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Stress (biology)

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275:—a term referring to the ability to be both chronically stressed and healthy. Even though psychological stress is often connected with illness or disease, most healthy individuals can still remain disease-free after being confronted with chronic stressful events. This suggests that there are individual differences in vulnerability to the potential pathogenic effects of stress; individual differences in vulnerability arise due to both genetic and psychological factors. In addition, the age at which the stress is experienced can dictate its effect on health. Research suggests chronic stress at a young age can have lifelong effects on the biological, psychological, and behavioral responses to stress later in life. 669:, allowing for it to regulate immune function. The adrenergic substances released by the sympathetic nervous system can also bind to and influence various immunological cells, further providing a connection between the systems. The HPA axis ultimately results in the release of cortisol, which generally has immunosuppressive effects. However, the effect of stress on the immune system is disputed, and various models have been proposed in an attempt to account for both the supposedly "immunodeficiency" linked diseases and diseases involving hyper activation of the immune system. One model proposed to account for this suggests a push towards an imbalance of 47: 1984:; Henderson, A.S.; Strotzka, H.; Lipowski, Z.; Yu-cun, Shen; You-xin, Xu; Strömgren, E.; Glatzel, J.; Kühne, G.-E.; Misès, R.; Soldatos, C.R.; Pull, C.B.; Giel, R.; Jegede, R.; Malt, U.; Nadzharov, R.A.; Smulevitch, A.B.; Hagberg, B.; Perris, C.; Scharfetter, C.; Clare, A.; Cooper, J.E.; Corbett, J.A.; Griffith Edwards, J.; Gelder, M.; Goldberg, D.; Gossop, M.; Graham, P.; Kendell, R.E.; Marks, I.; Russell, G.; Rutter, M.; Shepherd, M.; West, D.J.; Wing, J.; Wing, L.; Neki, J.S.; Benson, F.; Cantwell, D.; Guze, S.; Helzer, J.; Holzman, P.; Kleinman, A.; Kupfer, D.J.; Mezzich, J.; Spitzer, R.; Lokar, J. 390:
brain. People who have reported being raised in harsh environments such as verbal and physical aggression have showed a more immune dysfunction and more metabolic dysfunction. Indeed, in 1995 Toates already defined stress as a "chronic state that arises only when defense mechanisms are either being chronically stretched or are actually failing," while according to Ursin (1988) stress results from an inconsistency between expected events ("set value") and perceived events ("actual value") that cannot be resolved satisfactorily, which also puts stress into the broader context of
805:. Chronic stress also has a lot of illnesses and health care problems other than mental that comes with it. Severe chronic stress for long periods of time can lead to an increased chance of catching illnesses such as diabetes, cancer, depression, heart disease and Alzheimer's disease. More generally, prenatal life, infancy, childhood, and adolescence are critical periods in which the vulnerability to stressors is particularly high. This can lead to psychiatric and physical diseases which have long term impacts on an individual. 745:. Distant stressors did not consistently elicit a change in immune function. Another response to high impacts of chronic stress that lasts for a long period of time, is more immune dysfunction and more metabolic dysfunction. It is proven in studies that when continuously being in stressful situations, it is more likely to get sick. Also, when being exposed to stress, some claim that the body metabolizes the food in a certain way that adds extra calories to the meal, regardless of the nutritional values of the food. 704:
receiving common vaccines. Similarly, the effects that acute stressors have on the immune system may be increased when there is perceived stress and/or anxiety due to other events. For example, students who are taking exams show weaker immune responses if they also report stress due to daily hassles. While responses to acute stressors typically do not impose a health burden on young, healthy individuals, chronic stress in older or unhealthy individuals may have long-term effects that are detrimental to health.
1115: 781:. It is responsible for preparing the tissue for repair and promoting recruitment of certain cells to the wound area. Consistent with the fact that stress alters the production of cytokines, Graham et al. found that chronic stress associated with care giving for a person with Alzheimer's disease leads to delayed wound healing. Results indicated that biopsy wounds healed 25% more slowly in the chronically stressed group, or those caring for a person with Alzheimer's disease. 830:
before the damage, are not lost. Also high cortisol levels can be tied to the deterioration of the hippocampus and decline of memory that many older adults start to experience with age. These mechanisms and processes may therefore contribute to age-related disease, or originate risk for earlier-onset disorders. For instance, extreme stress (e.g. trauma) is a requisite factor to produce stress-related disorders such as post-traumatic stress disorder.
55: 323:. But "...stress as an explanation of lived experience is absent from both lay and expert life narratives before the 1930s". Physiological stress represents a wide range of physical responses that occur as a direct effect of a stressor causing an upset in the homeostasis of the body. Upon immediate disruption of either psychological or physical equilibrium the body responds by stimulating the 595:, increased activity of the digestive system, and contraction of the bladder walls. Complex relationships between protective and vulnerability factors on the effect of childhood home stress on psychological illness, cardiovascular illness and adaption have been observed. ANS related mechanisms are thought to contribute to increased risk of cardiovascular disease after major stressful events. 473: 1123:
stress; GAS is characterized by three phases: a nonspecific alarm mobilization phase, which promotes sympathetic nervous system activity; a resistance phase, during which the organism makes efforts to cope with the threat; and an exhaustion phase, which occurs if the organism fails to overcome the threat and depletes its physiological resources.
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and then held no one's hand. When the women were holding their husband's hand, the response was reduced in many brain areas. When holding the stranger's hand the response was reduced a little, but not as much as when they were holding their husband's hand. Social support helps reduce stress and even more so if the support is from a loved one.
1398:", and a large amount of research was undertaken to examine links between stress and disease of all kinds. By the late 1970s, stress had become the medical area of greatest concern to the general population, and more basic research was called for to better address the issue. There was also renewed laboratory research into the 1345:, many in experimental physiology concluded that his concepts were too vague and unmeasurable. During the 1950s, Selye turned away from the laboratory to promote his concept through popular books and lecture tours. He wrote for both non-academic physicians and, in an international bestseller entitled 960:
A way to control stress is first dealing with what is causing the stress if it is something the individual has control over. Other methods to control stress and reduce it can be: to not procrastinate and leave tasks for the last minute, do things you like, exercise, do breathing routines, go out with
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and Jaap Koolhaas believe that stress, based on years of empirical research, "should be restricted to conditions where an environmental demand exceeds the natural regulatory capacity of an organism". The brain cannot live in an harsh family environment, it needs some sort of stability between another
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in 1980. PTSD was considered a severe and ongoing emotional reaction to an extreme psychological trauma, and as such often associated with soldiers, police officers, and other emergency personnel. The stressor may involve threat to life (or viewing the actual death of someone else), serious physical
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When humans are under chronic stress, permanent changes in their physiological, emotional, and behavioral responses may occur. Chronic stress can include events such as caring for a spouse with dementia, or may result from brief focal events that have long term effects, such as experiencing a sexual
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In other words, primary appraisal includes the perception of how stressful the problem is and the secondary appraisal of estimating whether one has more than or less than adequate resources to deal with the problem that affects the overall appraisal of stressfulness. Further, coping is flexible in
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One study showed that the power of having support from a loved one, or just having social support, lowered stress in individual subjects. Painful shocks were applied to married women's ankles. In some trials women were able to hold their husband's hand, in other trials they held a stranger's hand,
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The PVN innervation from the brain stem nuclei, particularly the noradrenergic nuclei stimulate CRH release. Other regions of the hypothalamus both directly and indirectly inhibit HPA axis activity. Hypothalamic neurons involved in regulating energy balance also influence HPA axis activity through
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Both personal and environmental factors influence this primary appraisal, which then triggers the selection of coping processes. Problem-focused coping is directed at managing the problem, whereas emotion-focused coping processes are directed at managing the negative emotions. Secondary appraisal
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proliferation, and natural killer cell cytotoxicity. Stressful event sequences did not elicit a consistent immune response; however, some observations such as decreased T-Cell proliferation and cytotoxicity, increase or decrease in natural killer cell cytotoxicity, and an increase in mitogen PHA.
