Physiology and Psychology of stress Flashcards

(38 cards)

1
Q

define stress

A

Stress is defined as the body’s nonspecific response or reaction to demands made on
it, or to disturbing events in
the environment

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2
Q

when does stress arise

A

Stress arises when individuals perceive that they cannot adequately cope with the demands being made on them, or with threats to their well-being

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3
Q

what are the theories of stress

A
  • Fight-or-flight theory (Cannon,
    1932)
  • General Adaptation Syndrome
    (Selye, 1956)
  • Cognitive Appraisal Theory
    (Lazarus & Folkman, 1984)
  • Generalised Unsafety Theory
    of Stress (Brosschot et al.,
    2018)
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4
Q

Fight-or-flight theory (Cannon,
1932)

A
  • When an organism perceives threat, the
    body is rapidly motivated and aroused via
    Sympathetic nervous system
    Endocrine system
  • organism’s physiological response allows
    organism to attack threat (aggressive,
    active response -fight) or flee (withdrawal from the threat)
  • Adaptive role, as allows for rapid
    response to threat (i.e., SAM and acute
    stress), but this can also be harmful (i.e.,
    chronic activation of HPA axis where
    dysregulation can cause both physical
    and psychological harm)
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5
Q

General Adaptation Syndrome
(Selye, 1956)

A
  • Non-specific response: the body responds to stress with the same pattern of physiological responding, regardless of the type of stressor
  • Organism confronts stress, mobilises for action (fight or flight -SNS is stimulated), occurs with continued exposure to the stressor then PNS compensates, and lastly physiological resources are then depleted at exhaustion phase
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6
Q

Criticisms of Canon and Selye’s models - name 3

A

Cognitive appraisal is important and it’s not addressed
stress responses is influenced by perceptions, individual differences, pre-existing physical and mental health
Not all stressors produce same physiological response
Damage/exhaustion may result from continued activation (‘resistance’) as opposed
to depletion of physiological resources
Stress is assessed as an outcome

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7
Q

Cognitive Appraisal Theory
(Lazarus & Folkman, 1984)

A

Stress results from imbalance between demands & resources
Psychological stress occurs when an individual perceives environmental
demands as exceeding their adaptive capacity
The interpretation of the stressful event is more important than the event itself
Takes anticipatory anxiety into account

Appraisal involves a two-step process:
Primary appraisal process –
assessment of situation
Secondary appraisal process –
assessment of coping abilities
& resources

Interpretation of a stimulus, presented in a given situation, results in
production of stress response IF the stimulus is considered to be a threat

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8
Q

Generalised Unsafety Theory of Stress

A

Emphasising importance of perceived safety as opposed to perceived danger
Stress response is always active, or on standby, perception of safety in environment regulates and inhibits the stress response

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9
Q

define stress, with regards to the physiology of stress

A

Stress = exposure to noxious stimuli (stressors)
(E.g. physical trauma, prolonged heavy exercise, infection, shock, prolonged exposure to cold, sleep deprivation, pain, fright, emotional stress)

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10
Q

regarding the physiology of stress, what does it result in

A

Results in disruption of homeostasis (body responds to demands) and a cascade of changes in CNS, endocrine and immune systems

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11
Q

Sympathetic nervous system effects of adrenaline and noradrenaline - name 3

A
  1. Increased hepatic and muscle glycogenolysis (provides quick source
    of glucose)
  2. Increased breakdown of adipose tissue triacylglycerol (provides a supply of glycerol for gluconeogenesis and of fatty acids for
    oxidation)
  3. Decreased fatigue of skeletal muscle
  4. Increased cardiac output secondary to increased cardiac contractility and heart rate
  5. Diverting blood from viscera to skeletal muscle by means of vasoconstriction in the visceral organs and vasodilation in the skeletal muscles
  6. Increased ventilation + dilated bronchi
  7. Increased coagulability of blood
  8. Dilated pupils
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12
Q

effects of cortisol

A

Effects on organic metabolism
* Stimulation of protein catabolism
* Stimulation of liver uptake of amino acids and their conversion to glucose (gluconeogenesis)
* Inhibition of glucose uptake and oxidation by many body cells (“insulin antagonism”) but not by brain
* Stimulation of triacylglycerol catabolism in adipose tissue, with release of glycerol and fatty acids into the blood
2. Enhanced vascular reactivity - increased
ability to maintain vasoconstriction in response to noradrenaline and other stimuli
3. Unidentified protective effects against the
damaging influences of stress
4. Inhibition of inflammation and specific immune responses (Anti-inflammatory response)

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13
Q

other hormones, apart from adrenaline and cortisol, released during stress

A
  • Aldosterone
  • Vasopressin (ADH)
  • Growth hormone
  • Glucagon
  • Β-endorphin
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14
Q

respiratory effects of acute stress

A

Rapid shallow breathing

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15
Q

Cardiovascular effects of acute stress

A
  • ↑ HR,
  • Stronger contractions
  • Dilation heart
  • Redirection blood to large
    muscle group
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16
Q

respiratory effects of chronic stress

A

dysregulation of ANS
Bronchial hyperresponsiveness and
inflammation
Exacerbation asthma, COPD

