{"id":495,"date":"2024-02-26T22:35:06","date_gmt":"2024-02-27T03:35:06","guid":{"rendered":"https:\/\/opentextbc.ca\/psychologymtdi\/chapter\/stress-and-health\/"},"modified":"2024-08-22T16:26:24","modified_gmt":"2024-08-22T20:26:24","slug":"stress-and-health","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/psychologymtdi\/chapter\/stress-and-health\/","title":{"raw":"Stress and Health","rendered":"Stress and Health"},"content":{"raw":"<p style=\"text-align: right;\">[pb_glossary id=\"595\"]Approximate reading time[\/pb_glossary]: 51 minutes<\/p>\nFew would deny that today\u2019s university students are under a lot of pressure. In addition to the usual stresses and strains inherent to the university experience, such as exams and term papers, students today face increased tuition, burdensome debt, and the prospect of difficulty finding employment after graduation. A significant population of university students may face additional stressors, such as raising children or holding down a full-time job while working toward a degree.\n\nLife is filled with many additional challenges beyond those found in university or in the workplace. We might have concerns with financial security, difficulties with friends or neighbours, responsibilities to our family, and not enough time to do the things we want to do. Even minor hassles, such as losing things, traffic jams, and loss of internet service, involve pressure and demands that can make life seem like a struggle and compromise our sense of well-being.\n\nIn this section of the chapter, we start by defining stress, a complex phenomenon influenced by both external situations and our internal responses. Stress can stem from feeling overwhelmed by exams, deadlines, and societal pressures, impacting our mental and physical health. It can be viewed through two main lenses: as specific external triggers or as our physical and emotional reactions to these demands.\n\nNext, we explore the Lazarus Appraisal Model of Stress, which emphasises individual appraisal in the experience of stress. This model introduces the concepts of primary and secondary appraisal, helping us understand how our interpretation of events influences our stress levels. Using a practical scenario of encountering a barking dog on a forest path, we delve deeper into the Lazarus model. This section illustrates how individual perceptions significantly influence stress responses, showing the subjective nature of stress.\n\nWe then discuss the dual nature of stress, distinguishing between eustress (positive stress) and distress (negative stress). Understanding the difference helps us harness the motivating aspects of eustress while minimising the harmful effects of distress on our mental and physical health. This section explores the relationship between stress and performance, highlighting how moderate stress can enhance performance and well-being, but excessive stress can lead to burnout and decreased performance.\n\nWe examine common stressors and their effects on our daily lives, noting how stress can manifest physically and mentally, influencing behaviours and health outcomes. Health psychology focuses on understanding how stress and other psychological factors impact health. This section delves into how health psychologists study and address the connection between stress and illness, aiming to promote healthier behaviours and lifestyles.\n\nWalter Cannon's fight-or-flight response theory is introduced, explaining how our bodies react to perceived threats with physiological changes that prepare us to confront or escape danger. We transition to Hans Selye\u2019s concept of the General Adaptation Syndrome (GAS), which examines the prolonged effects of stress on the body. This model outlines how our bodies cope with sustained stress through stages of alarm, resistance, and exhaustion.\n\nWe learn the physiological mechanisms behind stress, focusing on the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis. We explore how these systems respond to stress and the implications for our health. Life changes, whether positive or negative, can act as significant stressors. We discuss the Social Readjustment Rating Scale (SRRS) developed by Holmes and Rahe, which quantifies the impact of life events on stress and health.\n<h1>What is Stress?<\/h1>\nStress, a prevalent aspect of modern life, especially for university students grappling with academic pressures, financial burdens, and personal challenges, is a complex phenomenon influenced by both external situations and our internal responses. It encompasses a range of experiences from feeling overwhelmed by exams and deadlines to navigating societal pressures, all of which can significantly impact our mental and physical health. Broadly defined, stress can be viewed from two perspectives: specific external triggers or our physical and emotional reaction to these demands (Lyon, 2012), underscoring the intricate interplay between our environment and how we perceive and cope with challenges.\n\nThe term <strong>stress<\/strong>, as it relates to the human condition, first emerged in scientific literature in the 1930s, but it did not enter our everyday language until the 1970s (Lyon, 2012). Today, we often use the term loosely in describing a variety of unpleasant feeling states; for example, we often say we are stressed out when we feel frustrated, angry, conflicted, overwhelmed, or fatigued. Despite the widespread use of the term, stress is a fairly vague concept that is difficult to define with precision.\n\nResearchers have struggled to agree on an acceptable definition of stress. Broadly, there are two primary ways of conceptualising stress: (1) the stimulus-based definition and (2) the response-based definition. The <strong>stimulus-based definition<\/strong> views stress as a result of specific external events or situations, such as a high-stress job or long commutes, which act as stimuli, triggering stress reactions. However, this approach has been critiqued for not accounting for individual differences in perception and reaction to these stimuli. On the other hand, the <strong>response-based definition<\/strong> focuses on the physical and emotional responses that occur when faced with demanding or threatening situations, like increased arousal. This perspective emphasises the physiological aspect of stress but can overlook the fact that such responses can also be triggered by positive or non-threatening events.\n\nTo better understand these definitions and their limitations, you can read Supplement WB.14\u00a0about of two students, Ti and Carli, who are about to leave their small town homes to move into a large university student residence.\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/ti-carli\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.14: Case Study - Parts 1 &amp; 2: Ti and Carli [New Tab]<\/a><\/div>\n<h1>Understanding the Lazarus Appraisal Model of Stress<\/h1>\nThe limitations of both the stimulus-based and response-based definitions lead us to consider a more comprehensive model of stress: the <strong>Lazarus Appraisal Model<\/strong>. Developed by Lazarus &amp; Folkman in 1984, this model emphasises the role of individual appraisal in the experience of stress. It suggests that stress is not solely determined by external events or physiological responses but also by the ways an individual interprets and reacts to these events.\n<h2>Primary and Secondary Appraisal<\/h2>\nThe process begins with what is known as <strong>primary appraisal<\/strong>, where an individual assesses the potential harm or threat a stressor might pose to their well-being. In the previous example of Ti and Carli (Supplement WB.14), the stressor was leaving home to move into university residence. The primary appraisal involves evaluating whether a situation or event is a threat, which could lead to harm, loss, or other negative consequences. Conversely, the same situation can be appraised as a challenge, presenting an opportunity for overcoming fear or demonstrating courage.\n\n<strong>Secondary appraisal<\/strong> follows, where the individual assesses their ability to cope with the stressor, considering the resources they have at hand. This appraisal involves determining how effectively one can manage or adapt to the stressor. The perception of one's ability to handle the situation influences whether it is viewed as a manageable challenge or a significant threat.<a id=\"WB.6\" href=\"\"><\/a>\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"731\"]<img class=\"wp-image-488 size-full\" title=\"A concept map showing the steps assessing a potential threat. Image description available.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map.jpeg\" alt=\"A concept map showing the steps assessing a potential threat. Image description available.\" width=\"731\" height=\"853\" data-popupalt-original-title=\"null\"> <strong>Figure WB.6. Primary and secondary appraisal.<\/strong> When encountering a stressor, a person judges its potential threat (primary appraisal) and then determines if effective options are available to manage the situation. Stress is likely to result if a stressor is perceived as extremely threatening or threatening with few or no effective coping options available.<a href=\"#WB.6_desc\"><em> [Image Description]<\/em><\/a>[\/caption]After exploring the stimulus-based and response-based definitions through the experiences of Ti and Carli, let's delve deeper into the Lazarus appraisal model with a different scenario. This will help us further understand how individual perceptions significantly influence stress responses.\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Facing Fido in the Forest: Another Walk Through the Lazarus Model<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n\nLet's walk through the Lazarus model decision tree using the example of you hiking along a forest path when you suddenly encounter a large, loudly barking dog on a forest path. This model involves two key stages of appraisal: primary and secondary.\n<h3>Primary appraisal<\/h3>\nIn the primary appraisal stage, you assess the situation to determine if the large, barking dog poses a threat to your well-being or if it represents a challenge.\n<ul>\n \t<li><strong>Perceived as a threat<\/strong>: If you perceive the dog as dangerous (due to its size, loud bark, and the isolated forest setting), you might appraise this situation as a threat. This perception could be based on past experiences, inherent fears of dogs, or the unexpected nature of the encounter. You anticipate potential harm or danger from the dog.<\/li>\n \t<li><strong>Perceived as a challenge<\/strong>: Alternatively, you might perceive the encounter with the dog as a challenge. This could occur if you view the situation as an opportunity to overcome a fear of dogs or to demonstrate courage in handling unexpected situations. Your focus here is on the potential for personal growth or mastery in dealing with the situation.<\/li>\n<\/ul>\n<h3>Secondary appraisal<\/h3>\nIn the secondary appraisal stage, you evaluate your coping resources and options to handle the situation with the dog.\n<ul>\n \t<li><strong>Ineffective or no coping options available (perceived as a threat)<\/strong>: If, on the other hand, you feel you lack the resources to deal with the dog (due to a lack of experience with dogs, absence of any means to protect yourself, or being alone in the forest), you might view the situation as a significant threat to your safety. This perception leads to a higher level of stress and potential feelings of helplessness or fear.