 |
| Stress |
Last updated: May 12, 2008 |
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | Other conditions that may be present | It can lead to... | Recommendations
 |
|
 |
| |
A hereditary vulnerability and concerns such as economic or political uncertainties, a decreasing quality of life, looming unemployment, and fear of old age or abandonment has led to a general increase in persons who report stress. Other contributing factors include insufficient regular leisure or physical activity, poor diet, an inadequate family structure and lack of a support network. These personal, social, economical and dietary factors interact with biological factors to make stress a leading cause of ailments, from a simple heartburn to a decrease in immune responsiveness, and from this to cancer and other diseases.
In the past few decades a large body of research has confirmed a connection between stress and disease, and between stress management and a reduced risk of, or reduced morbidity and mortality from, certain diseases.
One of the pioneers of modern stress research, the physician/physiologist Hans Selye, was the first to invoke the concept of a physiological response to a wide variety of stressors, both psychological and physical. He coined the term 'general adaptation syndrome' (GAS) to describe the physiological process by which the organism responds to stressors and attempts to re-establish homeostasis. The syndrome consists of three phases: alarm, resistance and exhaustion.
During the alarm stage the organism detects a stressor and responds with activation of the sympathetic nervous system and adrenal medulla, the so-called ‘fight or flight reaction’ during which the body's defenses are mobilized. The second stage, resistance, recruits the pituitary-adrenocortical axis to permit the organism to achieve optimal adaptation and maintain homeostasis. Exhaustion results when the organism depletes its adaptive resources and may give rise to disease or even death.
Selye identified ‘diseases of adaptation’ which include, amongst others, hypertension, cardiovascular disease, kidney disease, peptic ulcer, hyperthyroidism and asthma.
Treatment should involve taking time enough from your schedule to evaluate your life and priorities. Take time to reflect about your choices, your social and family life, work, study and even financial conditions. A stressed-out person should rethink their life, mostly by identifying the sources of stress and make efforts to resolve them. Wise counseling can be very helpful.
When you are under stress, cortisol may be literally eating away at your muscle building potential. An excess of cortisol can lead to a progressive loss of protein, muscle weakness, atrophy, and loss of bone mass through increased calcium excretion and less calcium absorption.
When organic disease is already installed as a result of stress, be it a simple gastritis, a cardiac or lung disease, asthma, allergies, or any suspected stress-related condition, it is important to seek medical help as soon as possible. Specific treatment may be required for these ailments. Simple changes however, such as more exercise, improving nutrient status, making more free time, or changes in life habits may be enough to resolve the problem.
Another list of tips includes: listening to others, sending encouraging notes, saying "thank-you", laughing, smiling, sharing - and imagine this - praying.
|
|
 |
|
 |
Signs, symptoms & indicators of Stress: | |  | | | | Lab Values - Cells | High platelet count | Lab Values - Common |
High systolic blood pressure
High diastolic blood pressure | Personal Background |
Needing a vacation or poor vacation frequency | Symptoms - Bowel Movements |
Bowel movement changes | Symptoms - Cardiovascular |
Heart racing/palpitations | Symptoms - Female |
Having galactorrhea | Symptoms - Food - General |
Night eating or not needing to eat during the night
Weak appetite | Symptoms - Food - Preferences |
Afternoon sugar craving
Craving for salt | Symptoms - General |
Constant fatigue
Dizziness when standing up
History of/having a CFS diagnosis | Symptoms - Head - Mouth/Oral |
Cold sores | Symptoms - Metabolic |
Low stamina
(Occasional) daytime sweating | Symptoms - Mind - Emotional |
Phobias
Impatient/hostile disposition
Being anxious/nervous
History of depression
Depression with fatigue
Counter-indicators:
Being care-free | Symptoms - Mind - General |
Jumpiness
Short-term memory failure
A 'foggy' mind | Symptoms - Nervous |
Inside-knee/back pain | Symptoms - Reproductive - Female Cycle |
Breast soreness during cycle | Symptoms - Reproductive - General |
Weak sexual desire | Symptoms - Skeletal |
Lower back pain | Symptoms - Sleep |
Unsound sleep
Difficulty getting out of bed
Being a light sleeper
Being a "night person" or being able to stay up late |
| |  | |  |
Conditions that suggest Stress: | |  | | | | Allergy | Allergies Indoor | Autoimmune |
Multiple Sclerosis / Risk | Stress appears to play a big part in the development of MS. A study suggested the stress that results from losing a child increases your chances of developing multiple sclerosis by 50%. Since it is believed severe cases of stress play a role in the development of MS, the severe stress caused to parents who lost a child make them likely candidates to study.
