reflect internal feelings                                               constrict:muslce and breath
Latin
                            stringere(tighten) and strictus(tight/narrow)
                                         STRESS
                                                  disruptive
    organism :pattern of respones
    to stimuus event
            The pattern of responses an organism makes to stimulus event that
     disturbdisturbs
             equili the equilibrium and exceeds a person’s ability to cope.
     exceed ability to cope
reaction to external stressors: STRAIN
                                                                                                      1
                      Stress is derieved from the Latin word,
                      stringere (tighten) and strictus (tight/narrow)
The word stress has its origin in the Latin words ‘strictus’, meaning tight or narrow and ‘stringere’,
the verb meaning to tighten.
These root words reflect the internal feelings of tightness and constriction of the muscles and
breathing reported by many people under stress.
Stress is often explained in terms of characteristics of the environment that are disruptive to the
individual. Stressors are events that cause our body to give the stress response. Such events
include noise, crowding, a bad relationship, or the daily commuting to school or office.
The reaction to external stressors is called ‘strain
                                                                                                         2
  Cognitive theory of stress was proposed by Lazarus and his colleagues.
  According to the cognitive theory of stress, perception of stress is dependent upon the cognitive
  appraisal of the situation along with the resources available to deal with it.
subjective interpretation and evaluation
                                              prim an secondary
                STRAIN: Reaction to external stressors NATURE OF
                STRESS:
                • HANS SELYE: Father of modern stress research.
                ➢ Non specific response
                ➢ Regardless of cause, physiological reaction is the same
                                                                                                      3
               Primary appraisal
                                                            Secondary appraisal
              (Positive, Negative &
                                                              (When Negative)
                     Neutral)
      Negative-
      ▪ Harm: damage that has already been            assessment of whether one’s
      done by an event                                coping abilities and skills and if
      ▪ Threat: possible future damage that may       they’ll be enough to meet
      be bought by the change                         harm/threat/challenge of event
      ▪ Challenge: Confident expectations of the
      ability to cope
         Two level appraisal process determines cognitive, behavioural, emotional and
         physiological responses
           FACTORS:
     These appraisals are very subjective and will depend on many factors.
     One factor is the
                    ) past experience of dealing with such a stressful condition.
2)   Another factor is whether the stressful event is perceived as controllable, i.e.
     whether one has mastery or control over a situation
                                                                                           4
           Stresses which people experience also vary in terms of
           Intensity (low intensity vs. High intensity)
           Duration (short-term vs. Longterm)
           Complexity ( less complex vs. More complex)
            Predictability (unexpected vs. Predictable).
           The outcome of stress depends on the position of a
           particular stressful experience along these
           dimensions.
                                TYPES OF STRESSORS
                                                             Psychological:
                                    Social                    Internal sources of stress ,
Environmental and                                            personal and unique.
physical:                                                    ➢ Frustration: Obstacle
                                    Induced externally,      blocking path to goal
Physical stressors cause                                     achievement
changes in our body’s state         result from our
                                    interaction with         ➢ Conflict: Choosing between
(include sleep deprivation,                                  two or more incompatible
lack of nutritious food, over       others.
                                                             goals. Eg: Study
exertion, injuries).                                         psychology or dance
Environmental stressors             Eg: strained
                                    relationships, trouble   ➢ Internal pressures: putting
include air pollution, fire,                                 pressure on self, unrealistically
floods, crowding. They’re           with neighbours
                                                             high expectations
unavoidable                                                  from ourselves
                                                             Social pressures may be
                                                             brought about from people who
                                                             make excessive demands on
                                                             us.
                                                                                                 5
                                     Sources
                                     of Stress
                 Life                                          Traumatic
                                       Hassles
                Events                                          Events
                                 STRESS REACTIONS
                                 Effects Of Stress
    Physiological          Cognitive                 Emotional                  Behavioural
• production of        beliefs about the
                       harm or threat             negative emotions        Confrontative
  certain                                                                  (fight)
                                                  such as fear, anxiety,
  hormones, such
                       beliefs about its          embarrassment,
  as adrenaline                                                            or
                       causes or                  anger, depression or
  and cortisol
                       controllability.           even denial.
                                                                           withdrawal
• marked changes                                                           (flight)
  in heart rate,       inability to
  blood pressure       concentrate, and
  levels,              intrusive, repetitive or
  metabolism and       morbid thoughts
  physical activity.
                                                                                              6
                                                         Examination Anxiety
                                            Examination anxiety is a fairly common phenomenon
                                            that involves feelings of tension or uneasiness that occur
                                            before, during, or after an examination.
                                                         Evaluative Apprehension
                                                             Evaluative Stress
                         Effects Of Stress On Psychological
                              Functioning And Health
Emotional Effects   Physiological Effects        Cognitive Effects            Behavioural Effects
                                                                                                         7
This state of physical, emotional and
psychological exhaustion is known as burnout.