<\/li>\n \t<li><strong>Effective coping options available (perceived as a challenge)<\/strong>: If you feel confident in your ability to handle the situation (perhaps due to previous positive experiences with dogs, knowledge about animal behaviour, or the presence of tools like a walking stick), you might view the encounter as a manageable challenge. You believe you have the necessary resources and strategies to safely navigate the situation.<\/li>\n<\/ul>\n<h3>Outcome based on appraisal<\/h3>\n<ul>\n \t<li><strong>High stress (threat perception with ineffective coping)<\/strong>: If you appraise the dog as a threat and feel you cannot effectively cope with the situation, you are likely to experience a high level of stress. This stress could manifest as fear, anxiety, and physiological responses like increased heart rate or adrenaline rush.<\/li>\n \t<li><strong>Low to moderate stress (challenge perception with effective coping)<\/strong>: If you appraise the situation as a challenge and feel capable of handling it, your stress level may be lower or even positive in nature, characterised by a sense of alertness and readiness to act.<\/li>\n<\/ul>\nIn summary, according to the Lazarus model, your experience of stress in encountering the barking dog on a forest path is determined not just by the presence of the dog (the external stimulus) but significantly by how you appraise the situation (threat or challenge) and your perceived ability to cope with it. This model underscores the subjective nature of stress and the importance of individual perception and evaluation in stress experiences.\n\n<\/div>\n<\/div>\nHaving navigated the Lazarus model with the example of the hiker and the barking dog, we can see how individual appraisal plays a crucial role in the experience of stress.\n\nThis understanding brings us back to Ti and Carli, whose experiences we can now re-examine through the lens of this model.\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/lazarus-model-analysis-ti-and-carli\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.15: Case Study - Lazarus Model Analysis Ti and Carli [New Tab]<\/a><\/div>\nIn summary, if a person appraises an event as harmful and believes that the demands imposed by the event exceed the available resources to manage or adapt to it, they will subjectively experience a state of stress. Conversely, if one does not appraise the same event as harmful or threatening, they are unlikely to experience stress. According to this definition, environmental events trigger stress reactions by the way they are interpreted and the meanings they are assigned. In short, stress is largely in the eye of the beholder: it\u2019s not so much what happens to you as how you respond (Selye, 1976).\n<h1>Stress: The Good and the Bad<\/h1>\nStress is often seen as something negative, but it can also be helpful. Stress can push us to do important things like study for exams, go to the doctor, exercise, and work hard. Selye, a scientist in 1974, said that stress isn't always bad. He explained that stress can be a good thing that helps improve our lives. He called this good stress \"eustress\" (from a Greek word meaning \u201cgood\u201d). <strong>Eustress<\/strong> is the kind of stress that makes you feel positive and can be good for your health and performance.\n<div class=\"textbox\">Stress manifests in two primary forms: <strong>eustress<\/strong>, which is positive and can motivate and energise us, leading to improved performance and well-being, and <strong>distress<\/strong>, which is negative, overwhelming, and can lead to burnout, decreased performance, and health issues. Understanding the difference between these two types of stress is crucial for managing stress effectively, allowing us to harness the motivating aspects of eustress while minimising the harmful effects of distress on our mental and physical health. Eustress can make you do better and feel good; distress can make you do worse and harm your health.<\/div>\nA moderate amount of stress can be beneficial in challenging situations. For example, athletes may be motivated and energised by pre-game stress, and students may experience similar beneficial stress before a major exam. Indeed, research shows that moderate stress can enhance both immediate and delayed recall of educational material. Male participants in one study who memorised a scientific text passage showed improved memory of the passage immediately after exposure to a mild stressor as well as one day following exposure to the stressor (Hupbach &amp; Fieman, 2012).\n\nBut when stress exceeds this optimal level, it is no longer a positive force; it becomes excessive and debilitating, or what Selye termed <strong>distress<\/strong> (from the Latin dis = \u201cbad\u201d). People who reach this level of stress feel burned out; they are fatigued and exhausted, and their performance begins to decline. If the stress level remains excessive, health may begin to erode as well (Everly &amp; Lating, 2002).\n<h2>Stress and Performance<\/h2>\nFigure WB.7\u00a0shows us that as stress increases, so does performance and well-being, up to a point. This is eustress. When stress reaches the best level (the highest point of a curve), performance is at its best. You feel fully energised and focused, and you work efficiently. But if stress goes beyond this best level, it becomes too much and harmful; this is distress. People with too much stress feel burned out and tired, and their performance drops. If the stress level stays too high, it can even harm health. For example, students who are very stressed about a test might find it hard to concentrate, which can affect their test scores.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"731\"]<img class=\"wp-image-489 size-full\" title=\"A graph features a bell curve that has a line going through the middle labelled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labelled \u201cStress level\u201d and moves from low to high, and the y-axis is labelled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress.jpeg\" alt=\"A graph features a bell curve that has a line going through the middle labelled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labelled \u201cStress level\u201d and moves from low to high, and the y-axis is labelled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.\" width=\"731\" height=\"283\" data-popupalt-original-title=\"null\"> <strong>Figure WB.7. Stress and performance.<\/strong> As the stress level increases from low to moderate, so does performance (eustress). At the optimal level (the peak of the curve), performance has reached its peak. If stress exceeds the optimal level, it will reach the distress region, where it will become excessive and debilitating, and performance will decline (Everly &amp; Lating, 2002).[\/caption]\n\nA graph features a bell curve that has a line going through the middle labeled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labeled \u201cStress level\u201d and moves from low to high, and the y-axis is labeled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.\n<h2>Stress in Our Lives<\/h2>\nStress is a common experience. We all deal with it in different ways. It can feel like a heavy load, like when you have to drive in a blizzard, wake up late for an important job interview, run out of money, or aren't ready for a big test. Stress is an experience that can include symptoms like a faster heart rate, headaches, gastrointestinal problems, and difficulty concentrating or making decisions. We may react to stress in unhealthy ways by drinking alcohol, smoking, or engaging in other dubious behaviours we hope will reduce the stress. While stress can sometimes be good, it can also lead to health problems, contributing to illnesses and diseases. Stress can cause physical reactions like a fast heartbeat or headaches, make it hard to think or decide, and lead to behaviours like drinking or smoking.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"350\"]<img class=\"wp-image-490\" title=\"A driver focuses on the road while operating a vehicle. \" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10.png\" alt=\"A driver focuses on the road while operating a vehicle. \" width=\"350\" height=\"350\" data-popupalt-original-title=\"null\"> <strong>Figure WB.8. Driving during a blizzard.<\/strong> Stress is an experience that can include symptoms like a faster heart rate, headaches, gastrointestinal problems, and difficulty concentrating or making decisions.[\/caption]\n<h2>Health Psychology and Stress<\/h2>\nThe scientific study of how stress and other psychological factors impact health is part of health psychology. Health psychology is a subfield of psychology that focuses on understanding the importance of psychological influences on health and illness, and how people respond when they become ill (Taylor, 1999). Health psychology emerged as a discipline in the 1970s, a time of increasing awareness of the role behavioural and lifestyle factors play in the development of illnesses and diseases (Straub, 2007). In addition to studying the connection between stress and illness, health psychologists investigate issues such as the reasons people make certain lifestyle choices, e.g., smoking or eating unhealthy food, despite knowing the potential adverse health implications of such behaviours.\n\nHealth psychologists also work on creating and testing ways to help people change unhealthy behaviours. A key part of their job is to figure out which groups of people are more likely to have health problems because of the way they think or act. For instance, they might study how stress affects different age groups, like young adults versus older adults. By understanding who gets more stressed and how it changes over time, health psychologists can identify which age group might be more at risk for health issues like high blood pressure or anxiety disorders.\n\nWatch this video: <a href=\"https:\/\/youtu.be\/sZtEwEIUIOc\">The Upside of Stress (4.5 minutes)<\/a>\n\nhttps:\/\/www.youtube.com\/watch?v=sZtEwEIUIOc\n\n<span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u201cName of Video\u201d video by YouTube Channel is licensed under the Standard YouTube licence.&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}\">\u201cThe Upside of Stress\u201d video by BrainCraft is licensed under the Standard YouTube licence.<\/span>\n<h1>Cannon and the Fight-or-Flight Response<\/h1>\nStress, a universal experience, has intrigued scientists for nearly a century. A key figure in this exploration is Walter Cannon, an American physiologist whose groundbreaking work in the early 20th century has significantly shaped our understanding of how the body reacts to stress. Cannon's insights into the fight-or-flight response have provided a foundational understanding of the body's physiological mechanisms when confronted with stress.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"350\"]<img class=\"wp-image-491\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11.png\" alt=\"A dog walking down a trail. \" width=\"350\" height=\"350\"> <strong>Figure WB.9. Flight-or-fight response.