Psychology Chapter on Stress Response and Pain
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Questions and Answers

What is the primary function of corticotrophin releasing factor (CRF)?

  • To decrease inflammation
  • To stimulate the release of glucose from glycogen
  • To stimulate the release of adrenocorticotrophic hormone (ACTH) (correct)
  • To lower blood pressure
  • Cortisol is known as the 'stress hormone'.

    True

    Name one effect of cortisol on the body during a stress response.

    Increases access to energy stores

    The HPA axis consists of the hypothalamus, pituitary gland, and the _____ cortex.

    <p>adrenal</p> Signup and view all the answers

    Which condition is associated with the chronic activation of the stress response system?

    <p>Atherosclerosis</p> Signup and view all the answers

    The activation of the HPA axis decreases the liberation of glucose from glycogen stores.

    <p>False</p> Signup and view all the answers

    What hormone is released by the pituitary gland in response to CRF?

    <p>Adrenocorticotrophic hormone (ACTH)</p> Signup and view all the answers

    Match the following components of the stress response with their roles:

    <p>CRF = Stimulates ACTH release ACTH = Stimulates cortisol production Cortisol = Increases energy availability Chronic stress = Increases cardiovascular disease risk</p> Signup and view all the answers

    What is the main role of the neural gate in the gate-control theory of pain?

    <p>To modulate incoming pain signals</p> Signup and view all the answers

    What percentage of soldiers reported being in 'moderate' or 'severe' pain?

    <p>49%</p> Signup and view all the answers

    The gate-control theory posits that the brain has no influence on the perception of pain.

    <p>False</p> Signup and view all the answers

    Civilians recovering from surgery reported lower pain levels compared to soldiers.

    <p>False</p> Signup and view all the answers

    What neurotransmitter is released by pain fibers that contributes to the transmission of pain signals?

    <p>substance P</p> Signup and view all the answers

    The gating mechanism is located in the substantia __________ of the dorsal horns in the spinal cord.

    <p>gelatinosa</p> Signup and view all the answers

    What did the injuries mean for soldiers according to Beecher?

    <p>The end of their war.</p> Signup and view all the answers

    Match the pain fibers with their descriptions:

    <p>A-delta fibers = Transmit sharp, acute pain C fibers = Transmit dull, chronic pain A-beta fibers = Transmits information about harmless stimuli</p> Signup and view all the answers

    The ___ theory assumes that there is a separate sensory system for perceiving pain.

    <p>specificity</p> Signup and view all the answers

    Match the pain theories with their main characteristics:

    <p>Specificity Theory = Assumes a separate sensory system for pain perception Pattern Theory = Assumes pain receptors are shared with other senses Cognitive Factors = Influence pain perception through thought processes Emotional Factors = Influence pain perception through feelings</p> Signup and view all the answers

    Which process can inhibit the release of substance P and reduce pain experience?

    <p>Release of endorphins</p> Signup and view all the answers

    When the neural gate is open, pain is not experienced.

    <p>False</p> Signup and view all the answers

    Which group requested medication at a higher rate when offered?

    <p>Civilians</p> Signup and view all the answers

    Which part of the brain is involved in processing pain signals according to the gate-control theory?

    <p>thalamus</p> Signup and view all the answers

    Emotional and social factors have no impact on pain experience.

    <p>False</p> Signup and view all the answers

    When experiencing intense stimulation, the Patterns theory suggests that ___ will produce a pattern of neural activity resulting in pain.

    <p>only strong pain</p> Signup and view all the answers

    What was the average time difference in wound healing between the caregiver group and the control group?

    <p>Twenty-four percent longer</p> Signup and view all the answers

    Stress from examinations does not affect wound healing.

    <p>False</p> Signup and view all the answers

    What cytokine was mentioned as an important factor in the immunological mechanisms affecting wound healing?

    <p>interleukin-1ß</p> Signup and view all the answers

    The average time for complete healing in the examination condition was __ days longer than the control condition.

    <p>three</p> Signup and view all the answers

    Match the stressful situation with its effect on wound healing:

    <p>Caregiving for Alzheimer’s disease = 24% longer healing time Examinations = 40% longer healing time Negative psychological response = Slower post-operative recovery</p> Signup and view all the answers

    What best describes the comparison groups used in the caregiving study?