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processes strive to maintain equilibrium (homeostasis), a steady state that exists more as an ideal and less as an achievable condition. Environmental factors, internal or external stimuli, continually disrupt homeostasis; an organism's present condition is a state of constant flux moving about a
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Physiologists define stress as how the body reacts to a stressor - a stimulus, real or imagined. Acute stressors affect an organism in the short term; chronic stressors over the longer term. The general adaptation syndrome (GAS), developed by Hans Selye, is a profile of how organisms respond to
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releases, although this can increase storage of flashbulb memories it decreases long-term potentiation (LTP). The hippocampus is important in the brain for storing certain kinds of memories and damage to the hippocampus can cause trouble in storing new memories but old memories, memories stored
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Chronic stressors may not be as intense as acute stressors such as natural disaster or a major accident, but persist over longer periods of time and tend to have a more negative effect on health because they are sustained and thus require the body's physiological response to occur daily. This
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shift in bodily functions, or just as "prolonged stress". For example, results of one study demonstrated that individuals who reported relationship conflict lasting one month or longer have a greater risk of developing illness and show slower wound healing. It can also reduce the benefits of
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stage follows when the system's compensation mechanisms have successfully overcome the stressor effect (or have completely eliminated the factor which caused the stress). The high glucose, fat and amino acid levels in blood prove useful for anabolic reactions, restoration of homeostasis and
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Lazarus argued that, in order for a psychosocial situation to be stressful, it must be appraised as such. He argued that cognitive processes of appraisal are central in determining whether a situation is potentially threatening, constitutes a harm/loss or a challenge, or is benign.
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for further discussion of the biological process by which chronic stress may affect the body. For example, studies have found that caregivers, particularly those of dementia patients, have higher levels of depression and slightly worse physical health than non-caregivers.
1334:'s 1930s experiments. He started to use the term to refer not just to the agent but to the state of the organism as it responded and adapted to the environment. His theories of a universal non-specific stress response attracted great interest and contention in academic 995:
Both negative and positive stressors can lead to stress. The intensity and duration of stress changes depending on the circumstances and emotional condition of the person with it (Arnold. E and Boggs. K. 2007). Some common categories and examples of stressors include:
1239:. If the stressor persists, it becomes necessary to attempt some means of coping with the stress. The body attempts to respond to stressful stimuli, but after prolonged activation, the body's chemical resources will be gradually depleted, leading to the final stage. 587:, decreased motility of the digestive system, secretion of the epinephrine and cortisol from the adrenal medulla, and relaxation of the bladder wall. The parasympathetic nervous response, "rest and digest", involves return to maintaining homeostasis, and involves 309:. In the 1920s and '30s, biological and psychological circles occasionally used "stress" to refer to a physiological or environmental perturbation that could cause physiological and mental "strain". The amount of strain in reaction to stress depends on the 1273:
symptoms may reappear (panic attacks, muscle aches, sore eyes, difficulty breathing, fatigue, heartburn, high blood pressure, and difficulty sleeping, etc.). If stage three is extended, long-term damage may result (prolonged vasoconstriction results in
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was developed as a method of assessing the risk of disease from life changes. The scale lists both positive and negative changes that elicit stress. These include things such as a major holiday or marriage, or death of a spouse and firing from a job.
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during chronic life stress. In patients with HIV, increased life stress and cortisol was associated with poorer progression of HIV. Also with an increased level of stress, studies have proven evidence that it can reactivate latent herpes viruses.
947:, with stress defined as a person's physiological response to an internal or external stimulus that triggers the fight-or-flight response. Stress management is effective when a person uses strategies to cope with or alter stressful situations. 4330:
DeBellis, Michael D.; Chrousos, George P.; D. Dorn, Lorah; Burke, Lillian; Helmers, Karin; Kling, Mitchel A.; K. Trickett, Penelope; Putnam, Frank W. (1994). "Hypothalamic-pituitary-adrenal axis dysregulation in sexually abused girls".
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By the 1990s, "stress" had become an integral part of modern scientific understanding in all areas of physiology and human functioning, and one of the great metaphors of Western life. Focus grew on stress in certain settings, such as
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injury, or threat to physical or psychological integrity. In some cases, it can also be from profound psychological and emotional trauma, apart from any actual physical harm or threat. Often, however, the two are combined.
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Kobasa, S. C. (1982). The Hardy Personality: Toward a Social Psychology of Stress and Health. In G. S. Sanders & J. Suls (Eds.), Social Psychology of Health and Illness (pp. 1–25). Hillsdale, NJ: Lawrence Erlbaum
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in the brain, providing negative feedback by reducing ACTH release. Some evidence supports a second long term feedback that is non-sensitive to cortisol secretion. The PVN of the hypothalamus receives inputs from the
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homeostatic point that is that organism's optimal condition for living. Factors causing an organism's condition to diverge too far from homeostasis can be experienced as stress. A life-threatening situation such as a
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in reaction to severe stress and the consequent adaptive response. Chronic stress, and a lack of coping resources available, or used by an individual, can often lead to the development of psychological issues such as
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is determined by the disparity between an experience (real or imagined) and personal expectations, and resources to cope with the stress. Alarming experiences, either real or imagined, can trigger a stress response.
770:, and may further predispose people to other conditions associated with hypertension. Stress may precipitate abuse of drugs and/or alcohol. Stress may also contribute to aging and chronic diseases in aging, such as 1489:
The American Psychological Association's 2015 Stress In America Study found that nationwide stress is on the rise and that the three leading sources of stress were "money", "family responsibility", and "work".
