Psychological stress


In psychology, stress is a feeling of emotional strain and pressure. Stress is a form of psychological and mental discomfort. Small amounts of stress may be beneficial, as it can improve athletic performance, motivation and reaction to the environment. Excessive amounts of stress, however, can increase the risk of strokes, heart attacks, ulcers, and mental illnesses such as depression and also aggravate pre-existing conditions.
Psychological stress can be external and related to the environment, but may also be caused by internal perceptions that cause an individual to experience anxiety or other negative emotions surrounding a situation, such as pressure, discomfort, etc., which they then deem stressful.
Hans Selye proposed four variations of stress. On one axis, he locates good stress and bad stress. On the other is over-stress and understress. Selye advocates balancing these: the ultimate goal would be to balance hyperstress and hypostress perfectly and have as much eustress as possible.
The term "eustress" comes from the Greek root eu- which means "good". Eustress results when a person perceives a stressor as positive.
"Distress" stems from the Latin root dis-. Medically defined distress is a threat to the quality of life. It occurs when a demand vastly exceeds a person's capabilities.

Causes

Neutrality of stressors

Stress is a non-specific response. It is neutral, and what varies is the degree of response. It is all about the context of the individual and how they perceive the situation. Hans Selye defined stress as "the nonspecific result of any demand upon the body, be the effect mental or somatic." This includes the medical definition of stress as a physical demand and the colloquial definition of stress as a psychological demand. A stressor is inherently neutral meaning that the same stressor can cause either distress or eustress. It is individual differences and responses that induce either distress or eustress.

Types of stressors

A stressor is any event, experience, or environmental stimulus that causes stress in an individual. These events or experiences are perceived as threats or challenges to the individual and can be either physical or psychological. Researchers have found that stressors can make individuals more prone to both physical and psychological problems, including heart disease and anxiety.
Stressors are more likely to affect the health of an individual when they are "chronic, highly disruptive, or perceived as uncontrollable". In psychology, researchers generally classify the different types of stressors into four categories: 1) crises/catastrophes, 2) major life events, 3) daily hassles/microstressors, and 4) ambient stressors. According to Ursin, the common factor between these categories is an inconsistency between expected events and perceived events that cannot be resolved satisfactorily, which puts stress into the broader context of cognitive-consistency theory.

Crises/catastrophes

This type of stressor is unforeseen and unpredictable and, as such, is completely out of the control of the individual. Examples of crises and catastrophes include: devastating natural disasters, such as major floods or earthquakes, wars, pandemics, etc. Though rare in occurrence, this type of stressor typically causes a great deal of stress in a person's life. A study conducted by Stanford University found that after natural disasters, those affected experienced a significant increase in stress level. Combat stress is a widespread acute and chronic problem. With the rapid pace and the urgency of firing first, accidental killings of friendly forces may occur. Prevention requires stress reduction, emphasis on vehicle and other identification training, awareness of the tactical situation, and continual risk analysis by leaders at all levels.

Major life events

Common examples of major life events include: marriage, going to college, death of a loved one, birth of a child, divorce, moving houses, etc. These events, either positive or negative, can create a sense of uncertainty and fear, which will ultimately lead to stress. For instance, research has found the elevation of stress during the transition from high school to university, with college freshmen being about two times more likely to be stressed than final year students. Research has found that major life events are somewhat less likely to be major causes of stress, due to their rare occurrences.
The length of time since occurrence and whether or not it is a positive or negative event are factors in whether or not it causes stress and how much stress it causes. Researchers have found that events that have occurred within the past month generally are not linked to stress or illness, while chronic events that occurred more than several months ago are linked to stress and illness and personality change. Additionally, positive life events are typically not linked to stress and if so, generally only trivial stress while negative life events can be linked to stress and the health problems that accompany it. However, positive experiences and positive life changes can predict decreases in neuroticism.

