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Stress in Health and Disease, An Issue of Psychiatric Clinics of North America, E-Book

Stress in Health and Disease, An Issue of Psychiatric Clinics of North America, E-Book

Daniel L. Kirsch

(2014)

Additional Information

Abstract

Stress in the DSM is referred to only in the sense of post traumatic stress disorder (PTSD). However, some research studies estimate up to two thirds of illnesses seen by general practitioners are ‘stress related’–GI problems, sleep disturbance, mental concentration, headaches, fatigue, shortness of breath, high blood pressure, dermatitis, illnesses from lowered immune system, and vague aches and pains – all can be symptoms and outcomes of the elusive stress factor. This issue of Psychiatric Clinics of North America discusses the scientific medical facets of stress, written by mental health and medical practitioners. It looks at the brain-body connection of stress – what the body does to result in stress and varying results stress has on the body. This fascinating cross-discipline look at stress is intended for psychiatrists, general practitioners, cardiologists, GI specialists, neurologists, sleep medicine specialists, respiratory specialists, and others who diagnose and treat patients with stress suspected as part of the illness equation or with self-reported stress. Topics include: Measurement of stress; Anxiety and stress-how they work together; Relationship between genetics and stress; Role of glia in stress; Sleep and stress; Diet and stress; Supplements and stress; Effect of severe stress on early brain development, attachment, and emotions; Role of stress and fear on the development of psychopathology; Expressions of stress in psychiatric illness; Dermatologic manifestations of stress in normal and psychiatric populations; Humor and the psychological buffers of stress; Stress expression in children and adolescents; Stress in service members; Stress in the geriatric population.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Stress in Health andDisease i
Copyright\r ii
Contributors iii
Contents vii
Psychiyatric Clinics of North America\r x
Preface\r xi
Measurement of Stress 455
Key points 455
The stress perspectives 456
Stress 456
Conceptualizing Models of Stress 457
Response-based phenomenon 458
Transactional model 458
Stimulus-based 458
The biological tradition 459
Hypothalamic-Pituitary-Adrenocortical Axis 459
Hypothalamic-pituitary-adrenocortical-axis activation 460
Sympathetic-Adrenal-Medullary System 461
Measurement of sympathetic-adrenal-medullary activation 461
Blood pressure 461
Heart rate/pulse rate 463
Respiratory rate 463
Body temperature and galvanic skin response 463
Measurement devices 464
Case Discussion 464
Measurement Considerations 465
Strengths 465
Limitations 465
The psychological tradition 468
Stress Appraisal 468
Cognitive response 469
Emotional response 469
Behavioral response 469
Psychological Assessment 470
Case Discussion 470
Measurement Considerations 471
Strengths 471
Limitations 471
The environmental tradition 471
Life Changes 471
Measurement 475
Case Discussion 476
Measurement Considerations 477
Strengths 477
Limitations 477
Stress and health: connecting the mind and body 478
Summary 480
Implications for clinical practice and future considerations 480
References 481
Stress and Anxiety 489
Key points 490
Definitions of stress and anxiety 491
Stress 491
Anxiety 491
Organisms Versus Humans 492
DSM-5 definition of stress 492
Relationship of stress to anxiety 494
Subjective phenomenology of stress and anxiety 497
Neurobiological processes associated with stress and anxiety 500
Diathesis-stress 501
Conditioning paradigm 502
Cognitive neuroscience aspects 504
A-B-C model 505
Summary 509
References 510
The Effect of Severe Stress on Early Brain Development, Attachment, and Emotions 519
Key points 519
Emotions, attachment, limbic nuclei development and functions, and transition periods during early infancy 521
Hypothalamus 521
Amygdala 523
Septal Nuclei 524
Anterior Cingulate Gyrus 525
Hippocampus 525
Emotional ontogeny: from zero to 3 years 526
