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PYC1502/Unit 2: Stress/OER 2022 Unit 2: Stress Learning objectives This learning section will help you to: • • • • • 2.1 Define the concept of stress Understand the stressors and the General Adaptation Syndrome (GAS) Explain individual differences in response to stress understand the types and the sources of stress Understand different responses to stress and stress management techniques Introduction Life is full of circumstances and events that produce threats to our well-being. Our attempts to overcome these circumstances produce various types responses that may result in health problems. Therefore, inability to successfully adjust and adapt to the demands of the environments can lead to stress. Stress is an inescapable part of modern life. Many students do not need much introduction to the concept of stress. They are no strangers to the stress that accompanies worrying about assignments and the exams, money matters, and relationship (Cacioppo & Freberg, 2013). This unit will help you understand the concept of stress. The discussion introduces the learner to different types and the sources of stress. It also looks at various responses that people exhibit in the face of stressful adversity. To conclude this unit, we discuss the stress management techniques that people can use to cope with the debilitating effects of different stressors in their lives. 2.2 Defining stress PYC1502/Unit 2: Stress/OER 2022 The term stress is derived from the Latin word ‘stringere’ to mean hardship, strain, adversity or affliction. Lazarus and Folkman (1984, p. 19) defined stress as a ‘particular relationship between the person and his environment, that is appraised by the person as taxing or exceeding his or her resources and endangering his or her well-being.’ Simply stated, stress is an unpleasant emotional state that results from the perception of danger (Cacioppo & Freberg, 2013). 2.3 Understanding stress and stressors Stress is one of the things that are guaranteed to happen in life. Unpleasant events such as work pressures, marital or financial problems naturally produce stress. But so, do travel, sports, a new job, dating and other positive activities (Coon & Mitterer, 2012). Hans Seyle (1936) introduced the concept of stress into the life sciences in 1936. He regarded stress as the non-specific response of the body to any demand made upon it. He named this set of responses the General Adaptation Syndrome (GAS). The GAS has been widely held as a comprehensive model to explain the stress phenomenon. This model is discussed below. Stress is woven into the fabric of life. The events or situations that create stress are called stressors and they come in many forms. Exam failure, accidents, or just having a bad day can be very stressful. When people feel that the stressors exceed their ability to cope, the results can lead to physical, psychological or behavioral problems (Bernstein et al., 2012; Shahsavarani et al., 2015). What all stresses have in common is that they disrupt or threaten to disrupt daily functioning and cause people to make adjustments (Bernstein et al., 2012). Post-traumatic stress disorder (PTSD) is associated with frightening and distressing events such as traumatic experience from one’s childhood, war, poverty, sexual abuse etc. The victims of PTSD can have strong feeling of guilt, emotional numbness, constant worry, depression and can even retrieve traumatic event through nightmares and flashbacks (Eredoro & Egbochuku, 2019). Although stress can be dangerous if it is prolonged or severe, but it is not always bad. Stressors can be mild and temporary or severe and long-lasting. Some positive stressors, such as getting married, having a baby, or finding a better job can be stimulating, motivating, and desirable (see section 2.5.3 below). Therefore, stress in its positive form, can have desirable effects in the lives of the people. Furthermore, positive stress is considered as an important factor to motivation, adaptation, and reaction to surrounding environment (Shahsavarani et al., 2015). Stress may either be caused by environmental factors (external) or may be caused by the perceptions of the individual (internal). The latter form, in turn can produce anxiety, and/or other negative emotions and feelings such as pain, sadness, etc. and result in serious psychological disorders such as post-traumatic stress disorder (PTSD). External factors are not in their essence stressful or threatening; it is an individuals’ perceptional systems that interpret them as such (Shahsavarani et al., 2015). Stress could be classified according to the nature of the stressor, its influence on individual, and the exposure time of the stressor. Table 2.1 below demonstrates these classifications. PYC1502/Unit 2: Stress/OER 2022 Types of stress classification Classes According to the nature of a stressor Physiological stress Psychological stress Physical/behavioral stress According to stress influence on individual Positive eustress Negative distress According to the duration of exposure to a stressor Acute stress (short-term) Chronic stress (long-term) Table 2.1 Classifications of stress (Own construction, 2021). As stated before, it is important to note that stressors are inherently neutral. Meaning that a single stressor can cause either positive or negative stress depending on an individual’s interpretation or perception of the stressor as a threat and the judgement of their ability to cope with it (Eredoro & Egbochuku, 2019). 