Daily hassles/microstressors

This category includes daily annoyances and minor hassles. Examples include: making decisions, meeting deadlines at work or school, traffic jams, encounters with irritating personalities, etc. Often, this type of stressor includes conflicts with other people. Daily stressors, however, are different for each individual, as not everyone perceives a certain event as stressful. For example, most people find public speaking to be stressful, but someone who has experience with it will not.
Daily hassles are the most frequently occurring type of stressor in most adults. The high frequency of hassles causes this stressor to have the most physiological effect on an individual. Carolyn Aldwin, Ph.D., conducted a longitudinal study on older men at the Oregon State University that examined the perceived intensity of daily hassles on an individual's mortality. Aldwin's study concluded that there is a strong correlation between individuals who rate their hassles as very intense and a high level of mortality. One's perception of their daily stressors can have a modulating effect on the physiological impact of daily stressors.
There are three major psychological types of conflicts that can cause stress.
  • The approach-approach conflict, occurs when a person is choosing between two equally attractive options, i.e. whether to go see a movie or to go see a concert.
  • The avoidance-avoidance conflict, occurs where a person has to choose between two equally unattractive options, for example, to take out a second loan with unappealing terms to pay off the mortgage or to face foreclosure on one's house.
  • The approach-avoidance conflict, occurs when a person is forced to choose whether or not to partake in something that has both attractive and unattractive traits such as whether or not to attend an expensive college.
Travel-related stress results from three main categories: lost time, surprises and routine breakers.

Ambient stressors

As the name implies, these are global low-grade stressors that are a part of the background environment. They are defined as stressors that are "chronic, negatively valued, non-urgent, physically perceptible, and intractable to the efforts of individuals to change them". Typical examples of ambient stressors are pollution, noise, crowding, and traffic. Unlike the other three types of stressor, ambient stressors can negatively impact stress without conscious awareness.

Organisational stressors

Studies conducted in military and combat fields show that some of the most potent stressors can be due to personal organisational problems in the unit or on the home front. Stress due to bad organisational practices is often connected to "toxic leadership", both in companies and in governmental organisations.

Stressor impact

Life events scales can be used to assess stressful things that people experience in their lives. One such scale is the Holmes and Rahe Stress Scale, also known as the Social Readjustment Rating Scale, or SRRS. Developed by psychiatrists Thomas Holmes and Richard Rahe in 1967, the scale lists 43 stressful events.
To calculate one's score, add up the number of "life change units" if an event occurred in the past year. A score of more than 300 means that individual is at risk for illness, a score between 150 and 299 means risk of illness is moderate, and a score under 150 means that individual only has a slight risk of illness.
Life EventLife Change Units
Death of a spouse100
Divorce73
Marital separation65
Imprisonment63
Death of a close family member63
Personal injury or illness53
Marriage50
Dismissal from work47
Marital reconciliation45
Retirement45
Change in health of family member44
Pregnancy40
Sexual difficulties39
Gain a new family member39
Business readjustment39
Change in financial state38
Death of a close friend37
Change to different line of work36
Change in frequency of arguments35
Major mortgage32
Foreclosure of mortgage or loan30
Change in responsibilities at work29
Child leaving home29
Trouble with in-laws29
Outstanding personal achievement28
Spouse starts or stops work26
Begin or end school26
Change in living conditions25
Revision of personal habits24
Trouble with boss23
Change in working hours or conditions20
Change in residence20
Change in schools20
Change in recreation19
Change in church activities19
Change in social activities18
Minor mortgage or loan17
Change in sleeping habits16
Change in number of family reunions15
Change in eating habits14
Vacation13
Minor violation of law10

A modified version was made for non-adults. The scale is below.
Life EventLife Change Units
Unwed pregnancy100
Death of parent100
Getting married95
Divorce of parents90
Acquiring a visible deformity80
Fathering an unwed pregnancy70
Jail sentence of parent for over one year70
Marital separation of parents69
Death of a sibling68
Change in acceptance by peers67
Pregnancy of unprepared for sibling64
Discovery of being an adopted child63
Marriage of parent to stepparent63
Death of a close friend63
Having a visible congenital deformity62
Serious illness requiring hospitalization58
Failure of a grade in school56
Not making an extracurricular activity55
Hospitalization of a parent55
Jail sentence of parent for over 30 days53
Breaking up with partner53
Beginning to date51
Suspension from school50
Becoming involved with drugs or alcohol50
Birth of a sibling50
Increase in arguments between parents47
Loss of job by parent46
Outstanding personal achievement46
Change in parent's financial status45
Accepted at college of choice43
Being a senior in high school42
Hospitalization of a sibling41
Increased absence of parent from home38
Sibling leaving home37
Addition of third adult to family34
Becoming a full-fledged member of a church31
Decrease in arguments between parents27
Decrease in arguments with parents26
Parent beginning work26

The SRRS is used in psychiatry to weight the impact of life events.