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Top 3 stressors listed (Stress in American Survey)
starting/growing new career, completing education, Maintaining or improving health
American resilience
75% believe its possible to achieve goals, find meaning in relationships, stay optimistic, 85% believe they can create good life, 77% control over future
What is stress
measurable, universal
Stressor
stimulus to trigger fight or flight
Reactivity
physiological response (blood pressure, muscle tension, heart rate, body temp)
Strain
physical or psychological consequences
bracing
unnecessary muscular contraction (deep muscle relaxation and progressive relaxation can be effective to help!)
trauma (intense form of stress)
tremendous physical or psychological strain, refer to single or multiple events (physical, social, emotional, spiritual)
resilience
weather adversity, but not immune to stress, there is change but not to the point where they suffer socially or mentally from event
Walter Cannon - Wisdom of the Body
- Studied homeostasis & coined fight or flight
- How animals react to stress show physiological response (fighting or fleeing)
- Activation of the sympathetic nervous system
Hans Seyle's
studied response of organisms to threats (homeostasis, rodents)
Hans Seyle's General Adaptation Syndrome (how we describe stress today)
1) alarm, 2) resistance, 3) exhaustion
alarm (GAS)
body changes
resistance (GAS)
body fends off threat
exhaustion (GAS)
body lose ability to maintain heightened physiological arousal
types of stressors
environmental, psychological, interpersonal, philosophical
stress reactivity (fight or flight)
increased muscle tension, effects based on duration and degree of one's physiological reaction
strain is a reaction of perpetual _____________
perpetual stress reactivity
Eustress
positive stress
distress
negative stress
ATW Simons
studied evolution related to psychosomatic disease
misconceptions about stress
1) my experiences are the same as yours, 2) stress is something that happens, 3) only big things effect us, 4) we always know when we are stressed, 5) stress is inevitable so might as well live with it, 6) i don't know how to relax and if i do, I won't be productive, 7) stress and anxiety are the same, 8) same management techniques work for everyone, 9) you can live in a stress free world
autogeneic training
reduce stress, anxiety and pain through mental, self-suggestive exercise focusing on physical sensations
neuromuscular relaxation
ability to reduce or eliminate unnecessary tension or contraction in a muscle group
The hormones epinephrine and norepinephrine lead to various changes in the body including:
an increase in the basal metabolic rate
The part of the subcortex responsible for regulating sleep is called the:
pons
The inner portion of the adrenal gland that secretes catecholamines is called the:
adrenal medulla
The system that produces emotions, also known as the "seat of emotions," is called the:
limbic system
The upper part of the brain responsible for thinking functions is called the:
cerebral cortex
When we experience a stressor, the pituitary hormones oxytocin and vasopressin cause increased blood pressure by contracting smooth muscles in blood vessel walls, which explains why chronic stress can lead to hypertension (T or F)
true
The upper part of the brain responsible for thinking functions is called the
cerebral cortex.
The hormones epinephrine and norepinephrine lead to various changes in the body including
an increase in the basal metabolic rate.
What is secreted by the pituitary gland and in turn activates the adrenal cortex to secrete corticoid hormones?
adrenocorticotropic hormone (ACTH)
The system that produces emotions, which is also known as the "seat of emotions," is called the
limbic system.
The part of the subcortex responsible for regulating sleep is called the:
pons.
Homeostasis
the optimal functioning of the organism and the maintenance of equilibrium, Origin of fight or flight
Allostasis
the active process of responding to challenges to maintain stability, stability through change. changes with set point, allosatic return to set point, the more stress, the change in set point
Structures and systems involved in the stress response:
The brain
The endocrine system
Autonomic nervous system
Cardiovascular system
Gastrointestinal system
Muscles
Skin
The body provides the brain with a "template of awareness"
The pathway includes the spinal cord, brain stem, limbic system and cerebral cortex
Stressors are perceived and translated by the brain
the brain
Cerebral cortex
Cerebellum
Brain stem
Spinal cord
Gyri: bumps/hills
Sulci: grooves/fissures
Frontal lobe
Largest lobe, planning, decision-making, attention, movement, speech
Temporal lobe
Perception, recognition of visual and auditory info, recognizing objects/people, memory, speech
Parietal lobe
Perception of touch, pain, proprioception (know where you are in space and where your limbs are), maps out your movement of limbs, visual processing, can give sensations for parts of body in the cortex, somatic sensory map
Occipital lobe
Vision, object orientation, color
Cerebellum
"Little brain"
Contains over half of neurons
Involved in motor coordination, language, learning and memory
brainstem
pons and medulla oblongata
Pons
Bridge between the midbrain and medulla
Origin of cranial nerves that control chewing, blinking and facial expression
Regulates breathing, sleep
Medulla oblongata
Regulates heartbeat, blood pressure, breathing
Origin of cranial nerves to the face, muscles and organs
Reticular activating system (RAS)
Excessive arousal of the cortex results in stressful response
All under aroused cortex results in difficulty in learning, poor memory, and little self-control
Receives input from the spinal cord, sensory pathways, thalamus and cortex
Provides the neurological connections that are needed for learning and attention
Limbic system:
The command center: thalamus, hypothalamus, amygdala, hippocampus
Thalamus
almost all sensory info comes through this, almost all sensory info comes through this
Hypothalamus
activator - triggers the automatic nervous system
