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Stress & Health
The Biopsychosocial Model
What is Stress?
• STRESS: a response that occurs from events
seen as a challenge
• STRESSOR: any event that is seen as a
challenge
– Distress
– Eustress
– Acute Stressor
– Chronic Stressor
– Microstressor
How do you deal with stress?
Three Mile Island Accident
5
Stress &
the Body
Stress &
the Mind
Managing
Stress
Happiness
GENERAL ADAPTATION SYNDROME:
physiological response that follows
any stressor
1. Alarm Phase
2. Resistance Phase
3. Exhaustion Phase
Hans Selye
Canadian Physician
(1907-1982)
7
Stress & the Body
General Adaptation Syndrome
8
Stress & the Body
“Every stress leaves an
indelible scar, and the
organism pays for its
survival after a stressful
situation by becoming a
little older.”
“It is not stress that kills us,
it is our reaction to it.”
Stress & the Body
Hans Selye
10
Stress & the Body
• HPA Axis part of the
neuroendocrine system that
controls reactions to stress
– Catecholamines
– Cortisol
H
P
A
11
• LYMPHOCYTES: white blood cells
that produce antibodies to fight
infection
– B Cells
– T Cells
– Natural Killer Cells
12
Stress & the Body
Stress & Heart Health
• CORONARY HEART DISEASE:
narrowing of the blood
vessels caused by plaque
buildup
13
Stress & the Body
• INDIRECT EFFECTS OF STRESS ON HEALTH:
– promote riskier behaviors
– e.g., smoking, drinking
• PSYCHOPHYSIOLOGICAL ILLNESSES:
– physiological effects of psychological states
– muscle tension, headaches, stomach upset
Stress & the Body
Stress &
the Body
Stress &
the Mind
Managing
Stress
Happiness
Stress & the Mind
Stress
Interpretation
Lazarus
16
Stress & the Body
Stress & Heart Health
• TYPE A BEHAVIOR:
– time urgency
– general hostility
– ambition
– competitiveness
• TYPE B BEHAVIOR:
– easygoing
– relaxed
Stress & the Mind
◼ Locus of Control: your thoughts about the role you
play in the events that happen in your life
◼ Internal LOC: you are in charge of your actions
◼ External LOC: you do not have control over the
things that happen to you
18
“Most of the time, I feel that I can change what might happen
tomorrow by what I do today”
“When good things happen they happen because of hard
work”
“Do you believe that most problems will solve themselves if
you just don’t fool with them?”
“When bad things happen they are just going to happen no
matter what you try to do to stop them.”
19
Stress & the Mind
This is so like
me… I caused
it
This is
permanent
This will
impact my
whole life
This is not like
me. I had little
to do with it.
This too will
pass.
This is only a
small part of
my life.
An Optimist
A Pessimist
LEARNED HELPLESSNESS: hopelessness learned
when there is no perceived control over bad events
Stress & the Mind
Stress &
the Body
Stress &
the Mind
Managing
Stress
Happiness
COPING: efforts to reduce to impact of stressors
Managing Stress
Problem-
Focused
• Confront the problem
• Plan solutions
• Time Management
• Assertive Communication
Emotion-
Focused
• Avoidance
• Denial
• Seek social support
• Positive Reappraisal
• Downward Comparison
Managing Stress
• SOCIAL SUPPORT:
– Calmer cardiovascular system
– Stronger immune functioning
– Decreases symptoms of
depression
Managing Stress
Managing Stress
• AEROBIC EXERCISE:
– Activity that increases
heart and lung fitness
– Increases the quality
and “quantity” of life
(~2 years)
Managing Stress Effects
• RELAXATION RESPONSE: stress reduction technique
combining elements of relaxation & meditation
• How to Trigger a Relaxation Response:
– Quiet Environment
– Mental Device (mantra)
– Passive Attitude
– Comfortable Position
Managing Stress Effects
• MINDFULNESS MEDITATION:
– attending to current
experiences in a
nonjudgmental and accepting
manner
– Focus on internal process
(breath)or external object
Managing Stress Effects
• FAITH COMMUNITIES: religious involvement
predicts health and longevity.