17
Q

cardiovascular effects of chronic stress

A

Oxidative stress, endothelial
dysfunction, inflammation
Atherosclerosis
Compromised vascular function,
hypertension
dyslipidemia

18
Q

GI effects of stress

A

GI EFFECTS
(activating α-adrenergic rec in SM)
* Delayed gastric emptying
* ↓ intestinal transit
* ↓ blood flow to gut
* Inhibit GI secretion and nutrient
absorption

19
Q

musculoskeletal effects of stress

A

MUSCULOSKETAL (Chronic effects prologned
cortisol
* Muscle wasting
* ↓ bone density (inhibit osteoblast activity and
promote osteoclast function)
* Tension headaches, TMJ disorder, prolonged
recovery injury

20
Q

immune system effects of chronic stress

A
  • Suppress immune function
    (inhibit production of pro
    inflammatory cytokines)
  • Reduce activity of immune cells
  • Infection susceptibility
  • Delayed wound healing
  • Exacerbate inflammatory
    conditions
21
Q

REPRODUCTIVE system effects of chronic stress

A
  • Suppress Gonadotropin
    releasing hormone from
    hypothalamus, ↓ LH, ↓ FSH
  • Menstrual irregularities
  • Anovulation / infertility
  • Erectile dysfunction, ↓ sperm
    quality
  • Exacerbate PCOS
22
Q

trauma response of flight

A

Chronic rushing / always on go
Feeling uncomfortable / panic when still
Difficulty maintaining relationships
Feels trapped easily
Struggle with rest time, overworks
Often presents as anxiety / panic attack

23
Q

trauma response of fight

A
  • Explosive, unpredictable temper
  • Taunt, mock, insult, shame
  • Yell, scream
  • Protect self at any cost
24
Q

trauma response of flop

A
  • Total bodily collapse
  • Loss of control of bodily
    functions
  • Total disorientation
  • Appears disengaged and lacking
    emotions
  • Complete submission (to the stressor)
25
trauma response of fawn
(move towards trauma) * People-pleasing * Going along with others without connecting with own beliefs/values * Dissociating / spacing out * Letting others make decisions * Overly polite and agreeable * Rely on others to solve problems
26
trauma response of freeze
* Feeling completely ‘numb’, life is pointless * Shutdown (social withdrawal, complete avoidance) * Procrastination, difficulty making decisions * Endless social media scrolling / binge TV * Often misdiagnosed as depression
27
good coping strategies - problem solving
* Seeking help * Obtain information * Make and implement plan * confrontation
28
good coping strategies - emotion reducing
* Ventilation of emotion * Evaluation of problem * Positive reappraisal of problem * Avoidance of problem
29
Maladaptive coping strategies
(reduce emotional response in short term, greater difficulties in long term) - Alcohol / drugs - Deliberate self harm - Unrestrained display of feelings (can damage relationships) - Aggressive behaviour
30
Defence mechanisms (unaware of consciously)
* REPRESSION – exclude memories from consciousness * DENIAL – live as if not accepted stressor * DISPLACEMENT – transfer emotion to another source * PROJECTION – attribute own feelings / thoughts to another * REGRESSION – behaviours in earlier stage of development * REACTION FORMATION – adopt opposite behaviours * RATIONALIZATION – false but acceptable explanation * SUBLIMATION – diversion to acceptable outlets * INDENTIFICATION – adoption of others characteristics (often in grief)
31
benefits of stress - short term
As well as keeping you safe from danger there are positives to the stress response in the short-term: * is a powerful motivator * can enhance your resilience and problem-solving skills * can promote personal growth and self-improvement * can improve cognitive function
32
when stress becomes anxiety
Anxiety occurs when the stress response affects your daily functioning. * Either: 1. The mind incorrectly interprets something as a threat (exams don’t actually prevent your survival as a species). 2. The mind perceives a threat but provides a response that is not proportionate to the threat (panic attack at the sight of any spider). 3. The panic response is prolonged and extended beyond that which is helpful for survival (threat is removed and remains in high state of alert).
33
give examples of Pathological Stress
* Numb / dazed * Difficulty remembering event * Insomnia / Restlessness * Autonomic arousal (sweating, palpitations, tremor) * Dissociation / disorientation * Avoidance * Despair / hopelessness
34
hyperarousal of PTSD
* Persistent anxiety * Irritability * Insomnia * Poor concentration
35
RE-EXPERIENCE ASPECTS OF STRESSFUL EVENT of PTSD
* Intense intrusive imagery * Flashbacks * Recurrent distressing dreams
36
AVOIDANCE OF REMINDERS of PTSD
* Difficulty recalling event at will * Avoidance of reminders of event * Detachment * Inability to feel emotion (numbness) * Diminished interest in activities
37
Adverse effects of Stress
Over engagement Over-reactive emotions (relationships with colleagues suffer) Urgency and hyperactivity leads to mistakes Loss of energy Increased risk of developing anxiety disorder Primary damage is physical Premature death
38
Adverse effects of Burnout
Disengagement Blunted emotions Produces helplessness and hopelessness Loss of motivation, ideals and hopes Increased risk of depression Primary damage is emotional May make life seem not worth living