<\/strong> A dog jumps onto the path, barking and giving mixed signals. Is it going to bite you or just saying hello? Your fight-or-flight response will likely kick in to give you extra alertness and energy to deal with the possible threat.[\/caption]\n\nTo illustrate Cannon's fight-or-flight model, let's return to our previous scenario, imagine you are back again, hiking in a forest when suddenly a large, barking dog appears. The dog, emerging from behind a stand of trees, stops about 50 yards from you. It notices you, barks louder, and starts moving in your direction. You think, \u201cThis is definitely not good,\u201d and experience a series of physical reactions:\n<ul>\n \t<li>Your pupils dilate.<\/li>\n \t<li>Your heart races and speeds up.<\/li>\n \t<li>You start breathing heavily and sweating.<\/li>\n \t<li>You feel butterflies in your stomach.<\/li>\n \t<li>Your muscles tense up, readying you to take action.<\/li>\n<\/ul>\nCannon proposed that this reaction, termed the <strong>fight-or-flight response<\/strong>, occurs when a person experiences intense emotions, especially those associated with a perceived threat (Cannon, 1932). During the fight-or-flight response, the body is rapidly aroused by the activation of both the sympathetic nervous system and the endocrine system (Figure WB.10). This arousal prepares the person to either confront or escape the perceived threat.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"768\"]<img class=\"wp-image-492 size-full\" title=\"An illustration of the basic outline of a human body and indicates the body\u2019s various responses to fight or flight, including: pupils dilate, heart rate increases, muscles tense and may tremble, respiration quickens, bronchial tubes dilate, and perspiration begins.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1.jpeg\" alt=\"An illustration of the basic outline of a human body and indicates the body\u2019s various responses to fight or flight, including: pupils dilate, heart rate increases, muscles tense and may tremble, respiration quickens, bronchial tubes dilate, and perspiration begins.\" width=\"768\" height=\"430\" data-popupalt-original-title=\"null\"> <strong>Figure WB.10. Fight-or-flight response in the body.<\/strong> This diagram illustrates the fight-or-flight response, showing a human body and highlighting various physiological reactions, such as increased heart rate, dilated pupils, and quickened respiration.[\/caption]\n\nIn conclusion, Cannon's concept of the fight-or-flight response has been instrumental in advancing our understanding of stress physiology. By identifying the body's innate mechanism for maintaining homeostasis in the face of threats, Cannon's work has laid the groundwork for further research into how we respond to stress. This response, crucial for survival, highlights the body's remarkable ability to adapt to and manage challenging situations, a testament to the complex\u00a0 and dynamic nature of human physiology.\n\nHaving explored Cannon's pivotal work on the immediate, fight-or-flight response to stress, we now turn to another seminal figure in stress research, Hans Selye. While Cannon focused on the body's acute reaction to stress, Selye's work delves into the prolonged effects of stress on the body. His concept of the General Adaptation Syndrome (GAS) offers a broader perspective, examining how our bodies cope with sustained stress over time. This shift from the immediate to the enduring effects of stress marks a significant development in our understanding of how stress impacts us.\n<h1>Selye and the General Adaptation Syndrome<\/h1>\n<div class=\"textbox shaded\"><strong>Content Disclosure: <\/strong>This section discusses historical research methods involving animal testing that are now considered unethical. These studies by Hans Selye were pivotal in stress research but raise important ethical concerns.<\/div>\nSelye initially focused on sex hormones in rats, but he incidentally discovered that prolonged exposure to stressors \u2014 such as extreme cold, surgical injury, and excessive muscular exercise \u2014 led to adrenal enlargement, thymus and lymph node shrinkage, and stomach ulceration in the rats. Selye realised that these health issues were part of a set of body reactions that occur over time under stress, regardless of the stressor's nature. He termed this the <strong>general adaptation syndrome<\/strong>, a universal response of the body to stress.\n\nIt is important to note that Selye's experiments, while groundbreaking, involved methods that would not meet current ethical standards. The distress and harm inflicted on the rats in his labs raises significant ethical concerns. Additionally, the extrapolation of these findings to human populations should be approached with caution.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"649\"]<img class=\"wp-image-493 size-full\" title=\"A graph shows the three stages of Selye\u2019s general adaption syndrome: alarm reaction, resistance, and exhaustion. The x-axis represents time while the y-axis represents stress levels. The x-axis is labelled \u201cTime\u201d and the y-axis is labelled \u201cStress resistance.\u201d During the alarm reaction phase, the stress resistance suddenly decreases and then suddenly increases, During the resistance phase, the level of stress resistance is high but decreases slowly over time. During the exhaustion phase, the level of stress resistance decreases rapidly.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome.jpeg\" alt=\"A graph shows the three stages of Selye\u2019s general adaption syndrome: alarm reaction, resistance, and exhaustion. The x-axis represents time while the y-axis represents stress levels. The x-axis is labelled \u201cTime\u201d and the y-axis is labelled \u201cStress resistance.\u201d During the alarm reaction phase, the stress resistance suddenly decreases and then suddenly increases, During the resistance phase, the level of stress resistance is high but decreases slowly over time. During the exhaustion phase, the level of stress resistance decreases rapidly.\" width=\"649\" height=\"346\" data-popupalt-original-title=\"null\"> <strong>Figure WB.11. Selye\u2019s general adaptation syndrome.<\/strong> This graph illustrates the three stages of Selye\u2019s general adaptation syndrome: alarm reaction, resistance, and exhaustion. Prolonged stress ultimately results in exhaustion.[\/caption]\n\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/two-examples-of-understanding-general-adaptation-syndrome\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.16: Deep Dive - Two examples of Understanding general adaptation syndrome [New Tab]<\/a><\/div>\nIn summary, Selye's general adaptation syndrome model illustrates how our bodies may respond to stress in stages: initially with a burst of energy, then adapting, and finally, potentially breaking down if the stress continues for too long.\n<h1>Biological Basis of Stress<\/h1>\nWhat happens inside our bodies when we experience stress? The physiological mechanisms are complex, involving two main systems: the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis.\n\nWhen we perceive something as stressful, the sympathetic nervous system quickly triggers arousal. This includes releasing adrenaline from the adrenal glands, which activates our fight-or-flight responses, such as a faster heart rate and increased breathing. Simultaneously, the HPA axis, which operates more slowly, becomes active. The hypothalamus in the brain releases a hormone that prompts the pituitary gland to release adrenocorticotropic hormone (ACTH). ACTH then stimulates the adrenal glands to secrete various hormones, notably cortisol, which affects almost every organ and provides an energy boost in response to stressors.\n\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"731\"]<img class=\"wp-image-673 size-full\" title=\"The figure outlines the human body, indicating various parts of the body related to the HPA axis, with arrows representing the flow between these organs. The hypothalamus, pituitary gland, and adrenal glands are labelled. 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.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH10-HPA.jpeg\" alt=\"The figure outlines the human body, indicating various parts of the body related to the HPA axis, with arrows representing the flow between these organs. The hypothalamus, pituitary gland, and adrenal glands are labelled. 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\" data-popupalt-original-title=\"null\"> <strong>Figure WB.12. Hypothalamic-pituitary-adrenal (HPA) axis.<\/strong> This diagram illustrates the HPA axis, showing how the hypothalamus activates the pituitary gland, which in turn stimulates the adrenal glands to increase cortisol secretion.[\/caption]\n\nIn short bursts, this process can be beneficial, providing extra energy, temporarily improving immune function, and reducing pain sensitivity. However, prolonged or chronic stress, leading to extended cortisol release, can have detrimental effects. High cortisol levels can weaken the immune system and are often found in individuals with depression (Glaser &amp; Kiecolt-Glaser, 2005; Geoffroy, Hertzman, Li, &amp; Power, 2013).\n\nThese physiological reactions to stress prepare us for immediate action but can also increase the risk of illness. Extreme or chronic stress can have profound negative consequences. It contributes to psychological disorders like post-traumatic stress disorder (PTSD) and depression and is linked to physical illnesses. For instance, people affected by the September 11 attacks showed higher rates of heart disease (Jordan, Miller-Archie, Cone, Morabia, &amp; Stellman, 2011). Finnish food industry workers with self-reported stress symptoms were more likely to develop various disorders 11 years later (Salonen, Arola, Nyg\u00e5rd, &amp; Huhtala, 2008). South Korean employees with high work-related stress were more susceptible to the common cold (Park et al., 2011).\n\nHaving explored the immediate physiological responses to stress, we will now examine how these reactions can lead to physical illness and disease. In the following sections, we will delve into the mechanisms through which stress can lead to physical illness and disease.\n\nWatch this video: <a href=\"https:\/\/youtu.be\/0IDgBlCHVsA\">Sympathetic Nervous System: Crash Course Anatomy &amp; Physiology #14 (11 minutes)<\/a>\n\nhttps:\/\/www.youtube.com\/watch?v=0IDgBlCHVsA\n\n\u201cSympathetic Nervous System: Crash Course Anatomy &amp; Physiology #14\u201d video by CrashCourse is licensed under the Standard YouTube licence.\n<h1>Rat Park Experiments, Addiction and Environmental Stress<\/h1>\nWatch this video: <a href=\"https:\/\/youtu.be\/xNmEboNEnd8\">Addiction and the Rat Park Experiments - Short Version (1.5 minutes)<\/a>\n\nhttps:\/\/www.youtube.com\/watch?v=xNmEboNEnd8\n\n<span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u201cName of Video\u201d video by YouTube Channel is licensed under the Standard YouTube licence.&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}\">\u201cAddiction and the Rat Park Experiments - Short Version\" video by MinuteVideos Portfolio is licensed under the Standard YouTube licence.