response of the ANS.
- The increased blood pressure and heart rate can damage the blood vessels, as the blood is being pumped faster and at a higher pressure through the blood vessels.
- Consequently, the arteries become scarred, hardened, and less elastic.
- Hardened or narrowed arteries may be unable to supply the amount of blood the body’s organs need.
- When high blood pressure persists (over weeks) begins the process of arteriosclerosis
How did Williams (2000) study cardiovascular disorders?
- Studied if anger was linked to heart disease by giving a 10 question anger scale to 13,000 participants.
- They checked the health status of the participants 6 years later, with 256 developing heart attacks.
- Those with high scores were 2 1/2 times more likely to have a heart attack than those with low scores.
- This suggests a correlation between anger and cardiovascular disorders.
Evaluation points of Williams (2000):
- Diet, smoking and genetics can also contribute to cardiovascular disorders.
- There is only a correlation, so no cause and effect can be established.
- Personality plays a role in stress responses.
How did Wilbert-Lampen (2008) study cardiovascular disorders?
- Found that on the days when Germany played in the 1996 World Cup, there was a 2.66x increase in the number of cardiac emergencies on those days, compared to the days when Germany didn’t play.
- Acute stress (e.g. watching your team play a match) doubles the risk of a cardiovascular event.
What is the Social Readjustment Rating Scale? (SRRS)
A scale devised by Holmes and Rahe (1967) including 43 life changing events
What is a Life Change Unit (LCU)?
- An overall LCU score can be calculated by adding the LCUs for all the life changes experienced in the last year
- Examples include: Marriage (50 LCUs) and Changing jobs (36 LCUs)
- Holmes and Rahe suggest a high LCU score can predict illness.
What are life changing events?
Positive & negative life events that may cause stress and illness, requiring readjustment
Explain how Holmes and Rahe (1967) devised the SRRS
Whilst working in a hospital they noticed that many patients with heart disease reported significant life events in the year leading up to heart disease.
Upon examining the records of 5000 patients they generated a list of 43 events and asking 400 people to rate them.
They introduced the concept of life events as a change in life circumstances that require some psychological adjustment.
They asked the 400 people to compare 43 life events, rating the psychological impact that would be required for each event.
Each event was given an impact value in the form of a life changing unit (LCU).
Death of a spouse was assigned an arbitrary value of 100 LCU whereas minor violation of the law was given an LCU of 11.
LCUs are added up for all critical events experienced in the preceding 12 months.
What were the results of Holmes and Rahe (1967)
They found:
- A score of under 150 increases the chance of stress-related illness by 30%
- A score of over 300 is a major crisis and increases the risk to 80%
How did Rahr (1970) study support SRRS?
Rahr made 2,500 sailors complete the SRRS, then tracked the sailor health status of each sailor over the next 6 months.
A significant positive correlation of 0.118 between LCU and illness scores was found.
Evaluation points for Rahr (1970) study:
Rahr’s sample was restricted to American (ethnocentric) males (androcentric, beta bias).
Cultural bias (America recognises divorce, some cultures frown upon it).
Other factors play a role as there isn’t a perfect correlation.
Personality/individual differences (e.g. one may celebrate divorce, one may find it traumatic).
Evaluation points for SRRS:
Individual differences:
-Some react to same events differently.
- Different personality types & coping mechanisms.
- Cultural bias.
- Validity and reliability, as SRRS is repeatedly used for studies.
- Only a correlation of 0.118 (Rahr (1970)), cause and effect can’t be established, other factors may play a role.
What is a daily hassle?
A daily hassle is a minor event that arises in the course of a normal day
They are usually short-lived but they may linger if left unresolved and the ‘after-effects’ of unresolved issues may then intensify over time as they accumulate with subsequent hassles
What is a daily uplift?
A daily uplift is a positive, desirable experience that makes a daily hassle
more bearable