Stress Flashcards

(35 cards)

1
Q

What is stress

A

-Stress is the gap between life demands and ones perceived ability to cope with them.
-The lower the perceived ability to cope the higher the stress

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2
Q

What are the three sources of stress

A

1)Physiology of stress;
General adaption syndrome model of stress (GAS)

2)causes of stress; Holmes and Rahe’s life events, work/Engineering model
- Personality model

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3
Q

1) Describe the GAS model of stress (Hans Selye)

A

-The GAS model describes a stage process through which the body changes biologically as a response to stress experience.

The body goes through 3 stages ; Alarm stage , Resistance stage , Exhaustion stage

-THE ALARM STAGE is the initial stage of stress response.The body mobilises the resources in readiness for flight or fright.
The amygdala is then activated and sends signals to the hypothalamus. The hypothalamus activates the sympathetic nervous system (SNS).

-The activated SNS causes the adrenal medulla to release cortisol catecholamines. The hypothalamus also signals the pituitary glands to release ACTH which stimulates the production of cortisol from the adrenal cortex.

-Adrenaline and cortisol help in increasing the heart rate and increases blood flow to the muscle to transport O2 , relaxation of airway muscle and increased blood sugar levels (liver is activated to breakdown glycogen) vasovagal constriction for increased blood pressure.

2)The RESISTANCE STAGE ,
after the alarm stage the body starts to resume normalcy via the parasympathetic division of neurons.
-If stress terminates the body repairs itself i.e heart rate and blood rate.
-However if the stress persists the body remains on high alert and adapts to living with a high stress level.
The adrenal gland will continue to secrete the stress hormone leading to an eventual depletion of resources

3)EXHAUSTION STAGE ,
-Here if the stress is chronic and prolonged the resources get depleted and the body will no longer be able to fight effectively.

-Stress related illnesses such as high blood pressure , type 2 diabetes will eventually develop.

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4
Q

What are the 3 stages in the GAS model of stress (only list them)

A

1)Alarm stage
2)Resistance stage
3)Exhaustion stage

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5
Q

Describe the Alarm stage in the GAS model of stress

A

-THE ALARM STAGE is the initial stage of stress response.The body mobilises the resources in readiness for flight or fright.
The amygdala is then activated and sends signals to the hypothalamus. The hypothalamus activates the sympathetic nervous system (SNS).

-The activated SNS causes the adrenal medulla to release cortisol catecholamines. The hypothalamus also signals the pituitary glands to release ACTH which stimulates the production of cortisol from the adrenal cortex.

-Adrenaline and cortisol help in increasing the heart rate and increases blood flow to the muscle to transport O2 , relaxation of airway muscle and increased blood sugar levels (liver is activated to breakdown glycogen) vasovagal constriction for increased blood pressure

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6
Q

Describe the Resistance stage in the GAS model of stress

A

2)The RESISTANCE STAGE ,
after the alarm stage the body starts to resume normalcy via the parasympathetic division of neurons.
-If stress terminates the body repairs itself i.e heart rate and blood rate.
-However if the stress persists the body remains on high alert and adapts to living with a high stress level.
The adrenal gland will continue to secrete the stress hormone leading to an eventual depletion of resources

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7
Q

Describe the Exhaustion stage in the GAS model of stress

A

3)EXHAUSTION STAGE ,
-Here if the stress is chronic and prolonged the resources get depleted and the body will no longer be able to fight effectively.

-Stress related illnesses such as high blood pressure , type 2 diabetes will eventually develop.

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8
Q

Evaluate the GAS model of stress

A

One strength of GAS is that it is a useful theory that helps us understand why people are
more likely to suffer with physical illnesses when they have been under chronic stress. For
example, it notes sustained levels of cortisol due to chronic stress causes suppression of the
immune system. This is a strength of the theory as understanding the links between stress
and illness may mean that we can attempt to identify people under stress earlier and be able
to mitigate its effects in order to reduce the harmful effects of it on a person’s health.

ISSUES AND DEBATES
Reductionism versus holism
Another weakness is that the GAS model fails to take into account gender differences
in stress response. For example, men are more likely to adopt the ‘fight or flight’
response whereas women tend to adopt a more ‘tend and befriend’ response (Taylor
et al., 2000). Tend and befriend is where women try to protect their children and
themselves from harmful stress (tend) and seek out social support from others, such
as friends, to help them to do this (befriend). This suggests that the GAS model is too
reductionist and does not take into account the complexities of the stress response in
different people.

