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CHAPTER 10
STRESS AND ITS SOURCES

Questions and Answers:
A Guide to Fitness and Wellness 3rd Edition

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COMING UP IN THIS CHAPTER

  • Discover the physiology of stress and relaxation
  • Know the factors that affect your experience of stress
  • Recognize the effects of stress on your health and performance
  • Identify the sources of stress in your life
  • Develop personalized strategies for managing stress

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Q

Stress and the Stress Response

  • Stress is the collective physical and emotional changes experienced in response to a stressor
  • A stressor is a specific event that triggers stress
  • A physical or emotional demand from your internal or external environment

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What is stress really?

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Q

The Stress Response:
Fight or Flight

  • Any response to stress can be normal
  • Homeostasis: a stable state of physiological functioning
  • The stress response prepares the body for a physical reaction to a threat, whether real or imagined
  • The brain activates the autonomic nervous system (ANS), which provides unconscious controls of critical internal body processes

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When I get stressed, I sweat a lot.
Is this normal?

More…

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The Stress Response:
Fight or Flight

  • Sympathetic nervous system
  • Generates the fight-or-flight response, an acute state of stress
  • Releases adrenaline and cortisol
  • Initially beneficial, but can have negative health effects
    in the long term
  • Parasympathetic nervous system
  • Returns the body to homeostasis after the threat has passed
  • Oxytocin helps suppress the stress response

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FIGURE 10-1 THE FIGHT-OR-FLIGHT RESPONSE

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Q

The Stress Emotions:
Anger and Fear

  • Anger is a natural response to a perceived threat (i.e., injustice, jealousy), real or imagined
  • Harmful manifestations of anger:
  • Shouting; using violent words
  • Inability to deal with difficult situations without anger
  • Using or being tempted to use aggression or violence
  • Using anger to make you feel better
  • Being recognized as an angry person
  • Avoiding situations because you fear your own temper

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What’s wrong with getting angry? Everybody does it.

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Q

The Stress Emotions:
Anger and Fear

  • Suppressing anger can lead to passive-aggressive behavior
  • Ask yourself three questions:
  • Is this situation important enough to get angry about?
  • Am I justified in getting angry?
  • Will expressing my anger make a positive difference?
  • If the answer to all three questions is yes, a calm expression of anger is appropriate
  • If no to any, find a way to calm yourself

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What’s the best way to deal with my anger?

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The Stress Emotions:
Anger and Fear

  • Fear is often used interchangeably with the word anxiety: a persistent state of worry, unease, and nervousness not directed at any particular threat
  • Fear or anxiety can be categorized as rational (useful) or irrational (useless)
  • Rational: reactions to real events in order to survive or avoid danger
  • Irrational: unreasonable or excessive fear or anxiety
  • Phobia

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What’s the difference between fear and anxiety? Is either good?

More…

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The Stress Emotions:
Anger and Fear

  • The fear response is altered in people who have post-traumatic stress disorder (PTSD)
  • Those with PTSD have fear and stress when there is no danger; they may be constantly on edge and experience nightmares
  • The difference between ordered and disordered anxiety is frequency and the effect on everyday functioning
  • Generalized anxiety disorder: constant anxiety that interferes with your ability to function and relax
  • Can cause physical problems like body aches, insomnia, and exhaustion

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Q

The Stress Emotions:
Anger and Fear

  • Psychosocial techniques for worriers:
  • Self-monitoring: familiarize yourself with your patterns of worry and adjust your thinking
  • Cognitive therapy: reappraise worrying by making thought patterns more positive
  • Worry exposure: being presented with ideas that create worry in order to become used to the worry

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What can I do to stop worrying so much?

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Factors Affecting the Experience
of Stress

  • Stress is an individualized experience
  • Factors that play a role in an individual’s response to stress:
  • Personality
  • Gender and biological sex
  • Cognitive factors

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Q

Personality

  • Researchers in the 1950s developed a model of personality based on two patterns of behavior:
  • Type A personality: rushed, ambitious, impatient , time conscious, goal driven, competitive, aggressive, quick to anger; having difficulty relaxing
  • Type B personality: patient, easygoing, and adaptable to changing circumstances
  • The model has been criticized as
    oversimplified

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What personality types experience the most stress?