Managing Stress Effects
Tips for Type A Behavior Pattern:
• Identify and minimize triggers
• Take breaks
• Exercise
• Self-care (diet, sleep, etc)
• Make relaxation a practice (meditation,
yoga)
• Cognitive-Behavioral Therapy
Managing Stress Effects
Stress &
the Body
Stress &
the Mind
Managing
Stress
Happiness
Happiness
Happiness
• RESILIENCE: successful outcomes despite challenging or
threatening circumstances
• Factors that increase resilience:
– Vision: goal-setting, self-efficacy
– Composure: emotional regulation and self-awareness
– Tenacity: perseverance, hardiness
– Reasoning: problem-solving, resourcefulness
– Collaboration: social interaction
– Health: physiological & psychological
– Momentum: sense of direction, openness to experience
Happiness
• SUBJECTIVE WELL-BEING: feelings of happiness and
sense of satisfaction with life
Happiness
• SUBJECTIVE WELL-BEING: feelings of happiness and
sense of satisfaction with life
Happiness
Happiness
Happiness
• ADAPTATION-LEVEL
PHENOMENON: we form
judgments relative to a neutral
level defined by our past
experiences
• RELATIVE DEPRIVATION: when
perceive ourselves as worse off
relative to those with whom we
compare ourselves
• Cultures vary in the traits
valued
Is there a
happiness
set-point?
Happiness
PREDICTORS OF HAPPINESS:
• Genes: accounts for about 50% of happiness ratings
differences
• Personal history: emotions balance around level
defined by experiences
• Culture: Groups vary in the traits valued
Happiness
Factors
Linked to
Happiness
• High Self-Esteem
• Optimism & agreeableness
• Close friendships or a satisfying marriage
• Engaging work & leisure
• Meaningful religious faith
• Good sleep & exercise habits
Factors Not
Related to
Happiness
• Age
• Gender
• Education level
• Parenthood
• Physical attractiveness
Want to be happier?
❑ Know that financial success
≠ enduring happiness
❑ Take control of your time
❑ Act happy
❑ Seek engaging work and leisure
❑ Join the “movement” movement
❑ Give your body the sleep it wants
❑ Give priority to close relationships
❑ Focus beyond self
❑ Count your blessings and
record your gratitude
❑ Nurture your spiritual side
Happiness

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Ch14 Stress & Health

  • 3. What is Stress? • STRESS: a response that occurs from events seen as a challenge • STRESSOR: any event that is seen as a challenge – Distress – Eustress – Acute Stressor – Chronic Stressor – Microstressor
  • 4. How do you deal with stress?
  • 5. Three Mile Island Accident 5
  • 6. Stress & the Body Stress & the Mind Managing Stress Happiness
  • 7. GENERAL ADAPTATION SYNDROME: physiological response that follows any stressor 1. Alarm Phase 2. Resistance Phase 3. Exhaustion Phase Hans Selye Canadian Physician (1907-1982) 7 Stress & the Body
  • 9. “Every stress leaves an indelible scar, and the organism pays for its survival after a stressful situation by becoming a little older.” “It is not stress that kills us, it is our reaction to it.” Stress & the Body Hans Selye
  • 10. 10
  • 11. Stress & the Body • HPA Axis part of the neuroendocrine system that controls reactions to stress – Catecholamines – Cortisol H P A 11
  • 12. • LYMPHOCYTES: white blood cells that produce antibodies to fight infection – B Cells – T Cells – Natural Killer Cells 12 Stress & the Body
  • 13. Stress & Heart Health • CORONARY HEART DISEASE: narrowing of the blood vessels caused by plaque buildup 13 Stress & the Body
  • 14. • INDIRECT EFFECTS OF STRESS ON HEALTH: – promote riskier behaviors – e.g., smoking, drinking • PSYCHOPHYSIOLOGICAL ILLNESSES: – physiological effects of psychological states – muscle tension, headaches, stomach upset Stress & the Body
  • 15. Stress & the Body Stress & the Mind Managing Stress Happiness
  • 16. Stress & the Mind Stress Interpretation Lazarus 16
  • 17. Stress & the Body Stress & Heart Health • TYPE A BEHAVIOR: – time urgency – general hostility – ambition – competitiveness • TYPE B BEHAVIOR: – easygoing – relaxed
  • 18. Stress & the Mind ◼ Locus of Control: your thoughts about the role you play in the events that happen in your life ◼ Internal LOC: you are in charge of your actions ◼ External LOC: you do not have control over the things that happen to you 18