654:, which stimulates HPA axis activity. Generally, the amygdala stimulates, and the prefrontal cortex and hippocampus attenuate, HPA axis activity; however, complex relationships do exist between the regions. 528:, two branches that are both tonically active with opposing activities. The ANS directly innervates tissue through the postganglionic nerves, which is controlled by preganglionic neurons originating in the 1615:
Muthukumar, Kannan; Nachiappan, Vasanthi (1 December 2013). "Phosphatidylethanolamine from Phosphatidylserine Decarboxylase2 is Essential for Autophagy Under Cadmium Stress in Saccharomyces cerevisiae".
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Stress can have many profound effects on the human biological systems. Biology primarily attempts to explain major concepts of stress using a stimulus-response paradigm, broadly comparable to how a
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depletes the body's energy more quickly and usually occurs over long periods of time, especially when these microstressors cannot be avoided (i.e. stress of living in a dangerous neighborhood). See
622:. Multiple CRH peptides have been identified, and receptors have been identified on multiple areas of the brain, including the amygdala. CRH is the main regulatory molecule of the release of ACTH. 375:
and natural resources, can also be interpreted as stress. The brain cannot sustain an equilibrium under chronic stress; the accumulation of such an ever-deepening deficit is called chronic stress.
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Chronic stress is a term sometimes used to differentiate it from acute stress. Definitions differ, and may be along the lines of continual activation of the stress response, stress that causes an
382:(1907–1982) in 1926. In 1951 a commentator loosely summarized Selye's view of stress as something that "...in addition to being itself, was also the cause of itself, and the result of itself". 2088:
Schlotz W, Yim IS, Zoccola PM, Jansen L, Schulz P (2011). The perceived stress reactivity scale: Measurement invariance, stability, and validity in three countries. Psychol Assess. (pp. 80–94)
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There are several ways of coping with stress, such as controlling the source of stress or learning to set limits and to say "no" to some of the demands that bosses or family members may make.
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concept of stress and adaptation offered the promise of helping everyone achieve health and happiness by successfully responding to changing global challenges and the problems of modern
236:, which is the loss of neurons and the connections between them. It affects the part of the brain that is important for learning, responding to the stressors and cognitive flexibility. 2231:
Calderon, R.; Schneider, R. H.; Alexander, C. N.; Myers, H. F.; Nidich, S. I.; Haney, C. (1999). "Stress, stress reduction and hypercholesterolemia in African Americans: a review".
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that, in general, the individual examines the effectiveness of the coping on the situation; if it is not having the desired effect, they will, in general, try different strategies.
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is the alternative third stage in the GAS model. At this point, all of the body's resources are eventually depleted and the body is unable to maintain normal function. The initial
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Acute stressful situations where the stress experienced is severe is a cause of change psychologically to the detriment of the well-being of the individual, such that symptomatic
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First to use the term in a biological context, Selye continued to define stress as "the non-specific response of the body to any demand placed upon it". Neuroscientists such as
1368:. He argued that all people have a natural urge and need to work for their own benefit, a message that found favor with industrialists and governments. He also coined the term 81:
such as an environmental condition. When stressed by stimuli that alter an organism's environment, multiple systems respond across the body. In humans and most mammals, the
2916: 845:. Stress may also increase reward associated with food, leading to weight gain and further changes in eating habits. Stress may contribute to various disorders, such as 2942:
Walton, Kenneth G.; Levitsky, Debra K. (2003). "Effects of the Transcendental Meditation program on neuroendocrine abnormalities associated with aggression and crime".
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intensifies the body's systemic response. Glucocorticoids can increase the concentration of glucose, fat, and amino acid in blood. In high doses, one glucocorticoid,
1101:) are thought to contribute to deficits in the maturity of an individual's stress response systems. One evaluation of the different stresses in people's lives is the 3489:
Traylen, Christopher M; Patel, Hersh R; Fondaw, Wylder; Mahatme, Sheran; Williams, John F; Walker, Lia R; Dyson, Ossie F; Arce, Sergio; Akula, Shaw M (April 2011).
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The activity of the sympathetic nervous system drives what is called the "fight or flight" response. The fight or flight response to emergency or stress involves
410:(brain and spinal cord) plays a crucial role in the body's stress-related mechanisms. Whether one should interpret these mechanisms as the body's response to a 513:(ANS), as mentioned above, plays an important role in translating stress into a response. The ANS responds reflexively to both physical stressors (for example 4156: 2054:
Kingston, Cara; Schuurmans-Stekhoven, James (2016). "Life hassles and delusional ideation: Scoping the potential role of cognitive and affective mediators".
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Hering, Dagmara; Lachowska, Kamila; Schlaich, Markus (1 October 2015). "Role of the Sympathetic Nervous System in Stress-Mediated Cardiovascular Disease".
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or challenging work), it may be considered eustress. Persistent stress that is not resolved through coping or adaptation, deemed distress, may lead to
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Glavas, M.M.; Weinberg, J. (2006). "Stress, Alcohol Consumption, and the Hypothalamic-Pituitary-Adrenal Axis". In Yehuda, S.; Mostofsky, D.I. (eds.).
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Afari, Niloofar; Ahumada, Sandra M.; Wright, Lisa Johnson; Mostoufi, Sheeva; Golnari, Golnaz; Reis, Veronica; Cuneo, Jessica Gundy (7 February 2017).
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are processed through and stored. When people feel stressed, stress hormones get over-secreted, which affects the brain. This secretion is made up of
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Pinquart M.; Sörensen S. (2003). "Differences between caregivers and non-caregivers in psychological health and physical health: a meta-analysis".
736:, and an increase in cell cytotoxicity. Brief naturalistic stressors elicit a shift from Th1 (cellular) to Th2 (humoral) immunity, while decreased 2510:
Captain Richard H. Rahe MC USNR; Dr Ransom J. Arthur, MD (1 March 1978). "Life Change and Illness Studies: Past History and Future Directions".
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can greatly disrupt homeostasis. On the other hand, an organism's attempt at restoring conditions back to or near homeostasis, often consuming
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A person's capacity to tolerate the source of stress may be increased by thinking about another topic such as a hobby, listening to music, or
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Ursin, H. (1988). "Expectancy and activation: An attempt to systematize stress theory". In Hellhammer, D.H.; Florin, I.; Weiner, H. (eds.).
