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Stress (cont.)

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What's in the future for stress?

Stress is part of life and will always be around. The keys to dealing with stress are appropriate control of stressors and management of our physical (physiological) and mental (psychological) responses. In this regard, critical incident stress debriefing (CISD) involves discussing the traumatic event as soon as possible after the event. Although it is thought to help lessen extreme (pathological) reactions to stress and often prevent PTSD in its worst forms for some individuals, other research has called its effectiveness into question. Hopefully, the circumstances in which CISD can be useful can be clearly delineated and this approach to stress management can be translated into helpful strategies for managing the more common (normal) types of stress.

We all have slightly different stress responses because of our genetic makeup. In the future, perhaps we will be able to alter our genes (for example, if we are genetically determined to be over- or underreactors to stress). In fact, the field of pharmacogenetics (medicines that enter the cells' DNA and turn on or off certain genes) is very promising for the area of stress and health.

REFERENCES:

Bromet, E.J., M.A. Dew, D.K. Parkinson, et al. "Effects of occupational stress on the physical and psychological health of women in a microelectronics plant." Social Sciences Medicine 34.15 June 1992: 1377-1383.

Chiesa, A., and A. Serretti. "Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis." Journal of Alternative Complementary Medicine 15.5 May 2009: 593-600.

Chrousos, George P. "Stress and Disorders of the Stress System." Medscape.com. <http://www.medscape.com/viewarticle/704866>.

Fliege, H., M. Rose, P. Arck, et al. "The perceived stress questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples." Psychosomatic Medicine 67 (2005): 78-88.

Gore, T. Allen and Joel Z. Lucas. "Posttraumatic Stress Disorder." eMedicine. Dec. 15, 2009. <http://emedicine.medscape.com/article/288154-overview>.

Kagee, A. "Concerns about the effectiveness of critical incident stress debriefing in ameliorating stress reactions." Critical Care 6.1 (2002): 88.

Lowry, Fran. "Stress, Depression Linked to Accelerated Aging." Medscape.com. Mar. 1, 2012. <http://www.medscape.com/viewarticle/759510>.

McNally, R.J. "Psychological debriefing does not prevent posttraumatic stress disorder." Psychiatric Times 21.4 Apr. 2004.

"Stress." American Psychological Association. <http://www.apa.org/topics/stress/index.aspx>.

United States. National Institute of Mental Health. "Posttraumatic Stress Disorder." Feb. 11, 2011. <http://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml>.

Van Bockstaele, E.J., et al. "Topographic Architecture of Stress-Related Pathways Targeting the Noradrenergic Locus Coeruleus." Physiol Behav 73.3 June 2001: 273-283.


Medically Reviewed by a Doctor on 9/4/2013

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Source: MedicineNet.com
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