More…

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Personality

  • Additional types (equally controversial)
  • Type C: introverted, respectful, eager to please, compliant
  • Type D: increased levels of anxiety, irritation, and depressed mood, along with elevated levels of cortisol
  • Threefold increased risk for future cardiovascular problems
  • Personality is a result of heredity and social, psychological, and behavioral factors
  • Personality traits fall within five broad domains: openness, conscientiousness, extraversion, agreeableness, neuroticism

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Q

Gender and Biological Sex

  • Hormonal and evolutionary differences cause men and women to handle stress differently
  • Women are more likely to nurture and reach out
  • Men are more likely to initiate confrontations or withdraw
  • Cultural differences may also play a role

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Do guys and girls handle stress differently?

More…

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Gender and Biological Sex

  • There is also a biological component: oxytocin
  • Oxytocin is produced in both men and women, but in men, its effects are diminished by testosterone
  • This could help explain different responses between the sexes
  • These differences may have evolutionary roots

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Q

Ways of Thinking:
Cognitive Strategies

  • Theories about stress responses:
  • The transactional model of stress outlines how we assess and approach a stressful situation
  • Primary appraisal
  • Secondary appraisal
  • Coping
  • Reappraisal
  • Attribution theory focuses on how we assess success or failure after a stressful event

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Why does it seem my friends handle stress better than I do?

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Q

Stress and Performance

  • Yerkes-Dodson law (inverted U hypothesis)
  • Some stress is good
  • Too much is not
  • Too much or too little stress, and performance will suffer

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I’d rather drop a class than give a presentation in it. Why does stress make public speaking so much worse for me?

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FIGURE 10-2 YERKES-DODSON LAW: STRESS AND PERFORMANCE

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Acute Versus Chronic Stress

  • Acute stress is usually temporary but can cause:
  • Muscle tension
  • Headache
  • Heartburn
  • Dry mouth
  • Short term memory loss
  • Chronic stress can be more serious and
    long-lasting
  • Especially if corticosteroid levels remain elevated

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Can stress really make me sick?

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Acute Versus Chronic Stress

  • General adaptation syndrome (GAS)
  • Selye’s three-stage model of how chronic stress affects health
  • Alarm reaction: acute reaction (fight or flight)
  • Resistance: body’s attempt to adapt to the demands of a persistent stressor
  • Exhaustion: state of impaired functioning if persistent stressor exhausts body’s resources for coping
  • Distinguishes between positive (eustress) and negative stressors (distress)

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Acute Versus Chronic Stress

  • Recent research focuses on allostatic load
  • Cumulative physical damage of chronic exposure to stress hormones
  • Increase in circulating blood corticosteroid levels
  • When allostatic load exceeds one’s ability to adapt and cope, the risk for health problems increases

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FIGURE 10-3 STRESS WARNING SIGNALS

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TABLE 10-1 STRESS-RELATED HEALTH PROBLEMS

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Sources of Stress

  • Major underlying causes of stress:
  • Change
  • Fear of the unknown
  • Sources of stress:
  • Life experiences, large and small
  • Job and financial pressures
  • Relationships and families
  • Social and environmental stressors

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Life Experiences Large and Small

  • Big life changes that are unexpected can cause stress
  • So can routine aspects of daily life
  • “Little” things outside our control
  • These can add up over time

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Job and Financial Pressures

  • The top stressors are money and work
  • Chronic workplace stress is linked to cardiovascular disease and premature mortality
  • For college students: money, academics, roommates, and relationships are top stressors

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What causes the most stress?

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TABLE 10-2 TOP STRESSORS REPORTED BY AMERICAN ADULTS

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Q

Relationships and Families

  • Homesickness is a common experience for those leaving home for the first time
  • “Friendsick”
  • Find a support group
  • Focus on developing new friendships

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I really miss my friends back home.
How do I deal with being so homesick?

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Relationships and Families

  • Nontraditional students typically have a myriad of life responsibilities
  • Such students need:
  • Creative time management
  • A realistic course load
  • The support of family and coworkers

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What about dealing with stress when you’re not 19, single, and living in the dorms?