940:. Over the long term, distress can lead to diminished health and/or increased propensity to illness; to avoid this, stress must be managed. 741:
Chronic stress elicited a shift toward Th2 immunity, as well as decreased interleukin 2, T cell proliferation, and antibody response to the
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Stress, either severe, acute stress or chronic low-grade stress may induce abnormalities in three principal regulatory systems in the body:
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which in turn leads to cell necrosis), as the body's immune system becomes exhausted, and bodily functions become impaired, resulting in
86: 1183:: When the threat or stressor is identified or realized, the body starts to respond and is in a state of alarm. During this stage, the 457: 170:
Disease risk is particularly pertinent to mental illnesses, whereby chronic or severe stress remains a common risk factor for several
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are the two major systems that respond to stress. Two well-known hormones that humans produce during stressful situations are
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The brain endocrine interactions are relevant in the translation of stress into physiological and psychological changes. The
335:. The reaction of these systems causes a number of physical changes that have both short- and long-term effects on the body. 2697: 1187:
and sympathetic nervous system activate the production of catecholamines including adrenaline, engaging the popularly-known
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assault. Studies have also shown that psychological stress may directly contribute to the disproportionately high rates of
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may be heavily influenced by stress. The sympathetic nervous system innervates various immunological structures, such as
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Stress management encompasses techniques intended to equip a person with effective coping mechanisms for dealing with
797:'s production of growth hormone, as in children associated with a home environment involving serious marital discord, 4391:
Gozhenko, AI; Gurkalova, IP; Zukow, W; Kwasnik, Z; Mroczkowska, B (2009). Gozhenko, AI; Zukow, W; Kwasnik, Z (eds.).
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de Kloet, E. Ron; Joëls, Marian; Holsboer, Florian (June 2005). "Stress and the brain: from adaptation to disease".
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Neuronal Control of Bodily Function: Basic and Clinical Aspects, Vol. 2: Neurobiological Approaches to Human Disease
4152: 1440: 1173:. The organism's resistance to the stressor drops temporarily below the normal range and some level of shock (e.g. 1008:, noise, temperatures, or environmental issues such as a lack of control over environmental circumstances, such as 978:
refers to the evaluation of the resources available to cope with the problem, and may alter the primary appraisal.
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Saveanu, Radu V.; Nemeroff, Charles B. (March 2012). "Etiology of Depression: Genetic and Environmental Factors".
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without being explicitly confessional, just "stressed out". It came to cover a huge range of phenomena from mild
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Davis et al. (June 2007). Prenatal Exposure to Maternal Depression and Cortisol Influences Infant Temperament.
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A link has been suggested between chronic stress and cardiovascular disease. Stress appears to play a role in
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Acute time-limited stressors, or stressors that lasted less than two hours, results in an up regulation of
339: 4618: 2278:"Health psychology: Developing biologically plausible models linking the social world and physical health" 1486:. In popular usage, almost any event or situation between these extremes could be described as stressful. 602:
is a neuroendocrine system that mediates a stress response. Neurons in the hypothalamus, particularly the
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Charmandari E, Achermann JC, Carel JC, Soder O, Chrousos GP (2012). "Stress response and child health".
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Physiological Regulation of Normal States: Some Tentative Postulates Concerning Biological Homeostatics
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Viner, Russell (June 1999). "Putting Stress in Life: Hans Selye and the Making of Stress Theory".
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The term "stress" had none of its contemporary connotations before the 1920s. It is a form of the
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van Kampen, H.S. (2019). "The principle of consistency and the cause and function of behaviour".
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Koolhaas J, et al. (2011). "Stress revisited: A critical evaluation of the stress concept".
1937: 1439:) was coined in the mid-1970s, in part through the efforts of anti-Vietnam War activists and the 603: 310: 46: 31: 2025: 1871:"Psychological Stress and the Human Immune System: A Meta-Analytic Study of 30 Years of Inquiry" 961:
friends, and take a break. Having support from a loved one also helps a lot in reducing stress.
677:(Th2). The proposed imbalance involved hyperactivity of the Th2 system leading to some forms of 414:
or embody the act of stress itself is part of the ambiguity in defining what exactly stress is.
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The second major physiological stress-response center, the HPA axis, regulates the release of
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to refer to the causative event or stimulus, as opposed to the resulting state of stress.
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to refer to the internal distribution of a force exerted on a material body, resulting in
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Viner R (1999). "Putting Stress in Life: Hans Selye and the Making of Stress Theory".
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Khansari D.; Murgo A.; Faith R. (May 1990). "Effects of stress on the immune system".
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The result can manifest itself in obvious illnesses, such as general trouble with the
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can also cause stress. Students and workers may face performance pressure stress from
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started to adopt Selye's concept; they sought to quantify "life stress" by scoring "
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became a key center of stress research, attempting to understand and reduce combat
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The secretion of ACTH into systemic circulation allows it to bind to and activate
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Organism's response to a stressor such as an environmental condition or a stimulus
4557: 4478:"The "Father of Stress" Meets "Big Tobacco": Hans Selye and the Tobacco Industry" 4034: 2877: 2847: 2681: 1444: 1353: 1311: 1291: 1220: 1184: 1079: 818: 794: 619: 576: 426: 241: 205: 3620: 1886: 4446: 2446: 2144: 2011: 1999: 1930:. In Gelder, Michael; Andreasen, Nancy; Lopez-Ibor, Juan; Geddes, John (eds.). 1399: 1307: 1279: 838: 694: 651: 572: 568: 442: 332: 324: 284: 257: 171: 4344: 3995: 3717: 3563: 3408: 3167: 3114: 2571: 2554: 1826: 1629: 1114: 127:, which influences many bodily functions such as metabolic, psychological and 4630: 4501: 4493: 4414: 4042: 3952: 3858: 3628: 3571: 3514: 3356: 3347: 3297: 3235: 3175: 3122: 3065: 3005: 2881: 2531: 2454: 2244: 2186: 1894: 1834: 1774: 1695: 1637: 1581: 1407: 1391: 1162: 1032: 826: 778: 733: 658: 541: 453: 430: 316: 189: 160: 156: 132: 131:. The SAM and HPA axes are regulated by several brain regions, including the 128: 74: 66: 3802: 1207:, producing glucocorticoids (cortisol, aka the S-hormone or stress-hormone). 4519: 4291: 4130: 4060: 4003: 3960: 3911: 3903: 3876: 3772: 3725: 3646: 3589: 3532: 3475: 3442:"Stress and health: psychological, behavioral, and biological determinants" 3426: 3374: 3315: 3274:"STRESS AND HEALTH: Psychological, Behavioral, and Biological Determinants" 3253: 3183: 3140: 3083: 3023: 2855: 2782: 2580: 2396: 2338: 2303: 2252: 2194: 2152: 2075: 1912: 1842: 1792: 1713: 1645: 1589: 1529: 1514: 1357: 1299: 1166: 1158: 1098: 1067: 846: 767: 721: 537: 514: 438: 386: 319:
used it in 1926 to refer to external factors that disrupted what he called
261: 197: 144: 4352: 4282: 4265: 4095: 3681: 2955: 833:
Chronic stress also shifts learning, forming a preference for habit based
37:"Environmental stress" redirects here. For the manufacturing process, see 4550: 2607: 2539: 1426: 1415: 1232: 1200: 1192: 1150: 1028: 802: 662: 646:. Through these inputs, it receives and can respond to changes in blood. 607: 472: 437:
to its environment. Below there follows a brief biological background of
359: 351: 320: 117: 3040:
McKlveen, Jessica M.; Myers, Brent; Herman, James P. (7 February 2017).
