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September 1, 2005Journal of Psychiatry and Neuroscience591 citationsOpen Access

Stressed or stressed out: What is the difference?

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BMBruce S. McEwen

Key Points

  • The aim is to differentiate between normal stress responses and the harmful effects of chronic stress.
  • Review of the concept of allostasis and its relationship to stress and homeostasis.
  • Analysis of mediators involved in the stress response, such as cortisol and adrenaline.
  • Discussion on the implications of stress overload on health and disease.
  • Allostasis promotes adaptation after acute stress, but can lead to allostatic overload over time.
  • Adaptive stress responses maintain homeostasis, but their overactivity contributes to chronic diseases.
  • Understanding the dual effects of stress can aid in developing strategies to improve health outcomes.

Abstract

The term "allostasis" has been coined to clarify ambiguities associated with the word "stress". Allostasis refers to the adaptive processes that maintain homeostasis through the production of mediators such as adrenalin, cortisol and other chemical messengers. These mediators of the stress response promote adaptation in the aftermath of acute stress, but they also contribute to allostatic overload, the wear and tear on the body and brain that result from being "stressed out". This conceptual framework has created a need to know how to improve the efficiency of the adaptive response to stressors while minimizing overactivity of the same systems, since such overactivity results in many of the common diseases of modern life. This framework has also helped to demystify the biology of stress by emphasizing the protective as well as the damaging effects of the body's attempts to cope with the challenges known as stressors.

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Cite This Study

Bruce S. McEwen (2005) studied this question.

synapsesocial.com/papers/69dbe6039e6f14d6f1684ccehttps://doi.org/10.1139/jpn.0540
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