<\/span>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/the-rat-park-experiments-explained\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.17: Deep Dive - The Rat Park Experiments Explained [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/graphic-narrative-story-rat-park-by-stuart-mcmillan\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.18: Deep Dive - Graphic Narrative Story: Rat Park by Stuart McMillan [New Tab]<\/a><\/div>\n<h1>Life Changes as Stressors<\/h1>\nLife changes, whether perceived as positive or negative, can act as significant stressors. The Social Readjustment Rating Scale (SRRS), developed by Holmes and Rahe in 1967, highlights how events like marriage, divorce, job loss, or moving to a new home require an individual to make substantial adjustments, thereby inducing stress. These life changes are assigned \"life change units\" (LCUs) to quantify their potential impact on a person's health. Interestingly, the scale suggests that not only negative events but also positive ones, such as promotions or the birth of a child, can produce stress due to the changes they bring to one's life.\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/what-stresses-us-out\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.19: Deep Dive - What Stresses Us Out? [New Tab]<\/a><\/div>\n<table class=\"aligncenter\" style=\"border-collapse: collapse; width: 60%; height: 240px;\" border=\"0\"><caption>Table WB.1. Some stressors on the social readjustment rating scale<\/caption>\n<thead>\n<tr style=\"height: 15px;\">\n<th style=\"width: 70%; height: 15px;\" scope=\"col\">Life event<\/th>\n<th style=\"width: 50%; height: 15px;\" scope=\"col\">Life change units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Death of a close family member<\/td>\n<td style=\"width: 50%; height: 15px;\">63<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Personal injury or illness<\/td>\n<td style=\"width: 50%; height: 15px;\">53<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Dismissal from work<\/td>\n<td style=\"width: 50%; height: 15px;\">47<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in financial state<\/td>\n<td style=\"width: 50%; height: 15px;\">38<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change to different line of work<\/td>\n<td style=\"width: 50%; height: 15px;\">36<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Outstanding personal achievement<\/td>\n<td style=\"width: 50%; height: 15px;\">28<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Beginning or ending school<\/td>\n<td style=\"width: 50%; height: 15px;\">26<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in living conditions<\/td>\n<td style=\"width: 50%; height: 15px;\">25<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in working hours or conditions<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in residence<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in schools<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in social activities<\/td>\n<td style=\"width: 50%; height: 15px;\">18<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in sleeping habits<\/td>\n<td style=\"width: 50%; height: 15px;\">16<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in eating habits<\/td>\n<td style=\"width: 50%; height: 15px;\">15<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Minor violation of the law<\/td>\n<td style=\"width: 50%; height: 15px;\">11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nTable adapted from Holmes and Rahe (1967). The higher the number the more stressful the event.\n\nThe Social Readjustment Rating Scale (SRRS) provides researchers a simple, easy-to-administer way of assessing the amount of stress in people\u2019s lives, and it has been used in hundreds of studies (Thoits, 2010). Despite its widespread use, the scale has been subject to criticism.\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/rate-your-own-life-stress-this-past-year\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.20: Deep Dive - Rate your own life stress this past year [New Tab]<\/a><\/div>\nUnderstanding that life changes can be stressful regardless of their nature underscores the importance of developing coping mechanisms and support systems. It also highlights the subjective nature of stress, as individuals may perceive and react to the same event differently based on their personal resources, past experiences, and social support networks. Recognising and addressing the stress associated with life changes is crucial for maintaining mental health and well-being. This awareness can empower individuals to seek help when needed and to approach life's transitions with strategies that promote resilience and adaptation.\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/life-changes-as-stressors-research-findings\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.21: Deep Dive - Life Changes as Stressors: Research findings [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/oppression-based-violence-and-discrimination-impacts-on-health\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.22: Deep Dive - Oppression-based violence and discrimination: Impacts on Health [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/lockdown-during-the-covid-19-pandemic-psychological-effects\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.23: Deep Dive - Lockdown During the COVID-19 Pandemic: Psychological Effects [New Tab]<\/a><\/div>\n<h1>Summary<\/h1>\nThis section delves into the complex nature of stress and its profound impact on health. It begins by defining stress. The section introduces the Lazarus Appraisal Model of Stress, providing a framework for understanding primary and secondary appraisal and how personal interpretation of stressors affects our stress response. We then discuss good stress (eustress) and bad stress (distress) discussing stress' dual role in enhancing performance and contributing to health issues. Next we discuss the historical perspectives of Cannon's fight-or-flight response and Selye's General Adaptation Syndrome which offer us insights into the body's physiological responses to stress. The biological underpinnings of stress are explored, with a focus on the sympathetic nervous system's role. Additionally, the Rat Park experiments are highlighted to discuss the relationship between environmental stress, addiction, and health. The section also considers the impact of significant life changes as stressors, utilising the Social Readjustment Rating Scale to illustrate how different events influence stress levels.\n\nReflecting on the above stress and health content, consider these questions: How can you reframe your perception of stressful events to transform them from threats into challenges that promote personal growth? What are some daily habits or activities you can adopt to counteract the negative effects of stress? What practical steps can you take to incorporate more eustress into your daily routine to enhance your well-being and performance?\n<h1>Image Descriptions<\/h1>\n<strong><a id=\"WB.6_desc\" href=\"\"><\/a>Figure WB.6. Primary and secondary appraisal image description: <\/strong>A concept map showing the steps assessing a potential threat.\n<ul>\n \t<li>Stressor\n<ul>\n \t<li>Primary appraisal: Challenge or threat?\n<ul>\n \t<li>If it's a challenge, it's a potential for gain or growth<\/li>\n \t<li>If it's a threat, it may lead to harm, loss, or negative consequences\n<ul>\n \t<li>Secondary appraisal: Potential options and how effective?\n<ul>\n \t<li>If there are effective options, it is a low threat.<\/li>\n \t<li>If there are ineffective or no options, it is a high threat. <a href=\"#WB.6\"><em>[Return to Figure WB.6]<\/em><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1>Image Attributions<\/h1>\nFigure WB.6. Figure 14.3 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.\n\nFigure WB.7. Figure 14.4 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.\n\nFigure WB.8. Driving during a blizzard by Rachel Lu is licensed under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/deed.en\">CC BY-NC-SA license<\/a>.\n\nFigure WB.9. Flight-or-fight response by Rachel Lu is licensed under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/deed.en\">CC BY-NC-SA license<\/a>.\n\nFigure WB.10. Figure 14.8 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.\n\nFigure WB.11. Figure 14.10 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.\n\nFigure WB.12. Figure 14.11 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.","rendered":"<p style=\"text-align: right;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_495_595\">Approximate reading time<\/a>: 51 minutes<\/p>\n<p>Few would deny that today\u2019s university students are under a lot of pressure. In addition to the usual stresses and strains inherent to the university experience, such as exams and term papers, students today face increased tuition, burdensome debt, and the prospect of difficulty finding employment after graduation. A significant population of university students may face additional stressors, such as raising children or holding down a full-time job while working toward a degree.<\/p>\n<p>Life is filled with many additional challenges beyond those found in university or in the workplace. We might have concerns with financial security, difficulties with friends or neighbours, responsibilities to our family, and not enough time to do the things we want to do. Even minor hassles, such as losing things, traffic jams, and loss of internet service, involve pressure and demands that can make life seem like a struggle and compromise our sense of well-being.<\/p>\n<p>In this section of the chapter, we start by defining stress, a complex phenomenon influenced by both external situations and our internal responses. Stress can stem from feeling overwhelmed by exams, deadlines, and societal pressures, impacting our mental and physical health. It can be viewed through two main lenses: as specific external triggers or as our physical and emotional reactions to these demands.<\/p>\n<p>Next, we explore the Lazarus Appraisal Model of Stress, which emphasises individual appraisal in the experience of stress. This model introduces the concepts of primary and secondary appraisal, helping us understand how our interpretation of events influences our stress levels. Using a practical scenario of encountering a barking dog on a forest path, we delve deeper into the Lazarus model. This section illustrates how individual perceptions significantly influence stress responses, showing the subjective nature of stress.<\/p>\n<p>We then discuss the dual nature of stress, distinguishing between eustress (positive stress) and distress (negative stress). Understanding the difference helps us harness the motivating aspects of eustress while minimising the harmful effects of distress on our mental and physical health. This section explores the relationship between stress and performance, highlighting how moderate stress can enhance performance and well-being, but excessive stress can lead to burnout and decreased performance.<\/p>\n<p>We examine common stressors and their effects on our daily lives, noting how stress can manifest physically and mentally, influencing behaviours and health outcomes. Health psychology focuses on understanding how stress and other psychological factors impact health. This section delves into how health psychologists study and address the connection between stress and illness, aiming to promote healthier behaviours and lifestyles.