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210 Cards in this Set

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Stress
biological response to demands made upon an individual
Components of stressors
(1): anything that makes us adapt
(2): our response to the stressor
Responses to stressors
Social (rejection, embarrassment)
Physical (fatigue, bacterial infection)
Intellectual (confusion)
Emotion (anger, hostility)
Spiritual (guilt)
Eustress
positive stress; provides opportunity to grow. Examples include new job, getting married, having a baby
Distress
negative stress; regress/too intense. Examples include divorce, geting fired, death of family/friend
Stress can be ___ or ___
real; imagined
Stress can be ___ centered or ___ specific
Life; situation. Examples in life include health, family, financial. Examples of situations include college or being on a team.
What determines our reaction to stress?
Our response
It is important to be in homeostatis. What is homeostatis?
Internal balance
Sources of stress that students face
pressure to achieve -- high standards
financial burdens -- balance job and school
family stressors -- divorced parents; health problems; conflict
living adjustments -- away from home; MUST establish new social network
social pressure -- alcohol; drugs; sex; peer pressure
What are the four sources of stress?
Physical
environmental
emotional/social
occupational
Physical source of stress
Any agent/condition that challenges the body.
Examples are virus, infection, pain, fever, trauma, alcohol, drugs
Environmental source of stress
Distractions around you.
Examples include temperature, humidity, pollutants, noise, sound over 85 decibles
Dramatic Environment
Severe storms, drought, famine, flood, earthquake, forest fire, war
Emotional/social source of stress
Conflict (most common) -- needs/demands not met
Hassles (minor instances) -- lock keys in a car, wait for appt, unexpected company
These can be more dangerous b/c they happen frequently and daily
Occupational source of stress
Task demands -- repetitive, too few/many challenges, job insecutiy, overload
Role demands -- conflict, ambiguity
Interpersonal demands -- abrasive boss, passive leader, abusive co-workers
Physical demands -- uncomfortable chair, lighting, noise, temp
Conflicts -- work, family
Determinants of whether something is a stressor
Perception
Intensity (of incident, situation)
Time (early, late, rushed)
Place (where; highway; parking lot)
Who or what's causing it (situation)
Physical state (tired, energized)
Heredity/genetic predisposition (quick to anger)
Emotional state (happy, sad, angry)
Learned reactions (behavior, defense driven)
Personality (attitude/beliefs)
Study the Yerkes-Dodson Curve on pg. 2 of notes!
See http://www.google.com/imgres?imgurl=http://sourcesofinsight.com/wp-content/uploads/2008/09/yerkes-dodson-human-performance-curve.gif&imgrefurl=http://sourcesofinsight.com/2008/01/14/yerkes-dodson-human-performance-curve/&h=188&w=369&sz=5&tbnid=JksneaWxvq4bLM:&tbnh=62&tbnw=122&prev=/images%3Fq%3Dyerkes-dodson%2Bcurve&zoom=1&q=yerkes-dodson+curve&hl=en&usg=__qJ9AJdJHKZePoc-FvKqosi_97hA=&sa=X&ei=cOGgTNz-EcX6nAe0lpCmDQ&ved=0CCQQ9QEwBA
Effect of stress on cardiovascular system
increase blood pressure; cause stroke; congestive heart failure
Effect of stress on gastrointestinal
diarrhea
ulcers
constipation
Effect of stress on musculoskeletal
tension headaches; migraine; low back pain; rheumatoid arthritis
Effect of stress on respiratory
shortness/rapid breathing; asthma; hay fever allergic reactions (significant emotional stress may cause allergic rxns even if allergen is not present)
Gastrointestinal
swallow difficult (less saliva); more hydrochloric acid in stomach (ulcers); liver releases glucose which inflames pancreas
Cardiovascular
increase heart rate and blood pressure; cholesterol goes up; heart beats more forcefully and with more blood
Prolonged stress may lead to hypertension and stopping heart
Immune system
suppresses immune system ability to produce lymphocytes and antibodies that help cure infection
Psychoneuroimmunology
focuses on the links among mind, brain, and immune system
Major functions of the brain
directs nerve impulses throughout the body
controls voluntary processes: senses, movement
controls involuntary processes: heart rate, digestion, blood pressure
cognitive area in body; memories, ideas
powerful connection between emotion and immunity
Functions of the immune system
Patrol and guard body
Negative physiological effects over time of negative emotional wellness. Emotional wellness both directly and indirectly influence physical health dimension. The feelings we have and the way we express them can either boost immune system or weaken it.