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Social and Environmental Stressors

  • Social stressors
  • Interacting with new people
  • Facing tough competition or discrimination
  • Using English if it isn’t your first language
  • Environmental stressors
  • Crowded or loud residences
  • Poor public transit
  • Extreme weather

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Social and Environmental Stressors

  • Communication and respect are key to living
    with someone new
  • Common courtesy
  • Learn about each other

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I’ve never shared a bedroom before. How am I supposed to live with someone I’ve never met?

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Managing Stress

  • Once you’ve identified your major stressors, it’s time to think about coping strategies
  • More than 90 percent of Americans report trying some form of stress-management technique

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TABLE 10-3 AMERICAN ADULTS’
STRESS-MANAGEMENT TECHNIQUES

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Q

Time Management

  • Set online time limits, stick to the original task, and plan web destinations before logging on
  • Other time management strategies:
  • Prioritize, schedule, make to-do lists, and stay on task
  • Use your planner
  • Effective use of time is crucial to accomplishing one’s personal and professional goals

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I thought computers were supposed to make me use my time better, but every time I log on, I waste tons of time! What can I do?

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Q

Cognitive Strategies

  • Engage in realistic self-talk
  • Strategies for dealing with negative self-talk:
  • Problem-focused coping
  • Attempt to do something practical and constructive about the stressor
  • Emotion-focused coping
  • Attempt to regulate emotions elicited by the stressful event
  • Positive self-talk, talking with others, journaling

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Does positive thinking really stop me from worrying?

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Cognitive Strategies

  • One way to restructure more positive self-talk: the ABCDE model
  • A—adversity: I lost my car
  • B—belief: I can’t get to school
  • C—consequence: have to drop out
  • D—dispute the belief: car pool or bus
  • E—re-energize: stay in school

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Cognitive Strategies

  • Focus on the present; don’t stress about yesterday or tomorrow
  • Setting realistic goals is key
  • Develop problem solving skills:
  • Identify the problem
  • Brainstorm possible solutions
  • Consider positives and negatives; select best approach
  • Evaluate the effectiveness of the solution tried

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I just can’t seem to get over my bad quiz grade. How can I move on?

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Healthy Relationships and
Social Support

  • Meet new people, and make time for your friends
  • Be a good listener
  • Ask people about their feelings and really pay attention to what they say
  • Reflect back what you hear, so the other person knows you genuinely understand
  • Focus your questions, comments, and attention on the other person

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I can’t seem to make any new friends. Any advice?

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Healthy Relationships and
Social Support

  • Examine your patterns of communication
  • Passive communication: failing to express feelings, thoughts, and beliefs honestly
  • Aggressive communication: directly standing up for personal rights and expressing thoughts, feelings, and beliefs in a way that is emotionally honest but may make others feel humiliated, degraded, belittled, or intimidated

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I get the feeling some people think I’m rude. What can I do to change that?

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Healthy Relationships and
Social Support

  • Assertive communication will help you maintain relationships while still expressing yourself
  • Assertive communication: standing up for personal rights and expressing thoughts, ideas, feelings, needs, and beliefs in direct, honest, and appropriate ways that are sensitive to others
  • Tips for communicating assertively:
  • Use confident body language
  • Use a firm and pleasant tone
  • Don’t assume that you know what other people are going to say or do
  • Think win-win

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Healthy Relationships and
Social Support

  • Try to surround yourself with positive,
    sharing people
  • Not everything goes perfectly in any relationship
  • Relationship violence is NEVER OK
  • Don’t compromise when it comes to your own safety

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How do you know whether a friendship is worth it?

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Healthy Lifestyle Choices:
Activity, Diet, and Sleep

  • Physical activity is a proven stress buster
  • Any amount of physical activity will help
  • Exercise bouts as short as 10 minutes have been shown to elevate people’s moods
  • Good stress-relieving activities include:
  • Yoga
  • T’ai chi
  • Pilates

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Does working out really relieve stress?