<\/p>\n<p>Walter Cannon&#8217;s fight-or-flight response theory is introduced, explaining how our bodies react to perceived threats with physiological changes that prepare us to confront or escape danger. We transition to Hans Selye\u2019s concept of the General Adaptation Syndrome (GAS), which examines the prolonged effects of stress on the body. This model outlines how our bodies cope with sustained stress through stages of alarm, resistance, and exhaustion.<\/p>\n<p>We learn the physiological mechanisms behind stress, focusing on the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis. We explore how these systems respond to stress and the implications for our health. Life changes, whether positive or negative, can act as significant stressors. We discuss the Social Readjustment Rating Scale (SRRS) developed by Holmes and Rahe, which quantifies the impact of life events on stress and health.<\/p>\n<h1>What is Stress?<\/h1>\n<p>Stress, a prevalent aspect of modern life, especially for university students grappling with academic pressures, financial burdens, and personal challenges, is a complex phenomenon influenced by both external situations and our internal responses. It encompasses a range of experiences from feeling overwhelmed by exams and deadlines to navigating societal pressures, all of which can significantly impact our mental and physical health. Broadly defined, stress can be viewed from two perspectives: specific external triggers or our physical and emotional reaction to these demands (Lyon, 2012), underscoring the intricate interplay between our environment and how we perceive and cope with challenges.<\/p>\n<p>The term <strong>stress<\/strong>, as it relates to the human condition, first emerged in scientific literature in the 1930s, but it did not enter our everyday language until the 1970s (Lyon, 2012). Today, we often use the term loosely in describing a variety of unpleasant feeling states; for example, we often say we are stressed out when we feel frustrated, angry, conflicted, overwhelmed, or fatigued. Despite the widespread use of the term, stress is a fairly vague concept that is difficult to define with precision.<\/p>\n<p>Researchers have struggled to agree on an acceptable definition of stress. Broadly, there are two primary ways of conceptualising stress: (1) the stimulus-based definition and (2) the response-based definition. The <strong>stimulus-based definition<\/strong> views stress as a result of specific external events or situations, such as a high-stress job or long commutes, which act as stimuli, triggering stress reactions. However, this approach has been critiqued for not accounting for individual differences in perception and reaction to these stimuli. On the other hand, the <strong>response-based definition<\/strong> focuses on the physical and emotional responses that occur when faced with demanding or threatening situations, like increased arousal. This perspective emphasises the physiological aspect of stress but can overlook the fact that such responses can also be triggered by positive or non-threatening events.<\/p>\n<p>To better understand these definitions and their limitations, you can read Supplement WB.14\u00a0about of two students, Ti and Carli, who are about to leave their small town homes to move into a large university student residence.<\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/ti-carli\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.14: Case Study &#8211; Parts 1 &amp; 2: Ti and Carli [New Tab]<\/a><\/div>\n<h1>Understanding the Lazarus Appraisal Model of Stress<\/h1>\n<p>The limitations of both the stimulus-based and response-based definitions lead us to consider a more comprehensive model of stress: the <strong>Lazarus Appraisal Model<\/strong>. Developed by Lazarus &amp; Folkman in 1984, this model emphasises the role of individual appraisal in the experience of stress. It suggests that stress is not solely determined by external events or physiological responses but also by the ways an individual interprets and reacts to these events.<\/p>\n<h2>Primary and Secondary Appraisal<\/h2>\n<p>The process begins with what is known as <strong>primary appraisal<\/strong>, where an individual assesses the potential harm or threat a stressor might pose to their well-being. In the previous example of Ti and Carli (Supplement WB.14), the stressor was leaving home to move into university residence. The primary appraisal involves evaluating whether a situation or event is a threat, which could lead to harm, loss, or other negative consequences. Conversely, the same situation can be appraised as a challenge, presenting an opportunity for overcoming fear or demonstrating courage.<\/p>\n<p><strong>Secondary appraisal<\/strong> follows, where the individual assesses their ability to cope with the stressor, considering the resources they have at hand. This appraisal involves determining how effectively one can manage or adapt to the stressor. The perception of one&#8217;s ability to handle the situation influences whether it is viewed as a manageable challenge or a significant threat.<a id=\"WB.6\" href=\"\"><\/a><\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 731px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-488 size-full\" title=\"A concept map showing the steps assessing a potential threat. Image description available.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map.jpeg\" alt=\"A concept map showing the steps assessing a potential threat. Image description available.\" width=\"731\" height=\"853\" data-popupalt-original-title=\"null\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map.jpeg 731w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map-257x300.jpeg 257w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map-65x76.jpeg 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map-225x263.jpeg 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/02\/SH-Stress-Concept-Map-350x408.jpeg 350w\" sizes=\"auto, (max-width: 731px) 100vw, 731px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.6. Primary and secondary appraisal.<\/strong> When encountering a stressor, a person judges its potential threat (primary appraisal) and then determines if effective options are available to manage the situation. Stress is likely to result if a stressor is perceived as extremely threatening or threatening with few or no effective coping options available.<a href=\"#WB.6_desc\"><em> [Image Description]<\/em><\/a><\/figcaption><\/figure>\n<p>After exploring the stimulus-based and response-based definitions through the experiences of Ti and Carli, let&#8217;s delve deeper into the Lazarus appraisal model with a different scenario. This will help us further understand how individual perceptions significantly influence stress responses.<\/p>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Facing Fido in the Forest: Another Walk Through the Lazarus Model<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<p>Let&#8217;s walk through the Lazarus model decision tree using the example of you hiking along a forest path when you suddenly encounter a large, loudly barking dog on a forest path. This model involves two key stages of appraisal: primary and secondary.<\/p>\n<h3>Primary appraisal<\/h3>\n<p>In the primary appraisal stage, you assess the situation to determine if the large, barking dog poses a threat to your well-being or if it represents a challenge.<\/p>\n<ul>\n<li><strong>Perceived as a threat<\/strong>: If you perceive the dog as dangerous (due to its size, loud bark, and the isolated forest setting), you might appraise this situation as a threat. This perception could be based on past experiences, inherent fears of dogs, or the unexpected nature of the encounter. You anticipate potential harm or danger from the dog.<\/li>\n<li><strong>Perceived as a challenge<\/strong>: Alternatively, you might perceive the encounter with the dog as a challenge. This could occur if you view the situation as an opportunity to overcome a fear of dogs or to demonstrate courage in handling unexpected situations. Your focus here is on the potential for personal growth or mastery in dealing with the situation.<\/li>\n<\/ul>\n<h3>Secondary appraisal<\/h3>\n<p>In the secondary appraisal stage, you evaluate your coping resources and options to handle the situation with the dog.<\/p>\n<ul>\n<li><strong>Ineffective or no coping options available (perceived as a threat)<\/strong>: If, on the other hand, you feel you lack the resources to deal with the dog (due to a lack of experience with dogs, absence of any means to protect yourself, or being alone in the forest), you might view the situation as a significant threat to your safety. This perception leads to a higher level of stress and potential feelings of helplessness or fear.<\/li>\n<li><strong>Effective coping options available (perceived as a challenge)<\/strong>: If you feel confident in your ability to handle the situation (perhaps due to previous positive experiences with dogs, knowledge about animal behaviour, or the presence of tools like a walking stick), you might view the encounter as a manageable challenge. You believe you have the necessary resources and strategies to safely navigate the situation.<\/li>\n<\/ul>\n<h3>Outcome based on appraisal<\/h3>\n<ul>\n<li><strong>High stress (threat perception with ineffective coping)<\/strong>: If you appraise the dog as a threat and feel you cannot effectively cope with the situation, you are likely to experience a high level of stress. This stress could manifest as fear, anxiety, and physiological responses like increased heart rate or adrenaline rush.<\/li>\n<li><strong>Low to moderate stress (challenge perception with effective coping)<\/strong>: If you appraise the situation as a challenge and feel capable of handling it, your stress level may be lower or even positive in nature, characterised by a sense of alertness and readiness to act.<\/li>\n<\/ul>\n<p>In summary, according to the Lazarus model, your experience of stress in encountering the barking dog on a forest path is determined not just by the presence of the dog (the external stimulus) but significantly by how you appraise the situation (threat or challenge) and your perceived ability to cope with it. This model underscores the subjective nature of stress and the importance of individual perception and evaluation in stress experiences.<\/p>\n<\/div>\n<\/div>\n<p>Having navigated the Lazarus model with the example of the hiker and the barking dog, we can see how individual appraisal plays a crucial role in the experience of stress.<\/p>\n<p>This understanding brings us back to Ti and Carli, whose experiences we can now re-examine through the lens of this model.<\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/lazarus-model-analysis-ti-and-carli\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.15: Case Study &#8211; Lazarus Model Analysis Ti and Carli [New Tab]<\/a><\/div>\n<p>In summary, if a person appraises an event as harmful and believes that the demands imposed by the event exceed the available resources to manage or adapt to it, they will subjectively experience a state of stress. Conversely, if one does not appraise the same event as harmful or threatening, they are unlikely to experience stress. According to this definition, environmental events trigger stress reactions by the way they are interpreted and the meanings they are assigned. In short, stress is largely in the eye of the beholder: it\u2019s not so much what happens to you as how you respond (Selye, 1976).