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2. What is the evidence that stress is linked to illness? Is there any evidence that stress can actually cause illness?

Key Points:

  • Identify that the term ‘stress’ means many different things to many people: a lay person may define stress in terms of pressure, tension, unpleasant external forces or an emotional response, while psychologists define stress in a variety of different ways.
  • Outline contemporary definitions of stress, considering the external environment as a potential stressor, the response to the stressor as stress or distress, and the concept of stress as something that involves biochemical, physiological, behavioural and psychological changes.
  • Differentiate between stress that is harmful and damaging (‘distress’) and stress that is positive and beneficial (‘eustress’).
    • Consideration of the following models and theories:
      • Cannon’s ‘fight or flight’ model.
    • Selye’s general adaptation syndrome.
    • Life events theory.
    • The model of appraisal and transaction.
    • Discuss the links between:
      • Stress and illness.
      • Stress and behaviour.
      • Stress and physiology (including the role of sympathetic activation and hypothalamic-pituatary-adrenocortical (HPA) activation).
    • Consider the role of hormones
  • Discuss psychoneuroimmunology (PNI)

Copyright 2005 BPS Blackwell