Stress and Health Flashcards

(41 cards)

1
Q

What is the earliest model of stress and what does it state?

A
  • Cannon, 1915
  • States that stress is a natural fight or flight response from an evolutionary perspective.
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2
Q

What does the General Adaptation Syndrome (GAS) state?

A

States that stress comes in 3 processes: alarm (this stage happens no matter what), resistance (person coping with the stressor) and exhaustion (reached when a person is repeatedly exposed to a stressful situation).

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3
Q

What does the Holmes & Rahe stress model state?

A

States that stress related changes occur in response to life changes or events.

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4
Q

What is different about the Holmes & Rahe model compared to the other two models?

A

Tried to distinguish between different types of stress.

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5
Q

List a few limitations of stress models.

A
  • Fails to acknowledge individual or psychological factors
  • Response the same regardless of stressor
  • Individual perception is very important!
  • No consideration of positive/negative or acute/on going
  • Life experiences may interact with each other
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6
Q

How many steps are there in the transactional model of stress?

A

2

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7
Q

Give a criticism of the transactional model of stress.

A
  • Appraisal is not always necessary.
  • Some events are perceived as more stressful than others
  • Doesn’t take into account situational factors - cultural and moral differences
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8
Q

Define allostasis.

A

The process by which organisms respond to changes in the environment through adjustments in multiple biological systems to maintain homeostasis.

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9
Q

What occurs when there are repeated threats to allostasis?

A

Initiates an acute stress response throughout the body.

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10
Q

Name the two systems activated during stress that are involved with allostasis.

A
  • Hypothalamic–pituitary–adrenocortical (HPA) axis
  • Sympatho–adrenomedullary (SAM) axis
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11
Q

How does the HPS axis work?

A
  • Begins in the hypothalamus in the brain
  • Releases a corticotropin-releasing hormone (CRH) which affects the pituitary gland
  • Pituitary gland secretes a adrenocorticotropic hormone (ACTH)
  • Adrenal cortex releases cortisol
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12
Q

How does the hypothalamus regulate its secretions?

A

Negative feedback system.

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13
Q

What is the end product of the HPS axis?

A

Cortisol

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14
Q

Why is cortisol vital for life?

A
  • mobilisation of energy stores (gluconeogenesis)
  • increases blood flow to muscles
  • through collaboration with sympathetic system increases blood pressure
  • suppresses the inflammatory response
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15
Q

How does the SAM axis work?

A
  • Begins in the locus coeruleus in the brain
  • This releases noradrenaline
  • Noradrenaline activates the adrenal medulla
  • Adrenal medulla releases adrenaline
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16
Q

What are the immediate changes resulted from adrenaline and noradrenaline secretion?

A
  • Increased mental activity
  • Increased heart rate and blood pressure
  • Increased cardiac output and blood flow to muscles
  • Dilation of the bronchioles in the lungs (changes to breathing)
  • Increased sweat production
  • Pupil dilation
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17
Q

Which processes decrease in function when the stress response is activated?

A
  • Parts of the immune system are suppressed
  • Decreased perception of pain
  • Constriction of blood vessels, except to running and fighting muscles
  • Digestive system stops metabolising food normally
  • Reproductive systems stop working normally
18
Q

What is acute stress?

A

Temporary stress, e.g. tube delays, exams, arguments

19
Q

What are the impacts of acute stress?

A
  • Can be motivating, increases energy by mobilising the body, improve concentration etc.
    e.g. acute stress can improve immune response to vaccines
20
Q

What is chronic stress?

A

Long term stress with no obvious end-point, e.g. financial difficulties

21
Q

What are the impacts of chronic stress?

A

Can have negative health implications such as mental illness e.g. depression or chronic disease e.g. heart disease, diabetes

22
Q

What is the antecedent model?

A

Model that suggests an initially healthy population fall ill due to stress.

23
Q

What is the consequence model?

A

Model that suggests that those with an existing illness acquire stress because of it.

24
Q

What can psychological stress factors be divided into?

A

External stressors (exposure to stressful circumstances e.g. work stress), emotional disorders (e.g. depression) and personal traits (e.g. hostility).

25
List examples of sources of stress that are involved with the consequence model.
- Debilitating symptoms & treatment side effects - Fear of complications - Financial concerns - Concerns over effects on family & friends
26
List four different ways of measuring stress.
- Animal studies - Psychophysiological stress testing - Naturalistic monitoring - Large observational cohort studies
27
Give an example of an animal stress study.
Socially stressed adult male monkeys developed more extensive coronary artery atherosclerosis than unstressed controls over 2 years follow-up.
28
What is a limitation of measuring stress through animal studies?
When animals are stressed they don't carry out damaging lifestyle factors such as eating fast food or smoking.
29
How do we collect data for psychophysiological stress testing?
- Taking blood samples - Cardiovascular measures, e.g. heart rate and blood pressure - Saliva samples to measure cortisol
30
Give examples of stress-inducing tasks.
- Public speaking - Mental arithmetic - Mirror traces
31
What is naturalistic monitoring?
Getting individuals to measure biological responses outside of the lab.
32
How do large observational cohort studies measure stress?
- Large numbers of individuals observed for many years - Health, psychological & social measures at regular intervals for many years - Track the sample over time for disease and death - Nurse visits in some cohorts provide biological data
33
Describe the direct pathway between stress and health.
- Stress directly impacts physiology. - Chronic stress can cause maladaptive changes that have health implications - Repeated or sustained stimulation leads to allostatic load or ‘wear-and-tear’ resulting in dysregulation of physiological processes
34
Describe the indirect pathway between stress and health.
Stress changes behaviour which in turn impacts physiology e.g. smoking, eating behaviour, alcohol consumption
35
What are alterations in daily cortisol secretion associated with?
- Increased risk of pre-diabetes and overt diabetes - CVD mortality in initially healthy people - Poorer outcomes after by-pass surgery - Early breast, ovarian and lung cancer death & tumor progression
36
List four moderators of stress.
- Exercise - Different coping styles - emotional vs problem- focused coping - Early life experience - Social support
37
How does exercise moderate stress?
- Physical activity is beneficial for both physical and mental health - Physical activity is beneficial for stress reduction and has an anti-depressive effect - Stress is associated with reduced physical activity
38
How does early life experience moderate stress?
Stress during early life can impact on the developing brain - Stressor exposure (including prenatal maternal stress) can lead to heightened SAM axis responses in infants. - The HPA axis continues to develop during childhood and so stress may alter sensitivity of the brain and have long lasting effects on responsitivity.
39
List the four main styles of attachment in adults.
- Secure - Anxious–preoccupied - Dismissive–avoidant - Fearful–avoidant
40
How is social support linked with mortality?
Low levels of social support are associated with higher mortality
41
How does social support moderate stress with an indirect pathway?
High stress/high social support = less smoking and drinking High stress/low support = increased smoking and drinking.