2.3.1 The General Adaptation Syndrome (GAS) The GAS proposed by Seyle (1976) suggests that physical responses to stress occur in a consistent pattern and are triggered by the effort to adapt to any stressor. The model explains reactions to stress in three stages. Figure 1.1 below demonstrates the GAS process of stress. Figure 2.1 The GAS process of stress. Shutterstock.com PYC1502/Unit 2: Stress/OER 2022 o Alarm/mobilisation stage - the first stage of the GAS involves some version of the flight-orfight syndrome. The body mobilises its resources for resistance after a brief initial shock (Weiten & Hassim, 2016). If you have ever experienced a near accident or other sudden, frightening event, then your immediate physical responses to the stressor included rapid breathing, increased heartbeat, sweating, and so on. In the face of a mild stressors such as overheated room, the reaction may simply involve change in perspiration that help the body regulate its temperature. More severe stressors prompt more dramatic alarm reactions, rapidly mobilizing the body’s adaptive energy (Bernstein et al., 2012). o Resistance stage - if the stressors persist, the resistance stage begins. The signs of the initial alarm reactions fade away as the body begins to settle in to resist the stressor on long-term basis (Bernstein et al., 2012). Throughout the body, a number of glands begin to manufacture hormones that protect the individual in many ways (Santrock, 2003). Outwardly, everything seems normal but, this appearance of normality is costly; the body is better able to cope with the original stressors, but its resistance to other stresses is lowered (Coon & Mitterer, 2012). o Exhaustion stage - continued stress leads to exhaustion, in which the body’s resources are drained and stress hormones are depleted (Coon & Mitterer, 2012). This stage involves the onset of tissue damage and the signs of a disease begin to show (Shahsavarani et al., 2015). It brings signs of physical wear and tear, especially in organ systems that were heavily involved in the resistance process. For example, if adrenaline and cortisol, which help fight stressors during the resistance stage remain at high levels for extended time, they can damage the heart and blood vessels (Bernstein et al., 2012). The GAS therefore, makes a valuable contribution to our understanding of the stress process. It also explains how people respond to the stressors that they encounter in their daily lives. Stress reactions are the physical, psychological, and behavioral responses that occur in the face of the stressors. In other words, stress involves a transaction between the people and their physical and psychological environments. The transaction can be influenced by the stress mediators. The mediators include variables such as the extent to which people can predict and control their stressors, how they interpreted the threat involved, the amount of social support they perceive as available, and their stress coping skills. The mediating factors can either minimised or magnify the impact of the stressors (see figure 1.2 below). In other words, stress is an everchanging process in which the nature and intensity of our responses depend not only on what stress occur but, also on how we think about them and how much confidence we have in our coping skills and stress-coping resources (Bernstein et al., 2012). PYC1502/Unit 2: Stress/OER 2022 Stressors Stress mediators Life events & daily hassles Cognitive appraisal Catastrophic events Sense of control Acute & chronic stress Predictability Acculturation Coping resources Stress responses Physiological Psychological Physical/behavioral Figure2.2 The stress transaction (Own construction, 2021). Many stressors have both physical and psychological components. For example, students are challenged by psychological demands to do well in their courses, as well as by the physical fatigue that can result from a heavy load of academic work, classes, combined perhaps with a job and family responsibilities (Bernstein et al., 2012). Activity 1 According to the GAS, which stage involves the physical signs of wear and tear and the onset of a disease begins to show? Answer The GAS explains the stress process in three stages. Each stage is marked by a distinct, but related aspects to the other stages. When people are exposed to high level of stress and can no longer cope with it, the symptoms of physical deterioration begin to show. This occurs during the exhaustion stage, whereby the body’s resources have been depleted and the signs of failing to cope are evident. 2.4 Resilience: Individual differences in response to stress You might have observed that under the same stressful circumstances, some people seem very calm and others appear to be in a state of panic. What determines these individual differences? People differ in resilience - the ability to adapt to life’s challenges in a positive way (Cacioppo & Freberg, 2013). Resilient people do not ignore feelings of sadness or stress but, they harness their inner strength to enable them to remain optimistic and carry on with life. Some psychologists refer to individual differences in the ability to cope with stress as resulting from a personality trait of hardiness or hardy personality - a personality style marked by a sense of commitment, control, and the perception of problems as challenges (Santrock, 2003). People with hardy personality seem to be unusually resistant to stress. They experience less threat or disruption in response to the normal stress of life. Hardiness combines commitment, control, and challenge. People with high commitment see the world as interesting and seek involvement rather than withdrawal. They PYC1502/Unit 2: Stress/OER 2022 believe that they have control over their lives and they can influence the course of events around them. They tend to perceive life as a series of challenges rather than as threats or problems. Other factors contributing to individual differences and resilience are cognitive skills, social skills, and flexibility in response to new situations. Individual differences in resilience might also have their roots in emotion. People who are generally more positive in mood tend to build the resources they need, including strong social networks to sustain them at difficult times (Cacioppo & Freberg, 2013). Other cognitive styles such as those of disease-resistant personalities, help insulate people from many effects of stress. One