Lecture 7 - Health Stress and Sleep Flashcards

(34 cards)

1
Q

What are four linked biological systems that are particularly susceptible to psychological and environmental factors?

A
  • Autonomic nervous system (sympathetic and parasympathetic, which we have already discussed)
  • Endocrine system (HPA-Axis)
  • Immune system
  • Gut microbiome
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2
Q

What does HPA stand for in HPA-axis?

A

Hypothalamus-pituitary-

adrenal axis

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3
Q

What is the main jist of HPA-axis?

A

Sets in motion the stress reponse that promotes survival. Greater production and metabolism of glucose, anti-inflammatory properties, diverts energy from less immediate priorities

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4
Q

What are the step from HPA-Axis?

A
  • Hypothalamus releases corticotropin-releasing hormone/factor (CRH/ CRF) and vasopressin
  • CRH causes secretion of adrenocorticotropic hormone (ACTH) from the pituitary glands
  • ACTH causes production of glucocorticoids (mainly cortisol), adrenaline and noradrenaline by the adrenal glands
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5
Q

In situations of chronic stress or acute stress, what suppresses the immune system?

A

HPA-Axis

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6
Q

How is stress defined?

A

The stimulus itself (a stressor) or the response to the stimulus (for example, autonomic arousal)

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7
Q

What are the 3 steps in selye’s theory of the general adaptation syndrome?

A

Alarm, resistance, exhaustion

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8
Q

How does maternal stress, depression and anxiety prenatally affect the baby?

A

Lower birthweight and higher baseline HPA axis activity

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9
Q

Low quality care in children is associated with…

A

higher HPA axis activity, and more behavioural problems later in life

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10
Q

In environments with extreme deprivation, what happens to the HPA axis?

A

lower than normal HPA axis activity is noted (down-regulation of the pituitary gland)

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11
Q

Which lobe is particularly vulnerable to stress in adolescence?

A

Frontal lobe (involved in planning, inhibition, initiation, reasoning)

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12
Q

Why are adolescence highly sensitive to stress?

A

Sex hormones levels affect HPA activity

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13
Q

In adults, chronic stress is related to smaller ______

A

hippocampus (memory formation)

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14
Q

Decreased capacity of glucocorticoids to inhibit the HPA system leads to

A

Increased reactivity to stress

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15
Q

What are 3 protective factors?

A

Internal locus of control

Higher social status

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16
Q

what are 8 ways of coping

A
self-awareness
Time management and economy of effort
Cultivating social support system
Exercise and diet
Relaxation
Attitude
Automatic thoughts, locus of control, schemas
Artificial methods of coping
17
Q

What are the 2 major categories of sleep disorders

A

Parasomnias (transitions of sleep)

Dyssomnia (amount of sleep)

18
Q

What are the parasomnias sleep disorders

A

nightmare disorder, sleep terror disorder, REM sleep behaviour disorder, non-REM sleep arousal disorders

19
Q

What are the dyssomnia sleep disorders

A

Hypersomnia, insomnia, narcolepsy, circadian rhythm sleep disorder

20
Q

What’s nightmare disorder?

A

Repeated awakenings from sleep with detailed recal off extremely frightened dreams

21
Q

At what sleep period does nightmare disorder happen?

A

usually occurs in the last half of sleep period

22
Q

What is Non-Rem sleep arousal disorder?

A

Recurrent episodes of abrupt awakenings with amnesia for the epiosde

23
Q

What happens during Non-REM sleep arousal disorder?

A

Night terrors or sleep walking

24
Q

At what stage of the sleep period does non-REM sleep arousal disorder?

A

in the first third of sleep period

25
What is REM sleep behaviour disorder?
Repeated episodes of arousal during sleep associated with vocalization and/or complex motor behaviour
26
Which paraomnia is consistent with dream content?
REM sleep behaviour disorder
27
When does REM sleep behaviour disorder occur?
Last third of sleep period
28
What is hypersomnia?
Excessive daytime sleepiness for at least one month | Prolonged sleep periods and/or daily napping
29
What is insomnia?
Difficulty initiating sleep, maintaining sleep, or experiencing non-restorative sleep for at least one month
30
What is narcolepsy?
Irresistible attacks of refreshing sleep that occur daily for at least three months Cataplexy and/or intrusion of REM into sleep transitions
31
What is cataplexy?
Sudden bilateral loss of muscle tone
32
What is hypnopompic hallucinations?
waking - you're not fully awake and the dream intrudes
33
What is hypnagogic hallucinations?
fall asleep - you're not fully asleep yet and the dream intrudes
34
What is circadiam rhythm sleep disorder?
Excessive sleepiness or insomnia due to mismatch between sleep-wake schedule required by the environment and patient's circadian sleep-wake pattern