Courtesy Dr. Julie Gralow An Introduction to Stress Courtesy Dr. Julie Gralow STRESS AND STRESSORS Stress • Response to perceived threats or challenges resulting from stimuli or events that cause strain • Process in which we appraise and cope with environmental threats and challenges Stressors • Stimuli that cause physiological, psychological, and emotional reactions at any time An Introduction to Stress Courtesy Dr. Julie Gralow Social Readjustment Rating Scale (SRRS) • Holmes and Rahe • Life-changing events are potentially stressors • Any event that required a life-adjustment can cause a stress. • Life-changing events can have cumulative effect. • Some links found between certain life events and illnesses. • Divorce 100; Death of spouse 73; separation 65 SRRS Courtesy Dr. Julie Gralow Death of Spouse 100 Divorce 73 Marital separation 65 Jail term 63 Death of close family member 63 Personal injury or illness 53 Marriage 50 Fired at work 47 Marital reconciliation 45 Retirement 45 Change in health of family member 44 Pregnancy 40 Sex difficulties 39 Gain of new family member 39 Business readjustment 39 Change in financial state 38 Holidays 12 Vacation 11 An Introduction to Stress MAJOR LIFE EVENTS College Undergraduate Stress Scale Courtesy Dr. Julie Gralow • Sample Items from the College Undergraduate Stress Scale Rating scale adapted to match life events of college students • DeLongis found significant link between hassles and health problems. • Recent research reported link between daily stressors and health problems and increased risk of catching contagious disease. Daily hassle Courtesy Dr. Julie Gralow • Minor problems or irritants dealt with on regular basis Uplifts • Experiences with potential to make an individual happy The Hassles and Uplifts Scale Used to explore relationship between stress and illness An Introduction to Stress CHRONIC STRESS Chronic stress Courtesy Dr. Julie Gralow • Long-term or continuous state of nervous arousal where an individual perceives that demands are greater than the ability to meet them An Introduction to Stress POSTTRAUMATIC STRESS DISORDER (PTSD) Posttraumatic stress disorder Courtesy Dr. Julie Gralow • Psychological disorder characterized by exposure to or threatened by an event involving death, serious injury, or sexual violence; can include disturbing memories, nightmares, flashbacks, and other distressing symptoms Stress and Your Body FIGHT OR FLIGHT Physiological responses prepare us for an emergency by efficiently managing the body’s resources. • When faced with a threatening situation, portions of the brain, including the hypothalamus, activate the sympathetic nervous system Courtesy Dr. Julie Gralow • Leads to the secretion of cortisols (stress hormones such as Glucocorticoids), epinephrine and norepinephrine • Cause heart rate, blood pressure, respiration, and blood flow to the muscles to increase. • Meanwhile, digestion slows and the pupils dilate. PhotoObjects.net/Thinkstock Courtesy Dr. Julie Gralow THE SYMPATHETIC AND PARASYMPATHETIC NERVOUS SYSTEM Stress’s impact on your body Heart and Cardiovascular System • Epinephrine • Norepinephrine Courtesy Dr. Julie Gralow • Glucocorticoids Increased levels, when not used, accelerate buildup of plaque on artery walls CVD Digestive System Starting and stopping of parasympathetic nervous system can lead to digestive illnesses such as: Ulcers Stress’s impact on your body Immune System When sympathetic n.s. is activated, lymphocyte production is suppressed. Courtesy Dr. Julie Gralow Can lead to increases in: Nervous System Increased levels of stress hormones (cortisols) correlated with Anxiety • Bacterial infections Depression • Viral infections Neuron death • Cancer? • PTSD study Courtesy Dr. Julie Gralow Stress and Your Body Stress and Your Health: Too Much Cortisol Courtesy Dr. Julie Gralow Cortisol and kids • Negative effects of stress are apparent early in life. • Consequences of increased cortisol levels during pregnancy contribute to host of health problems. • Conflicts at home are linked to increased cortisol level in preschoolers. Cortisol on the job • Functioning of working memory decreases for some in highly stressful situations. Colin Anderson / age fotostock SHORT-TERM RESPONSES TO STRESS Courtesy Dr. Julie Gralow Alan