  • 19. “Most of the time, I feel that I can change what might happen tomorrow by what I do today” “When good things happen they happen because of hard work” “Do you believe that most problems will solve themselves if you just don’t fool with them?” “When bad things happen they are just going to happen no matter what you try to do to stop them.” 19
  • 20. Stress & the Mind This is so like me… I caused it This is permanent This will impact my whole life This is not like me. I had little to do with it. This too will pass. This is only a small part of my life. An Optimist A Pessimist
  • 21. LEARNED HELPLESSNESS: hopelessness learned when there is no perceived control over bad events Stress & the Mind
  • 22. Stress & the Body Stress & the Mind Managing Stress Happiness
  • 23. COPING: efforts to reduce to impact of stressors Managing Stress Problem- Focused • Confront the problem • Plan solutions • Time Management • Assertive Communication Emotion- Focused • Avoidance • Denial • Seek social support • Positive Reappraisal • Downward Comparison
  • 25. • SOCIAL SUPPORT: – Calmer cardiovascular system – Stronger immune functioning – Decreases symptoms of depression Managing Stress
  • 26. Managing Stress • AEROBIC EXERCISE: – Activity that increases heart and lung fitness – Increases the quality and “quantity” of life (~2 years)
  • 27.
  • 28. Managing Stress Effects • RELAXATION RESPONSE: stress reduction technique combining elements of relaxation & meditation • How to Trigger a Relaxation Response: – Quiet Environment – Mental Device (mantra) – Passive Attitude – Comfortable Position
  • 29. Managing Stress Effects • MINDFULNESS MEDITATION: – attending to current experiences in a nonjudgmental and accepting manner – Focus on internal process (breath)or external object
  • 30.
  • 31. Managing Stress Effects • FAITH COMMUNITIES: religious involvement predicts health and longevity.
  • 32. Managing Stress Effects Tips for Type A Behavior Pattern: • Identify and minimize triggers • Take breaks • Exercise • Self-care (diet, sleep, etc) • Make relaxation a practice (meditation, yoga) • Cognitive-Behavioral Therapy
  • 34. Stress & the Body Stress & the Mind Managing Stress Happiness
  • 36. Happiness • RESILIENCE: successful outcomes despite challenging or threatening circumstances • Factors that increase resilience: – Vision: goal-setting, self-efficacy – Composure: emotional regulation and self-awareness – Tenacity: perseverance, hardiness – Reasoning: problem-solving, resourcefulness – Collaboration: social interaction – Health: physiological & psychological – Momentum: sense of direction, openness to experience
  • 37. Happiness • SUBJECTIVE WELL-BEING: feelings of happiness and sense of satisfaction with life
  • 38. Happiness • SUBJECTIVE WELL-BEING: feelings of happiness and sense of satisfaction with life
  • 41. Happiness • ADAPTATION-LEVEL PHENOMENON: we form judgments relative to a neutral level defined by our past experiences • RELATIVE DEPRIVATION: when perceive ourselves as worse off relative to those with whom we compare ourselves • Cultures vary in the traits valued Is there a happiness set-point?
  • 42. Happiness PREDICTORS OF HAPPINESS: • Genes: accounts for about 50% of happiness ratings differences • Personal history: emotions balance around level defined by experiences • Culture: Groups vary in the traits valued
  • 43. Happiness Factors Linked to Happiness • High Self-Esteem • Optimism & agreeableness • Close friendships or a satisfying marriage • Engaging work & leisure • Meaningful religious faith • Good sleep & exercise habits Factors Not Related to Happiness • Age • Gender • Education level • Parenthood • Physical attractiveness
  • 44. Want to be happier? ❑ Know that financial success ≠ enduring happiness ❑ Take control of your time ❑ Act happy ❑ Seek engaging work and leisure ❑ Join the “movement” movement ❑ Give your body the sleep it wants ❑ Give priority to close relationships ❑ Focus beyond self ❑ Count your blessings and record your gratitude ❑ Nurture your spiritual side Happiness