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Stress - Highlights

Description

An in-depth report on the causes, diagnosis, treatment, and prevention of stress.

Highlights:

  • Stress affects most people in some way.
  • Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems gear up to meet perceived danger.
  • Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern.
  • People can experience stress from external or internal factors.
    • External stressors include adverse physical conditions or stressful psychological environments (such as poor working conditions or abusive relationships).
    • Internal stressors can also be physical or psychological. As far as anyone can tell, internal psychological stressors are rare or absent in most animals except humans.
  • Sudden stress increases the pumping action and rate of the heart, while at the same time causing the arteries to constrict (narrow).
  • Chronic stress may blunt the immune system's response to certain infections.
  • Some evidence suggests that chronic stress triggers an over-production of certain immune factors called cytokines.
  • Studies suggest that the inability to adapt to stress is associated with the onset of depression or anxiety.
  • Our physical response to stress is increasingly understood. Knowing what occurs at the cellular level may help researchers find more ways to counteract the detrimental physical and emotional effects of stress.
  • Cognitive-behavioral therapy (CBT) is one of the most effective ways of reducing stress.

Resources

References

Dallman MF, Pecoraro NC, la Fleur SE. Chronic stress and comfort foods: self-medication and abdominal obesity. Brain Behav Immun. 2005;19:275-280.

Field T, Hernandez-Reif M, Diego M, et al. Cortisol decreases and serotonin and dopamine increase following massage therapy. Int J Neurosci. 2005;115:1397-1413.

Ginsburg KR and the Committee on Communications and Committee on Psychosocial Aspects of Child and Family Health. Clinical Report: The Importance of Play in Promoting Healthy Child Development and Maintaining Strong Parent-ChildBonds. Last accessed on 17 October, 2006.

Hammerfald K, Grau M, et al. Persistent effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects-A randomized controlled trial. Psychoneuroendocrinology. 2005 Sep 22; epub ahead of print.

Kreitzer MJ, Gross CR, Ye X, et al. Longitudinal impact of mindfulness meditation on illness burden in solid-organ transplant recipients. Prog Transplant. 2005;15:166-172.

Larzelere MM, Jones GN. Stress and Health. Primary Care: Clinics in Office Practice. 2008;35(4):839-856.

Wang J. Work stress as a risk factor for major depressive episode(s). Psychol Med. 2005;35:865-871.

  • Reviewed last on: 2/13/2009
  • Reviewed by: Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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