important component of the disease-resistant personality is dispositional optimism - the believe or expectation that things will work out positively. Optimistic people tend to live longer, to experience fewer health consequences following major stresses, and have more diseaseresistance than pessimistic people (Bernstein et al., 2012). In contrast, people who lack resilience tend to feel overwhelmed, helpless, and victimized by their circumstances. They become more vulnerable to negative coping strategies including alcoholism and drug abuse to escape their problems (Cacioppo & Freberg, 2013). The degree that people experience stress varies, depending on various intra-psychic and interpersonal factors. People that are vulnerable to stress tend to experience more health-related problems and difficulties in interpersonal relations when compared to those that are less susceptible to stress (Baqutayan, 2015). Therefore, this means that stress affects people in different ways, depending on a number of dispositional and situational factors. 2.5 Types of stresses There are many conditions in our social environments that may lead to the experience of stress. These stresses can be classified in terms of their nature and duration. 2.5.1 Acute stress Sometimes stress can be brief and specific to the demands and pressures of a particular situation, such as a deadline, or facing a difficult challenge (Australian Psychological Society - APS, 2012). Acute stress manifests from recent events or from the expectations of future events. Symptoms of acute stress may include, among others, anger, irritation, headache, muscle tension, increase in blood pressure, and rapid heartbeat (Eredoro & Egbochuku, 2019). Some people seem to experience acute stress repeatedly. This is referred to as episodic acute stress. These repetitive stress episodes may be due to a series of very real stressful challenges (APS, 2012). For example, losing a job, then developing health problems, followed by difficulties in personal relationships. This means that the lives of the victims of acute episodic stress are so disordered and filled with chaos and crisis. Such people are always too busy, taking too much on themselves and not being able to organise properly. Usually, they do not see anything wrong with PYC1502/Unit 2: Stress/OER 2022 the way they conduct their lives, blaming their woes onto other people and external events. However, episodic acute stress can be addressed with certain lifestyle changes (Eredoro & Egbochuku, 2019). 2.5.2 Chronic stress This type of stress arises from long lasting events and circumstances that are beyond one's control. It is long-lasting, debilitating and can be seen in people suffering from adverse situations such as disdained career, endless poverty, and unhappy marriage (Eredoro & Egbochuku, 2019). It exerts unfavorable effects on the physical and psychological health conditions of the individuals (APS, 2012; Kapur, 2021), usually leading to burnout - a state of physical and emotional exhaustion that includes feelings of hopelessness, chronic fatigue and low energy (Santrock, 2003). It's the kind of stress that wears people down; they don't see a way out of the problem, and it makes their life miserable on a regular basis. Some chronic stress stems from traumatic or childhood experiences that have been internalised and remain forever painful and present. This stress can result in suicide, violence, heart attack, stroke, or cancer (Eredoro & Egbochuku, 2019). 2.5.3 Eustress Low level of stress might be desired, useful, and even healthy. Eustress is the good or positive stress that involves a positive cognitive response that an individual exhibits toward a stressor. It occurs during moments in an individual’s life when a certain degree of motivation is required to overcome potentially difficult obstacles. Thus, it is beneficial by helping the individuals to improve their lives. Eustress is fun, exciting and energizing in that it motivates one to complete a task or achieve a goal. Some benefits of eustress include increased creativity and productivity, improved self-esteem, and health benefit like stimulation of immune system for optimum operation. It can also lead to feelings of satisfaction, fulfilment, accomplishment, well-being and wholeness. However, it is important to note that positive stress depletes the body's reserves just as much as negative stress does. Therefore, overexposing oneself to positive stressor without effectively managing it can transform positive stress into negative stress, thereby inducing exhaustion (Eredoro & Egbochuku, 2019). Stress, in its positive form, can improve biopsychosocial health and facilitate performance. Furthermore, eustress is considered as an important factor to motivation, adaptation, and reaction to surrounding environment (Shahsavarani et al., 2015). 2.5.4 Distress Distress, also known as bad or negative stress is the type of stress that is harmful and detrimental to people. Distress could manifest in maladaptive response to stressful situations. Thus, it may PYC1502/Unit 2: Stress/OER 2022 result when an individual fails to cope with the demands of the situation (Eredoro & Egbochuku, 2019). High level of stress could result in biological, psychological, and social problems and even serious harms to people (Shahsavarani et al., 2015). It may lead to poor decision making and may manifest itself in anxiety, hallucination, delusions, recklessness, decrease pleasure in sexual activities, obsessive thought or compulsions. It could also lead to manifestation of physiological or behavioral symptoms, such as high blood pressure, aggression, overdrinking, as well as other negative coping mechanisms (Eredoro & Egbochuku, 2019). GROUP ACTIVITY In a group discussion on myUnisa with your e-tutor and peers, reflect on different types of stresses and explain which stress you often experience and why. NB: Please note that it is compulsory for you to have this discussion. 