stress Flashcards

1
Q

Psychological stress (response)

A

Mental or emotional strain or tension resulting from adverse or demanding circumstances.

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2
Q

Physiological stress (response)

A

Sensory, emotional and subjective experience associated with potential damage of body tissue and bodily threat

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3
Q

types of stress

A

Eustress (‘good stress’) Positive stress which is beneficial and motivating; typically the experience of striving for a goal which is within reach. Eustress is motivating.

Distress (‘bad stress’) 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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4
Q

acute stress

A

Short-lived response to a novel situation experienced by the body as a danger (usually without conscious processing). It is healthy & adaptive, and necessary for survival. E.g. noise, fire, hunger, brief illness

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5
Q

chronic stress

A

Arises from repeated or continued exposure to threatening or dangerous situations, especially those that cannot be controlled e.g. physical illness, abuse, poverty

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6
Q

3 phases of the general adaption syndrome

A
  1. Alarm – threat or stressor identified or realised; body’s response is state of alarm (fight or flight)
  2. Adaption – body engages defensive countermeasures
  3. Exhaustion – body runs out of defences, resources depletes
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7
Q

5 elements of the human stress response

A
  1. Biochemical
  2. Physiological
  3. Behavioural
  4. Cognitive
  5. Emotional
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8
Q

how are stress responses mediated

A

Stress responses are primarily mediated via the autonomic nervous system (sympathetic-adrenal-medullary (SAM) system) & the hypothalamo-pituitary (HPA) axis.
These responses lead to changes that influence future responses to stress, also reflecting brain plasticity

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9
Q

biochemical and molecular stress responses

A

Glucocorticoids(cortisol)
Catecholamines (adrenaline & noradrenaline)
• Acute stress: immune suppression
• Chronic stress: partial immune suppression + low-grade chronic inflammatory response

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10
Q

examples of physiological stress responses

A
  • Breathing more rapid to increase oxygen
  • Blood flow increases by up to 400% & directed to heart and 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 (saliva and mucus dry up)
  • Sweating
  • White blood cell redistributed where injury may occur i.e. bone marrow, skin, lymph nodes; less available elsewhere
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11
Q

later physiological responses to stress

A
  • Headache
  • Chest pain
  • Stomach ache
  • Musculoskeletal pain
  • Low energy
  • Loss of libido
  • Colds & infections
  • Cold hands & feet
  • Clenched jaw & grinding teeth
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12
Q

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
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13
Q

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
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14
Q

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
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15
Q

what are 2 key parts of the brain when responding to stress?

A

amygdala

hippocampus

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16
Q

allostasis

A

refers to how, to be adaptive, organisms change defended levels of one or more regulated parameters to adjust to new or changing environments. This involves multiple & complex systems (eg ANS and HPA axis) and dynamic change.

17
Q

allostatic load

A

cumulative exposure to stressors (and cost to the body of allostasis), which if unrelieved leads to systems ‘wearing out’.
The body’s continued attempts to restore balance take a longterm toll on physiological systems, including plastic changes to the brain itself.

18
Q

stress and illness

A

stress exacerbates physical illnesses and slows recovery

19
Q

PTSD

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