Heart diseases
High blood pressure
Allergies
Arthritis
Asthma
Diabetes
Insomnia
Cavities
Ulcer
Structure of CNS
CNS
PNS
Autonomic (sympathetic and parasympathetic) and Somatic Nervous System
Norepinephrine neurotransmitter
increase clotting
increase heart rate
increase LDL cholesterol
Epinephrine neurotransmitter
increase confidence (adrenaline)
Dopamine neurotransmitter
vascoconstrictor (slows blood supply to certain places)
pleasure enhancer
Serotonin neurotransmitter
elevates mood
Fight or Flight Response
biological response (confront or run)
Alarmed Stage of Fight or Flight Response
first faced w/stressor; body prepares for defense; many physical changes occur internally (blood thickens)
Resistance Stage of Fight or Flight Response
body intensifies the alarm stage and anticipates perceived challenge; hormones are produced and released (glucose for energy)
Recovery Stage of Fight or Flight Response
end of experience; body relaxes and slows heart rate and blood pressure; come back to homeostasis
Study GAS sheet
first page (handout) in this section of notes
Four ways to manage stress (physically)
Nutrition (well-balanced diet)
Exercise (helps body rebound)
Sleep (regular habits; 8 hrs)
Touch/sexual intimacy (connectedness;compassion)
Personality
total physical, intellectual, & emotional structure of an individual including abilities, interests, and attitudes
Type A Personality
Coronary Prone. Most prominent. Characteristics are competitive and hard nosed, who is also hostile or angry; all lead to aggression, time-urgent, impatient behaviors, CAN come from genes but mainly comes from non-supportive family environment; higher cortisol, epinephrine, fat levels, cholesterol; "hurried sickness"
Type B Personality
Relaxed. Complete opposite of type A. Characterized by easy going, non-competitive, laid-back lifestyle. Little hostility and do not strive toward goals. Low level of heart disease.
Type C Personality
Cancer prone. Show little emotion and appear ambivalent (conflictive feelings) toward self and others. Described as consistently serious, overly cooperative, overanxious, painfully sensitive, passive, and apologetic.
Type D Personality
Distressed. Characterized by negative emotions and social inhibitions. They isolate themselves. Excessive dependence on others, low levels of social support, excessive worrying, annoyance, and fear of common situations.
Type T Personality
Thrill seekers. Risky behaviors produce relaxation response.
Anger
Usually temporary emotion. Combines a psychological and physical arousal. Anger, unlike hostility, is a temporary emotion with high norepinephrine and epinephrine.
Hostility
On going accumulation of anger and imitation (anger, resentment, suspicion). Anger shows during trivial situations.
Devastating characteristics of hostility
Causes continuous release of hormones that destroy health
Weakens branch of CNS that calms body down after emergency
Perfectionism
Setting too high of goals; Hinders relationships, academic performance, athletic performance
Self-esteem
To know and like yourself. Accept they are not perfect but cherish positive qualities. Is crucial for emotional wellness and growth. People that take care of themselves have more energy.
Worry
State in which we dwell on something so much it causes us to become apprehensive. Worry is thinking part of anxiety. It can lead to uncertainty -- most devastating kind of stress that leaves person in constant state of semi-arousal
Anxiety
the psychological and physiological response to worry and causes physical changes (racing pulse, rapid breathing)
Fear
Causes head to spin, heart to race, labored breathing, palms to sweat, knees to buckle. Huge effect on heart!
Grief Process: The Stages of Grief
Denial
Anger
Bargaining
Depression
Acceptance
Hope
Hardiness
When an individual enjoys remarkably good health and longevity
"emotional intelligence"
The Three C's of Hardiness
Commitment: to yourself, work, family. Good sense of direction
Control: you can influence a negative event in a positive way. Cushion impact by how you perceive/react to situation
Challenge: ability to see change as an opportunity for growth and excitement.
Learned Optimism
A person attributes their failures to causes external (not personal), variable (not permanent), and specific (limited to instance)
Learned Helplessness
People who experience failure may develop pattern in which they give up
Victimology
The 3 Components of Learned Helplessness
Permanence
Pervasiveness
Personalization
Explanatory Style
A way of thinking when all factors are equal; No clear cut right or wrong answer
This is a good predictor of physical health
Pessimism
Interprets events negatively
Leads to anxiety, depression, anger, guilt, or hostility
Assume problem is never-ending; believes that it applies to every situation; internalizes most negative events
Optimism
interprets events in a positive light
how to boost; make effort to genuinely like others, do NOT blow things out of proportion, avoid generalizing. This is a BIG commitment
How is the health locus of control determined?
It is determined by the extent to which we believe that our behavior affects our health status
Internal locus of control
people believe events are a consequence to personal actions
this has a signif impact on hormone release
External locus of control
people believe events happen to them are unrelated to their own behavior (beyond their control)
Outlets for a beneficial perception of life
friends, family, children, pets, exercise, relaxation techniques, recreational hobbies, intellectual inquiry, God, nature
Framing thoughts
how you currently interpret situations
Reframing thoughts
to change the way you perceive situations
Social support
consists of human resources that ppl provide to each other
a person can rely on another for help or in times of crisis
Social networks
Specifically the size, density, durability, intensity, and frequency of social contacts
4 Categories of Support
Instrumental
Emotional
Informational
Appraisal
Instrumental support
tangible aid
Emotional support
affection
understanding
respect
acceptance
Informational support
which classes to take, where to sign up for a club
Appraisal support
help w/decision making
No family is totally _____ or _____
healthy, unhealthy
Relationships between members of family can have profound effect on each person's _____ and _____
health, longevity
Dysfunctional family
when parents are unable to meet their children's emotional needs
Characteristics of marriage
Joy in each other (separate identities)
generous and can give out love
enjoy healthy and satisfying sex
address conflict constructively
open and honest communication
trust
share lives
Characteristics of divorce
dissolved social network
easier to obtain
no longer a negative stigma behind it
people enter marriage without proper preparation
woman less financially dependent on men
Friendships
close friends buffer stress and help overcome loneliness
friends trust, enjoy, accept, respect
Before confiding in someone, think:
Realize sharing info may strain relationship
disclosing past trauma may be difficult for listener to hear
explore your motive for sharing potentially hurtful info
better way to solve problem than discussing it?