2.6 Sources of stress Stress originates from many sources which can either be environmental, social, psychological, or even from significant life events. Understanding these sources can help in coping adequately, reducing and even relieving stress from our lives (Eredoro & Egbochuku, 2019). 2.6.1 Personality as a source of stress In a landmark study of heart problems, Friedman and Rosenman (1983; in Coon & Mitterer, 2012), classified people as either type A personality - a personality type with an elevated risk of heart disease; characterized by time urgency, anger, and hostility, or type B personality - a mellow, laid back personality type with a low-cardiac-risk (Cacioppo & Freberg, 2013; Coon & Mitterer, 2012). People with type A behavioral pattern are more likely to develop coronary diseases because they are excessively competitive, hard-driven, ambitious, impatient, and at times, display hostility and anger towards other people (Coon & Mitteter, 2012; Santrock, 2003). Furthermore, they hurry from one activity to another, racing the clock in self-imposed urgency. As they do so, they feel a constant sense of frustration and anger, which is strongly related to increased risk for heart attack (Coon & Mitterer, 2012). Because some societies place so much importance on achievement, competition, and mystery, it is not surprising that many people develop type A personalities. Conversely, the healthier people who are commonly relaxed, and easygoing display type B behavioral pattern (Santrock, 2003). 2.6.2 Environmental sources of stress This refer to the aspects of our environment and surrounding that cause stress (Eredoro & Egbochuku, 2019). Many circumstances that we encounter in our lives - large and small - can PYC1502/Unit 2: Stress/OER 2022 produce stress. But often the everyday pounding of being overloaded with work, dealing with difficult situation, or being frustrated produces damaging stress (Santrock, 2003). o Life events and daily hassles - these events tend to be the main environmental sources of stress. Life events or changes are any significant alterations in one's living circumstances that require adjustment (Weiten & Hassim, 2016). Some studies have found that life changes - both good and bad - can increase susceptibility to illness. People who experience clusters of stressful life events are more likely to become ill than they normally would (Santrock, 2003). Major changes in our surroundings or routines require us to be vigilant, on guard, and ready to react over long periods. These can be quite stressful (Bernstein et al., 2012). Positive life changes, such as a getting married, having a child, changes in personal relationships, changes at work, changes in finances can be stressful even when the changes are welcomed (Weiten & Hassim, 2016). People face ongoing stresses at work or at home that do not involve major life changes. Such minor but frequent stresses are called daily hassles – which are day-to-day annoyances (Coon & Mitterer, 2012). Whether we experience life events of a minor form such as getting a traffic ticket, doing poorly in an exam, or we experience major life events such as, the death of a loved one or serious illness, stress is a fact of life (Santrock, 2003). o Frustrations - they occur in any situation in which the pursuit of some goal is thwarted. In essence, you experience frustration when you want something that you cannot have. Everyone has to deal with some form of frustration. Fortunately, many frustrations are brief and insignificant but, some frustrations can be the source of significant stress. Traffic jams and difficult daily commutes for instance, are a routine source of frustration that can elicit anger and physical symptoms. Failures and losses are the two common kinds of frustrations that are often highly stressful. Everyone fails in at least some of their endeavors. Some people make failures almost inevitable by setting unrealistically high goals for themselves. Losses can be particularly frustrating because people are deprived of something that they are accustomed to having (Weiten & Hassim, 2016). o Conflict - some stress researchers have studied conflict as a specific type of environmental stimuli. Conflict occurs when two or more incompatible behavioral impulses or motivations compete for expression (Weiten & Hassim, 2016). The types of conflict involve: Approach - approach conflict: a conflict that occurs when a person must choose between two attractive (desirable) stimuli or circumstances (Weiten & Hassim, 2016). For example, should I go out with friends to a party, or go out with my partner to a movie? This is the least stressful type of conflict because either choice leads to a positive result (Santrock, 2003; Weiten & Hassim, 2016). This type of conflict tends to be the easiest to resolve. When both options are positive, the scales of decision are easily tipped one direction or the other (Coon & Mitterer, 2012). PYC1502/Unit 2: Stress/OER 2022 Avoidance - avoidance conflict: in this type of conflict, a choice must be made between two unattractive, repelling goals or alternatives (Weiten & Hassim, 2016). For example, a young woman finds herself with unwanted pregnancy but does not want to do an abortion either. This conflict has both ‘damn if you do’ and ‘damned if you do not’ quality. Thus, both choices are negative and not choosing any option may be equally impossible or undesirable (Coon & Mitterer, 2012). This clearly indicates that avoidance - avoidance conflict is more unpleasant and highly stressful. Approach - avoidance conflict: in this conflict, a person is attracted to, and repelled by, the same stimulus or situation (Coon & Mittere, 2012). For example, imagine you are offered a job promotion with lucrative benefits but, you would have to move to a city where you don't want to live. This conflict often produces vacillation. Thus, you go back and forth several times, burdened by indecision (Weiten & Hassim, 2016). Ambivalence - mixed positive and negative feelings - is the main