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to the kind of severe problems that might result in a real breakdown of
2067: 1544: 1479: 1335: 1331: 1203:, and increased glucose in blood. There is also some activation of the 1097:(e.g. prenatal exposure to maternal stress, poor attachment histories, 798: 700: 379: 368: 291: 164: 90: 70: 4608: 4454: 3764: 3506: 3390: 3272:
Schneiderman, Neil; Ironson, Gail; Siegel, Scott D. (1 January 2005).
3057: 2462: 1926:
Ehlers, Anke; Harvey, Allison G.; Bryant, Richard A. (October 2012) .
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and the promotion of the concept of stress, clouding the link between
1338:
and he undertook extensive research programs and publication efforts.
894:. Where stress enhances function (physical or mental, such as through 777:
The immune system also plays a role in stress and the early stages of
232:(see below for further information). Chronic stress also causes brain 3439: 2997: 1471: 1411: 1403: 1036: 580: 560: 449: 253: 216: 54: 4252:
Journal of the American Academy of Child & Adolescent Psychiatry
4122: 3748: 2686:. Foreword by Paul J. Rosch. Nova Science Publishers. p. viii. 2485: 1687: 3746: 3605:"HPA axis responsiveness to stress: Implications for healthy aging" 1509: 1475: 1419: 1361: 1303: 1275: 1224: 1052: 1040: 887: 881: 834: 814: 599: 584: 549: 411: 221: 140: 124: 94: 78: 2683:
Anthology of Stress Revisited: Selected Works Of James H. Humphrey
378:
The ambiguity in defining this phenomenon was first recognized by
264:. Specifically, acute and chronic stress have been shown to raise 4533:
Shalev, Arieh Y.; Yehuda, Rachel; Alexander C. McFarlane (2000).
4263: 2355:
The International Journal of Indian Psychology, Volume 1, Issue 1
1380: 1063: 1056: 1021: 899: 630: 355: 233: 2652:"Six ways to spot emotional manipulation before it destroys you" 2602:
Dattatreya, Shruthi (2014). "Can Stress Take the Cost of Life".
2317:
Keil R.M.K. (2004). "Coping and Stress: A Conceptual Analysis".
4074:
Selye (1975). "Confusion and controversy in the stress field".
2918:
The Handbook of Stress Science: Biology, Psychology, and Health
1966: 1672:"Neural Regulation of Endocrine and Autonomic Stress Responses" 1483: 1295: 1219:
is the second stage. During this stage, increased secretion of
1017: 737: 682: 666: 588: 372: 3703: 3393:"Stress, Age, and Immune Function: Toward a Lifespan Approach" 1980: 1869:
Segerstrom, Suzanne C.; Miller, Gregory E. (7 February 2017).
1566:"Cadmium-induced oxidative stress in Saccharomyces cerevisiae" 813:
Chronic stress is seen to affect the parts of the brain where
464:
has also been associated with abnormalities in these systems.
4390: 2915:
PhD, Richard Contrada; PhD, Andrew Baum (29 September 2010).
2358:. Lulu International Press & RED'SHINE Publication. Inc. 1341:
While the work attracted continued support from advocates of
1083: 1048: 1044: 1013: 295: 4329: 3749:"Pediatric stress: hormonal mediators and human development" 2720:, I included the comments of one physician published in the 2053: 1027:
Social issues can also cause stress, such as struggles with
108:, which dedicates energy to more relevant bodily systems to 3818: 3816: 3814: 3812: 3747:
Charmandari E, Kino T, Souvatzoglou E, Chrousos GP (2003).
3659: 2056:
Psychology and Psychotherapy: Theory, Research and Practice
1809:
Notaras, Michael; van den Buuse, Maarten (3 January 2020).
1670:
Ulrich-Lai, Yvonne M.; Herman, James P. (7 February 2017).
1009: 1001: 4016: 3491:"Virus reactivation: a panoramic view in human infections" 2716:] had difficulties, and in helping him to prepare his 2165: 1564:
Nachiappan, Vasanthi; Muthukumar, Kannan (December 2010).
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is the first stage, which is divided into two phases: the
886:
Selye published in year 1975 a model dividing stress into
100:
The sympathoadrenal medullary (SAM) axis may activate the
3488: 3271: 2712: 1752: 1750: 1748: 1414:
not necessarily tied to Selye's original hypotheses. The
1149:: During this phase, the body can endure changes such as 729: 417:
The central nervous system works closely with the body's
4217: 3809: 3841:
Yau, Yvonne H. C.; Potenza, Marc N. (7 February 2017).
3153: 50:
Schematic overview of the classes of stresses in plants
4333:
The Journal of Clinical Endocrinology & Metabolism
3097:
El-Sheikh, Mona; Erath, Stephen A. (7 February 2017).
2130: 1745: 433:
functions in ways that ought to make an organism more
4108: 2876: 2553:
Goldstein, David S.; Kopin, Irwin J. (January 2007).
1450:
Diagnostic and Statistical Manual of Mental Disorders
4264:
O'Connor; Heron; Golding; Beveridge; Glover (2002).
4153:"The Silent Denial of Stress in a Competitive World" 2890:(2nd ed.). New York: Worth Publishers. p.  1808: 1757:
Stephens, Mary Ann C.; Wand, Gary (1 January 2012).