     Stress has been implicated in the development of cardiovascular
     disorders, high blood pressure, as well as psychosomatic disorders
     including ulcers, asthma, allergies and headaches
                                                                          8
                                                   General Adaptation Syndrome
                              Selye studied this issue by subjecting animals to a variety of
                              stressors such as high temperature, X-rays and insulin injections,
                              in the laboratory over a long period of time. He also observed
                              patients with various injuries and illnesses in hospitals. Selye
                              noticed a similar pattern of bodily response in all of them. He
                              called this pattern the General Adaptation Syndrome (GAS).
https://www.youtube.com/watch?v=XADIs-A1iiM
                psychological appraisal of events is
                important for the determination
   According to him, GAS involves three stages:
           not mention: limit
   Alarm Reaction, Resistance & Exhaustion
                                                                                                      (prolong)
                                                     Resistance stage : If stress is prolonged, the     Exhaustion stage : Continued exposure to the
Alarm reaction stage :
                                                     resistance stage begins.                           same stressor or additional stressors drains the body
                                                                                                        of its resources and leads to the third stage of
Noxious stimulus or stressor  activation of the
                                                     The parasympathetic nervous system calls          exhaustion. The physiological systems involved in
adrenal pituitary-cortex system hormones
                                                     for more cautious use of the body’s resources.     alarm reaction and resistance become ineffective
producing the stress response Fight or flight.
                                                     The organism makes efforts to cope with the        and susceptibility to stress-related diseases such as
                                                     threat, as through confrontation.                  high blood pressure becomes more likely.
                                                                                                                                                                9
Selye’s model has been criticised for assigning a very limited role to psychological
factors in stress. Researchers have reported that the psychological appraisal of events is
important for the determination of stress. How people respond to stress is substantially
influenced by their perceptions, personalities and biological constitutions.
                          Stress and the Immune System
                Psychoneuroimmunology focuses on the links
                between the mind, the brain and the immune system.
          more likely to expose themselves to pathogens,
                It studies the effects of stress on the immune system.
  Natural killer cells are involved in the fight against both viruses and tumours. Stress can
  affect natural killer cell cytotoxicity, which is of major importance in the defence against
  various infections and cancer. Reduced levels of natural killer cell cytotoxicity have been
  found in people who are highly stressed
                                                                                                 10
Lifestyle
Stress can lead to unhealthy lifestyle or health damaging behaviour. Lifestyle is the overall
pattern of decisions and behaviours that determine a person’s health and quality of life.
Stressed individuals may be more likely to expose themselves to pathogens, which are agents
causing physical illness. People who are stressed have poor nutritional habits, sleep less and
are likely to engage in other health risking behaviours like smoking and alcohol abuse.
                               COPING WITH STRESS
  dynamic                  constantly changingcognitive and behavioura lefforts to master
  situation specific
  concrete response
 Coping is a dynamic situation-specific reaction to stress. It is a set of concrete responses
 tointended
    stressful situations
               to        or events that are intended to resolve the problem and reduce stress.
   solve problems
   &
   reduce stress
  regulate the
 emotional response
                                                                                                 11
                                     Coping Strategies By Endler And Parker
   efforts to......
Task-oriented Strategy :
                                                                              Avoidance-oriented Strategy :
This involves obtaining                Emotion-oriented Strategy :
                                                                              This involves denying or
information about the    stressful
                      stressor         efforts to maintain hope and to
                                                                              minimising the seriousness of
situation and& about alternative       control one’s emotions; it can
                                                                              the situation; it also involves
courses of action and&their            also involve
                                             &      venting feelings of
                                                                              conscious suppression of
probable outcome; it also              anger and frustration, or
                                                                              stressful thoughts and their
involves deciding priorities and       deciding that nothing can be
                                                                              replacement by self protective
acting so as to deal directly with     done to change things.
                                                                              thoughts.
the stressful situation.
          Lazarus and Folkman
          Conceptualised coping as a dynamic process rather than an individual trait.
          Coping refers to constantly changing cognitive and behavioural efforts to master, reduce
          or tolerate the internal or external demands that are created by the stressful transaction.
          Coping serves to allow the individual to manage or alter a problem and regulate the
          emotional response to that problem.
          According to them coping responses can be divided into two types of responses
          problem-focused and emotion focused.
                                                                                                                12
                                        Lazarus and Folkman
                                                                     ---focused!
         conceptualised: dynamic over indvidual trait
 Problem-focused strategies attack      thevalue dec
                                   threat
 problem itself, with behaviours designed to                        psych chnages
 gain information, to alter the event, and to
 alter belief and commitments.                           Emotion-focused strategies call for psychological
                                                         changes designed primarily to limit the degree of
 They increase the person’s
                    inc:     awareness, level            emotional disruption caused by an event, with
 of knowledge, and range of behavioural and              minimal effort to alter the event itself.
 cognitive coping options. They can act to
 reduce the threat value of the event.