Bailey/Shutterstock, Thinkstock Courtesy Dr. Julie Gralow GENERAL ADAPTATION SYNDROME In the alarm stage, short-term responses are activated, giving us energy to combat a threat. In the resistance stage, resources remain mobilized, and we continue to cope with the stressor. But eventually we enter the exhaustion stage when we become weak and susceptible to illness, and are less able to cope with the stressor. (Selye, 1956) The General Adaptation Syndrome Hans Selye A predictable sequence of reactions that organisms show in response to stressors Courtesy Dr. Julie Gralow It consists of three stages. Not everyone goes through all 3 stages. The General Adaptation Syndrome Alarm stage Initial reaction to stressor sympathetic nervous system response Resistance stage Intense physiological efforts made to resist or adapt to stressor Courtesy Dr. Julie Gralow Exhaustion stage Occurs if organism fails to resist or adapt to stressor Stores of energy are depleted, resulting in exhaustion and eventually death Lazarus’s Cognitive Theory of Stress Proposed that stress results from a person’s perception of stressors, and not from the stressors themselves Courtesy Dr. Julie Gralow Involves primary and secondary appraisals of the situation Lazarus’s Cognitive Theory of Stress Primary appraisal Cognitive evaluation of a potentially stressful situation to determine if its effect is positive, negative, or irrelevant Secondary appraisal Courtesy Dr. Julie Gralow Cognitive evaluation of available resources and options for dealing with a stressful situation Level of perceived stress is largely based on whether one’s resources are perceived as adequate for dealing with the stressor Lazarus Psychological Model of Stress Courtesy Dr. Julie Gralow Lazarus emphasized the importance of a person’s perceptions and appraisal of stressors. The stress response depends on the outcome of the primary and secondary appraisals, whether the person’s coping resources are adequate to cope with the threat, and how severely the resources are taxed in the process. Courtesy Dr. Julie Gralow Factors Related to Stress COPING WITH STRESS Appraisal and coping Coping • Cognitive, behavioral, and emotional abilities used to effectively manage something that is perceived as difficult or challenging\ Problem-focused coping • Coping strategy in which a person deals directly with a problem by attempting to solve and address it head-on Courtesy Dr. Julie Gralow Emotion-focused coping • Coping strategy in which a person addresses the emotions that surround a problem, as opposed to trying to solve it Courtesy Dr. Julie Gralow Factors Related to Stress COPING WITH STRESS Personality appears to have a profound effect on coping style and predispositions to stress-related illness. Type A personality: Competitive, aggressive, impatient, and often hostile pattern of behaviors Type B personality: Relaxed, patient, and nonaggressive pattern of behaviors Type D personality: Characterized by emotions like worry, tension, bad moods, and social inhibition; tend to avoid dealing with their problems directly and don’t take advantage of social support Factors Related to Stress COPING WITH STRESS Sense of personal control is related to a variety of health issues across the life span. • Less control felt, the greater the risk for disease Courtesy Dr. Julie Gralow • Choices increase perceived sense of control. • Sense of powerlessness is associated with increases in hormones involved with stress response. • Perceived sense of control can be internal or external. Predictability and control Feel less stress when a stressor is predictable than when it is unpredictable and when they have a sense of control over a situation Courtesy Dr. Julie Gralow Rat study Check It Out! Take a minute to answer the questions found on page 533. Courtesy Dr. Julie Gralow Were you surprised or relieved to discover how stressed you are? Psychologist Sheldon Cohen and colleagues (1983) developed the Perceived Stress Scale to measure the degree to which we appraise situations as stressful. By comparing your score against others tested in your age group, you are able to assess the amount of perceived stress in your life. Simply knowing you find your life uncontrollable or overloaded can be a trigger to seek help implementing positive lifestyle change.