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Stress Management Mid Term
Stress Management
47
Other
Undergraduate 1
10/17/2015

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Cards

Term
Walter Cannon
Definition
A physiologist who first described the fight or flight response.
Term
Hans Selye
Definition
A Endocrinologist that came up with the General Adaptation Syndrome.
Term
Simoens, Wolff, Leshan, Engel, Friedman and Rosenman, and Simonton
Definition
Simoens- related evolution to psychosomatic disease

Wolff,Leshan,Engel- studied illness, disease

Friedman & Roseman- identified relationship between stress and Coronary Heart Disease

Simonton- imagery and cancer therapy
Term
GAS Syndrome
Definition
Stages in which our body reacts to a stimulus. Alarm Reaction, Stage of resistance, and stage of exhaustion.
Term
Stress Theory
(Life events theory, Hardiness theory, Social support theory)
Definition
Life event theory- situation requires more resources than are available

Hardiness Theory- one’s attitude toward the events determines stress

Social support theory- insufficient social support for responding to event
Term
Hans Selyve's definition of Stress and stressor(Eustress and Distress)
Definition
Stress- The nonspecifc response of the body to any demand made upon it. (e.g., increases is BP, HR, perspiration, respiration, serum cholesterol, muscle tension)

Stressor-Any demand, stimulus, situation that requires adaptation or adjustment (traffic jam, crossing a busy street examples)

Types of stressors:
Eustress- good things to which one has to adapt and that can lead to the stress response.
Distress-bad things to which one has to
adapt and that can lead to a stress reaction.
Term
Stress reactivity(fight or flight response)
Chronic and Acute Response
Definition
All effects are based on frequency (F), duration (D) and intensity (I) of one’s
physiological reaction.

Chronic:High F and D, low I
Acute: Low F and D, High I
Term
Stressor Classicfications
Definition
Cataclysmic- disasters
Personal- major lifetime events
Background(major stressors)- physical/environmental, social/ organizational, interpersonal, self-talks
Term
Strains
what are the three types?
Definition
Strains are the outcomes of re-activity.
Three types are Physical,Psychological, and behavioral
Term
Gender differences in reactivity
Definition
Females: Exhibit nuturing activities and use more social groups than males.

Males: More fight or flight response
Term
Goals for stress management
Definition
• Do not eliminate all stress
• Use as a motivator for peak performance
• Stress can be useful, stimulating, and welcome
• Limit harmful effects
Term
Stress and performance
Definition
stress or arousal can actually increase performance
Term
Relationship between stress and illness
Definition
The relationship between stress and illness is a complex one. Illness may result from too little stress, just as it might from too much stress.
Term
The brain
Definition
Has two major components the cerebral cortex(thinking functions) and subcortex( physiological processes)
Term
Subcortex
Definition
Includes the Limbic System (“seat of
emotions”)
– Thalamus
– Hypothalamus
Term
Stress and it's pathways
Definition
The hypothalamus activates the following under a stress response:
– Autonomic nervous system
•Immediate fight-or-flight response
– Endocrine system
•Short-term and long-term stress response
Term
Review of CNS and PNS
Definition
CNS – Central Nervous System
– Brain and Spinal Cord

PNS – Peripheral Nervous System
– Afferent System and Efferent System
Term
Autonomic Nervous system
Definition
Two systems working together during immediate stress:
– Sympathetic (responsible for expending energy)
– Parasympathetic (responsible for conserving energy)
Term
Endocrine system
Definition
Includes glands that secrete hormones
• Hormones travel through the blood stream
• These hormones change function of bodily tissues
Term
Major endocrine galands and hormones
Definition
Hypothalamus- Epinephrine and nor epinephrine
Pineal gland- melatonin
Pituitary gland- Vasopressin, Oxytocin
Parathyroid gland- parathyroid hormone
thyroid- thyroxin
thymus- thymosin
adrenal gland- cortisol,adrenalin
pancreas- insulin
ovary- testosterone,estrogen
Term
Adrenal Medulla
Definition
Secretes two catecholamines: epinephrine (adrenalin) and norepinephrine (noradrenalin)
Term
Adrenal Cortex
Definition
• Influenced by the hypothalamus and pituitary gland
• Adrenal cortex secretes corticoids:
glucocorticoids and mineralocorticoids
– Primary glucocorticoid is cortisol – Primary mineralocorticoid is aldosterone
• Cortisol provides fuel for “fight-or-flight” action
• Aldosterone increases blood pressure to prepare
for action
Term
Thyroid
Definition
• Influenced by the hypothalamus and pituitary gland
• Thyroid gland secretes thyroxin
• Increases the following:
– basal metabolic rate
– free fatty acids
– gluconeogenesis
– gastrointestinal motility
– respiration
– heart rate
– blood pressure
– anxiety
Term
Pituitary
Definition
• Oxytocin and Vasopressin (ADH) are
produced by the pituitary gland
– Vasopressin acts on the kidneys to decrease urine production via water retention
– Oxytocin increases contraction of the walls of blood vessels
• Together, these two changes will increase blood pressure
Term
The Cardiovascular system
Definition
• Transports blood to cells and organs
• Stress on the circulatory system may cause release of oxytocin and vasopressin
– Both can constrict blood vessels, leading to increased blood pressure
• Heart responds with increased force of contraction
• Cholesterol and free fatty acids increase risk of
heart disease
Term
Gastrointestinal System
Definition
• Responsible for digestion
• Stress reduces saliva production
• Increases hydrochloric acid production
– Constricts blood vessels that can reduce the gastric mucus that protects the stomach lining – small fissures (ulcers) may develop in stomach lining (textbook)
– Note: Stress does not cause ulcers – major cause is H. Pylori (bacterial infection)
• Stress may alter rhythmic movement
(peristalsis) of food, leading to bowel distress (e.g., diarrhea and constipation) and diseases (pancreatitis and irritable bowel syndrome)
Term
The Muscles
Definition
• Stress results in tensing, known as
“bracing” (often, we don’t realize we are bracing)
– Term: Uptight
– Common areas: back, shoulders, forehead, jaw
• Leads to the development of muscle
pain and aches
• Types of muscle
– Cardiac – Skeletal – attached to bones – Smooth – control the contraction of
internal organs, blood vessel walls
Term
The Skin
Definition
• The stress response causes:
– Increased perspiration – this increases the electrical conduction of the skin (measured by a galvanometer -- called the Galvanic Skin Response (GSR) – type of biofeedback); Can be a part of a lie detector test
– Surface temperature of the skin to decrease (nor-epinephrine constricts blood vessels of the skin, e.g., colder fingers/toes, skin can appear pale due vasoconstriction)
• Term – Cold feet; Nervous, stressed people described
as cold, clammy, and pale
• Mood rings and Stress dots (measure skin temp)
Term
Psychosomatic Disease
Definition
Psychosomatic disease involves the mind and the body; it is a real disease, not “just in the mind” (psyche for mind; soma for body)
Term
What are the two types of psychosomatic disease?
Definition
Psychogenic-(physical disease is caused by emotional stress)

