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What do these things have in common? • • • • • • August 2007 Chronic neck pain March 2011 Vertigo Hashimoto’s Disease Lupus •STRESS & ME!!! • Take Stress Quiz STRESS • What “stresses” you out? • What is stress? – The physical & psychological response to circumstances that disrupt or threaten to disrupt a person’s equilibrium • Stressors = events or situations, unique to the individual, that produces stress What is stress? 3 mins Eustress • A stress that is positive or motivating • Examples from your life? Distress • A stress that is negative or damaging • Examples from your life? Sources of stress • Catastrophic Events: life threatening experience or trauma • Life Changes & Strains: divorce, death of loved one • Chronic Stressors: long-term stressor such as high-crime neighborhood, serious illness, financial stress • Acute Stressors: medical procedures, job pressures • Daily Hassles Physical Effects of Stress • Stress activates the hypothalamus (see diagram on 523) • Which triggers the pituitary gland & hormones are secreted and endorphins are released • Overall effect of stress systems = create emergency energy • • • • • Heart rate increases Respiration rapid and shallow Pupils dilate Goosebumps Muscle tightness THEORIES OF PHYSIOLOGICAL REACTIONS TO STRESS Walter Cannon • Stress = a unified mind-body experience (1930s) • Not the first to think it, but pushed idea forward • Emotion arousing incidents = outpouring of epinephrine and norepinephrine • Sympathetic NS activated • “Fight or Flight” Response • Seeking homeostasis (stable, steady physiological system) Hans Selye • Studied animals’ reaction to stress (1936) • Maintained the body’s adaptive response to stress is “generalized” (General Adaptation Syndrome) • Three phases: – Alarm – Resistance – Exhaustion PHYSICAL AND PSYCHOLOGICAL REACTIONS TO STRESS Friedman and Rosenman (1959) • Conducted longitudinal studies • Found a correlation between stress and heart disease • Found that people with type A personality run a higher risk of heart disease and high blood pressure than type Bs Type A and Type B Behaviors • • • • • • • • Type A Competitive Self-Critical High work involvement Hard-driving Constant sense of urgency Impatient Anger prone • • • • • • • Type B Easygoing Relaxed More patient Express Feelings Remain calm when stressed Focus on one thing at a time Psychoneuroimmunology • Examining the interaction of psychological and physiological processes that affect the body’s ability to defend itself against disease • External defense system – Skin – Mucus linings • Internal defense system – Immune system Psychological Reactions to Stress • See Fact Sheet from APA • Stress factors • Work, school and relationships • Short term effects • Emotional reactions (anger, anxiety, embarrassment) • Cognitive reactions (concentration, distractibility) • Long term effects • Psychophysical (asthma, chronic pain, insomnia, anxiety disorders, panic attack, depression, infertility) COPING WITH STRESS Refer to “Teen Stress” Handout Cognitive Strategies • Reevaluate: think of stressors as challenges not threats • Locus of Control (Internal vs. External) • Problem Solving (conflict resolution) Emotional Strategies • Used in situations that are perceived as unchangeable • Make it a goal to regulate distress • Seek social support, get advice Behavioral Strategies • Time management (effective and efficient use of time) • Behavior modification/life changes (application of operant and classical conditioning to make positive behavioral changes) Physical Strategies • Relaxation Training (progressive relaxation) • Biofeedback (recording and recognizing information about changes in one’s physiological state) • Meditation (technique used to promote inner peace and tranquility) • Exercise (sustained exercise to increase cardiovascular and lung fitness) • Diet and Nutrition (eating healthy choices and wellbalanced meals) Remember… In moderation, of course!!! Take care of yourself!