1614: 1563: 301:, "to draw tight". The word had long been in use in 3391:Graham J.; Christian L.; Kiecolt-Glaser J. (2006). 3039: 271:However, it is possible for individuals to exhibit 4535:International handbook of human response to trauma 3822:Kalat, J. W. (2013). Biological Psychology. p. 383 3440:Schneiderman N.; Ironson G.; Siegel S. D. (2005). 3386: 3384: 3210:Smith, Sean M.; Vale, Wylie W. (7 February 2017). 2166:Cohen, S; Janicki-Deverts, D; Miller, GE. (2007). 1925: 1470:techniques were developed. The term also became a 1118:A diagram of the general adaptation syndrome model 905:The difference between experiences that result in 346: 268:and are associated with clinical coronary events. 3831:Kalat, J. W. (2013). Biological Psychology. p. 97 3653: 278: 4628: 1868: 1864: 1862: 1860: 1669: 4195:Stress, Coping, and Development, Second Edition 3981: 3381: 1474:, a way of referring to problems and eliciting 354:is a concept central to the idea of stress. In 4476:Petticrew, Mark P.; Lee, Kelley (March 2011). 4370:(2nd Canadian ed.). McGraw-Hill Ryerson. 4307:Affect Regulation & the Repair of the Self 3548:"Chronic Psychosocial Stress and Hypertension" 3096: 2941: 2552: 2275: 1109: 563:, increased heart rate and force contraction, 517:), and to higher level inputs from the brain. 4613:European Agency for Safety and Health at Work 3331:"Neural control of chronic stress adaptation" 3205: 3203: 3201: 3035: 3033: 2975: 2973: 2126: 2124: 1857: 1570:Indian Journal of Biochemistry and Biophysics 1379:from 1958 and they were undeclared allies in 837:, and decreased task flexibility and spatial 789:Chronic stress has also been shown to impair 753:Some studies have observed increased risk of 4475: 4428: 4426: 4424: 4365: 3740: 3697: 2986:American Journal of Pharmaceutical Education 2982:"Physiology of the Autonomic Nervous System" 2378: 1756: 1665: 1663: 1235:) and brings the body to a state similar to 1191:. Adrenaline temporarily provides increased 688: 313:. Excessive strain would appear as illness. 4180:Psychological Stress and the Coping Process 2649: 2316: 1169:—the stressor effect. This phase resembles 4537:. New York: Kluwer Academic/Plenum Press. 3931:Acta Neurologica Scandinavica Supplementum 3840: 3596: 3198: 3030: 2970: 2833: 2601: 2276:Miller, G.; Chen, E.; Cole, S. W. (2009). 2121: 458:hypothalamic-pituitary-adrenocortical axis 4509: 4421: 4366:Taylor, Shelley; Sirois, Fuschia (2012). 4281: 4050: 3942: 3890:Clauw, Daniel J. (2014). "Fibromyalgia". 3866: 3636: 3579: 3522: 3465: 3416: 3364: 3346: 3305: 3243: 3209: 3130: 3073: 3013: 2806:Stress: Conceptual and Biological Aspects 2570: 2404: 2293: 2159: 1902: 1804: 1802: 1782: 1703: 1660: 864: 720:. This type of stress saw in increase in 650:the release of neurotransmitters such as 87:hypothalamic-pituitary-adrenal (HPA) axis 4222:Nutrients, Stress, and Medical Disorders 3927:"The chronic fatigue syndrome—an update" 3602: 2980:McCorry, Laurie Kelly (15 August 2007). 2823:. Kirkland, WA: Huber. pp. 313–334. 2760: 2740:(Rev. ed.). New York: McGraw-Hill. 2676: 2310: 2224: 1113: 928:Responses to stress include adaptation, 857:, as well as other mental illnesses and 616:corticotropin-releasing hormone receptor 471: 397: 202:International Classification of Diseases 53: 45: 4432: 4177: 3925:Wyller, Vegard Bruun (1 January 2007). 3545: 3458:10.1146/annurev.clinpsy.1.102803.144141 3290:10.1146/annurev.clinpsy.1.102803.144141 3267: 3265: 3263: 2979: 2827: 2483: 2351: 2112: 1410:bases of stress, conceived as a useful 14: 4629: 4304: 4298: 4211: 4192: 4186: 3924: 3328: 2914: 2803: 2763:Neuroscience and Biobehavioral Reviews 2650:Worthington, James (9 November 2014). 2295:10.1146/annurev.psych.60.110707.163551 1799: 1364:" for positive stress, by contrast to 1321: 990: 968: 841:, probably through alterations of the 4642:Stress (biological and psychological) 4526: 4226:. Totowa, NJ: Humana Press. pp.  4073: 3889: 3694:Powell, Brasel, & Blizzard, 1967. 3546:Spruill, Tanya M. (7 February 2017). 2818: 2735: 2432: 2379:Cooke-Taylor, C.R. (3 October 1936). 2108: 2106: 2104: 2102: 2100: 2098: 2096: 2094: 902:or withdrawal (depression) behavior. 629:, where it stimulates the release of 4393:Pathology: Medical student's library 3984:Psychiatric Clinics of North America 3446:Annual Review of Clinical Psychology 3335:Frontiers in Behavioral Neuroscience 3278:Annual Review of Clinical Psychology 3260: 2700:from the original on 24 October 2015 2115:7 and a half lessons about the brain 1936:(2nd ed.). oxfordmedicine.com: 467: 532:. The ANS receives inputs from the 24: 4581:from the original on 16 March 2017 4159:from the original on 19 April 2012 3603:Aguilera, Greti (1 January 2011). 3329:Herman, James P. (8 August 2013). 3216:Dialogues in Clinical Neuroscience 2944:Journal of Offender Rehabilitation 2718:First Annual report on Stress 1951 2658:from the original on 19 April 2015 2168:"Psychological Stress and Disease" 2091: 1946:10.1093/med/9780199696758.001.0001 1195:, increased blood pressure due to 808: 761: 425:becomes primarily active during a 421:to regulate these mechanisms. The 25: 4663: 4609:"Research on Work-Related Stress" 4597: 4571:"2015 Stress in America Snapshot" 4482:American Journal of Public Health 2555:"Evolution of concepts of stress" 2026:"Meaning of aetiology in English" 1933:New Oxford Textbook of Psychiatry 1763:Alcohol Research: Current Reviews 1596:from the original on 25 July 2019 1447:. The condition was added to the 755:upper respiratory tract infection 167:and susceptibility to diseases. 153:stress can alter memory functions 77:, is an organism's response to a 4604:The American Institute of Stress 4197:. New York: The Guilford Press. 