<\/p>\n<h1>Stress: The Good and the Bad<\/h1>\n<p>Stress is often seen as something negative, but it can also be helpful. Stress can push us to do important things like study for exams, go to the doctor, exercise, and work hard. Selye, a scientist in 1974, said that stress isn&#8217;t always bad. He explained that stress can be a good thing that helps improve our lives. He called this good stress &#8220;eustress&#8221; (from a Greek word meaning \u201cgood\u201d). <strong>Eustress<\/strong> is the kind of stress that makes you feel positive and can be good for your health and performance.<\/p>\n<div class=\"textbox\">Stress manifests in two primary forms: <strong>eustress<\/strong>, which is positive and can motivate and energise us, leading to improved performance and well-being, and <strong>distress<\/strong>, which is negative, overwhelming, and can lead to burnout, decreased performance, and health issues. Understanding the difference between these two types of stress is crucial for managing stress effectively, allowing us to harness the motivating aspects of eustress while minimising the harmful effects of distress on our mental and physical health. Eustress can make you do better and feel good; distress can make you do worse and harm your health.<\/div>\n<p>A moderate amount of stress can be beneficial in challenging situations. For example, athletes may be motivated and energised by pre-game stress, and students may experience similar beneficial stress before a major exam. Indeed, research shows that moderate stress can enhance both immediate and delayed recall of educational material. Male participants in one study who memorised a scientific text passage showed improved memory of the passage immediately after exposure to a mild stressor as well as one day following exposure to the stressor (Hupbach &amp; Fieman, 2012).<\/p>\n<p>But when stress exceeds this optimal level, it is no longer a positive force; it becomes excessive and debilitating, or what Selye termed <strong>distress<\/strong> (from the Latin dis = \u201cbad\u201d). People who reach this level of stress feel burned out; they are fatigued and exhausted, and their performance begins to decline. If the stress level remains excessive, health may begin to erode as well (Everly &amp; Lating, 2002).<\/p>\n<h2>Stress and Performance<\/h2>\n<p>Figure WB.7\u00a0shows us that as stress increases, so does performance and well-being, up to a point. This is eustress. When stress reaches the best level (the highest point of a curve), performance is at its best. You feel fully energised and focused, and you work efficiently. But if stress goes beyond this best level, it becomes too much and harmful; this is distress. People with too much stress feel burned out and tired, and their performance drops. If the stress level stays too high, it can even harm health. For example, students who are very stressed about a test might find it hard to concentrate, which can affect their test scores.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 731px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-489 size-full\" title=\"A graph features a bell curve that has a line going through the middle labelled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labelled \u201cStress level\u201d and moves from low to high, and the y-axis is labelled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress.jpeg\" alt=\"A graph features a bell curve that has a line going through the middle labelled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labelled \u201cStress level\u201d and moves from low to high, and the y-axis is labelled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.\" width=\"731\" height=\"283\" data-popupalt-original-title=\"null\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress.jpeg 731w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress-300x116.jpeg 300w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress-65x25.jpeg 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress-225x87.jpeg 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH4-Optimal-Stress-350x135.jpeg 350w\" sizes=\"auto, (max-width: 731px) 100vw, 731px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.7. Stress and performance.<\/strong> As the stress level increases from low to moderate, so does performance (eustress). At the optimal level (the peak of the curve), performance has reached its peak. If stress exceeds the optimal level, it will reach the distress region, where it will become excessive and debilitating, and performance will decline (Everly &amp; Lating, 2002).<\/figcaption><\/figure>\n<p>A graph features a bell curve that has a line going through the middle labeled \u201cOptimal level.\u201d The curve is labelled \u201ceustress\u201d on the left side and \u201cdistress\u201d on the right side. The x-axis is labeled \u201cStress level\u201d and moves from low to high, and the y-axis is labeled \u201cPerformance level\u201d and moves from low to high.\u201d The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.<\/p>\n<h2>Stress in Our Lives<\/h2>\n<p>Stress is a common experience. We all deal with it in different ways. It can feel like a heavy load, like when you have to drive in a blizzard, wake up late for an important job interview, run out of money, or aren&#8217;t ready for a big test. Stress is an experience that can include symptoms like a faster heart rate, headaches, gastrointestinal problems, and difficulty concentrating or making decisions. We may react to stress in unhealthy ways by drinking alcohol, smoking, or engaging in other dubious behaviours we hope will reduce the stress. While stress can sometimes be good, it can also lead to health problems, contributing to illnesses and diseases. Stress can cause physical reactions like a fast heartbeat or headaches, make it hard to think or decide, and lead to behaviours like drinking or smoking.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-490\" title=\"A driver focuses on the road while operating a vehicle.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10.png\" alt=\"A driver focuses on the road while operating a vehicle.\" width=\"350\" height=\"350\" data-popupalt-original-title=\"null\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10.png 1600w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-300x300.png 300w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-1024x1024.png 1024w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-150x150.png 150w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-768x768.png 768w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-1536x1536.png 1536w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-65x65.png 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-225x225.png 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.10-350x350.png 350w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.8. Driving during a blizzard.<\/strong> Stress is an experience that can include symptoms like a faster heart rate, headaches, gastrointestinal problems, and difficulty concentrating or making decisions.<\/figcaption><\/figure>\n<h2>Health Psychology and Stress<\/h2>\n<p>The scientific study of how stress and other psychological factors impact health is part of health psychology. Health psychology is a subfield of psychology that focuses on understanding the importance of psychological influences on health and illness, and how people respond when they become ill (Taylor, 1999). Health psychology emerged as a discipline in the 1970s, a time of increasing awareness of the role behavioural and lifestyle factors play in the development of illnesses and diseases (Straub, 2007). In addition to studying the connection between stress and illness, health psychologists investigate issues such as the reasons people make certain lifestyle choices, e.g., smoking or eating unhealthy food, despite knowing the potential adverse health implications of such behaviours.<\/p>\n<p>Health psychologists also work on creating and testing ways to help people change unhealthy behaviours. A key part of their job is to figure out which groups of people are more likely to have health problems because of the way they think or act. For instance, they might study how stress affects different age groups, like young adults versus older adults. By understanding who gets more stressed and how it changes over time, health psychologists can identify which age group might be more at risk for health issues like high blood pressure or anxiety disorders.<\/p>\n<p>Watch this video: <a href=\"https:\/\/youtu.be\/sZtEwEIUIOc\">The Upside of Stress (4.5 minutes)<\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"The Upside of Stress\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/sZtEwEIUIOc?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u201cName of Video\u201d video by YouTube Channel is licensed under the Standard YouTube licence.&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}\">\u201cThe Upside of Stress\u201d video by BrainCraft is licensed under the Standard YouTube licence.<\/span><\/p>\n<h1>Cannon and the Fight-or-Flight Response<\/h1>\n<p>Stress, a universal experience, has intrigued scientists for nearly a century. A key figure in this exploration is Walter Cannon, an American physiologist whose groundbreaking work in the early 20th century has significantly shaped our understanding of how the body reacts to stress. Cannon&#8217;s insights into the fight-or-flight response have provided a foundational understanding of the body&#8217;s physiological mechanisms when confronted with stress.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-491\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11.png\" alt=\"A dog walking down a trail.\" width=\"350\" height=\"350\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11.png 1601w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-300x300.png 300w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-1024x1024.png 1024w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-150x150.png 150w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-768x768.png 768w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-1536x1536.png 1536w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-65x65.png 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-225x225.png 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/img8.11-350x350.png 350w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.9. Flight-or-fight response.<\/strong> A dog jumps onto the path, barking and giving mixed signals. Is it going to bite you or just saying hello? Your fight-or-flight response will likely kick in to give you extra alertness and energy to deal with the possible threat.<\/figcaption><\/figure>\n<p>To illustrate Cannon&#8217;s fight-or-flight model, let&#8217;s return to our previous scenario, imagine you are back again, hiking in a forest when suddenly a large, barking dog appears. The dog, emerging from behind a stand of trees, stops about 50 yards from you. It notices you, barks louder, and starts moving in your direction. You think, \u201cThis is definitely not good,\u201d and experience a series of physical reactions:<\/p>\n<ul>\n<li>Your pupils dilate.<\/li>\n<li>Your heart races and speeds up.<\/li>\n<li>You start breathing heavily and sweating.<\/li>\n<li>You feel butterflies in your stomach.