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immune system
cells that protect against viruses, bacteria, + other intruders
leukocytes
most important player in immune system; patrol blood + body fluids for viruses + bacteria
*WBC
types of leukocytes
B-cells
T-cells
natural killer cells
macrophage
B-cells
mature in bone marrow; secrete antibodies (y-shaped proteins that attach to particular antigens)
*attach + attack
**type WBC
antibodies
y-shaped proteins that attach to particular antigens
antigens
surface proteins; as unique as fingerprints
T-cells
mature in thymus gland (but made in the bone marrow); attack intruders directly w/o secreting antibodies
*types: cytotoxic + helper
**type WBC
two types of T-cells
cytotoxic t-cells
helper t-cells
cytotoxic t-cells
attack directly w/o secreting antibodies
helper t-cells
help T-cells or other B-cells multiply
natural killer cells
blood cells that attack tumor cells + cells infected by viruses; attack ALL intruders
*type WBC
macrophage
surround bacteria or other intruders + digest it; engulf + destroy target cells, initiating an immune response where the immune system tells the brain that the body is ill by way of cytokines
*cover + consume
**type WBC
cytokines
chemicals released by immune system that attack infections + communicate w/ brain to elicit anti-illness behavior: stimulate vagus nerve, triggering release of prostaglandins which cross BBB and stimulate the hippocampus + the hypothalamus to produce anti-illness behavior
how do cytokines produce anti-illness behavior?
stimulate vagus nerve »» trigger release of prostaglandins »» cross BBB »» stimulates hippocampus AND hypothalamus »» produce anti-illness behavior
anti-illness behavior
fever, lack of energy, sleepiness, lack of appetite, loss of sex drive (useful ways to conserve energy)
ibuprofen/aspirin
decrease fever + other signs of illness by inhibiting prostaglandins
psychoneuroimmunology
studies the effects of stress on immune system; prolonged stress produces sx similar to depression + weakens the immune system
our emotions are a ______ not a _____.
gauge; guide
emotions
cognitions
feelings
actions
*limbic system
Extreme ______ or lack of ______ can impair functioning.
emotions; emotions
autonomic nervous system
composed of sympathetic + parasympathetic nervous systems
parasympathetic nervous system
calming
rest/digest
ACh
sympathetic nervous system
arousal
fight/flight/freeze
NE
fear vs anxiety
fear
temporary experience
present-oriented
anxiety
longer-lasting
future-oriented
amygdala
involved in fear + anxiety; enhances the startle reflex
panic disorder
occasional attacks of
intense fear
impending doom
feelings of suffocation
increased HR
increased shallow breathing
dizzy
fatigue
sweating
fear of dying
PTSD
these individuals may have a smaller hippocampus + lower levels of cortisol (surprising)
sx
flashbacks
nightmares
avoidance of reminders
startle reflex (exaggerated arousal to stimuli/noises)
Rx
barbiturates
SSRIs
benzodiazepines
anxiolytics (anti-anxiety meds)
tx
CBT - can help break cycle of panic, learn to relax, put tools in toolbox
breathing exercises
grounding exercises
muscle relaxation
hyperventilation sequence
hyperventilation »» decreased CO2 + phosphate in the blood »» decreased activity in vagus nerve »» controls the heart
barbiturates
(tranquilizers)
*not used often bc they’re habit forming + can be fatal in O/D esp when combined w/ alcohol
what causes the lower levels of cortisol in pts w/ PTSD?
blunted cortisol is attributed to progressive sensitization of HPA axis
benzodiazepines
tranquilizer
Xanax
Librium
Valium
three theories of emotion
James-Lange
Cannon-Bard
Schachter-Singer
james-lange theory of emotion
physiological response comes BEFORE the emotion
cannon-bard theory of emotion
physiological response + emotions occur SIMULTANEOUSLY
schachter-singer
COGNITIVE APPRAISAL is necessary to identify the emotion
serendipity
stumbling upon something (unexpected) positive/interesting
aggression
injures or harms others
amygdala - controls aggressive behavior
impulsive aggression: low levels SE (depression linked w/ decreased SE) + high levels testosterone (males 15-25)
stress as defined by Hans Selye
not specific response of body to any demand upon it
psychosomatic
onset of illness which is influenced by one’s mind, emotions, + experiences
stress + HPA axis
HPA - hypothalamus, pituitary gland, adrenal cortex
stress activates SNS (faster)
stress activates HPA (slower)
stress activation of HPA
hypothalamus »» pituitary gland »» adrenocorticotropic hormone »» adrenal cortex »» cortisol »» enhances metabolism »» increases blood sugar, increases alertness
cortisol
stress hormone
brief or moderate stress improves attention + memory formation
improves performance on simple or well-learned tasks
impairs performance on complex tasks that require flexible thinking
brief stress enhances activity of immune system helping fight illness
prolonged stress impairs activity of immune system, memory, learning
general adaptation theory
alarm (3 main hormones: epi, cortisol, aldosterone)
resistance
exhaustion
alarm stage
adrenal glands release epi »» stimulates SNS »» adrenaline/cortisol »» increased blood glucose (energy) + increased aldosterone (blood salt + blood volume maintenance)
exhaustion stage
very tired, vulnerable to illness (physical + mental)
resistance stage
SNS response, but adrenal glands continue secreting cortisol »» enabling prolonged alertness