3944:10.1111/j.1600-0404.2007.00840.x 2331:10.1046/j.1365-2648.2003.02955.x 1618:Cell Biochemistry and Biophysics 1441:Vietnam Veterans Against the War 1247:The third stage could be either 821:, including cortisol, which are 707: 429:, regulating many of the body's 112:adaptation to stress, while the 58:Neurohormonal response to stress 4563: 4469: 4384: 4359: 4323: 4257: 4244: 4171: 4145: 4102: 4067: 4010: 3975: 3918: 3883: 3834: 3825: 3787: 3688: 3539: 3482: 3433: 3322: 3147: 3103:Development and Psychopathology 3090: 2935: 2921:. Springer Publishing Company. 2908: 2870: 2812: 2797: 2775:10.1016/j.neubiorev.2011.02.003 2754: 2729: 2670: 2643: 2595: 2546: 2503: 2484:Demetre, D. C. (25 June 2007). 2477: 2426: 2413: 2372: 2345: 2269: 2259: 2082: 2047: 2018: 1227:, begins to act similarly to a 612:corticotropin releasing hormone 445:and how they relate to stress. 347:Biological need for equilibrium 30:For other kinds of stress, see 3397:Journal of Behavioral Medicine 2113:Barrett, Lisa Feldman (2020). 1973: 1919: 1720: 1608: 1557: 1432:post-traumatic stress disorder 1390:From the late 1960s, academic 1375:Selye was in contact with the 1326:The current usage of the word 784: 522:parasympathetic nervous system 279:Etymology and historical usage 114:parasympathetic nervous system 39:Environmental stress screening 13: 1: 4088:10.1080/0097840X.1975.9940406 3843:"Stress and Eating Behaviors" 3228:10.31887/DCNS.2006.8.4/ssmith 3046:Journal of Neuroendocrinology 2808:. Chichester, England: Wiley. 2524:10.1080/0097840X.1978.9934972 1550: 1455:posttraumatic stress disorder 1076:obsessive compulsive disorder 1031:or difficult individuals and 985: 955:spending time in a wilderness 748: 640:nucleus of the solitary tract 530:intermediolateral cell column 406:sensory system operates. The 177: 4395:. Radom University. p.  4035:10.1097/PSY.0000000000000010 3674:10.1016/0167-5699(90)90069-l 3552:Current Hypertension Reports 3156:Current Hypertension Reports 2848:10.1016/j.beproc.2018.12.013 2352:IJIP.In (31 December 2013). 1422:and psychiatric casualties. 1318:and other mental illnesses. 1103:Holmes and Rahe stress scale 1035:, or relationship conflict, 1012:, air and/or water quality, 859:functional somatic syndromes 793:in children by lowering the 392:cognitive-consistency theory 340:Holmes and Rahe stress scale 151:. Through these mechanisms, 7: 4111:Nature Reviews Neuroscience 3795:"Renew-Stress on the Brain" 3621:10.1016/j.exger.2010.08.023 2385:The British Medical Journal 2319:Journal of Advanced Nursing 2282:Annual Review of Psychology 2002:. bluebook.doc. p. 110 1887:10.1037/0033-2909.130.4.601 1676:Nature Reviews Neuroscience 1493: 1197:peripheral vasoconstriction 1110:General adaptation syndrome 1093:Adverse experiences during 1043:, and major events such as 875: 633:. Steroid hormones bind to 520:The ANS is composed of the 10: 4668: 4652:Sympathetic nervous system 4447:10.1177/030631299029003003 2447:10.1177/030631299029003003 2145:10.1037/0882-7974.18.2.250 2032:Cambridge University Press 2030:dictionary.cambridge.org ( 1349:, for the general public. 1242: 1211: 1126: 921: 879: 868: 692: 526:sympathetic nervous system 423:sympathetic nervous system 181: 106:sympathetic nervous system 36: 29: 4435:Social Studies of Science 4345:10.1210/jcem.78.2.8106608 4309:. New York: W.W. Norton. 3996:10.1016/j.psc.2011.12.001 3718:10.1126/scisignal.2003595 3564:10.1007/s11906-009-0084-8 3409:10.1007/s10865-006-9057-4 3168:10.1007/s11906-015-0594-5 3115:10.1017/S0954579411000034 2572:10.1080/10253890701288935 2435:Social Studies of Science 1995:World Health Organization 1827:10.1038/s41380-019-0639-2 1759:"Stress and the HPA Axis" 1630:10.1007/s12013-013-9667-8 1535:Stress in early childhood 1360:. Selye coined the term " 1062:Life experiences such as 917: 909:and those that result in 774:and metabolic disorders. 689:Effects of chronic stress 4494:10.2105/AJPH.2009.177634 4193:Aldwin, Carolyn (2007). 4182:. New York: McGraw-Hill. 3609:Experimental Gerontology 3348:10.3389/fnbeh.2013.00061 2187:10.1001/jama.298.14.1685 1928:"Acute stress reactions" 1525:Trier social stress test 1520:Plant stress measurement 1500:Autonomic nervous system 1271:autonomic nervous system 1189:fight-or-flight response 851:chronic fatigue syndrome 635:glucocorticoid receptors 620:anterior pituitary gland 511:autonomic nervous system 102:fight-or-flight response 83:autonomic nervous system 4076:Journal of Human Stress 3847:Minerva Endocrinologica 2722:British Medical Journal 2512:Journal of Human Stress 2233:Ethnicity & Disease 1938:Oxford University Press 1396:significant life events 716:and down regulation of 679:immune hypersensitivity 604:paraventricular nucleus 200:, are experienced. The 129:immunological functions 4305:Schore, Allan (2003). 4178:Lazarus, R.S. (1966). 4023:Psychosomatic Medicine 3904:10.1001/jama.2014.3266 3799:The Franklin Institute 2880:; Gilbert, Daniel T.; 2631:Cite journal requires 2397:10.1136/bmj.2.3952.694 1875:Psychological Bulletin 1343:psychosomatic medicine 1263:regeneration of cells. 1119: 1090:and project deadlines. 1000:Sensory input such as 871:Stress (psychological) 865:Psychological concepts 506: 408:central nervous system 251:coronary heart disease 59: 51: 4283:10.1192/bjp.180.6.502 2956:10.1300/J076v36n01_04 2836:Behavioural Processes 2804:Toates, F.M. (1995). 2710:Even Selve [ 1540:Weathering hypothesis 1177:) may be experienced. 1117: 627:Melanocortin receptor 475: 454:catecholamine systems 398:Biological background 365:major physical trauma 57: 49: 4556:17 June 2007 at the 2736:Selye, Hans (1978). 2654:. The Fusion Model. 