<\/li>\n<li>Your muscles tense up, readying you to take action.<\/li>\n<\/ul>\n<p>Cannon proposed that this reaction, termed the <strong>fight-or-flight response<\/strong>, occurs when a person experiences intense emotions, especially those associated with a perceived threat (Cannon, 1932). During the fight-or-flight response, the body is rapidly aroused by the activation of both the sympathetic nervous system and the endocrine system (Figure WB.10). This arousal prepares the person to either confront or escape the perceived threat.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 768px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-492 size-full\" title=\"An illustration of the basic outline of a human body and indicates the body\u2019s various responses to fight or flight, including: pupils dilate, heart rate increases, muscles tense and may tremble, respiration quickens, bronchial tubes dilate, and perspiration begins.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1.jpeg\" alt=\"An illustration of the basic outline of a human body and indicates the body\u2019s various responses to fight or flight, including: pupils dilate, heart rate increases, muscles tense and may tremble, respiration quickens, bronchial tubes dilate, and perspiration begins.\" width=\"768\" height=\"430\" data-popupalt-original-title=\"null\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1.jpeg 768w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1-300x168.jpeg 300w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1-65x36.jpeg 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1-225x126.jpeg 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH7-Fight-or-Flight-768x430-1-350x196.jpeg 350w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.10. Fight-or-flight response in the body.<\/strong> This diagram illustrates the fight-or-flight response, showing a human body and highlighting various physiological reactions, such as increased heart rate, dilated pupils, and quickened respiration.<\/figcaption><\/figure>\n<p>In conclusion, Cannon&#8217;s concept of the fight-or-flight response has been instrumental in advancing our understanding of stress physiology. By identifying the body&#8217;s innate mechanism for maintaining homeostasis in the face of threats, Cannon&#8217;s work has laid the groundwork for further research into how we respond to stress. This response, crucial for survival, highlights the body&#8217;s remarkable ability to adapt to and manage challenging situations, a testament to the complex\u00a0 and dynamic nature of human physiology.<\/p>\n<p>Having explored Cannon&#8217;s pivotal work on the immediate, fight-or-flight response to stress, we now turn to another seminal figure in stress research, Hans Selye. While Cannon focused on the body&#8217;s acute reaction to stress, Selye&#8217;s work delves into the prolonged effects of stress on the body. His concept of the General Adaptation Syndrome (GAS) offers a broader perspective, examining how our bodies cope with sustained stress over time. This shift from the immediate to the enduring effects of stress marks a significant development in our understanding of how stress impacts us.<\/p>\n<h1>Selye and the General Adaptation Syndrome<\/h1>\n<div class=\"textbox shaded\"><strong>Content Disclosure: <\/strong>This section discusses historical research methods involving animal testing that are now considered unethical. These studies by Hans Selye were pivotal in stress research but raise important ethical concerns.<\/div>\n<p>Selye initially focused on sex hormones in rats, but he incidentally discovered that prolonged exposure to stressors \u2014 such as extreme cold, surgical injury, and excessive muscular exercise \u2014 led to adrenal enlargement, thymus and lymph node shrinkage, and stomach ulceration in the rats. Selye realised that these health issues were part of a set of body reactions that occur over time under stress, regardless of the stressor&#8217;s nature. He termed this the <strong>general adaptation syndrome<\/strong>, a universal response of the body to stress.<\/p>\n<p>It is important to note that Selye&#8217;s experiments, while groundbreaking, involved methods that would not meet current ethical standards. The distress and harm inflicted on the rats in his labs raises significant ethical concerns. Additionally, the extrapolation of these findings to human populations should be approached with caution.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 649px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-493 size-full\" title=\"A graph shows the three stages of Selye\u2019s general adaption syndrome: alarm reaction, resistance, and exhaustion. The x-axis represents time while the y-axis represents stress levels. The x-axis is labelled \u201cTime\u201d and the y-axis is labelled \u201cStress resistance.\u201d During the alarm reaction phase, the stress resistance suddenly decreases and then suddenly increases, During the resistance phase, the level of stress resistance is high but decreases slowly over time. During the exhaustion phase, the level of stress resistance decreases rapidly.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome.jpeg\" alt=\"A graph shows the three stages of Selye\u2019s general adaption syndrome: alarm reaction, resistance, and exhaustion. The x-axis represents time while the y-axis represents stress levels. The x-axis is labelled \u201cTime\u201d and the y-axis is labelled \u201cStress resistance.\u201d During the alarm reaction phase, the stress resistance suddenly decreases and then suddenly increases, During the resistance phase, the level of stress resistance is high but decreases slowly over time. During the exhaustion phase, the level of stress resistance decreases rapidly.\" width=\"649\" height=\"346\" data-popupalt-original-title=\"null\" srcset=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome.jpeg 649w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome-300x160.jpeg 300w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome-65x35.jpeg 65w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome-225x120.jpeg 225w, https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH9-General-Adaptation-Syndrome-350x187.jpeg 350w\" sizes=\"auto, (max-width: 649px) 100vw, 649px\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.11. Selye\u2019s general adaptation syndrome.<\/strong> This graph illustrates the three stages of Selye\u2019s general adaptation syndrome: alarm reaction, resistance, and exhaustion. Prolonged stress ultimately results in exhaustion.<\/figcaption><\/figure>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/two-examples-of-understanding-general-adaptation-syndrome\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.16: Deep Dive &#8211; Two examples of Understanding general adaptation syndrome [New Tab]<\/a><\/div>\n<p>In summary, Selye&#8217;s general adaptation syndrome model illustrates how our bodies may respond to stress in stages: initially with a burst of energy, then adapting, and finally, potentially breaking down if the stress continues for too long.<\/p>\n<h1>Biological Basis of Stress<\/h1>\n<p>What happens inside our bodies when we experience stress? The physiological mechanisms are complex, involving two main systems: the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis.<\/p>\n<p>When we perceive something as stressful, the sympathetic nervous system quickly triggers arousal. This includes releasing adrenaline from the adrenal glands, which activates our fight-or-flight responses, such as a faster heart rate and increased breathing. Simultaneously, the HPA axis, which operates more slowly, becomes active. The hypothalamus in the brain releases a hormone that prompts the pituitary gland to release adrenocorticotropic hormone (ACTH). ACTH then stimulates the adrenal glands to secrete various hormones, notably cortisol, which affects almost every organ and provides an energy boost in response to stressors.<\/p>\n<figure id=\"attachment_493\" aria-describedby=\"caption-attachment-493\" style=\"width: 731px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-673 size-full\" title=\"The figure outlines the human body, indicating various parts of the body related to the HPA axis, with arrows representing the flow between these organs. The hypothalamus, pituitary gland, and adrenal glands are labelled. 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.\" src=\"https:\/\/opentextbc.ca\/psychologymtdi\/wp-content\/uploads\/sites\/470\/2024\/08\/SH10-HPA.jpeg\" alt=\"The figure outlines the human body, indicating various parts of the body related to the HPA axis, with arrows representing the flow between these organs. The hypothalamus, pituitary gland, and adrenal glands are labelled. 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\" data-popupalt-original-title=\"null\" \/><figcaption id=\"caption-attachment-493\" class=\"wp-caption-text\"><strong>Figure WB.12. Hypothalamic-pituitary-adrenal (HPA) axis.<\/strong> This diagram illustrates the HPA axis, showing how the hypothalamus activates the pituitary gland, which in turn stimulates the adrenal glands to increase cortisol secretion.<\/figcaption><\/figure>\n<p>In short bursts, this process can be beneficial, providing extra energy, temporarily improving immune function, and reducing pain sensitivity. However, prolonged or chronic stress, leading to extended cortisol release, can have detrimental effects. High cortisol levels can weaken the immune system and are often found in individuals with depression (Glaser &amp; Kiecolt-Glaser, 2005; Geoffroy, Hertzman, Li, &amp; Power, 2013).<\/p>\n<p>These physiological reactions to stress prepare us for immediate action but can also increase the risk of illness. Extreme or chronic stress can have profound negative consequences. It contributes to psychological disorders like post-traumatic stress disorder (PTSD) and depression and is linked to physical illnesses. For instance, people affected by the September 11 attacks showed higher rates of heart disease (Jordan, Miller-Archie, Cone, Morabia, &amp; Stellman, 2011). Finnish food industry workers with self-reported stress symptoms were more likely to develop various disorders 11 years later (Salonen, Arola, Nyg\u00e5rd, &amp; Huhtala, 2008). South Korean employees with high work-related stress were more susceptible to the common cold (Park et al., 2011).<\/p>\n<p>Having explored the immediate physiological responses to stress, we will now examine how these reactions can lead to physical illness and disease. In the following sections, we will delve into the mechanisms through which stress can lead to physical illness and disease.<\/p>\n<p>Watch this video: <a href=\"https:\/\/youtu.be\/0IDgBlCHVsA\">Sympathetic Nervous System: Crash Course Anatomy &amp; Physiology #14 (11 minutes)<\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"Sympathetic Nervous System: Crash Course Anatomy &amp; Physiology #14\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/0IDgBlCHVsA?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>\u201cSympathetic Nervous System: Crash Course Anatomy &amp; Physiology #14\u201d video by CrashCourse is licensed under the Standard YouTube licence.