{"id":1303,"date":"2023-03-31T17:38:35","date_gmt":"2023-03-31T17:38:35","guid":{"rendered":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/chapter\/stress-and-the-body\/"},"modified":"2024-04-13T20:25:56","modified_gmt":"2024-04-13T20:25:56","slug":"stress-and-the-body","status":"publish","type":"chapter","link":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/chapter\/stress-and-the-body\/","title":{"raw":"Stress and Illness: Learn It 2\u2014Stress on the Inside","rendered":"Stress and Illness: Learn It 2\u2014Stress on the Inside"},"content":{"raw":"<h2>The Physiological Basis of Stress<\/h2>\r\n<p>What goes on inside our bodies when we experience stress? The physiological mechanisms of stress are extremely complex, but they generally involve the work of two systems\u2014the <strong>sympathetic nervous system<\/strong> and the <strong>hypothalamic-pituitary-adrenal (HPA)<\/strong> axis.<\/p>\r\n<p>When a person first perceives something as stressful (Selye\u2019s alarm reaction), the sympathetic nervous system triggers arousal via the release of adrenaline from the adrenal glands. Release of these hormones activates the <strong>fight-or-flight<\/strong> responses to stress, such as accelerated heart rate and respiration.<\/p>\r\n<p>At the same time, the HPA axis, which is primarily endocrine in nature, becomes especially active, although it works much more slowly than the sympathetic nervous system. In response to stress:<\/p>\r\n<ul>\r\n\t<li>the <strong>hypothalamus<\/strong> (one of the limbic structures in the brain) releases corticotrophin-releasing factor, a hormone that causes the <strong>pituitary gland<\/strong> to release adrenocorticotropic hormone (ACTH) (Figure 1).<\/li>\r\n\t<li>The ACTH then activates the <strong>adrenal glands<\/strong> to secrete a number of hormones into the bloodstream; an important one is <strong>cortisol<\/strong>, which can affect virtually every organ within the body. Cortisol is commonly known as a stress hormone and helps provide that boost of energy when we first encounter a stressor, preparing us to run away or fight. However, sustained elevated levels of cortisol weaken the immune system.<\/li>\r\n<\/ul>\r\n<figure>\r\n[caption id=\"attachment_7053\" align=\"aligncenter\" width=\"731\"]<a href=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2016\/11\/05212707\/33aaad7717fd0ac7d544b9c4741c05a52dc3a82a.jpeg\"><img class=\"size-full wp-image-7053\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2016\/11\/05212707\/33aaad7717fd0ac7d544b9c4741c05a52dc3a82a.jpeg\" alt=\"A figure shows an outline of the human body that indicates various parties of the body related to the hypothalamic-pituitary-adrenal axis. The hypothalamus, pituitary gland, and adrenal glands are labeled. There is an arrow from hypothalamus to pituitary gland and another arrow from pituitary gland to adrenal glands. These arrows represent the flow between these organs.\" width=\"731\" height=\"546\" \/><\/a> <strong>Figure 1<\/strong>. This diagram shows the functioning of the hypothalamic-pituitary-adrenal (HPA) axis. The hypothalamus activates the pituitary gland, which in turn activates the adrenal glands, increasing their secretion of cortisol.[\/caption]\r\n<\/figure>\r\n<h3>Chronic Stress<\/h3>\r\n<p>In short bursts, this process can have some favorable effects, such as providing extra energy, improving immune system functioning temporarily by reducing inflammation, and decreasing pain sensitivity. However, an extended release of cortisol\u2014as would happen with prolonged or chronic stress\u2014often comes at a high price. High levels of cortisol have been shown to produce a number of harmful effects. For example, increases in cortisol can significantly weaken our immune system (Glaser &amp; Kiecolt-Glaser, 2005), and high levels are frequently observed among depressed individuals (Geoffroy, Hertzman, Li, &amp; Power, 2013).<\/p>\r\n<p>When stress is extreme or chronic, it can have profoundly negative consequences. For example, stress often contributes to the development of certain psychological disorders, including post-traumatic stress disorder, major depressive disorder, and other serious psychiatric conditions. Additionally, we noted earlier that stress is linked to the development and progression of a variety of physical illnesses and diseases.<\/p>\r\n<p>For example, researchers in one study found that people injured during the September 11, 2001, World Trade Center disaster or who developed post-traumatic stress symptoms afterward later suffered significantly elevated rates of heart disease (Jordan, Miller-Archie, Cone, Morabia, &amp; Stellman, 2011). Another investigation yielded that self-reported stress symptoms among aging and retired Finnish food industry workers were associated with morbidity 11 years later. This study also predicted the onset of musculoskeletal, nervous system, and endocrine and metabolic disorders (Salonen, Arola, Nyg\u00e5rd, &amp; Huhtala, 2008). Another study reported that male South Korean manufacturing employees who reported high levels of work-related stress were more likely to catch the common cold over the next several months than were those employees who reported lower work-related stress levels (Park et al., 2011). Later, you will explore the mechanisms through which stress can produce physical illness and disease.<\/p>\r\n<section class=\"textbox tryIt\">[ohm2_question height=\"350\"]4537[\/ohm2_question]<\/section>","rendered":"<h2>The Physiological Basis of Stress<\/h2>\n<p>What goes on inside our bodies when we experience stress? The physiological mechanisms of stress are extremely complex, but they generally involve the work of two systems\u2014the <strong>sympathetic nervous system<\/strong> and the <strong>hypothalamic-pituitary-adrenal (HPA)<\/strong> axis.<\/p>\n<p>When a person first perceives something as stressful (Selye\u2019s alarm reaction), the sympathetic nervous system triggers arousal via the release of adrenaline from the adrenal glands. Release of these hormones activates the <strong>fight-or-flight<\/strong> responses to stress, such as accelerated heart rate and respiration.