Idiographic versus nomothetic
It takes a nomothetic approach, assuming that everyone will react to stress
in the same way. It does not take into account how different people react to stress. For
example, some people view it as a challenge than a threat and research has shown
e Windows
that those people are less likely to experience the negative physical effects of stress,
suggesting a more idiographic approach to stress would be more appropriate.to

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9
Q

2) Describe the engineering model by Holmes and Rahe

A

-According to this model stress is what happens to an individual and not what happens within them.
-Holmes and Rahe proposed that life events are the main cause of stress. They claim that life events could be major or minor.
-Major life events are those that cause major readjustments in a persons daily functioning. They affect finances, living conditions, eating habits etc.
-The more readjustments a person has to make the more adverse the life events

2) Work stress
-Work stress is another cause of stress. There are many dynamics at the workplace that are potentially stressful for example the physical environment , poor pay, strict deadlines etc.
These dynamics have been found to cause stress either directly by changing neuroendocrine mechanisms or indirectly by affecting health behaviours.

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10
Q

What are the two key topics under the engineering model

A

-Life events
-Work stress

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11
Q

Describe the example study by Chandola et al
(it is under work stress in the engineering model)

A

Aim:
-To investigate the link between work stress and coronary heart disease (CHD)

Sample :
-10,000 male and female civil servants in London UK obtained from 1985-2004.
-Obtained from the Whitehall II
-There were 7 phases over this time period (making this a longitudinal study) which involved postal questionnaires as well as alternate phases including a clinical examination.

Procedure :
-Work stress was assessed using the job strain questionnaire.
-When ss report job demands as high and job control as low this is recorded as job strain.
-Similarly iso-strain is recorded when job strain is reported alongside social strain at work.
A total work stress score was assigned to each ss based on the total number of reported incidents of work strain/iso strain in phase 1 and 2.

Results:
1) For those aged 39-49, at phase 2 there was a significant association between greater reports of work stress and higher risk of CHD events.

2) There was little association between work stress and CHD incidents for those aged 50 and over.

3)For the younger age group, greater work stress was associated poor health behaviours including eating less fruit and veggies , drinking more alcohol and being less physically active.

Conclusion :
-The study shows that work stress is a significant indicator of CHD events in those under the age of 50, partly due to the increase of unhealthy behaviours but partly due to physical changes (increased cortisol) as a direct result of work stress.

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12
Q

Evaluate the engineering model

A
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13
Q

3) Describe the personality model by Friedman and Roseman (1978) - Under sources of stress

A

-Friedman and Rosenman argue that type A behaviour pattern (TABP) is a risk factor to cardiovascular disease.

-Cardiovascular disease is when the arteries get plaque and therefore the heart cannot receive sufficient O2 and nutrient supply.

Type A is characterised by;
- high competitiveness and achievement orientation.
These people strive towards goals without feeling a sense of joy in their achievements.
-They are self critical and have a significant life imbalance.
b)Time urgency
-these people become impatient with delays and wasted time very quickly
they keep very tight schedules and often try to do more than one thing at a time. They eat too fast, walk too fast.

Type B is characterised by;
-> More relaxed patient and easy going
-> They enjoy their achievements and are more compassionate and tolerate of others.

-Friedman and Rosenman conducted a longitudinal study to test the hypothesis that type A personality predict the likelihood of CHD

-They gave out questionnaires to 3000 men aged between 39-59 years. Based on the responses to the items on the questionnaire they were classed as either type A or B.

-The men were followed for 8 1/2 years and data about their health records were checked. Results showed that twice as many type A than B developed CHD.

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14
Q

Evaluate the Personality Model

A

1) Useful application to everyday life

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15
Q

What are the measures of stress?

A

-Biological measures
-Psychological measures

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16
Q

What are the biological measures of stress

A

1)Cerebral blood flow measures
2) Heart rate
3) Salivary Cortisol measures

17
Q

Describe Cerebral blood flow measures as a biological measure of stress

A

functional magnetic resonance imagery measures blood supply to the active region of the brain during a stressful experience.

-MRIs capture changes in cerebral blood flow e.g blood contrast MRI
-One structure associated with processing is the Ventral Right Prefrontal Cortex (RPFC). This implies that during a stressful experience the Ventral RPFC has the highest CBF.