Somatogenic-(mind increases body’s susceptibility to some diseases)
Term
Stress and serum cholestrol
Definition
Studies show that one’s perception of a stressful situation can increase serum cholesterol levels (example of the mind changing the physiology – psychogenic disease)
– Tax accountants
– Medical students
– Military pilots
– Super Bowl deaths from heart disease (increased when team lost versus won)
Term
Blood Pressure
(Systolic and Diastolic)
Definition
The amount of pressure
exerted by arterial walls.

Systolic- the pressure of the blood as it leaves the heart.

Diastolic- the pressure of the blood against the arterial walls when the heart is relaxed.
Term
Hypertension
Definition
• Excessive pressure of blood against the walls of arteries
• Ruptured arteries to the heart can result in a myocardial infarction(heart attack)
• Ruptured arteries to the brain can cause a cerebral hemorrhage (stroke)
90% of hypertension is termed Essential Hypertension (no known cause)
Term
Contributing factors to high blood pressure
Definition
• Genetics
• Poor diet (obesity)
• Cigarette smoking
• Lack of exercise
• High sodium intake
• Stress
Term
Coronary Heart Disease (Atherosclerosis, Arteriosclerosis)
Definition
• Heart attacks kill more Americans than any other single cause of death

Atherosclerosis- Clogging of the arteries.

Arteriosclerosis- Loss of elasticity of the coronary arteries
Term
Ulcers
Definition
• Cuts in the walls of the stomach or
intestines
• During stress, norepinephrine causes
capillaries in the stomach to constrict – thus, a decrease in mucous production
• As a result, hydrochloric acid eats away at the stomach lining
Term
Migraine headaches
Definition
• Migraines usually last about one to two hours
• More common in women than men
– Decreases by age 50 (most common in 16-35 year olds)
• Costs businesses more than $25 billion per year
• Cause focuses on emotional stress and tension
– Typical migraine sufferer is a perfectionist, ambitious, rigid, orderly, excessively competitive, and unable to delegate responsibility
• Muscle relaxation training is very effective in
reducing the painful effects associated with a migraine
– Major problem is dilation of blood vessels to the head
– Muscle relaxation increases blood flow to the periphery (arms/legs) and decreases blood flow to the head
Term
Tension Headaches
Definition
• Caused by muscle tension (bracing) to
such areas as the forehead, jaw, or neck
• People usually take aspirin, put heat on the tense muscles, or get a massage
• Muscle relaxation can be very effective for
preventing tension headaches
– Need to become aware of bracing and areas where you experience it
Term
Cancer
Definition
Mutant or abnormal cell growth resulting in a cancerous tumor
Term
Allergies: Asthma, and Hayfever
Definition
The body’s defense against foreign substances called antigens. • When antigens enter the body
– Antibodies attack by releasing chemicals
– Histamine is one of these chemicals
•When too many histamines are released, tissues swell, mucous increases, and air passages are constricted
Term
Rheumatoid Arthritis
Definition
Inflammation of a joint, possibly caused by a faulty functioning of the immune system
Term
TMJ (temporomandibular) Syndrome
Definition
The interference with the smooth functioning of the jaw.
• TMJ patients may have:
– facial pain
– clicking or popping sound
– earaches, ringing in ears
– migraine headaches
– dizziness
– sensitive teeth
Term
Obesity and Stress
Definition
Nueuropeptide Y (NPY) – molecule shown to increase angiogenesis (the growth of the blood vessels) necessary to support new tissue growth
Term
Post Traumatic Stress Disorder (PTSD)
Definition
• PTSD results from an extreme psychological and/or physical event perceived as extremely distressing (e.g., threat to one’s life)
– Most people will experience a traumatic event and up to 25% will develop PTSD
Term
Coping with a stressor
Definition
Stress is the result of a
determination that a demand exceeds available resources
• Three categories of appraisal
– Primary appraisal (of the threat)
– Secondary appraisal (of available resources)
– Reappraisal (after attempts at coping)
Term
The Model of stress
(Refer to picture)
Definition
Life situation< Perceived as stressful< Emotional Arousal< Physiological Arousal< Consequences
Term
Setting up Roadblocks
Definition
Intervention is used to block a stressful
consequence(cognitive reconstructing or medications). A roadblock (e.g., relaxation technique) between the perception phase and the emotion phase can be effective. Exercise can effectively block the
continuation of stress after physiological arousal has occurred.
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