      Research suggests that people generally tend to use the former more often than the latter.
                                    Stress Management Techniques
                                   (plan & delegate)
Relaxation Techniques                   Meditation Procedures           Biofeedback
                                        Yogic method of                 Procedure to monitor and
Relaxation starts from the                                              reduce the physiological
                                        Meditation consists of a
lower part of the body and                                              aspects of stress by providing
                                        sequence of learned
progresses up to the facial                                             feedback about current
                                        techniques for refocusing
muscles in such a way that the                                          physiological activity and is
                                        of attention that brings
whole body is relaxed.                                                  often accompanied by
                                        about an altered state of
                                        consciousness.                  relaxation training.
Deep breathing                                                          Biofeedback training involves three
                                                                        stages :
                                                                        1. Developing an awareness of the
                                                                            particular physiological response
                                                                        2. 2. Learning ways of controlling that
                                                                            physiological response in quiet
                                                                            conditions
                                                                        3. Transferring that control into the
                                                                            conditions of everyday life.
                                                                                                                  13
                               Cognitive Behavioural Techniques :                   Exercise can provide an
Creative Visualisation
                               These techniques aim to inoculate people             active outlet for the
is a subjective
                               against stress.                                      physiological arousal
experience that uses
                                                                                    experienced in response
imagery and
                               Stress inoculation training by                       to stress.
imagination.
                               Meichenbaum. The essence of this
                               approach is to replace negative and
                               irrational thoughts with positive and rational
                               ones.
                               There are three main phases in this :
                               assessment, stress reduction techniques,
                               and application and follow through.
                               Assessment involves discussing the nature
                               of the problem and seeing it from the
                               viewpoint of the person/client.
                                Stress reduction involves learning the
                               techniques of reducing stress such as
                               application
                               relaxation and self-instruction.
                               follow thru
                             Promoting Positive Health And Well-being
                  Stress resistant personality:
                  • Given by Kobasa
                  • People with high levels of stress but low levels of illness share three
                  characteristics which are referred to as personality traits of hardiness
                  • Hardiness is set of beliefs of ones self, environment and their interaction
                  • Three Cs
                  Commitment: Personal commitment, commitment to work, family, hobbies,
                  social life
                  Control: Control over life, have sense of purpose and direction
                  Challenge: See changes as normal and positive rather than as a threat
                  Since all of us don’t have these characteristics, we relearn specific life skills
                  instead to cope with demands of everyday life
  not all have: LIFE SKILLS LEARN KRO
                                                                                                              14
         LIFE SKILLS
         Abilities for adaptive and positive behaviour that enable individuals to deal
         effectively with the demands and challenges of everyday life
1) communicate
2) express openly
3) say no w/o being self conc
Assertiveness:                                   Time management
➢ Behaviour or skill that helps to               Learning how to plan and
communicate, clearly and confidently             delegate time relieves
our feelings, needs, wants and                   pressure
thoughts
➢ Ability to say no to a request, state
opinions without being self conscious,
or to express emotions such as love,
anger etc openly
                                                                                         15
Rational thinking                                    Improving relationships
                                                     Communication is essential
Stress related problems: result of distorted
thinking                                             Three skills:
When stressed, we have inbuilt bias to
attend to negative thoughts and images               Listening to what the other person has to
from the past which affects our perception           say
of the past and future                                Expressing how you feel and what you
                                                     think
                                                     Accepting others opinions and beliefs
Principles of rational thinking:                     even if they differ from ours
i. Challenging distorted thinking and
irrational beliefs
ii. Driving out potentially intrusive
negative anxiety provoking thoughts
iii. Making positive statements
             Self care
                                                                     Overcoming
             Must keep ourselves healthy, fit and                    unhelpful habits
             relaxed to deal with stressors
                                                                     Perfectionists:
             Breathing patterns- reflect our state                   Avoidance
             of mind- stressed and anxious:                          Procrastination
             rapid and shallow breathing from
             high in chest with frequent sighs,
             relaxed breathing:
             slow, stomach-centred breathing
             from diaphragm
                                                                                                 16
                                    POSITIVE HEALTH
                                     social support
   Diet                  Exercise                   Positive attitude             Positive thinking
                                           Social support
 experienced by someone who
Someone who believes that they belong to a social network of communications and mutual
obligations experiences social support
Perceived support: quality of social support is positively related to health and well being
Social network: quantity of social support is unrelated to well being, because its time consuming
and demanding to maintain a large social network
                                                                                                      17
                                  Types of social
                                  support:
         dad                             sam                      devisha
                                   Informational support   Emotional support
Tangible support: involves
                                   providing information   Reassuring individual they
material support- money, goods,
                                                           are valued, loved and
services
                                                           cared for.
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