Principles of neuronal development: implications for child abuse and neglect 527
The psychoanatomical formulation 530
Summary 531
References 531
The Role of Stress and Fear in the Development of Mental Disorders 535
Key points 535
Fear expression 536
Fear learning 537
Fear regulation 538
Factors modulating fear 539
Interaction of stress and fear in the development of posttraumatic stress disorder 539
Treatment implications 540
Summary 541
References 542
Stress in Service Members 547
Key points 547
Introduction 547
Deployment-related stress 553
Substance use and stress 554
Posttraumatic stress disorder 557
Early intervention considerations 557
Summary 558
References 558
Humor 561
Key points 561
Introduction 561
Oxytocin and humor 562
Neuroanatomy of Humor 563
Expression of humor 563
Styles of humor 564
Humor and socializing 565
Humor in therapy 565
Use of humor in mental illness 567
How to use humor 568
Humor and Klein 568
Playful therapy 569
How to develop a sense of humor 571
Humor and locus of control 571
Summary 572
Conclusion 573
References 573
Diet and Stress 579
Key points 579
Introduction 579
Musculoskeletal System 580
Respiratory System 580
Cardiovascular 580
Endocrine 580
The Nervous System 580
Nutrition, diet and stress: the link between stress and nutritional insufficiency 581
Diet and stress 581
The High-Fat Diet and the Stress Response 581
Omega-3 and Perceived Stress 582
Diet, Stress, and Inflammation 582
Vitamins and Stress 582
Nutrition for stress 583
Dietary tips to improve diet to help cope with stress 585
Tip 585
Yellow/orange 585
The Role of Nutrient-Based Epigenetic Changes in Buffering Against Stress, Aging, and Alzheimer’s Disease 591
Key points 592
Introduction 592
Epigenetics regulation of stress responses and risks of Alzheimer dementia 595
Stress Vulnerability and Resilience in Aging 595
Epigenetics and the Stress Response 596
Epigenetics: Missing Links Connecting Stress to Risk of Alzheimer Dementia? 599
Epigenetics and Alzheimer dementia 601
Epigenetics Regulatory Network 601
DNA Methylation, Histone Modification, and MicroRNA 603
Histone Modification and MicroRNA 603
Integrative Model of Stress-Coupled Epigenetics Dysregulation 604
Epigenomics diet and nutraceuticals: role in Alzheimer dementia 605
Mediterranean Diet and Omega-3 Fatty Acids 605
Chocolate, Coffee and Cocoa, Tea, and Red Wine 608
Fruits, Grapes, Red Wine, and Vegetables 610
Spices and Herbal Medicinal Foods 611
Conclusion and future directions 612
Summary and future directions 613
References 614
Dermatological Manifestations of Stress in Normal and Psychiatric Populations 625
Key points 625
Introduction 625
Stress and the skin 627
Psychological stress 627
Acute versus chronic stress 629
Psychodermatology 629
Classification 630
Psychophysiological disorders 630
Acne Vulgaris 630
Psoriasis 631
Atopic Dermatitis 632
Neurodermatitis 633
Psychogenic Pruritus 635
Body Dysmorphic Disorder 636
Alopecia Areata 636
Trichotillomania 637
Rosacea 637
Vitiligo 637
Herpes Simplex 638
Other Dermatological Conditions Triggered by Stress 638
Can medications given to decrease stress cause skin rashes? 638
Psychological Treatment 640
Summary 642
References 643
The Role of Glia in Stress 653
Key points 653
Glia versus neurons 653
Interaction of polyamines with receptors and ion channels 655
Spermine/Spermidine Localization in Central Nervous System: Bidirectional Polyamine Signaling Between Glia and Neurons 655
Brain Disorders and Glia 658
By What Mechanisms Do Glia Accumulate and Release Polyamines? 659
Glia-controlled polyamine regulation in the neuronal network 660
Polyamines: role in the central nervous system disorders 661
Summary 662
References 663
The Importance of Glia in Dealing with Stress 679
Key points 679
Introduction 679
Glia and intelligence 680
Glia and environmental enrichment 682
Glial hemispheric dominance and stress 684
NG2 glia 685
Oligodendrocytes and stress 685
Glia and depression 686
Glia and schizophrenia 687
Microglia and stress 687
Microglia, mood disorders and inflammation 688
Glia and S100B 689
Microglia and medications 690
Microglia and drug abuse 691
Glia, sleep, and stress 692
Summary 693
References 693
Index 707