The study followed the parents for an average of 9.5 years. The risk was the same regardless of the age or sex of the child or parent. The cause of MS is not known and the average age of diagnosis is 30, but researchers believe that genetics and environment play a key role. [Neurology March 9, 2004; p.62, 76] |
Ulcerative Colitis | Long term stress increases the risk of Ulcerative Colitis flare-ups, according to a study by Susan Levenstein, MD, at the Nuovo Regina Margherita Hospital in Rome. [American Journal of Gastroenterology, May 2000] |
| Circulation |
Atherosclerosis | Circulation, the journal of the American Heart Association, reports on a study that has correlated the degree of carotid arterial atherosclerosis with exaggerated response to mental stress in men under the age of 55. Patients whose blood pressure responses to stressful situations were the strongest were found to have significantly more advanced atherosclerosis in the carotid arteries than those whose blood pressure responses were less salient.
Although researchers are careful not to say that stress causes atherosclerosis, the evidence clearly points to cardiovascular reactivity to stress as an atherosclerotic risk factor of the same magnitude as smoking, hypertension, insulin resistance, and elevated cholesterol levels. The hypothesis is that, "Frequent and prolonged periods of elevated blood pressure during mental stress may promote mechanical injury to the endothelial lining or cause release of hormones that can promote the build up of plaque." [Circulation Vol. 96, No. 11: pp. 3842-3848]
Moscow scientists stated in October, 2000 that they have shown atherosclerotic plaques in blood vessels are formed because of adrenaline, a hormone that releases during stress. |
Thrombocytosis | Diet |
Sugar Craving | Digestion |
Hydrochloric Acid Deficiency | Stress can impair HCL production. |
Constipation | In a study of 34 women with chronic constipation, investigators led by Dr. Anton Emmanuel and colleagues at St. Mark's Hospital in Middlesex linked emotional distress with changes in the nerve pathway that helps control gut function. They say the findings suggest a specific path through which psychological factors directly influence the digestive system.
The researchers compared the patients, who had suffered bouts of constipation for an average of 21 years, with a group of women with no history of gastrointestinal illness. All took standard tests that measure psychological symptoms such as anxiety and depression, self-image, social functioning and ability to form intimate relationships.
Women with chronic constipation were more likely than healthy women to report anxiety, depression and feeling less "feminine". They also found it harder to form close relationships. [Gut Aug 2001;49: pp.209-213] |
| Hormones |
Night Eating Syndrome | Nighttime eaters have elevated levels of the stress hormone cortisol during almost all hours of the day, suggesting that they suffer from the effects of chronic stress in their daily lives. |
Low DHEA Level | Stress accelerates the loss of DHEA. |
Hyperprolactinemia | Any stimulus that causes a reduction of prolactin inhibiting factor (PIF) secretion by the hypothalamus enhances the release of pituitary prolactin. Stress can inhibit PIF production. |
Low Progesterone or Estrogen Dominance | Stress increases cortisol production; cortisol blockades (competes for) progesterone receptors. Additional progesterone is required to overcome this blockade. |
Elevated Insulin Levels | One of cortisol's undesirable effects is it contributes to insulin resistance by decreasing the rate of glucose uptake, probably by blocking the insulin receptor. [J Clin endocrinol Metab 54 (1982) : pp.131-138] |
| Immunity |
Weakened Immune System | Studies show that stress and depression affect the body physically and can weaken the immune system. Suppressor-T cells, also known as CD8 cells, are part of the immune system. Studies by Manuck et al in 1991 showed that psychological stressors induced cell division among CD8 cells, thereby increasing the number of CD8 cells and suppressing immune function. However, this response was only seen in those subjects who also showed high heart rate change and catecholamine change during the stressors i.e. those people who are significantly affected by stress. |
| Infections |
Periodontal Disease - Gingivitis | Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal disease. [Journal of Periodontology July 1999] |
| Lab Values |
Elevated Cortisol Levels | Metabolic |
Problem Caused By Being Overweight | Some people respond to stress by eating. "Stress Eaters" use food as a drug to deal with external stressors such as work, deadlines or finances. Carbohydrates are often the craved foods because they increase levels of serotonin in the brain, which has a calming effect and helps induce sleep. Stress Eaters often use candy, cookies, pretzels, etc. on the job to relieve stress and are unaware of the reason behind it. A habit of eating in response to stress may lead to obesity. |
Headaches, Migraine/Tension
Tinnitus | Many people say their tinnitus is worse when they are tired or stressed. |