characteristic of this type of conflict (Coon & Mittere,2012). Some more realistic example of this conflict is when you want to marry someone whose family you strongly disapprove of. This conflict tends to elicit both positive and negative emotions at the same time. o Pressure - at one time or another, most people have remarked that they are under pressure. Pressure is a stressful condition that occurs when one has to meet certain expectations or demands to behave in a certain way (Coon & Mitterer, 2012; Weiten & Hassim, 2016). You are under pressure to perform when you are expected to execute tasks and responsibilities quickly, efficiently and successfully. Pressures to conform to others’ expectations are also common in our lives. For example, people in the business world are expected to dress in certain ways, teenagers are expected to adhere to their parents’ values and rules (Weiten & Hassim, 2016). All these issues tend to create pressure in an individual’s life and calls for adjustment to be made. o Overload - sometimes daily hassles can also result in a stress reaction called overload. Sometimes stimuli become so intense that we can no longer cope with them. For example, persistent high level of noise overload that interfere with our daily functioning can be stressful (Santrock, 2003). Overload can also occur with work and may lead to burnout - a state of physical and emotional exhaustion that includes feelings of hopelessness, chronic fatigue, and low energy (Santrock, 2003). Burnout occurs when a person is physically, psychologically, and emotionally drained. Burned out people tend to experience cynicism, detachment, and feelings of reduce personal accomplishment. Burnout may occur in any situation but, it is especially prevalent in emotionally demanding helping professions such as nursing, teaching, social work child care, counseling, or police work (Coon & Mitterer, 2012). 2.6.3 Socio-cultural sources of stress PYC1502/Unit 2: Stress/OER 2022 Socio-cultural factors help to determine which stresses individuals are likely to encounter whether they are likely to perceive events as stressful or not and how they believe stresses should be confronted (Santrock, 2003). o Acculturative stress - Moving to a new place with a different culture can be a stressful experience for some people. Acculturative stress refers to the negative consequences that result from contact between two distinct cultural groups. For example, many individuals who have immigrated to the United States have experienced acculturative stress (Santrock, 2003). In sociological definitions, culture is anything which in transmitted from a given generation to the next one without any intervention of genetic and heredity factors. The most important elements of any culture are its norms and values. Almost every element of culture can (in)directly influence individual/social stress and result in increase and/or decrease of it (Shahsavarani et al., 2015). When people experience a cultural change, they can adapt in one of the four ways: Assimilation: it occurs when individuals relinquish their native cultural identity and adopt an identity that helps them blend into the larger society. If enough individuals follow this path, the non-dominant group is absorbed into the established mainstream society. Sometimes assimilation occurs when many groups merge to form a new society (Santrock, 2003). Integration: it implies that people move into the larger culture but, they maintain many aspects of their distinctive cultural identity. In this circumstance, and number of ethnic groups all cooperate within a larger social system (Santrock, 2003). Separation: it refers to self-imposed withdrawal from the larger culture. If imposed by the larger society however, separation becomes segregation. People might maintain their traditional way of life because they desire and independent existence (as in separatist movement), or a dominant culture may exercise its power to exclude other cultures (as in slavery and apartheid) (Santrock, 2003). Marginalisation: it refers to the process by which nondominant groups lose cultural and social contact with both their traditional society and the larger, dominant society. Thus, the essential features of one's culture are lost but they are not replaced by those of the larger society. Thus, marginalisation involves feelings of alienation and the loss of identity (Santrock, 2003). From the above discussion, it is clear that marginalisation is the least adaptive response to acculturation. Although separation can have benefits under certain circumstances, it may be stressful for individuals who seek separation while most of the members of their groups seek assimilation. Integration and assimilation are healthier adaptations to acculturative pressures but, PYC1502/Unit 2: Stress/OER 2022 assimilation means some cultural loss, so it may be more stressful than integration (Santrock, 2003). o Poverty - can cause considerable stress for individuals and families. Chronic conditions such as inadequate housing, dangerous neighborhoods, burdensome responsibilities, and economic uncertainties are potent stressors in the lives of the poor. Ethnic-minority families, as well as female-headed families, are more likely to be poor. Many African Americans and female heads of households are particularly vulnerable to long-term poverty (Blank, 2018; Lichter, 1997). Further, poverty means having to depend on many overburdened and unresponsive bureaucratic systems for financial, housing, and health assistance, which may contribute to a poor person's perception of powerlessness - itself a factor in stress (Santrock, 2003). GROUP ACTIVITY In a group discussion on myUnisa with your e-tutor and peers, reflect on the environmental sources of stresses and explain which source of stress you often experience and why. NB: Please note that it is compulsory for you to have this discussion. 