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Healthy Lifestyle Choices:
Activity, Diet, and Sleep

  • Eating habits can affect your stress level for better and for worse
  • Good eating habits counteract stress by supporting your immune system and controlling blood pressure
  • Limit caffeine intake
  • Too much can make you jittery and anxious
  • Fried and fatty foods may make falling asleep difficult
  • Pay attention to sugar and salt intake

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Does what I eat affect my stress level?

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Healthy Lifestyle Choices:
Activity, Diet, and Sleep

  • Sleep is essential for optimal wellness
  • 6–8 hours for an adult
  • Lack of sleep may lead to problems in the short term (colds) and the long term (high blood pressure, blood glucose abnormalities, abdominal fat accumulation)
  • You will function at a higher mental and physical level
  • Persistent snoring may be linked to obstructive sleep apnea
  • Can cause daytime sleepiness, cardiovascular problems
  • Requires medical care

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Why do I need sleep?

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Healthy Lifestyle Choices:
Activity, Diet, and Sleep

  • Insomnia is characterized by persistent difficulty falling asleep or staying asleep
  • Emotional stress is the primary cause
  • Stress management techniques should be used

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I just can’t seem to get to sleep.
How can I turn my brain off?

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Healthy Lifestyle Choices:
Activity, Diet, and Sleep

  • Power naps can restore alertness, enhance performance, decrease stress, reduce mistakes
  • Keep to 20–30 minutes
  • Be consistent
  • Keep warm and turn off the lights

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Is there really such a thing as a power nap?

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Spiritual Wellness

  • Spirituality has three general components:
  • Feeling a connectedness to ourselves and to others
  • Developing a system of personal beliefs and values
  • Finding meaning and purpose in life
  • Spirituality does not necessarily mean religion
  • Spirituality is personal and subjective

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Will spirituality make me more or less stressed?

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Spiritual Wellness

  • Steps to develop spiritually include:
  • Improve your self-esteem
  • Engage in meaningful activities
  • Foster relationships with the people who are
    important to you
  • Help others

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Relaxation Techniques

  • The relaxation response: a physiological state
    of deep rest that reverses the body’s responses to stress
  • Breathing and posture
  • Progressive muscle relaxation
  • Meditation
  • Visualization and mental imagery
  • Many other strategies

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What are some good relaxation techniques?

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Relaxation Techniques

  • Breathing and posture
  • Diaphragmatic breathing relaxes muscles, quiets the mind, and gets oxygen to the blood
  • Good posture radiates ease and confidence and can make you feel better about yourself
  • Progressive muscle relaxation (PMR)
  • Tense your muscles and then actively reduce tension while your concentration is on the body, not stressors

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Relaxation Techniques

  • Meditation is an internal state of relaxed awareness
  • Exclusive meditation
  • Inclusive meditation (mindfulness meditation)
  • Prayer
  • Repeating a mantra

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How does meditation reduce stress?

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Relaxation Techniques

  • Other strategies for relaxation:
  • Music
  • Journaling
  • Reading
  • Massage
  • Spending time with a pet
  • Laughter

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I like to listen to music when I’m upset. Does that reduce stress?

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Relaxation Techniques

  • Visualization/mental imagery:
  • Visualization is a technique using all the senses to imagine a place or scene that is comfortable, soothing, and relaxing
  • Temporarily removes us from reality

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When Stress Becomes Too Much: Getting Help

  • Stress becomes dangerous when it interferes with your ability to live normally
  • It is important to recognize signs of depression
  • Realize that feelings of exhaustion and helplessness are part of the illness
  • Don’t be scared or ashamed to seek help
  • Virtually all colleges and universities provide free counseling

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What’s the difference between stress and depression?

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When Stress Becomes Too Much: Getting Help

  • If someone appears suicidal, take action
  • If the threat seems imminent, call 911
  • If you’re not sure, call the suicide prevention hotline
  • If the threat is not imminent, talk to your friend
  • Listen, show empathy, and do not judge

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What should I do about a friend who seems depressed or suicidal?

Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.

FIGURE 10-4 SYMPTOMS OF DEPRESSION AND RISK FACTORS FOR SUICIDE

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Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.

Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.