Stress and Illness/Disease. Hot Reactors. Psychosomatic Disease. Chapter 3
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1 Stress and Illness/Disease Chapter 3 Hot Reactors People who overreact to stressful situations. Symptoms of hot reactors can include: feeling anger easily often becoming anxious or depressed urinating frequently experiencing constipation or diarrhea more often than usual experiencing nausea or vomiting Psychosomatic Disease Diseases for which the mind makes the body more susceptible. Also referred to as psychophysiological disease. Two types of psychosomatic disease are: psychogenic somatogenic 1
2 Psychogenic Disease Physical disease caused by emotional stress. The mind changes the body s physiology so that body parts break down. Examples of psychogenic disease include ulcers asthma Somatogenic Disease Physical disease caused by the mind increase the body s susceptibility to: disease-causing organisms (germs). natural degenerative processes. Examples of psychogenic disease include colds and other infections cancer rheumatoid arthritis Stress and the Immune System Psychoneuroimmunology is the study of the chemical basis of communication between the mind and the body (nervous system and the immune system). 2
3 How Stress Affects the Immune System Research has demonstrated that the mind can: increase the body s susceptibility to disease by reducing the effectiveness of the immune system. increase the healing of the body by increasing the effectiveness of the immune system. Poorly managed stress can negatively affect the effectiveness of the immune system. Basic Principles of the Immune Response The most important component of the immune response is the white blood cell (WBC). There are several categories of WBCs. Phagocytes, including macrophages B-cells, or B-lymphocytes T-cells, or T-lymphocytes Basic Principles of the Immune Response (cont d) Types of T-lymphocytes Helper-T cells Killer-T cells Suppressor-T cells Memory-T cells B-cells can also become memory cells 3
4 Research Has Begun to Show That Higher stress levels tend to lower the amount of antibodies in the bloodstream. Depression can lower the amount of antibodies in the body. Neuropeptides (chemical message transmitters from the brain) attract phagocytes (macrophages) to help combat infection. People in stressful situations tend to have a lower quantity of T-cells. 4
5 Stress-Related Psychosomatic Diseases Hypertension (essential) Stroke Coronary Heart Disease Ulcers Migraine Headaches Tension Headaches Cancer Allergies Asthma Hay Fever Rheumatoid Arthritis Backache TMJ Syndrome Stress and Serum Cholesterol Cholesterol accumulates on the artery walls. Blocked arteries can cause: coronary heart disease strokes Stress is related to increased serum cholesterol. Perception of stressfulness is more significant than the situation itself. (perceived stress) 5
6 Hypertension & Heart Disease Defining Hypertension SBP & DBP / borderline & essential hypertension 41% of adults (60-80 million) short & long term effects cerebral hemorrhage heart attack (myocardial infarction) plaque Stroke- loss of flow (oxygen) to brain CHD & CAD arteriosclerosis & atherosclerosis research of stress & CHD // Type A Behavior Pattern Flanders-Dunbar, Type A, Stoney, Everson (direct vs indirect) Ulcers & Headaches Ulcers salivary production, peristaltic activity & HCL H. pylori- inflammatory bacteria Migraine Headaches (vascular) prodromal symptoms (constriction phase) causes: diet & personality characteristics? Tension Headaches (muscular) Backaches (muscular) Cancer & Allergies etc Cancer- stress may be directly (immune system) or indirectly (behavior) related Cancer prone personality? Allergies, Asthma & Hay Fever antigens & antibodies (histamine release) asthma in absence of antigens Rheumatoid Arthritis autoimmune disease--- some personality evidence TMJ- bruxism & other characteristics 6
7 Posttraumatic Stress Disorder A condition that develops in people who have experienced extreme psychological and/or physical event that is interpreted as particularly distressing. A threat to one s life, serious injury, or being subject to horror with intense fear and helplessness. Recurrent flashbacks, repeated memories and emotions, dreams, nightmares, illusions, or hallucinations related to traumatic events from which one is often amnesic. Posttraumatic Stress Disorder Most people will experience a traumatic event in their lives, and up to 25 percent of them will develop PTSD. People who have successfully managed PTSD have supportive relationships with family and friends, did not dwell on the trauma, had personal faith/religion, and had a sense of humor. 7
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