To establish a consistent framework for seismic wave propagation that accommodates the effects of stress changes, it is critical to take into account the different definitions of stress and their corresponding effects on seismic quantities (e.g., wave speeds) as dictated by continuum mechanics. Revisiting this fundamental theoretical foundation, we first emphasize the role of stress within various forms of the wave equation resulting from different choices of stress definitions. Subsequently, using this basis, we investigate connections among existing theories that describe the variation of elastic moduli as a function of changes in stress. We show that there is a direct connection between predicting stress-induced elastic changes with the well-known third-order elasticity tensor and the recently-proposed adiabatic pressure derivatives of elastic moduli. Each of these approaches, however, has different merits and drawbacks both in terms of experimental validation as well as in their use. In addition, we investigate the connection with another general approach that relies on micromechanical structures (e.g., cracks and pores). While this can be done algebraically, it remains unclear as to which definition of stress and which corresponding constitutive relationship should be considered in practical scenarios. We support our analysis with validations using previously published benchmark experimental data.