    <p>Caregiver and control group matched for age and family income</p> Signup and view all the answers

    Short-lived stressors have no significant effects on wound healing.

    <p>False</p> Signup and view all the answers

    How was wound healing measured in the examination study?

    <p>Daily photographs and foaming response to hydrogen peroxide</p> Signup and view all the answers

    Which of the following conditions can open the gate according to gate-control theory?

    <p>Anxiety</p> Signup and view all the answers

    Positive emotions, such as happiness, can help close the gate in the gate-control theory.

    <p>True</p> Signup and view all the answers

    What is the primary neural network responsible for pain processing as per the neuromatrix theory?

    <p>body-self neuromatrix</p> Signup and view all the answers

    The neuromatrix theory suggests that __________ influences an individual's experience of pain.

    <p>patterns of nerve impulses</p> Signup and view all the answers

    Match the condition with the effect on the gate in gate-control theory:

    <p>Anxiety = Opens the gate Medication = Closes the gate Relaxation = Closes the gate Boredom = Opens the gate</p> Signup and view all the answers

    Which of the following statements best describes the neuromatrix?

    <p>It consists of feedback loops among brain circuits.</p> Signup and view all the answers

    What is the primary effect of psychological stress on cytokine production during an infection?

    <p>It enhances cytokine production and fails to switch it off.</p> Signup and view all the answers

    Stress suppresses the immune system in all cases.

    <p>False</p> Signup and view all the answers

    The extent of an injury can close the gate based on gate-control theory.

    <p>False</p> Signup and view all the answers

    What hormone mentioned in the content is associated with stress and alters cytokine production?

    <p>cortisol</p> Signup and view all the answers

    What imprint is created in the neuromatrix through sensory input?

    <p>neurosignature</p> Signup and view all the answers

    Psychological stress can lead to _responses in the immune system, extending the symptoms of upper respiratory infections.

    <p>overactive</p> Signup and view all the answers

    Match the following terms with their correct descriptions:

    <p>Cytokines = Mediators of the immune response that can be altered by stress Chronic stress = Leads to overactive immune response and extended symptoms Cortisol = A hormone released during stress that impacts immune functions Wound healing = Can be slowed down by high levels of perceived stress</p> Signup and view all the answers

    What method was used in the 1995 study to assess wound healing?

    <p>Photographs of the wound</p> Signup and view all the answers

    Individuals experiencing high stress had lower cytokine levels after viral exposure.

    <p>False</p> Signup and view all the answers

    What type of wound was created on the participants' forearms in the study?

    <p>3.5 mm full thickness punch biopsy</p> Signup and view all the answers

    Study Notes

    Introduction to Health Psychology

    • Psychology is the scientific study of the mind and behavior.
    • Psychologists study mental processes, brain functions, and behavior.

    Biopsychosocial Perspective on Health and Illness

    • The biopsychosocial model emphasizes that health and illness are influenced by biological, psychological, and social factors.
    • Psychological factors include cognition, emotion, and personality.
    • Social factors involve the social environment, social class, and ethnicity.
    • Biological factors include viruses, lesions, and bacteria.

    Nervous System

    • The nervous system has two main components: the central nervous system (CNS) and the peripheral nervous system (PNS).
    • The CNS consists of the brain and spinal cord.
    • The PNS connects the CNS to the rest of the body.
    • Nerves are bundles of fibers that transmit information to and from the CNS.

