Stress and Health 433
psychoneuroimmunology
the study of the effects of
psychological factors such as stress,
emotions, thoughts, and behavior on
the immune system.
immune system
the system of cells, organs, and
chemicals of the body that responds
to attacMs from diseases infections
and injuries.
The Immune System and Stress
11.5 Explain how the immune system is impacted by stress.
As Selye first discovered, the immune system (the system of cells, organs, and chemicals in
the body that responds to attacks on the body from diseases and injuries) is affected by stress.
The field of psychoneuroimmunology concerns the study of the effects of psychological fac-
tors such as stress, emotions, thinking, learning, and behavior on the immune system (Ader,
2003; Cohen & Herbert, 1996; Kiecolt-Glaser, 2009; Kiecolt-Glaser et al., 1995, 1996, 2002).
Researchers in this field have found that stress triggers the same response in the immune
system that infection triggers (Maier & Watkins, 1998). Certain enzymes and other chemicals
(including antibodies) are created by immune cells when the immune cells, or white blood
Resistance to stShock
re
ss
Stage 1
Alarm
Stage 2
Resistance
Stage 3
Exhaustion
Normal level
of resistance
to stress
Alarm Stage Resistance Stage Exhaustion Stage
Pupils
enlarge
Forehead, neck, shoulder,
arm, and leg muscles contract
Breathing
is frequent
and shallow
Accelerated heart rate
increases blood flow
to muscles; blood
pressure increases
Sympathetic nervous system
is activated by adrenal glands
Blood
pressure
remains
high
Liver
runs out
of sugar
Prolonged
muscle tension
causes fatigue
Hormones
from adrenal
glands are
released into
bloodstream
Sugar is
released
into the
bloodstream
for energy
Figure 11.1 General Adaptation Syndrome
The diagram at the top shows some of the physical reactions to stress in each of the three stages of the
general adaptation syndrome. The graph at the bottom shows the relationship of each of the three stages
to the individual’s ability to resist a stressor. In the alarm stage, resistance drops at first as the sympathetic
system quickly activates. But resistance then rapidly increases as the body mobilizes its defense systems.
In the resistance stage, the body is working at a much increased level of resistance, using resources until
the stress ends or the resources run out. In the exhaustion stage, the body is no longer able to resist, as
resources have been depleted, and at this point disease and even death are possible.
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