Stress Flashcards

1
Q

Define stress.

A

The nonspecific response of the body to any demand.

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2
Q

Describe General Adaptation Syndrome (GAS).

A

Consists of three stages: alert, resistance and exhaustion.

At the alert stage, cortisol and adrenaline are released. The body responds with fight or flight.

At the resistance stage, if the stressor has passed, the body returns to normal and repairs itself. If the stressor has not passed, the body adapts to live with this higher stress level. Cortisol will continue to be released. There may be outward signs such as irritability and poor concentration.

At the exhaustion stage, the body is no longer able to fight the stress effectively. Signs of exhaustion include depression and anxiety.

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3
Q

Describe the causes of stress.

A

Life events.

Work stress.

Personality type.

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4
Q

Describe the study by Chandola et al. (2008).

A

It is a longitudinal study investigating the link between workplace stress and coronary heart disease (CHD).

Sample consisted of 10,000 civil servants in London from both genders and a variety of age groups.

Findings show that work stress is a significant indicator of CHD in those under the age of 50.

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5
Q

Describe the study by Rahe (1970).

A

Social Readjustment Rating Scale (SRRS) given to 2500 male American sailors to assess the life events they had experienced in the previous six months. During the following six months, while the sailors were on a a tour of duty, their health status was recorded. Results showed that as life change score increased, so did frequency of illness.

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6
Q

Describe someone with type A personality.

A

Somebody who is prone to competitiveness, time urgency and hostility.

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7
Q

Describe someone with type B personality.

A

Somebody who is more relaxed, patient and easy-going.

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8
Q

Describe the study by Friedman and Rosenman.

A

They conducted a longitudinal study on 3,000 men. Half were assessed as type A and the other half were type B. They were followed for 8.5 years. Results showed those with type A were twice as likely to develop CHD than those with type B, even after smoking and lifestyle factors were taken into account.

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9
Q

State the biological measures of stress.

A

Functional magnetic resonance imaging (fMRI)

Pulse oximeter

Sample tests for salivary cortisol

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10
Q

Describe fMRI as a measure of stress.

A

It measures activity in the brain by tracking the changes in flow of oxygenated blood.

When a part of the brain is active it requires more oxygen so there will be increased cerebral blood flow (CBF) to that area.

Brain areas most active in response to stress include amygdala, hippocampus and hypothalamus.

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11
Q

Describe pulse oximeter as a measure of stress.

A

A small clip placed on finger and passes beams of light through finger.

It measures oxygen saturation and heart rate.

Increased heart rate indicates stress, although this is not always accurate.

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12
Q

Describe sample tests for salivary cortisol as a measure of stress.

A

It measures the level of cortisol in saliva. High level of cortisol indicates stress.

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13
Q

Describe the aim of Wang et al. (2005).

A

To use fMRI to measure CBF changes in response to mild and moderate stress as a result of a maths task.

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14
Q

Describe the sample of Wang et al. (2005).

A

30 Americans.

23 in experimental group, 7 in control group.

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15
Q

Describe the procedure of Wang et al. (2005).

A

Participants were given four MRI scans. The first and last were baselines, second was during a low-stress task and the third was during a high-stress task.

The low-stress task involved counting backwards from 1,000. The high-stress task involved substracting 13 from a four-digit number, answering aloud, receiving prompts to speed up and having to start again if an error is made.

Other measures of stress such as self report, salivary test for cortisol, pulse oximeter were used to increase concurrent validity.

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16
Q

Describe the results of Wang et al. (2005).

A

fMRI has high concurrent validity.

Stress is responsible for the changes of CBF in the right prefrontal cortex (RPFC).

17
Q

Describe the study by Evans and Wener (2007).

A

Evans and Wener (2007) used salivary cortisol as a measure of stress to investigate the effects of crowding on commuters. They studied 139 men and women travelling to work on a train journey. Salivary cortisol was collected at the end of the journey and again at the participants’ home the following weekend. Participants dribbled into a salivette to collect cortisol.

18
Q

State two psychological measures of stress.

A

Friedman and Rosenman’s personality test.

Social Readjustment Rating Scale (SRRS).

19
Q

Describe Friedman and Rosenman’s personality test.

A

A series of questions to classify a respondent as type A or type B based on competitiveness, time urgency and hostility.

Example question: “do you feel guilty if you use spare time to relax?”

20
Q

Describe the Social Readjustment Rating Scale (SRRS).

A

Compiled list of 43 events, ranked according to the amount of change thay cause.

Each event is given a score in terms of life change units (LCU).

The respondent must identify any of the events they experienced in the past year. Total score predicts how likely the person is to suffer a stress-related health breakdown.

21
Q

Explain two weaknesses of the study by Friedman and Rosenman.

A

Based on the idea that personality is a stable entity and does not vary according to time, mood and age.

Assumed a cause and effect
relationship between personality and CHD, when CHD could be due to a number of different factors.

22
Q

Describe biofeedback.

A

A medical device monitors physical processes such as heart rate and blood pressure. Immediate feedback is given to the patient. The patient then learn to do relaxation to reduce the physical processes and reduce the experience of stress.

23
Q

Describe the study by Budzynski et al. (1969).

A

Budzynski carried out an experiment on 15 patients who experienced tension headaches.

They were randomly allocated to one of three conditions. After being connected to the device, all groups were told to relax their forehead muscle as deeply as possible.

Experimental group was told the tone would vary with the level of tension in the muscle, and to keep the tone as low as possible.

The irrelevant feedback group was told that the continuous monotonous tone would help them to relax.

The silent group was told to relax as
deeply as possible, especially the
forehead muscle.

Mean level of muscle tension measured over five sessions.

Participants in the experimental group had significant reduction in muscle tension compared to the other two groups.

24
Q

Describe stress inoculation training (SIT).

A

A form of CBT. Three phases:

Conceptualisation. Involves discussing the nature of the problem with the therapist. Patients are taught about stressors and how they affect the body.

Skills acquisition and rehearsal. Patients are taught relaxation and problem-solving techniques to practice in the session.

Application and follow through. The client practices between sessions and they discuss with the therapist how it is going and make alterations as necessary.

25
Q

Describe the aim of Bridge et al. (1988).

A

To find out effect of relaxation and imagery on the stress experienced by cancer patients.

26
Q

Describe the hypothesis of Bridge et al. (1988).

A

Relaxation and imagery would lead to the most reduction in stress compared to patients in other conditions.

27
Q

Describe the sample of Bridge et al. (1988).

A

139 women diagnosed with early breast cancer.

All under the age of 70.

All attended a hospital in London.

28
Q

Describe the procedure of Bridge et al. (1988).

A

Women randomly assigned to three groups: control, relaxation and relaxation with imagery.

Relaxation involves deep breathing and directing awareness to certain muscle groups.

Imagery involves imagining a peaceful scene.

All participants were supervised by a researcher for half an hour once a week doing their practices, whereas those in control talk about themselves.

Profile of mood states questionnaire and Leeds general scale administered at the start and the end of the study.

29
Q

Describe the design of Bridge et al. (1988).

A

Longitudinal study lasting 6 weeks.

30
Q

Describe the results of Bridge et al. (1988).

A

Mood state for women in the
relaxation group and in the relaxation and imagery group improved after the six weeks, with the greatest improvement shown for the relaxation and imagery
group. In comparison, however, the mood state of women in the control group actually worsened after the six weeks.