A Clinical Guide to the Treatment of the Human Stress Response

The effect of communication skills training on residents’ physiological arousal in a breaking bad news simulated task

“…Hulsman et al study suggests that part of the observed physiological response could also be attributed to the novelty of the task [11]. Beyond that, the impact of a stressor is also modulated by biological predispositions, personality patterns, learning history and available coping resources [17,18].…”

Stress Management at the Worksite

“…4,5 Responses to stress may be difficult to assess even in the controlled laboratory environment. To partly overcome these problems, we developed and tested a noninvasive, nonintrusive methodology to simultaneously study multiple dimensions of stress in the clinical laboratory, addressing both autonomic changes and symptoms profiles.…”

“…1,2 In this context, work-related stress seems to play a critical role, 3 in view of its ubiquitous nature and long-term impact; however, an accurate assessment may be elusive because of the dependence of stress on the subjective perception of work-related demands and on individual genetic-behavioral characteristics. 4,5 According to the job strain model proposed by Karasek et al, 6 downsizing, 7,8 changing organization, 9 and, in general, low job and career control, are recognized conditions of work stress that eventually become associated with sickness, absenteeism, 10 and cardiovascular diseases. 1,2,4 Mechanisms linking chronic stress to the increased cardiovascular risk are complex and multifarious.…”

“…In humans, stress may act indirectly by inducing unhealthy lifestyles like smoking, reduced physical activity, and increased calorie intake, thus worsening cardiovascular risk. 4,5,11 Stress may also act directly 1,4,12 by affecting major regulatory systems, in particular, the hypothalamic-pituitary-adrenal axis 4,13 and the autonomic nervous system (ANS), 14 -18 leading to abnormal catecholamine release impairing vascular performance, 19 inappropriately elevated sympathetic drive, and, thus, contributing to increase arterial pressure. 20 In view of the intrinsic dynamic nature of autonomic regulation, to capture more easily the effects of work related stress, it may be useful to plan studies at the worksite instead of in the more usual clinical laboratory, where environmental factors may act differently.…”

Le problème du stress et sa gestion chez les enseignants à l ordre primaire

“…Selon plusieurs auteurs, le stress fait partie d'un processus interactif comprenant des facteurs comme : les stresseurs, la réponse de stress, les processus de perception et d'évaluation de la situation, l'appréciation de la menace, la façon de gérer le stress, l'organisation des défenses (Appley et Trumbull, 1986;Chanez, 1993;Cox et Mackay, 1978;Everly, 1990;Lazarus, 1966;Friedman, 1992;Mason, 1975;Rivolier, 1989). Il s'agit d'un phénomène global envisagé dans une perspective dynamique.…”