2608:10.2139/ssrn.2456211 2381:"Stress of Homework" 2212:on 24 September 2015 2133:Psychology and Aging 1815:Molecular Psychiatry 945:psychological stress 930:psychological coping 843:dopaminergic systems 791:developmental growth 726:natural killer cells 204:includes a group of 184:Psychological stress 116:returns the body to 2878:Schacter, Daniel L. 1728:"Biology of stress" 1322:History in research 1316:clinical depression 1072:clinical depression 991:Health risk factors 969:Cognitive appraisal 593:bronchoconstriction 462:Aggressive behavior 4619:Coping With Stress 2738:The stress of life 2678:Humphrey, James H. 2068:10.1111/papt.12089 1505:Defense physiology 1385:smoking and cancer 1237:hyperaldosteronism 1120: 1082:, or insufficient 507: 260:and its etiologic 196:, and anxiety and 60: 52: 4544:978-0-306-46095-1 4406:978-83-61047-18-6 4368:Health Psychology 4316:978-0-393-70407-5 4237:978-1-58829-432-6 4204:978-1-57230-840-4 4155:. 17 March 2012. 3765:10.1159/000069325 3706:Science Signaling 3507:10.2217/fvl.11.21 3058:10.1111/jne.12272 2928:978-0-8261-1771-7 2882:Wegner, Daniel M. 2365:978-1-365-01645-5 2181:(14): 1685–1687. 1982:Sartorius, Norman 1821:(10): 2251–2274. 1468:stress management 1229:mineralocorticoid 1175:circulatory shock 1171:Addison's disease 934:stress management 924:Stress management 896:strength training 743:influenza vaccine 718:specific immunity 671:cellular immunity 644:lamina terminalis 546:prefrontal cortex 502:pituitary gland= 468:Biology of stress 450:serotonin systems 215:which have their 194:depersonalization 137:prefrontal cortex 18:Stress (medicine) 16:(Redirected from 4659: 4647:Endocrine system 4637:Stress (biology) 4591: 4590: 4588: 4586: 4567: 4561: 4548: 4530: 4524: 4523: 4513: 4473: 4467: 4466: 4430: 4419: 4418: 4388: 4382: 4381: 4363: 4357: 4356: 4327: 4321: 4320: 4302: 4296: 4295: 4285: 4261: 4255: 4248: 4242: 4241: 4225: 4215: 4209: 4208: 4190: 4184: 4183: 4175: 4169: 4168: 4166: 4164: 4149: 4143: 4142: 4106: 4100: 4099: 4071: 4065: 4064: 4054: 4014: 4008: 4007: 3979: 3973: 3972: 3946: 3922: 3916: 3915: 3887: 3881: 3880: 3870: 3838: 3832: 3829: 3823: 3820: 3807: 3806: 3801:. Archived from 3791: 3785: 3784: 3753:Hormone Research 3744: 3738: 3737: 3701: 3695: 3692: 3686: 3685: 3662:Immunology Today 3657: 3651: 3650: 3640: 3600: 3594: 3593: 3583: 3543: 3537: 3536: 3526: 3486: 3480: 3479: 3469: 3437: 3431: 3430: 3420: 3388: 3379: 3378: 3368: 3350: 3326: 3320: 3319: 3309: 3269: 3258: 3257: 3247: 3207: 3196: 3195: 3151: 3145: 3144: 3134: 3094: 3088: 3087: 3077: 3037: 3028: 3027: 3017: 2998:10.5688/aj710478 2977: 2968: 2967: 2939: 2933: 2932: 2912: 2906: 2905: 2874: 2868: 2867: 2831: 2825: 2824: 2816: 2810: 2809: 2801: 2795: 2794: 2769:(5): 1291–1301. 2758: 2752: 2751: 2733: 2727: 2726: 2707: 2705: 2674: 2668: 2667: 2665: 2663: 2647: 2641: 2640: 2634: 2629: 2627: 2619: 2599: 2593: 2592: 2574: 2550: 2544: 2543: 2507: 2501: 2500: 2498: 2496: 2486:"What is Stress" 2481: 2475: 2474: 2430: 2424: 2417: 2411: 2410: 2408: 2376: 2370: 2369: 2349: 2343: 2342: 2314: 2308: 2307: 2297: 2273: 2267: 2263: 2257: 2256: 2228: 2222: 2221: 2219: 2217: 2211: 2205:. 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Shatan 1354:biopsychosocial 1324: 1312:angina pectoris 1302:/obstipation), 1292:occult bleeding 1245: 1221:glucocorticoids 1214: 1185:locus coeruleus 1181:Antishock phase 1129: 1112: 993: 988: 971: 936:, anxiety, and 926: 920: 884: 878: 873: 867: 819:glucocorticoids 811: 809:Psychopathology 795:pituitary gland 787: 764: 762:Chronic disease 751: 710: 697: 691: 577:gluconeogenesis 569:bronchodilation 503: 501: 498: 496: 493: 487: 484: 482: 479: 478:hypothalamus = 477: 470: 427:stress response 400: 349: 281: 242:allostatic load 186: 180: 161:immune function 42: 35: 28: 23: 22: 15: 12: 11: 5: 4665: 4655: 4654: 4649: 4644: 4639: 4622: 4621: 4616: 4606: 4599: 4598:External links 4596: 4593: 4592: 4562: 4543: 4525: 4488:(3): 411–418. 4468: 4441:(3): 391–410. 4420: 4405: 4383: 4377:978-0070319790 4376: 4358: 4339:(2): 249–255. 4322: 4315: 4297: 4256: 4254:, v46 n6 p737. 4243: 4236: 4210: 4203: 4185: 4170: 4144: 4117:(6): 463–475. 4101: 4066: 4009: 3974: 3917: 3882: 3853:(3): 255–267. 3833: 3824: 3808: 3786: 3739: 3696: 3687: 3668:(5): 170–175. 3652: 3615:(2–3): 90–95. 3595: 3538: 3501:(4): 451–463. 3481: 3452:(1): 607–628. 3432: 3403:(4): 389–400. 3380: 3321: 3259: 3222:(4): 383–395. 3197: 3146: 3109:(2): 703–721. 3089: 3052:(6): 446–456. 3029: 2969: 2950:(1–4): 67–87. 2934: 2927: 2907: 2901:978-1429237192 2900: 2869: 2826: 2811: 2796: 2753: 2746: 2728: 2692: 2669: 2642: 2633:|journal= 2594: 2565:(2): 109–120. 2545: 2502: 2476: 2441:(3): 391–410. 2425: 2419:W. 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Cannon; 2412: 2371: 2364: 2344: 2325:(6): 659–665. 2309: 2268: 2258: 2239:(3): 451–462. 2223: 2158: 2139:(2): 250–267. 2120: 2090: 2081: 2062:(4): 445–463. 2046: 2017: 2012:Microsoft Bing 2000:Microsoft Word 1972: 1954: 1918: 1881:(4): 601–630. 1856: 1798: 1769:(4): 468–483. 1744: 1719: 1682:(6): 397–409. 1659: 1607: 1576:(6): 383–387. 1555: 1554: 1552: 1549: 1548: 1547: 1542: 1537: 1532: 1527: 1522: 1517: 1512: 1507: 1502: 1495: 1492: 1400:neuroendocrine 1347:Stress of Life 1323: 1320: 1314:), along with 1308:cardiovascular 1284: 1283: 1280:decompensation 1264: 1244: 1241: 1213: 1210: 1209: 1208: 1193:muscular tonus 1178: 1155:hypoosmolarity 1138:phase and the 1128: 1125: 1111: 1108: 1107: 1106: 1091: 1080:heavy drinking 1060: 1025: 1024:, or mobility. 992: 989: 987: 984: 970: 967: 922:Main article: 919: 916: 880:Main article: 877: 874: 869:Main article: 866: 863: 839:working memory 810: 807: 786: 783: 763: 760: 750: 747: 709: 706: 695:Chronic stress 693:Main article: 690: 687: 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Index

Stress (medicine)
Stress
Environmental stress screening


physiological
biological
psychological
stressor
autonomic nervous system
hypothalamic-pituitary-adrenal (HPA) axis
adrenaline
cortisol
fight-or-flight response
sympathetic nervous system
acute
parasympathetic nervous system
homeostasis
cortisol
immunological functions
limbic system
prefrontal cortex
amygdala
hypothalamus
stria terminalis
stress can alter memory functions
reward
immune function
metabolism
mental illnesses

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