    Brain Anatomy

    • The brain has three major anatomic components: the forebrain, midbrain, and hindbrain.
    • The forebrain consists of the telencephalon and diencephalon.
    • The telencephalon contains the cerebrum and limbic system.
    • The diencephalon contains the thalamus and hypothalamus.
    • The cerebrum is the largest part of the human brain; it's divided into two hemispheres (left and right) connected by the corpus callosum.
    • The cerebral cortex is the outermost layer of the cerebrum. It is divided into four lobes (frontal, parietal, temporal, and occipital). Each lobe has specific functions.
    • The limbic system is involved in motivation, emotion, and memory. Key structures include the amygdala and hippocampus. It interacts with the endocrine and autonomic nervous systems.
    • The thalamus plays a role in sleep, arousal, and consciousness.
    • The hypothalamus regulates the autonomic nervous system and the endocrine system, and oversees the four "Fs" (fighting, feeding, fleeing, and mating).
    • The midbrain includes the brain stem (tectum and tegmentum), responsible for regulating critical bodily functions like breathing, swallowing, posture, movement and metabolism.
    • The hindbrain has two divisions: the metencephalon (cerebellum and pons) and the myelencephalon (medulla oblongata). The cerebellum coordinates body movements, the pons is linked to sleep and arousal, and the medulla controls vital functions like cardiovascular system and respiration.
    • The spinal cord carries messages between the brain and the rest of the body.
    • Neurons are nerve cells; they send and receive signals.
    • Neurotransmitters are chemicals that transmit signals between neurons.

    Peripheral Nervous System

    • The peripheral nervous system (PNS) is further divided into the somatic nervous system (SNS) and the autonomic nervous system (ANS).
    • The SNS is responsible for voluntary movements.
    • The ANS regulates involuntary functions, such as breathing and heart rate.
    • The ANS has two subdivisions: the sympathetic and parasympathetic nervous systems. The sympathetic system activates the "fight-or-flight" response; while the parasympathetic system promotes relaxation and "rest-and-digest."

    Endocrine System

    • The endocrine system is a system of glands that release hormones into the bloodstream to regulate bodily functions.
    • Key endocrine glands include the adrenal glands, gonads, pancreas, thyroid, thymus, and pituitary gland.
    • The pituitary gland is often called the "master" gland because it regulates the secretions of other endocrine glands. It has two parts (anterior and posterior).
    • The anterior pituitary secretes hormones such as growth hormone (GH), adrenocorticotrophic hormone (ACTH), thyroid stimulating hormone (TSH), follicle stimulating hormone (FSH), and luteinizing hormone (LH).
    • The posterior pituitary releases oxytocin and vasopressin (ADH).

    Stress Response

    • The stress response involves two main systems: the sympathetic adrenal medullary (SAM) system and the hypothalamic-pituitary-adrenal (HPA) axis.
    • SAM system is involved in immediate stress response (fight-or-flight).
    • HPA axis is activated in response to chronic stress. Cortisol is the key stress hormone released.
    • Prolonged stress can increase risk of cardiovascular disease and affect other bodily functions.

    Biopsychosocial Aspects of Pain

    • Pain perception is influenced by cognitive, emotional, and social factors beyond the physical injury itself.
    • Early theories of pain (specificity and pattern theories) only focus on physical sensations; gate-control theory proposes a neural gate in the spinal cord that modulates incoming pain signals based on activity in pain fibers, other peripheral fibers, and messages from the brain.
    • Substance P is a neurotransmitter that facilitates pain transmission; endorphins are pain-relieving chemicals produced by the brain.
    • Neuromatrix theory suggests that pain is a complex experience generated through neural network activity, independent of initial physical input. This network, the neuromatrix, gives rise to the neurosignature – which gives all individuals their unique experience.

    Psychoneuroimmunology

    • Psychoneuroimmunology (PNI) explores the interaction of psychological processes with the nervous and immune systems.
    • The immune system has two major components: cell-mediated and antibody-mediated immunity.
    • Stress and immune functioning have a complex relationship where stress can be a factor in how well the body can regulate immune responses as well as affecting overall health and ability to recover.

    Stress and the Immune System

    • Stress can affect immune function, sometimes impairing the body's ability to heal.
    • Stress impacts wound healing, and the time needed to fully recover from injuries or surgical procedures.
    • Stress exposure can impact the functioning of the body's immune processes.
    • Studies have shown psychological stress contributes to impaired wound healing and impacts the body's ability to recover from a disease or injuries.

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    Description

    This quiz explores the functions of the HPA axis, the roles of various hormones like cortisol and CRF, and the gate-control theory of pain. Test your understanding of how stress affects the body and the perception of pain based on recent findings.

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