<\/p>\n<h1>Rat Park Experiments, Addiction and Environmental Stress<\/h1>\n<p>Watch this video: <a href=\"https:\/\/youtu.be\/xNmEboNEnd8\">Addiction and the Rat Park Experiments &#8211; Short Version (1.5 minutes)<\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-3\" title=\"Addiction an the Rat Park Experiments - Short Version\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/xNmEboNEnd8?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u201cName of Video\u201d video by YouTube Channel is licensed under the Standard YouTube licence.&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}\">\u201cAddiction and the Rat Park Experiments &#8211; Short Version&#8221; video by MinuteVideos Portfolio is licensed under the Standard YouTube licence.<\/span><\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/the-rat-park-experiments-explained\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.17: Deep Dive &#8211; The Rat Park Experiments Explained [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/graphic-narrative-story-rat-park-by-stuart-mcmillan\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.18: Deep Dive &#8211; Graphic Narrative Story: Rat Park by Stuart McMillan [New Tab]<\/a><\/div>\n<h1>Life Changes as Stressors<\/h1>\n<p>Life changes, whether perceived as positive or negative, can act as significant stressors. The Social Readjustment Rating Scale (SRRS), developed by Holmes and Rahe in 1967, highlights how events like marriage, divorce, job loss, or moving to a new home require an individual to make substantial adjustments, thereby inducing stress. These life changes are assigned &#8220;life change units&#8221; (LCUs) to quantify their potential impact on a person&#8217;s health. Interestingly, the scale suggests that not only negative events but also positive ones, such as promotions or the birth of a child, can produce stress due to the changes they bring to one&#8217;s life.<\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/what-stresses-us-out\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.19: Deep Dive &#8211; What Stresses Us Out? [New Tab]<\/a><\/div>\n<table class=\"aligncenter\" style=\"border-collapse: collapse; width: 60%; height: 240px;\">\n<caption>Table WB.1. Some stressors on the social readjustment rating scale<\/caption>\n<thead>\n<tr style=\"height: 15px;\">\n<th style=\"width: 70%; height: 15px;\" scope=\"col\">Life event<\/th>\n<th style=\"width: 50%; height: 15px;\" scope=\"col\">Life change units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Death of a close family member<\/td>\n<td style=\"width: 50%; height: 15px;\">63<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Personal injury or illness<\/td>\n<td style=\"width: 50%; height: 15px;\">53<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Dismissal from work<\/td>\n<td style=\"width: 50%; height: 15px;\">47<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in financial state<\/td>\n<td style=\"width: 50%; height: 15px;\">38<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change to different line of work<\/td>\n<td style=\"width: 50%; height: 15px;\">36<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Outstanding personal achievement<\/td>\n<td style=\"width: 50%; height: 15px;\">28<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Beginning or ending school<\/td>\n<td style=\"width: 50%; height: 15px;\">26<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in living conditions<\/td>\n<td style=\"width: 50%; height: 15px;\">25<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in working hours or conditions<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in residence<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in schools<\/td>\n<td style=\"width: 50%; height: 15px;\">20<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in social activities<\/td>\n<td style=\"width: 50%; height: 15px;\">18<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in sleeping habits<\/td>\n<td style=\"width: 50%; height: 15px;\">16<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Change in eating habits<\/td>\n<td style=\"width: 50%; height: 15px;\">15<\/td>\n<\/tr>\n<tr style=\"height: 15px;\">\n<td style=\"width: 70%; height: 15px;\">Minor violation of the law<\/td>\n<td style=\"width: 50%; height: 15px;\">11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Table adapted from Holmes and Rahe (1967). The higher the number the more stressful the event.<\/p>\n<p>The Social Readjustment Rating Scale (SRRS) provides researchers a simple, easy-to-administer way of assessing the amount of stress in people\u2019s lives, and it has been used in hundreds of studies (Thoits, 2010). Despite its widespread use, the scale has been subject to criticism.<\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/rate-your-own-life-stress-this-past-year\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.20: Deep Dive &#8211; Rate your own life stress this past year [New Tab]<\/a><\/div>\n<p>Understanding that life changes can be stressful regardless of their nature underscores the importance of developing coping mechanisms and support systems. It also highlights the subjective nature of stress, as individuals may perceive and react to the same event differently based on their personal resources, past experiences, and social support networks. Recognising and addressing the stress associated with life changes is crucial for maintaining mental health and well-being. This awareness can empower individuals to seek help when needed and to approach life&#8217;s transitions with strategies that promote resilience and adaptation.<\/p>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/life-changes-as-stressors-research-findings\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.21: Deep Dive &#8211; Life Changes as Stressors: Research findings [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/oppression-based-violence-and-discrimination-impacts-on-health\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.22: Deep Dive &#8211; Oppression-based violence and discrimination: Impacts on Health [New Tab]<\/a><\/div>\n<div class=\"textbox sup\"><a href=\"https:\/\/opentextbc.ca\/psychologymtdisupplement\/chapter\/lockdown-during-the-covid-19-pandemic-psychological-effects\/\" target=\"_blank\" rel=\"noopener\">Supplement WB.23: Deep Dive &#8211; Lockdown During the COVID-19 Pandemic: Psychological Effects [New Tab]<\/a><\/div>\n<h1>Summary<\/h1>\n<p>This section delves into the complex nature of stress and its profound impact on health. It begins by defining stress. The section introduces the Lazarus Appraisal Model of Stress, providing a framework for understanding primary and secondary appraisal and how personal interpretation of stressors affects our stress response. We then discuss good stress (eustress) and bad stress (distress) discussing stress&#8217; dual role in enhancing performance and contributing to health issues. Next we discuss the historical perspectives of Cannon&#8217;s fight-or-flight response and Selye&#8217;s General Adaptation Syndrome which offer us insights into the body&#8217;s physiological responses to stress. The biological underpinnings of stress are explored, with a focus on the sympathetic nervous system&#8217;s role. Additionally, the Rat Park experiments are highlighted to discuss the relationship between environmental stress, addiction, and health. The section also considers the impact of significant life changes as stressors, utilising the Social Readjustment Rating Scale to illustrate how different events influence stress levels.<\/p>\n<p>Reflecting on the above stress and health content, consider these questions: How can you reframe your perception of stressful events to transform them from threats into challenges that promote personal growth? What are some daily habits or activities you can adopt to counteract the negative effects of stress? What practical steps can you take to incorporate more eustress into your daily routine to enhance your well-being and performance?<\/p>\n<h1>Image Descriptions<\/h1>\n<p><strong><a id=\"WB.6_desc\" href=\"\"><\/a>Figure WB.6. Primary and secondary appraisal image description: <\/strong>A concept map showing the steps assessing a potential threat.<\/p>\n<ul>\n<li>Stressor\n<ul>\n<li>Primary appraisal: Challenge or threat?\n<ul>\n<li>If it&#8217;s a challenge, it&#8217;s a potential for gain or growth<\/li>\n<li>If it&#8217;s a threat, it may lead to harm, loss, or negative consequences\n<ul>\n<li>Secondary appraisal: Potential options and how effective?\n<ul>\n<li>If there are effective options, it is a low threat.<\/li>\n<li>If there are ineffective or no options, it is a high threat. <a href=\"#WB.6\"><em>[Return to Figure WB.6]<\/em><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1>Image Attributions<\/h1>\n<p>Figure WB.6. Figure 14.3 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.<\/p>\n<p>Figure WB.7. Figure 14.4 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.<\/p>\n<p>Figure WB.8. Driving during a blizzard by Rachel Lu is licensed under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/deed.en\">CC BY-NC-SA license<\/a>.<\/p>\n<p>Figure WB.9. Flight-or-fight response by Rachel Lu is licensed under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/deed.en\">CC BY-NC-SA license<\/a>.<\/p>\n<p>Figure WB.10. Figure 14.8 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.<\/p>\n<p>Figure WB.11. Figure 14.10 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.<\/p>\n<p>Figure WB.12. Figure 14.11 as found in <a href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/1-introduction\" target=\"_blank\" rel=\"noopener\">Psychology 2e by OpenStax<\/a>\u00a0is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY 4.0 License<\/a>.<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_495_595\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_495_595\"><div tabindex=\"-1\"><p>To calculate this time, we used a reading speed of 150 words per minute and then added extra time to account for images and videos. This is just to give you a rough idea of the length of the chapter section. How long it will take you to engage with this chapter will vary greatly depending on all sorts of things (the complexity of the content, your ability to focus, etc).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":127,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["jessica-motherwell-mcfarlane"],"pb_section_license":"cc-by-nc-sa"},"chapter-type":[],"contributor":[61],"license":[57],"class_list":["post-495","chapter","type-chapter","status-publish","hentry","contributor-jessica-motherwell-mcfarlane","license-cc-by-nc-sa"],"part":480,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapters\/495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/wp\/v2\/users\/127"}],"version-history":[{"count":2,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapters\/495\/revisions"}],"predecessor-version":[{"id":886,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapters\/495\/revisions\/886"}],"part":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/parts\/480"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapters\/495\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/wp\/v2\/media?parent=495"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/pressbooks\/v2\/chapter-type?post=495"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/wp\/v2\/contributor?post=495"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/psychologymtdi\/wp-json\/wp\/v2\/license?post=495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}