18
Q

Describe Heart rate as a biological measure of stress

A

-During a stressful experience the pulse rate increases.
A pulse oximeter can be used to measure changes in pulse and blood oxygen levels as a measure of stress.

19
Q

Describe the example study by Wang et al (measuring CBF changes due to a math task)

A

Aim;
-To measure CBF changes in response to mild to moderate stress as a result of a maths task

Sample;
->3o Americans
->23 in the stress experiment (11 females , average age of 24)
->7 in the control experiment ( 4 females, average age of 23)

Procedure;
-Each ss had 4 scans of 8 minutes each. The first and last scans were baselines each.
-The second scan was done during a low stress task, the 3rd during a high stress task.
-THE LOW STRESS TASK involved the ss counting aloud backwards from 1000. The last track was designed as a control for auditory and verbal centers
-THE HIGH STRESS TASK involved subtracting 13 from a four digit number everytime answering aloud and receiving prompts to speed up. They also had to start again if an error was made.

-Control ss did not complete any tasks

-Both experiment and control groups completed self report heart rate and saliva tests.
-The self-report measures were ratings of stress and anxiety on a scale of 1-9 and ratings of effort frustration and task difficulty on a scale form 1-9.

-Saliva samples were tested for cortisol immediately after entering the scan and after each scan for the experimental and control group

RESULTS;
-In the experimental group the self-reported stress and anxiety heart rate and cortisol levels all increased with the high stress task, the reduced again during the 4th scan. (2nd baseline scan)
-There was a positive correlation between the change in the CBF in the RPFC and subjective ratings of stress

CONCLUSION;
-Psychological stress leads to higher self reported anxiety, higher saliva cortisol levels and higher heart rate.

20
Q

Evaluate the study by Wang et al

A

1) Ethics
One strength of perfusion fMRI as a technique for measuring stress is that it uses an internal contrast agent. This means that it is a non-invasive method compared to a PET scan which
uses a radioactive tracer. This is a strength as it makes it safer for the participant reducing the risk of psychological harm.

2) Objective
Another strength is that fMRI scans are a more objective way of measuring stress than some other methods. For example, questionnaires or observations rely on the participants being
accurate/truthful in their recall or observers interpreting behaviour the correct way, whereas fMRI requires less interpretation. This makes the use of fMRI scans a more reliable way of measuring stress.

3) Generalisability
One weakness, however, is that fMRI scans are often expensive and time consuming. This means that the number of participants in studies is often low, such as the 32 in the study
by Wang et al. (2005). This reduces the validity of the results. It also restricts the ability to generalise the findings to a wider population.

The study by Wangwas high in standardisation as it used both fmri’s and saliva cortisol tests to measure stress. This makes it high in reliability

21
Q

Describe Salivary Cortisol measures as a biological measure of stress

A

-Here a sample of saliva is taken from the ss while undergoing a stressful experience.
Cortisol levels are then measured to asses the stress levels in the ss. The higher the cortisol levels in the saliva , the higher the stress levels.

22
Q

Describe the example study by Evans and Wener (2017) (Crowding on stress levels)

A

Aim;To investigate how density and proximity of other train passengers affect stress in commuters.

METHODOLOGY

During their morning commute, 208 American commuters self-reported how stressed they felt using five-point Likert scales. Near the end of their journey, they completed a proofreading task to measure motivation/persistence.
A saliva sample was taken
to measure cortisol levels at the end of the journey. Crowding was measured via observation; researchers noted the total number of passengers in the carriage, number of available seats per carriage and per row in which the participants were sitting. At the weekend, the researchers visited the participants’ homes and another cortisol sample was taken, at the same time as the workday one. The researchers recorded the
difference between the cortisol level at the weekends and on the train as a measure of
stress. The participants’ spouse/partner was also asked to evaluate the participants’
interactions with them on a five-point rating scale using a questionnaire.

RESULTS

. The density of crowding in close proximity to the participant (proximal crowding) was significantly correlated with cortisol levels, self-reported mood and percentage of
errors on the proofreading task.

· The density of crowding within the train as a whole (distal crowding) was not correlated with stress.

