Stress & Coping Flashcards

1
Q

fight or flight response

A

hypothalamus releases corticotropin-releasing factor (CRF), which activates SNS to release norephinephrine, epinephrine, and dopamine; CRF also signals pituitary glands to release ACTH from the adrenal cortex (ANS) to help maintain homeostasis

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2
Q

adrenocorticotropic hormone (ACTH)

A

stimulates adrenal glands to release cortisol - mental alertness, focus, reduction of pain receptors, immunosuppressive and anti-inflammatory effects

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3
Q

general adaptive syndrome (GAS)

A

3 stages: alarm, resistance, exhaustion

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4
Q

alarm stage

A

increased BP & HR, blood glucose levels, oxygen intake, pupil dilation, mental alertness; prolonged to resistance stage

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5
Q

resistance stage

A

Parasympathetic NS attempts to bring back to homeostasis, body remains alert but hormone and other stuff return to normal as the body repairs any damage

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6
Q

exhaustion stage

A

body can’t defend itself against the stressor. resources exhausted. chronic exposure results in allostatic load (excessive wear and tear to organs)

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7
Q

allostatic load

A

chronic hypertension, depression, autoimmune disorders; from exhaustion stage of GAS

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8
Q

transactional theory of stress and coping (TTSC)

A

stress as a dynamic process and a transaction between a person and their environment

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9
Q

primary appraisal

A

evaluates whether poses a threat; interpretation of the stressors
if not -> dismissed

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10
Q

secondary appraisal

A

if threat -> resources you have that can cope with the stressor

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11
Q

reappraisal

A

repeats primary and secondary appraisals; constantly reassesses

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12
Q

acute stress

A

brief, positive or negative
immediate, triggers fight-or-flight response

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13
Q

episodic acute stress

A

frequent bouts of acute stress;
taking more than you can handle

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14
Q

chronic stress

A

stress levels are heightened, constant, and prolonged;
little or no control

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15
Q

acute stress disorder (ASD)

A

overwhelming event that causes an intense and dysfunctional reaction;

lasts more than a month -> PTSD common

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16
Q

developmental (maturational) stressors

A

as someone moves through stages of life

17
Q

adventitious stressors

A

disaster events; rare and unexpected

i.e. natural disasters, physical/sexual assault, terrorism

18
Q

cultural sterssors

A

live in a society where they don’t culturally fit or where they receive care that ignores their cultural beliefs

coping varies, different views

19
Q

7 stage model of crisis intervention

A
  1. assessment
  2. establish rapport - neutrality & nonjudgmental attitude
  3. identify client issues, provide insight, what lead to crisis
  4. encourage - explore feelings (active listen, reflect, paraphrase)
  5. explore past positive coping methods
  6. implement action plan - find support people
  7. follow-up to see if resolved