2.7 Stress responses Different people tend to respond differently to stressful situations. These responses encompass a variety of psychological and physical (behavioral) patterns that help each individual to deal with the stressors. 2.7.1 Physiological responses - this type of response to stress is associated with the events and situations that cause a disturbance in the equilibrium (homeostasis) of the body (Eredoro & Egbochuku, 2019). The sympathetic nervous system is activated as primary response to stress and regulates many physiological functions of the body. In the process of stress response, hypothalamus secrets various hormones, including the corticotropin releasing hormone (CRH) that is responsible to stimulate pituitary gland and the initiation of the intensively-regulated pathway of stress response. Pituitary gland secrets hormones such as Adrenocorticotrophic hormone (ACTH) to bloodstream, which balances the intensively-regulated response to stress. The amygdala has role in emotional processes and acts as a regulator of feelings, such as anxiety and fear, during the stress response. Adrenal glands are directly responsible for producing the PYC1502/Unit 2: Stress/OER 2022 stress hormones, such as the cortisol, which is important during the time of stress response (Shahsavarani et al., 2015). 2.7.2 Psychological responses - psychological stress occurs when an individual perceives that the environmental demands tax or exceed his or her adaptive capacity (Eredoro & Egbochuku, 2019). The psychological stress is related to psychological problems such as anger, depression, trauma, anxiety and frustration (Kapur, 2021). These responses can appear as changes in emotions and thoughts (cognitions), along with changes in behavior. Reductions in the ability to think clearly or to remember accurately are typical cognitive stress reactions. Sometimes these problems appear because of ruminative thinking - the repeated intrusion of thoughts about stressful events. Overarousal created by stressors can also lead to a lack of attention, making it harder see a full range of possible solutions to complex problems. Stress may also impair judgement and decision-making process. People who normally consider all aspects of a situation before making a decision may, under stress, act impulsively (Bernstein et al., 2012). 2.7.3 Physical/behavioral responses - physical stress is the stress that affects the physical health conditions of the individual thereby, requiring adjustments to be made (Kapur, 2021). When facing a stressful situation, the body responds by activating the nervous system and releasing hormones such as adrenalin and cortisol. These hormones cause physical changes in the body which help us to react quickly and effectively to get through the stressful situation (APS, 2012). These reactions are part of the general pattern known as fight-or-flight reaction (Bernstein et al., 2012). The hormones increase the heart rate, breathing, blood pressure, metabolism and muscle tension. While these physical changes help us try to meet the challenges of the stressful situation, they can cause other physical or psychological symptoms if the stress is ongoing and the physical changes don’t settle down. These symptoms include, among others, headaches, sleep disturbances, indigestion, diarrhea, and fatigue (APS (2012). 2.8 Stress management and coping dreamstime.com PYC1502/Unit 2: Stress/OER 2022 Stress management is a predetermined action aimed at controlling the level of stress. It involves taking charge of one's thoughts, emotions, and lifestyle as a whole. Stress management encompasses the use of a wide variety of techniques and psychotherapies that adequately equip one to cope effectively with stress. According to Lazarus and Folkman (1984), coping is defined as constantly changing cognitive and behavioral effort to manage specific external and internal demand that are appraised as taxing or exceeding the resource of the person. In other word, coping as a process seeks to help one master, minimise or tolerate stress, whereas stress management enhances coping (Eredoro & Egbochuku, 2019). The APS (2012) provided the following advice on managing stress: Make time to practise relaxation. This will help the body and nervous system to settle and readjust. Trying some of the following: • Learn a formal technique such as progressive muscle relaxation, meditation or yoga. • Make time to absorb yourself in a relaxing activity such as gardening or listening to music. • Plan things to do each day that you look forward to and which give you a sense of pleasure, like reading a book. The impact of the stressors can be reduced by using effective coping methods. After appraising the situation as threatening, we have three options that involve thinking and acting in ways that that help us to cope with the stressors. 2.8.1 Problem-focused coping - it is aimed at managing or correcting the distressing situation itself. An example involves making a plan of action or concentrating on the next step (Coon & Mitterer, 2012). This kind of coping helps individuals to take control of the stress, seek relevant information, or the needed assistance in tackling the situation. Problem-focused coping provides a long-term solution by dealing with the root cause of the stress. However, it is not possible to use problem focused coping in all situations (Eredoro & Egbochuku, 2019). Hence, different situations would require different forms of coping. 2.8.2 Emotion-focused coping - this kind of coping involves our attempts to control our emotional reactions to the stressful situation (Coon & Mitterer, 2012). Thus, an individual alters his or her emotions in order to tolerate or eliminate the stress. For example, a distressed person may distract himself by listening to music, or workout, or seeking emotional support from others. The strategies of emotion-focused coping when employed helps one to feel better but, do not proffer a solution to the source of the distress thereby providing a short term relieve (Eredoro & Egbochuku, 2019). 