Amygdala
threat/emotional detector
Hippocampus
signals presence of stress based on memory
Incoming sensory info is transmitted from the thalamus via 2 pathways
low and high road
The low road - unconscious
Incoming sensory stimuli are processed by the thalamus
Signals are directed to the amygdala via the low road bypassing conscious processing, allowing immediate reactions to stimuli
Ex. seeing snake, and jumping back
The high road - conscious
Projections go through sensory cortex after the thalamus
Associated with slower processing, conscious refined interpretation
Stress pathways
Hypothalamus activates 2 stress reactivity pathways, fast and slow response
fast response
automatic nervous system
Controls hormone balance, reproduction, metabolism, heart rate, body temp, gastric functions
(slower response) - endocrine system
Includes all glands that secrete hormones, also regulates physiological functions like heart rate, blood pressure, glucose metabolism
Autonomic response
neurochemical release and diffusion
Endocrine response
glands release hormones, chemicals that travel through the bloodstream to act on target tissues, within the body
neural response
miliseconds/seconds
Autonomic nervous system
Hormonal (slow)
mins/hours
HPA axis and thyroid
Sympathetic nervous system
Expends energy
Fight or flight
Increase heart rate and energy
Parasympathetic nervous system
Conserving energy
Rest and digest
Calm body
Sympathetic activation
Release of epinephrine and norepinephrine is a result of stimulation from the hypothalamus
Endocrine system stress response
Promotes energy use
Increases glucose, lipid metabolism
2 hormonal systems
Hypothalamic pituitary adrenal axis (HPA axis)
Activation adrenal glands leads to the release of:
Epinephrine and norepinephrine
Cortisol
Aldostreone
hybrid gland
Adrenal gland
Adrenal cortex secretes glucocorticoids
Primary glucocorticoid is cortisol
Cortisol provides energy for action
Gluconeogenesis
the production of glucose from amino acids by the liver
Promote energy use and availability
Metabolic mobilization
Cortisol
Primary glucocorticoid is cortisol, provides energy for action
mineralocorticoids
Adrenal cortex also secretes mineralocorticoids, Primary mineralocorticoid is aldosterone
Aldosterone alters blood pressure to prepare
Blood pressure is measured a systolic and diastolic
Aldosterone increases systolic
Neural stress response
Fast, autonomic nervous system
Speed: milliseconds/seconds
Hormonal stress response
Slow, HPA axis and thyroid
Negative feedback loop
The system shuts itself off
As cortisol levels rise, CRH and ACTH release is inhibited
Detected by the hypothalamus RAS, pituitary and hippocampus
HPA axis initiation
Target adrenal glands
Adrenal cortex secretions
cortisol and aldosterone
cortisol
gathering energy for a response, mobilizes energy storage from the liver, Cortisol levels fluctuate with our sleep wake cycle, Rise before waking and peak shortly afterward
CAR is disrupted in ppl w mood disorders, high stress and PTSD
aldosterone
influences the kidneys, retain sodium, and increases blood pressure, decreases urine production
Cortisol release is altered in people with PTSD
Patients with PTSD had greater cortisol release in anticipation and less during recovery
Impaired negative feedback (negative feedback = counteract change to maintain stability and return to a set point)
Trier Social Stress Test (TSST)
Ppl brought into lab and told to prepare speech in front of a committee
Physiological measures taken before, during, and after the speech
Heart rate and cortisol levels increases
Finger tips: Skin temperature drops more when you're stressed
Stress activates the thyroid gland
Promotes energy use (for escape or defence)
Release of thyroxine leads to
Increase gluconeogenesis
Breathing rate
Heart rate
Increases anxiety
Decreases tiredness
Cardiovascular system
Blue = high pressure, low oxygen
Red = low pressure, high oxygen
Activation of the sympathetic nervous system increases rate and force of contractions
Parasympathetic -> does the opposite
Vasopressin and Oxytocin
Released from pituitary gland
Cause contraction of smooth muscle
Constrict blood vessels
Increase blood pressure
Anti-diuretic hormones reduce urination (compound hormones leading to water retention)
psychosomatic illness
involves both the mind and the body
top leading causes of death
1. heart disease, 2. cancer
Coronary Heart Disease Risk Factors
Hypercholesterolemia (high cholesterol)
Hypertension (high BP)
Smoking
which careers tend to report the highest levels of stress
General medical practices
Physiological mechanisms that explain the relationship between stress and coronary heart disease:
Type A pattern and behavior
Cholesterol, blood pressure/volume, accelerated heart rate
Cardiovascular reactivity
Blood pressure morning surge
Increased platelet activation
Increased noepinephrine/epi levels
Prolonged neuroendocrine responses
Variability in heart rhythm
Psychosocial stress and ischemia
psychosocial stress had greater predictive value for the onset of heart disease
psychosocial stress induced ischemia is usually ______
asymptomatic
Peripheral vasoconstriction driven by the sympathetic nervous system and norepinephrine can ______
Forces heart to pump against higher pressure
and trigger myocardial ischemia
how is the limbic system linked to cardiovascular disease
Higher activation of prefrontal cortex during mental stress acts as predictor for major cardiovascular disease events in individuals with coronary heart disease
Activation of amygdala has also been implicated
Amygdala and cardiovascular disease
Researchers analyzed 293 patients who were free of CVD
Measure activity of amygdala at rest, number of heart attacks, strokes, heart failure
Resting metabolic activity of the amygdala predicted development of cardiovascular disease
high amygdala activity is associated with______
more cardiac events
Tako tsubo Cardiomyopathy
(Broken Heart Syndrome)
Go through traumatic and emotional event
Ballooning in the left ventricle
Almost like a heart attack
Due to increase in catacolamine (epinephrine and norepinephrine)