Stress Flashcards
What is Behavioural Medicine?
Psychological approach combined with traditional medical knowledge
> Doctors have admitted that there is a clear relationship between mind and body (Descartes - Dualism).
> Relationship b/w stress and health is SO consistent/ reliable, we should accept most findings – undeniable.
Correlation b/w Personality and Stress?
Those with Neuroticism have been found to be highly correlated w/ anxiety
> see more things as stressful
> correlated w/ many disorders - anxiety, depression, hostility
> Frequent/ constant anxiety
> Constant readiness for fight or flight
What is a STRESSOR?
Any stimulus (usually external) that is subjectively perceived as aversive or threatening and requires some sort of action/ reaction on your part.
2 Physiological Pathways of Stress?
> Hypothalamus signals Automatic Nervous System
or
Hypothalamus signals Pituitary Gland
Pathway of Stress Signals through the Hypothalamus and the ANS?
> Threat is perceived by the Hypothalamus and it signals (electrochemical) the ANS
ANS signals the inside of adrenals to release Catecholamines (epinephrine, norepinephrine)
RESULTS
> Blood flow to mscs increases, mscs release glucose for energy, HR/ BP increases = a stress reaction so body is prepared for action - fight or flight (get away from danger)
Pathway of Stress Signals through the Hypothalamus and the Pituitary Gland
> Threat is perceived by Hypothalamus and it signals the Pituitary Gland
Pituitary releases ACTH
ACTH activates outer side of adrenal glands to release Corticosteroids.
RESULTS
> Similar to ANS activity
> Blood flow increases, increased glucose, protein, fat breakdown for energy in order to fight or flee
> = Increased Behavioural Responsiveness to stressor
The importance of Corticosteroids (Cortisol)?
Necessary and critical for dealing w/ stress
Physiological results of Prolonged Stress?
> Reduces Function of Adrenals/ Pituitary/ Hippocampus
Sustained/ Prolonged exposure to stress (abuse, war, torture) can cause shrinkage/ damage to brain tissue
Prolonged Stress in monkeys revealed damage/ shrinkage of the hippocampus (learning/ memory)
The monkeys end up dying from stress if they are on the bottom of the social hierarchy
Top 25% of high anxiety people are more likely to have cancerous pre-malignancies.
Increased/ Chronic high BP
organ damage
Coronary Heart Disease (CHD)
Impaired immune response - leading to more colds/ sickness
Increased inflammation
Heart attacks/ strokes
Those who repress stressful things had very high blood Cortisol levels
Student Stress Scale (4 Perceived Stressors)?
CONFLICT
- Conflict b/w 2 incompatible sources of action
FRUSTRATION
- When you want something that you can’t have
- Feel deprived of something you’re used to (break up)
PRESSURE
- From expectations/ demands of others
- Unrealistically high expectations set on oneself
CHANGE
- Major or minor event that involves readjustment
Delongis’ Hassles and Uplifts Scale
Scale from 0-3 on whether event is a hassle or uplift
> Hassles are a better predictor of physiological/ psych problems.
> More hassles + more intense = poorer health
> Family = biggest hassle and uplift
> Stress sweat smells worse than active sweat
Are the same things stressful to everyone?
No there are big individual differences in what is perceived as stress inducing for most situations (it’s in the eye of the beholder).
Lazaras’ Stress Appraisal Model (SAM)?
A cognitive model to assess individual differences in what is seen as stressful
3 Interrelated Processes of Appraisal?
1) Primary Appraisal
- first take now whether situation is stressful (is it threatening or will it cause harm?)
2) Secondary Appraisal
- What kind of response does situation call for (many options)
3) Coping
- Actual effort to deal w/ stressful situation - find best way to handle threat.
Correlation between a Neurotic Personality and Stress?
Those high in NEUROTICISM
> Appraise more things as stressful
> One main trait is anxiety
> Highly emotionally reactive - upset more frequently/ with more intensity
> More susceptible to physiological/ psych DOs
> Correlation b/w personality/ behaviour (obesity, smoking, bad diet) and Coronary Heart Disease (CHD).
Friedman & Rosenman study on stress and heart health?
> First study on personality and stress affecting heart health
Assessed cholesterol and blood clotting speed in tax accountants
Healthy levels most of the year
During tax season, blood clotting speed decreased and cholesterol raised to dangerous levels.
Levels returned to normal after tax season
External stress can predict heart attack risk
Type A vs Temperament test results?
Group A
- hostile, reactive, rushed
Group B
- relaxed, unhurried, laidback
By end of study 10% of people had heart attacks and 69% of the were type A
Type A personality…
- unhealthy lifestyle (smoke/drink/ eat)
- Very physiologically activated when stressed > lots of hormones, high BP/ HR
- Toxic, angry, reactive
Hostility development/ impact on life?
> Relatively stable emotional/ behavioural tendencies related to cynicism and distrust in others
Intense anger expression
Strongly related to CHD and other ailments
Family environment is relevant
Home life was difficult (parents were punitive, hostile, rejecting, over-protective)
Relationship between Hostility and early demise?
Students who were hostile/ cynical were 5x more likely to die by middle age.
Cohen study on stress and immune function?
> Strong relationship b/w stress and upper respiratory infection
Low on positive emotions = 3x more likely to get cold and complain more about the cold
Those most mad from a fight with spouse had more decreased immune function
Death of spouse led to decreased immune function
3 Behavioural strategies to Cope w/ Stress?
> Problem Focused - change and/ or deal with the source of stress
- planning
- active coping/ problem solving
- exercise restraint
- assertive confrontation
- Best to use when there is a clear solution
> Emotion Focused - Centred on emotional reaction, make yourself feel better about the situation.
- acceptance
- denial
- relaxation techniques
- escape/ avoidance
- control feelings
- Only option to use when there isn’t a clear solution
> Seek Social Support
- help/ guidance
- emotional support
- affirmation of worth
- tangible aid
Relationship b/w Extraversion and Immune Function?
Cohen
> High sociability was associated w/ immunity to colds
> Extraversion related to many positive affects.
Negative Coping Mechanisms?
- Aggression
- Excessive Consummatory Behaviour ( if you are already predisposed then those tendencies are exacerbated during stress)