2.8.3 Relationships-focused coping - this helps to maintain and protect social relationships in response to stress. This type of coping has both positive and negative aspects. For example, people caring for Alzheimer’s patients, which can be highly stressful, exhibited positive coping (empathy, compromise), as well as negative coping (ignoring, blaming, and withdrawal) (Cacioppo & Freberg, 2013). PYC1502/Unit 2: Stress/OER 2022 The choice of a coping method results from the interactions between a person and the situation. People can use two or more of these techniques at the same time, depending on the situation. These coping techniques or methods are important and beneficial to the individual, when they are put into operation in an effectual manner (Kapur, 2021). Activity 2 When James is stressed, he tends to take a walk in the park to reduce the stress. What kind of coping does this refer to? Answer People exhibit different coping styles during stressful situations. Some people, like James, would take a walk in the park or listen to soothing music. This is the emotionfocused coping, whereby a person may alter his or her emotions in order to tolerate or eliminate the stress. 2.9 Stress management techniques Stress management techniques when practiced on a regular basis, help to bring about relaxation response in the body. Relaxation response is a physical state of deep rest that changes the physical and emotional response to stress. Stress management techniques are highly beneficial to people who are already experiencing the symptoms of stress (Eredoro & Egbochuku, 2019). 2.9.1 Physical exercise Our encounter with stressful situations often increases the body's level of stress hormones such as adrenaline and cortisol. These hormones are metabolised during physical activity to restore the body and mind to a calm, relaxed state. Physical exercise (figure 1.3) warms and relaxes cold tight muscles and tissues which contribute to the feeling of stress (Eredoro & Egbochuku, 2019). planetfitness.co.za Figure 2.3 Physical exercise PYC1502/Unit 2: Stress/OER 2022 Physical exercise develops and maintains a healthy body which directly reduces stress as well as increasing blood flow to the brain, stimulating nervous system to release hormones that have a positive effect on how we feel, and improving the quality of sleep (Eredoro & Egbochuku, 2019). In coping with physical stress, various measures such as diet, and medical check-ups on regular basis, should be considered. These measures contribute in a significant manner in coping with physical stress and preventing it from assuming a major form (Kapur, 2021). 2.9.2 Visualization/Guided Imagery Visualisation, or guided imagery (figure 1.4) can be regarded as a mental vocation which comprises the arousal of perceptual experiences across the sensory modalities to induce a state of relaxation in the body (Eredoro & Egbochuku, 2019). hd.codedwap.com Figure 2.4 Visualisation Such visualisations or imaginations could involve picturing oneself in a tranquil, serene and relaxing setting with all its detail that is particularly appealing and soothing. It could be a real setting that one has actually visited in the past or a total product of one’s imagination. Examples of such setting could be beach, the park, or the forest (Eredoro & Egbochuku, 2019). 2.9.3 Meditation If performed right, meditation (figure 1.5) can induce a deep state of relaxation and tranquil mind. It helps to quieten the mind, master or even eliminate completely the negative thought patterns which are often the fundamental cause of stress (Eredoro & Egbochuku, 2019). PYC1502/Unit 2: Stress/OER 2022 unsplash.com Figure 1.5 Meditation Meditation can also enhance one’s resilience level as well as make one less reactive to stress. This result in an enhanced physical and emotional well-being and an overall improvement of health (Eredoro & Egbochuku, 2019). Moreover, Kapur (2021) maintained that relaxation techniques, such as yoga and meditation can help to deal with stress. 2.9.4 Progressive Muscle Relaxation (PMR) This relaxation technique (figure 1.6) is a mind-body practice. It consists of directing the person's attention to certain muscle group, contracting it, keeping the contraction for a period, and then relaxing. This process is repeated with different muscle groups, in order to experience the feeling of relaxation throughout the body (Silveria et al., 2020). Such muscle group could include those of the arms, legs, chest, abdomen, neck, back, and so on (Eredoro & Egbochuku, 2019). Figure 2.6 Progressive muscles Relaxation (PMR), Shutterstock.com The mental component of PMR requires a person to focus on the distinction between the feeling of the tension and relaxation (Essa et al., 2017; Varvogil & Darviri, 2011). When using this technique, one should be extremely cautious not to cause harm to self while tensing muscles. With regular practice, PMR helps to recognise what tension and complete relaxation feels like in PYC1502/Unit 2: Stress/OER 2022 different part of the body. This allows an individual to spot and counteract the first signs of muscle tension that accompany stress (Eredoro & Egbochuku, 2019). PMR increases body’s immunity and sense of well-being through endorphins release. People with anxiety, depression, stress, tension headaches, insomnia, muscle spasms; lower back pain, and fatigue can achieve positive results using this technique. An awareness of the relaxing sensation is one of the greatest gains realized with progressive muscle relaxation (Essa et al., 2017). Relaxation methods are very powerful tools for dealing with stress, depression and anxiety by giving the body/mind the chance to make its own healing. Relaxation methods retrieve harmony and help to create these conditions for optimum living (Essa et al., 2017). GROUP ACTIVITY In a group discussion on myUnisa with your e-tutor and peers, reflect on different stress management techniques and explain which technique(s) you often use and why. NB: Please note that it is compulsory for you to have this discussion. 