  • Longer commutes were associated with significantly higher cortisol levels indicating higher stress
23
Q

Evaluate the biological measures of stress

A

objective;
-Both measures are objective

reliability;
Fmri is low in reliability

Ethics
Both ethical and non-invasive do not cause any psychological or physical harm

24
Q

What are the Psychological measures of stress

A

1)Personality test (Friedman and Roseman)
2) Life events questionnaire Holmes and Rahe

25
Describe the Personality test by Friedman and Roseman
Friedman and roseman constructed a personality test to measure type of A and B personality - a series of questions, was devised in order to classify respondent as being either type or B personality - Answers that show a tendency towards competitiveness, time urgency and hostility would lead to a classification of type a personality Some of the questions were; -> do you feel guilty if you use spare time to relax -> do you generally move, walk and eat rapidly. -> Do you often do more than one thing at a time There are many ways to measure type A personality ; * Examples of type A personality questionnaires include The Jenkins Activity Survey (JAS) – a questionnaire with 3 main categories: speed and impatience, job involvement and hard-driving competitiveness; Framingham Type A Behaviour Pattern scale – assesses an individual's sense of time urgency, competitive drive, and perceptions of job pressures; Finnish Type A scale; and Bortner
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Describe the social readjustment rating scale SRRS by Holmes and Rahe
Holmes and Rahe constructed the SSRS to measure life events - Holmes and Rahe examined over 5,000 medical records to determine whether stressful life events caused illness this resulted in a list of 43 life events. - The SRRS IS compiled OF 43 LIFE EVENTS WHICH ARE RANKED ACCORDING TO THE AMOUNT OF CHANGE THey cause , AND EACH LIFE EVENT IS GIVEN A SCORE IN TERMS OF LIFE CHANGE UNITS [LCUS], - - At the time, death of a spouse had a 100% while minor violations of the law were rated at 11% LCU. marriage had a arbitrary 50%LCU. - Scoring of SRRS, - the individual adds up the cumulative scores of events experienced in the past one year - A total score of less than 150 means a 30% chance of developing stress related illnesses such as CHD. - A total score between 150 and 299 means a chance of developing stress related illness for the next two years - A total score of above 300 means a 80% chance of susceptibility to stress related illnesses in the next 2 year’s.
27
Evaluate the SRRS and personality type
Named issue – questionnaires – Both the SRRS and the various Type A personality tests are self-administered questionnaires. Both of these produce quantitative data but can be open to social desirability as well as demand characteristics. The person completing it may not want to admit certain life events (e.g., trouble with the law or sexual difficulties) due to embarrassment. They may also not recall events that have occurred during the past year. Both were done as questionnaires rather than interviews so can be done more confidentially and there is an increased likelihood of honesty from participants in a questionnaire. Type A personality can also be assessed via interview. * Psychometrics – Both types of tests are psychometric measures since they are measuring a feature of personality and experience. Psychometric measures can be seen as reductionist and fail to capture the full qualitative experience of personality. However, as scores are produced these can be compared to assess reliability and can be used for data analysis. * Subjective and objective data – SRRS produces data that is objective. This can be an issue as they do not allow the participant to express the degree to which the events are actually stressful. Loss of job, for example, though difficult could result in freedom to pursue other avenues of employment that may be a great deal more satisfying. For others, it could represent loss of a job that they love and lead to a significant loss of self-esteem. Objective data is easy to analyse and compare. Type A personality tests will sometime ask objective questions but often they are subjective as they are asking an opinion or an extent to which an item is true. * Validity – Both types of questionnaires should be relatively high in face validity and ecological validity. However, stress is not just experienced by life events. Other research suggests that daily hassles and uplifts are more significant in stress levels. Forced choice items in Type A tests can lack validity. * Reliability – SRRS is a reliable measure as it is standardized. Due to the multiple versions of Type A personality tests, reliability is harder to
28
What are the Psychological techniques for managing stress
1) Biofeedback 2) Imagery
29
Describe Biofeedback as a psychological technique for managing stressy
Biofeedback involves using electrical sensors to send feedback about changes in physiological changes, such as heart rate, variability , body, temperature, muscle tension, etc. Individual then initiates voluntary actions, such as avoiding worries and anxiety to lower physiological changes. The feedback would be in the form of different pitched tones of an electronograph to communicate changes in muscle tension.
30
Describe the example study by Budzynski et al (testing if biofeedback would work in measuring relaxation)