<\/p>\n<p>At the same time, the HPA axis, which is primarily endocrine in nature, becomes especially active, although it works much more slowly than the sympathetic nervous system. In response to stress:<\/p>\n<ul>\n<li>the <strong>hypothalamus<\/strong> (one of the limbic structures in the brain) releases corticotrophin-releasing factor, a hormone that causes the <strong>pituitary gland<\/strong> to release adrenocorticotropic hormone (ACTH) (Figure 1).<\/li>\n<li>The ACTH then activates the <strong>adrenal glands<\/strong> to secrete a number of hormones into the bloodstream; an important one is <strong>cortisol<\/strong>, which can affect virtually every organ within the body. Cortisol is commonly known as a stress hormone and helps provide that boost of energy when we first encounter a stressor, preparing us to run away or fight. However, sustained elevated levels of cortisol weaken the immune system.<\/li>\n<\/ul>\n<figure>\n<figure id=\"attachment_7053\" aria-describedby=\"caption-attachment-7053\" style=\"width: 731px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2016\/11\/05212707\/33aaad7717fd0ac7d544b9c4741c05a52dc3a82a.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-7053\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2016\/11\/05212707\/33aaad7717fd0ac7d544b9c4741c05a52dc3a82a.jpeg\" alt=\"A figure shows an outline of the human body that indicates various parties of the body related to the hypothalamic-pituitary-adrenal axis. The hypothalamus, pituitary gland, and adrenal glands are labeled. There is an arrow from hypothalamus to pituitary gland and another arrow from pituitary gland to adrenal glands. These arrows represent the flow between these organs.\" width=\"731\" height=\"546\" \/><\/a><figcaption id=\"caption-attachment-7053\" class=\"wp-caption-text\"><strong>Figure 1<\/strong>. This diagram shows the functioning of the hypothalamic-pituitary-adrenal (HPA) axis. The hypothalamus activates the pituitary gland, which in turn activates the adrenal glands, increasing their secretion of cortisol.<\/figcaption><\/figure>\n<\/figure>\n<h3>Chronic Stress<\/h3>\n<p>In short bursts, this process can have some favorable effects, such as providing extra energy, improving immune system functioning temporarily by reducing inflammation, and decreasing pain sensitivity. However, an extended release of cortisol\u2014as would happen with prolonged or chronic stress\u2014often comes at a high price. High levels of cortisol have been shown to produce a number of harmful effects. For example, increases in cortisol can significantly weaken our immune system (Glaser &amp; Kiecolt-Glaser, 2005), and high levels are frequently observed among depressed individuals (Geoffroy, Hertzman, Li, &amp; Power, 2013).<\/p>\n<p>When stress is extreme or chronic, it can have profoundly negative consequences. For example, stress often contributes to the development of certain psychological disorders, including post-traumatic stress disorder, major depressive disorder, and other serious psychiatric conditions. Additionally, we noted earlier that stress is linked to the development and progression of a variety of physical illnesses and diseases.<\/p>\n<p>For example, researchers in one study found that people injured during the September 11, 2001, World Trade Center disaster or who developed post-traumatic stress symptoms afterward later suffered significantly elevated rates of heart disease (Jordan, Miller-Archie, Cone, Morabia, &amp; Stellman, 2011). Another investigation yielded that self-reported stress symptoms among aging and retired Finnish food industry workers were associated with morbidity 11 years later. This study also predicted the onset of musculoskeletal, nervous system, and endocrine and metabolic disorders (Salonen, Arola, Nyg\u00e5rd, &amp; Huhtala, 2008). Another study reported that male South Korean manufacturing employees who reported high levels of work-related stress were more likely to catch the common cold over the next several months than were those employees who reported lower work-related stress levels (Park et al., 2011). Later, you will explore the mechanisms through which stress can produce physical illness and disease.<\/p>\n<section class=\"textbox tryIt\"><iframe loading=\"lazy\" id=\"ohm4537\" class=\"resizable\" src=\"https:\/\/ohm.one.lumenlearning.com\/multiembedq.php?id=4537&theme=lumen&iframe_resize_id=ohm4537&source=tnh&show_question_numbers\" width=\"100%\" height=\"350\"><\/iframe><\/section>\n","protected":false},"author":20,"menu_order":11,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"What is Stress?\",\"author\":\"OpenStax College\",\"organization\":\"\",\"url\":\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/14-1-what-is-stress\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"Download for free at https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\"}]","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"part":1292,"module-header":"learn_it","content_attributions":[{"type":"cc","description":"What is Stress?","author":"OpenStax College","organization":"","url":"https:\/\/openstax.org\/books\/psychology-2e\/pages\/14-1-what-is-stress","project":"","license":"cc-by","license_terms":"Download for free at https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction"}],"internal_book_links":[],"video_content":null,"cc_video_embed_content":{"cc_scripts":"","media_targets":[]},"try_it_collection":null,"_links":{"self":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1303"}],"collection":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/users\/20"}],"version-history":[{"count":9,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1303\/revisions"}],"predecessor-version":[{"id":6738,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1303\/revisions\/6738"}],"part":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/parts\/1292"}],"metadata":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1303\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/media?parent=1303"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapter-type?post=1303"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/contributor?post=1303"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/license?post=1303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}