Stress Management and Prevention: Applications to Daily Life Jeffrey A. Kottler & David Chen Chapter One: The Meaning of Stress In this Chapter: Multiple Meanings of Stress Responses to Stress Assessing Stress The Function of Stress The Stress Response Stress Prevention and Management Model Definition of Stress Stress can be defined as a psychological and physiological reaction to a real or perceived threat that requires some action or resolution Perception is the key factor in this definition People will respond differently to the exact same stimuli Multiple Meanings of Stress Stress can be triggered by a real or imaginary stimulus Stress is a response that operates on cognitive, behavioral, and biological levels Stress is a survival mechanism to increase internal awareness of danger and transform all the body’s resources to a heightened state of readiness Multiple Meanings of Stress What’s your story….what are things that have created stress for you from childhood? What stresses you now? How do you recognize stress in your life? How do you respond to anticipated or actual stress? What’s in a Name? The word stress is derived from the Middle English stresse, meaning “hardship”, and the Old French estrece, meaning “oppression” Today’s interpretation of stress was spurred by Canadian biologist Hans Selye Today, doctors warn about the epidemic of health problems that result from excessive stress How is Stress a Problem? About 75 to 90 percent of all visits to a primary care physician are because of stress-related disorders Stress is linked to the six leading causes of death in North America. Name the 6. About 90 % of all adults report that they have experienced stress at some time in their lives A Selected History of Stress Ancient Contributions Claude Bernard developed the concept of internal environment –homeostasis Charles Darwin theorized that fear and stress are adaptive mechanisms for survival Freud developed a theory of psychological disturbance based on the conscious and unconscious fears that motivate behavior A Selected History of Stress (cont’d) Walter Cannon was the first physiologist to begin talking about stress in the context of emotional responses Cannon coined the term “the fight-orflight response” to describe the stress response that becomes activated during perceived threats A Selected History of Stress (cont’d) Hans Selye, often recognized as the father of stress research, studied rats under chronic stress conditions He noticed a consistent pattern of bodily changes emerging (i.e., General Adaptation Syndrome), including an enlargement of the adrenal glands, shrinkage of thymus, and ulceration of the stomach lining Selye’s General Adaptation Syndrome (GAS) Alarm Stage – Acute stress reactivity characterized by disruption of the body’s homeostasis Resistance Stage – Presence of the stressor necessitates bodily adaptations and coping mechanisms resulting in stress products Exhaustion Stage – Prolonged exposure to stressors leads to the depletion of resistance energy resulting in illness or even death A Selected History of Stress (cont’d) Allostasis and Allostatic Load – Sterling and Eyer coined this term to mean the combined physiological and psychological adaptation to the experience of threats or adversities – McEwen created the concept of allostatic load to describe what happens when the same adaptive system that was designed to protect us actually tears us apart Responses to Stress People respond to stress in different ways, physiologically, emotionally, cognitively, and systematically Humans are the only species that worry themselves over imagined fears Fight-or-flight response is a survival mechanism with many unique and specific physiological reactions Major Responses to Stress Physiological Cognitive Emotional Behavioral Heart palpitations Impaired memory Fear Crying Sweating Disorientation Worry Rage Dry mouth Unrealistic demands Panic Withdrawal Fatigue Disasterizing Guilt Substance abuse Insomnia Illogical thinking Anger Self-medication Nausea Externalized blame Denial Impulsiveness Dizziness Obsessiveness Hopelessness Phobias Loss of appetite Loss of humor Numbness Hyperactivity High blood pressure Suicidal ideation Depression Lethargy Personality traits Surrender Despair Aggression Weight loss or gain Excessive fantasies Impatience Rambling Types of Stress Short-term stress (acute) is activated by sudden threat or danger Long-term stress (chronic) brings on wear-and-tear of the body Hyperstress is an excessive amount of stress that overloads the system Hypostress means inadequate stress to keep the body tuned and ready for action Types of Stress (cont’d) Selye defined three further terms: distress, neustress, and eustress Distress is the negative, harmful, destructive type of stress Neustress is neutral stress having little impact on you Eustress is good stress, the type that inspires and motivates you Sources of Stress External sources Internal sources The interaction of both internal and external sources. Sources of Stress (cont’d) Physical – when the human body is affected adverse conditions such as sleep deprivation and infections Psychological – caused by the interpretations of the events in our life; they are determined by our values, beliefs, attitudes, and philosophies of life. Psychosocial - arises from interactions with people and the society in which you live. Biochemical - Excessive use of certain substances such as sugar, nicotine, caffeine, alcohol and exposure to substances in the environment Stress Management & Prevention Stage 1: Life Situations/Chronic Stressors Stage 2: Perception/Evaluation Stage 3: Stress Response Stage 4: Consequences Five principles of stress prevention and management Prevention is more effective than management Small changes can lead to big effects Don’t count on a magic bullet for solving all your stress problems Tailor a program to your own schedule and means Develop a comprehensive plan for stress prevention and management