| Musculo-Skeletal |
Muscle Cramps / Twitching | Small muscle twitching, usually called "tics", are often triggered by stress and anxiety. |
General Weakness | Nervous System |
Tremors | Nutrients |
Zinc Requirement | Levels of zinc and other trace minerals were determined in 66 men before and after a five-day period of sustained physical and psychological stress. Zinc levels decreased by 33% on average. |
Magnesium Requirement | Respiratory |
Asthma | Risks |
Increased Risk of Coronary Disease / Heart Attack | Stress may increase magnesium excretion and the resulting temporary magnesium depletion may make the heart more sensitive to electrical abnormalities and vascular spasm that could lead to cardiac ischemia. |
| Skin-Hair-Nails |
Psoriasis | Stress (physical, emotional and psychological) can be a trigger for psoriasis. Stress can be an initiating condition, or for worsening of existing lesions. Just the fact of having psoriasis is, in itself, psychologically and emotionally stressful. |
Female Hair Loss | Severe stress can cause hair loss. |
Hives
Cold Hands and Feet | Symptoms - Muscular |
History of/having a fibromyalgia diagnosis |
| |  | |  |
Risk factors for Stress: | |  | | | | Childhood | (Severe) sexual abuse during childhood | One study showed that an average adult female is 6 times more sensitive to stress if she was sexually molested as a child. |
Physical abuse/harsh punishment/physical punishment during childhood | Lab Values - Chemistries |
Elevated serum pm cortisol or normal/elevated pm serum cortisol
Elevated AM serum cortisol | Lifestyle | Counter-indicators:
Practicing yoga | Mental |
Poor Sense of Humor
Unresolved Grief | Personal Background |
In a poor/in an unstable/in a stable but wanting relationship
Normal/long work hours
Recent marital status changes
Recent career changes | Symptoms - Food - Intake |
(High) refined sugar consumption
(High) refined white flour consumption | Symptoms - Mind - Emotional |
Recent death of a loved one
Occasionally/rarely laughing
Counter-indicators:
Experiencing frequent laughter | Symptoms - Mind - General | Counter-indicators:
Absence of short-term memory loss | Symptoms - Skeletal |
History of lower back pain |
| |  | |  |
Stress suggests the following may be present:
Stress can lead to: | |  | | | | Autoimmune | Multiple Sclerosis / Risk | Stress appears to play a big part in the development of MS. A study suggested the stress that results from losing a child increases your chances of developing multiple sclerosis by 50%. Since it is believed severe cases of stress play a role in the development of MS, the severe stress caused to parents who lost a child make them likely candidates to study.
The study followed the parents for an average of 9.5 years. The risk was the same regardless of the age or sex of the child or parent. The cause of MS is not known and the average age of diagnosis is 30, but researchers believe that genetics and environment play a key role. [Neurology March 9, 2004; p.62, 76] |
| Circulation |
Thrombocytosis | Habits |
Calming / Stretching Exercise Need | Hormones |
Elevated Insulin Levels | One of cortisol's undesirable effects is it contributes to insulin resistance by decreasing the rate of glucose uptake, probably by blocking the insulin receptor. [J Clin endocrinol Metab 54 (1982) : pp.131-138] |
Night Eating Syndrome | Nighttime eaters have elevated levels of the stress hormone cortisol during almost all hours of the day, suggesting that they suffer from the effects of chronic stress in their daily lives. |
Cushing's Syndrome / Hypercortisolism | Elevated cortisol levels are often the result of stress and as such will not cause Cushing's syndrome. Increased levels are found in women during their last 3 months of pregnancy and highly trained athletes. People suffering from depression, alcoholism, malnutrition, chronic stress and panic disorders may also have increased cortisol levels. |
| Metabolic |
Tinnitus | Many people say their tinnitus is worse when they are tired or stressed. |
Problem Caused By Being Overweight | Some people respond to stress by eating. "Stress Eaters" use food as a drug to deal with external stressors such as work, deadlines or finances. Carbohydrates are often the craved foods because they increase levels of serotonin in the brain, which has a calming effect and helps induce sleep. Stress Eaters often use candy, cookies, pretzels, etc. on the job to relieve stress and are unaware of the reason behind it. A habit of eating in response to stress may lead to obesity. |
| Skin-Hair-Nails |
Female Hair Loss | Severe stress can cause hair loss. |
|
| |  | |  |
Recommendations for Stress: | |  | | | | Amino Acid / Protein | Theanine (L-Theanine) | Botanical |
Rhodiola rosea | To successfully combat stress and stressful situations, adaptation is required. Adaptation might be best thought of as the ability to be exposed to a stressor, while responding with either decreased or no characteristic hormonal perturbations. Adaptation also implies being prepared to and capable of rapidly reassuming homeostasis after the stressor is withdrawn. Rhodiola is one of several adaptogens.