2.10 Summary Stress is one of the most common cause of physical and mental ill-health. It is an inevitable part of life and it affects people in different ways. Our understanding of the stress helps to determine which coping mechanisms to call forth in an attempt to reduce the impact of the stressors. Therefore, the types of stresses and the causes of stress are important to help us to determine how to respond to stressful situations in our lives. It is also important to note that effective management of stress can greatly counteract the debilitating effects of stress on our physical and mental well-being. PYC1502/Unit 2: Stress/OER 2022 Glossary Acculturative stress: is a stress caused by many changes and adaptations required when a person moves to a foreign culture. Alarm stage: the first stage of the GAS, in which the body mobilises its resources for resistance after a brief initial shock Approach/approach conflict: a conflict in which a person must choose between two attractive stimuli or circumstances. Approach/avoidance conflict: a conflict involving a single stimulus or circumstance that has both positive and negative characteristics. Avoidance/avoidance approach: a conflict in which a person must choose between two unattractive stimuli or circumstances. Daily hassles: any distressing, day-to-day annoyance. Dispositional optimism: the believe or expectation that things will work out positively. Emotion-focused coping: a response to stress that targets the negative emotions arising from the situation. Exhaustion: the third stage of GAS, characterised by the depletion of physical and psychological resources. General Adaptation Syndrome (GAS): a three-stage pattern of responses triggered by the effort to adapt to any stressors. Hardy personality: a personality style associated with superior stress resistance that involves commitment, control, and the perception of problems as challenges. Marginalisation: is the process by which nondominant groups lose cultural and social contacts with both their traditional society and the larger, dominant society. Posttraumatic stress disorder (PTSD): a pattern of adverse and disruptive reactions following a traumatic event. Problem-focused coping: a response to stress designed to address specific problems by finding solutions. Progressive Muscle Relaxation (PMR): a method for producing deep relaxation on all parts of the body. Relationship focused coping: a response to stress designed to maintain and protect social relationships. Relaxation response: is a physical state of deep rest that changes the physical and emotional response to stress. Resilience: an ability to adapt to life’s challenges in positive ways. Resistance: the second stage of GAS, characterised by coping with ongoing stress. PYC1502/Unit 2: Stress/OER 2022 Ruminative thinking: the repeated intrusion of thoughts about stressful events. Stress management: the application of behavioral strategies to reduce stress and improve coping skills. Stress reactions: the physical, psychological, and behavioral responses that occur in the face of the stressors. Stress: an unpleasant emotional state that results from the perception of danger. Stressor: Any event or situation that creates stress. Type A personality: a personality type with an elevated risk of heart disease; characterized by time urgency, anger, and in some cases, hostility. Type B personality: a mellow, laid back personality type with a low-cardiac-risk. PYC1502/Unit 2: Stress/OER 2022 References Australian Psychological Society - APS (2012). Understanding and managing stress. Baqutayan, S.M.S. (2015). Stress and coping mechanisms: A historical overview. Mediterranean Journal of Social Sciences. Vol 6 No 2 S1 March 2015. Bernstein, D.A., Clarke-Steward, A., Penner, L.A. & Roy, E.J. (2012). Psychology (9th ed.). Australia: Wadsworth. Blank, R. M. (2018). It takes a nation: A new agenda for fighting poverty-updated edition. Princeton University Press. Cacioppo, J.T. & Freberg, L.A. (2013). Discovering psychology: The science of mind. Australia: Wadsworth. Coon, D. & Mitterer, J. O. (2012). Introduction to psychology: Active learning through models (12th ed.). Australia: Wadsworth. Eredoro, C.O. & Egbochuku, O. O. (2019). Overview of Stress and Stress Management. ARC Journal of Nursing and Healthcare Volume 5, Issue 2, 2019, PP 12-18 ISSN No. (Online) 2455-4324 DOI: http://dx.doi.org/10.20431/2455-4324.0502002 Essa, R.M., Ismail, N.A., & Hassan, N.I (2017). Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy. Journal of Nursing Education and Practice. 2017. Vol. 7, No. 7. 77-86. Kapur, R. (2021). Understanding the types of stress. Retrieved from: https://www.researchgate.net/publication/350342850_Understanding_the_Types_of_ Stress Lazarus, R. & Folkman, S. (1984) Stress, appraisal, and coping. New York: Springer Publishing Company. Lichter, D. T. (1997). Poverty and inequality among children. Annual Review of Sociology, 23(1), 121-145. Santrock, J.W. (2003). Psychology: Essentials (2nd). McGraw- Hill: Boston. Selye, H. (1936). A syndrome produced by diverse nocuous agents. Nature, 138(3479, July 4):3 PYC1502/Unit 2: Stress/OER 2022 Seyle, H. (1976). The Stress of Life (rev. edn.). New York: McGraw-Hill Shahsavarani, A.M, Abadi, E. A. M. & Kalkhoran, M.H. (2015). Stress: facts and theories through literature review. International Journal of Medical Reviews, Volume 2, Issue 2, Spring 2015; 230-241. Silveria, E.A., Batista, K.M., Grazziano, E.S., Bringuete, M.O., & Lima., E.F. (2020). Effect of progressive muscle relaxation on stress and workplace well-being of hospital nurses. Enfermeria Global No.58. https://doi.org/10.6018/eglobal.396621 Varvogli, L. & Darviri, C. (2011). Stress management techniques: evidence-based procedures that reduce stress and promote health. Health Science Journal, pp:74-89 EISSN:1791-809X Weiten, W. & Hassim, J. (2016). Variations in Psychology (2nd South African edition). Australia: Cengage learning.