Aim: to investigate whether biofeedback would work effectively in measuring relaxation of muscle tension in the forehead. Hypothesis : if biofeedback could work effectively for this it would be successful in other muscle relaxation too. Sample : 15 participants Procedure: subjects were asked to lie quietly with their eyes closed and concentrate on deeply relaxing their forehead muscle. -This took place over 20 one- minute trails, with trials between one and three days apart and at the same time each day. - the ss were randomly assigned to one of the 3 experimental groups/conditions and were all told to relax deeply especially the forehead muscle. The groups ; A) Feedback group - The monitor would sound a different pitched tone to indicate muscle relaxation. (Lie tone represented muscle relaxation) -So the ss knew they were doing the right thing and would be able to repeat the behavior to master muscle relaxation. B) irrelevant feedback group; -the monitor would give a constant low tone (irrelevant feedback) and the ss were told the constant low tone will help them relax . C) No tone (no feedback) was given and the ss were told to relax in silence. Results; - there were clear differences between the three groups in terms of reduction of muscle tension, overtime Those in the experimental group who received bio feedback, showed less muscle tension than the other two groups starting from fast feedback sessions and this pattern continued throughout the trials. 2. Percentage decline in muscle tension, for each group was significant. a) Feedback group-mean decrease of 50% b) no feedback group-mean decrease of 24% c) irrelevant Feedback group- mean increase of 20% 3. Further evidence for the effectiveness of bio feedback came from studying the participant from the relevant feedback group that had the least reduction in muscle tension. However, when he was given biofeedback sessions, he’s a muscle tension was 60% less than it had been originally . Conclusion - compared to the other two conditions feedback does significantly reduce the amount of muscle tension in the forehead, both initially, and throughout the program.
31
Describe Imagery as a psychological technique for managing stress
Imagery involves , visualizing relaxing scenes to induce a state of calmness and relaxation. - Guided imagery may involve patients listening to an audiotape with instructions on visualization In order to increase the vividness of the visualization, the patient evokes all senses i.e touch , smell , taste
32
Ways of preventing stress
Stress inoculation training (SIT) by Meichanbaum
33
What is stress innoculation training
This is a way of preventing individuals from plunging into stress in the future -it works by exposing subjects to increasing amounts of stress till they develop tolerance -Tolerance is when the individual has developed skills to overcome lower amounts of stressors -S I T progresses in three stages/phases: Phase 1 ;conceptualization -Hear the therapist works together with the client to get an understanding of the source of stress and how it affects the clients day-to-day functioning - The therapist then she was a client how to reframe the stressor as a puzzle that requires a solution - The client is helped to understand that some parts of the stressor cannot be changed. Phase 2 ; skill acquisition, and rehearsal - Hear the client learns new coping strategies All the skills are designed to suit the clients unique learning needs. - The skills acquired in therapy are practiced outside therapy [in real life] through homework. This is meant to enhance ecological validity to enhance validity of therapy. - Examples of skills used – problem-solving, skills, relaxation techniques [like imagery] mindfulness, training, etc. Phase 3 ; application and follow – through - Hear the client applies what they have learned in therapy in the real world They are exposed to increasing amounts of stressful situations and they are expected to use these skills to overcome their upsets. - Exposure can be done through techniques such as visualizing, a stressful situation or role-playing.
34
Evaluation of stress inoculation training
Ethics; -The SIT method may be highly stressful for some individuals as they are exposed to increasing levels of stress. This breaks the ethical guidelines of protection from psychological harm Individual verus situational ; Stress inoculation training (SIT) is a useful therapy as it takes into account both individual and situational explanations of why an individual is experiencing stress. The use of Socratic questioning allows the therapist to understand the individual's perspective of their stress but also to learn any situational factors that might be affecting them as well and then the treatment can be tailored to the individual to address both their own perception of their stress and how they deal with situational factors e.g stress in the workplace It focuses on the causes of the stress other than just the symptoms; -Unlike drug therapy for stress SIT treats the cause of the stress not just the symptoms. This has useful application to everyday life as it improves the patients quality of life and they no longer have to rely on stress medications No harmful side effcects; Another strength of SIT is that it does not have any side effects that medication for stress relief might have. For example, medication can cause tiredness, nausea and sleep disturbances. This is a strength as it means that likelihood of adherence to treatment is higher, as side effects are one of the main reasons that individuals drop out of treatment programmes. and patients have control over their own stress.
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