Stress, intrusive imagery, and chronic distress

Discusses the nature of stress in the context of problems with its definition and sources of confusion regarding its usefulness and specificity. Stress can be defined as a negative emotional experience accompanied by predictable biochemical, physiological, and behavioral changes that are directed toward adaptation either by manipulating the situation to alter the stressor or by accommodating its effects. Chronic stress is more complex than most definitions suggest and is clearly not limited to situations in which stressors persist for long periods of time. Responses may habituate before a stressor disappears or may persist long beyond the physical presence of the stressor. This latter case, in which chronic stress and associated biobehavioral changes outlast their original cause, is considered in light of research at Three Mile Island and among Vietnam veterans. The role of intrusive images of the stressor or uncontrollable thoughts about it in maintaining stress is explored.     

An Exploration of a Possible Physiological Explanation for Stressor Aftereffects1

The present study examined the relationship between performance deficits that occur following exposure to uncontrollable stressors and activation of the endogenous opioid system. Subjects were given an injection of saline or naloxone, an opioid antagonist, prior to exposure to 23 min of unpredictable intermittent bursts of noise or silence. Changes in mood were assessed following the injection and the stressor. Performance was measured during and after stressor exposure. Measures of performance following the stressor included a proofreading, an encoding, and a puzzle task. Results replicated previous work on the effects of noise on performance; exposure to noise was associated with performance deficits during and after the stressor. Although naloxone had no effect on performance following the noise, it was associated with greater performance deficits during exposure to the stressor. Further, although all subjects became more hostile, anxious, and depressed following exposure to noise or silence, naloxone improved mood before the stressor began.     

Stress and Control-Related Problems at Three Mile Island1

The relationship between stress and control for residents at Three Mile Island (TMI) was examined. TMI was studied because of the technological nature of the accident there. Residents of Frederick, Maryland, more than 80 miles from TMI, were used as a comparison group. Control-related problems were measured using questionnaires and a behavioral task. Stress levels were determined using self-report, behavioral, and biochemical measures. Residents at TMI reported more loss of control and performed more poorly on the behavioral task than did comparison subjects. Subjects at TMI reporting more loss of control had more stress-associated symptoms than did comparison subjects and subjects at TMI not experiencing as many control-related problems.