The utility of plant adaptogens is analogous to the training an athlete undergoes in order to prepare for competition. Plant adaptogens cause our physiology to begin the adaptation process to stress. When a stressful situation occurs, consuming adaptogens generates a degree of generalized adaptation (or non-specific resistance) that allows our physiology to handle the stressful situation in a more resourceful manner. |
Ginseng, Korean - Chinese / Asian (Panax ginseng) | Research has repeatedly shown that ginseng helps the body cope with stress. Laboratory studies from several different countries have demonstrated that mice under stress showed less abnormalities of behavior and distress when Asian ginseng was used. Stephen Fulder, M.A., PhD reported that when ginseng was taken, following a stressful event, the body activity also settled back to normal more quickly. Korean and Chinese research has shown that ginseng acts directly on the adrenal glands while others have shown that it may act on the brain itself. |
Noni | Extract |
De-Stress | Forty-two healthy volunteers (all males) participated in a double-blind randomized designed study. One single dose of De-Stress hydrolysate was studied. One group received the De-Stress hydrolysate, the other group received the placebo. The products were administered under the supervision of the investigator at the clinical research center, with the actual time of ingestion documented in the individual case report forms.
Systolic blood pressure was significantly less in the active group vs. the placebo group during the Stroop test. Cortisol is a stress hormone released by the adrenal glands. Because it is a stress indicator, cortisol levels were measured. Blood cortisol remained stable in the control group, while decreasing significantly in the active group during the stress test (cold pressor test). ACTH is a normal product of the anterior pituitary and acts as the controller of the secretion of cortisol. ACTH levels are an indicator of stress. During the stress tests, blood ACTH levels increased in the control group but not the active group. |
Plant Sterols / Sterolins (Phytosterols) | See the link between Elevated Cortisol and Plant Sterols. |
| Habits |
Aerobic Exercise | Regular exercise can help reduce elevated levels of hormones (such as cortisol) that are associated with chronic stress. |
| Lab Tests/Rule-Outs |
Test Zinc Levels | Zinc has been shown to counteract some of the adverse effects of stress. |
| Mineral |
Magnesium | Miscellaneous |
Reading List | The Maker's Diet by Dr. Jordan Rubin, NMD. |
| Nutrient |
DHA (docosahexaenoic acid) | A study performed on Japanese students during the high stress period of final exams showed that students supplemented with DHA were significantly less aggressive than students who were not supplemented with DHA. Aggression is one of many manifestations of stress along with others such as irritability, defensiveness, being critical, irrationality, overreaction and reacting emotionally.
Another small study found that the effects of DHA may be applied to people under long-lasting psychological stress to prevent stress-related diseases. [Journal of Nutritional Science and Vitaminology 45(5): pp.655-65. Oct 1999] |
| Physical Medicine |
Rest
Calming / Stretching Exercises | Many people who practice yoga say they experience a "freeing the mind from mental disturbances," "calming the spirit," or "steadying the mind" with reduction of nervousness, irritability and confusion, depression and mental fatigue. |
Massage
EMDR | Psychological |
Laughter | Looking forward to an upcoming comedy show, or something that you know will make you laugh, can have some of the same benefits as experiencing laughter itself. A small study of men showed that those who were promised the chance of watching their favorite comedies experienced half the depression, 20% less anger and 15% less fatigue.
The authors concluded that "We believe this biology of hope underlies recovery from many chronic disorders. Treatments that take advantage of the effects of this hope may go a long way to stimulating immune responses and hasten recovery.". [Society for Neuroscience conference. 2001, San Diego, California, USA] |
Stress Management
Counseling | Vitamins |
Vitamin B Complex | There is evidence that high doses of B-complex vitamins in humans can reduce the immune-suppressing effects of stress. |
Vitamin E
Vitamin B5 (Pantothenic Acid)
Vitamin C (Ascorbic Acid)
Vitamin A |
| |  | |  |
KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | Weakly counter-indicative |  |  | Strongly counter-indicative |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |
|
 |