Loneliness
Unpleasant state of mind that results when a person's network of friendships is significantly deficient in either quality or quantity.
Feeling lonely worsens when relationships lack true attachment
ppl w/low self-esteem seem to feel loneliness more keenly
Solace
The comfort an individual can feel when in sorrow or disappointment
Comfort
a feeling of freedom from worry
Cold comfort
very limited empathy
Spiritual health
the ability to discover and articulate our own purpose in life and learn how to experience love, joy, peace, and fulfillment through that lens
Religion
a part of of organized system of beliefs, practices, and knowledge. Involves traditions, rituals, and practices that people use to express relationship w/GOD. Prayer v meditation
Altruism
selfless giving to other ppl out of genuine concern; not expect something in return
Volunteerism
engage in activities that assist others
Random Acts of Kindness
doing something anonymously for someone else that will make their day easier or better. Rewarding to the GIVER.
Faith
a belief in something that is unseen
trusting without proof
associated with optimistic lifestyle
Hope
a belief that one's desires will happen
positive expectation or anticipation
way of coping w/threatening situations by focusing on positive
Time management
Speed is a stressor
Create a journal
Determine peak performance time
Prioritize
Do one thing at a time
Assertive training
ability to discuss openly and honestly about your feelings
Mistaken Assumptions
Have a good reason for what you do.
Accommodate others. If you dont, they wont be there for you.
Never interrupt people.
Don't make mistakes.
Dont be antisocial.
Help others when they are in trouble.
Keep negative feelings to yourself.
Aggressive Style
Opinions, feelings, and wants are honestly stated @ the expense of someone else's feelings
Underlying message is "Im superior and right, and you're inferior and wrong!"
Advantage of aggressive style
ppl often give aggressive individuals what they want in order to get rid of them
Disadvantage of aggressive style
Make enemies; ppl that must have contact with you may be dishonest to avoid confrontations
Passive style
Opinions, feelings, and wants are w/held altogether or expressed indirectly
Underlying message "I'm weak and inferior, and you're powerful and right."
Advantage of passive style
minimizes responsibility for making decisions and the risk of taking personal stand on issue
Disadvantage of passive style
Sense of impotence, lower self-esteem, live w/other's decisions
Assertive style
Clearly state opinions, feelings, and wants without violating others rights
Underlying message, " You and I may have our differences, but we are equally entitled to express ourselves to one another."
Advantage of assertive style
Active participation in making decisions, getting what you want w/out alienating others, emotional and intellectual satisfaction
6 Criteria of Uncomfortable Situations
Who person is
When it takes place
What bothers you
How you deal
Fear of what happens if assertive
Goal!
Benefits of relaxation techniques
when regularly performed they can reduce stress, increase resistance to stress induced illness, alleviate pain, lower blood pressure, minimize illness symptoms
Meditation
exercise in which you become mindful.
It improves concentration, reduces mental distraction, drifting attention, and unfocused thoughts
Prayer
communication spiritually; reduces perception of stress
Progressive relaxation
Physically relaxing muscles/ nerves
Steps in progressive relaxation
Contract small muscle groups
Relax the muscle group
Concentrate on how each feels
Breathing technique
focus on exhale "out" toxins/tension and inhale fresh oxygen by using diaphragm
Autogenic
a self-induced relaxation that requires time, motivation, commitment, and practice
Biofeedback training
method of measuring physiological functions normally not aware of such as skin temp and BP
takes equipment and therapist
Yoga
induce calm, reduce biological effects of stress
Excellent for endurance, strength, and flexibility
Consists of precise postures done in a sequence w/exact breathing pattern
Alternative medicines
Does not fall within realm of conventional medicine
Has not been shown to be consistently effective
Practices may incorporate or base themselves on traditional medicine, folk knowledge, spiritual beliefs, or newly conceived approaches to healing
Acupuncture
among oldest healing practices in world that aims to restore and maintain health through the stimulation of anatomical points on the body by penetrating the skin w/solid, metallic needles that are manipulated by the hands or by electrical stimulation
2 Opposing and inseparable forces involved in acupuncture
Yin: represents cold, slow, or passive principle
Yang: represents the hot, excited, or active principle
Aromatherapy
Inhaling or application to skin of essential oils (Roman Chamomile, geranium, lavender, cedar wood) from plants to improve physical, emotional, and spiritual well-bring
Homeopathy
Homeopaths treat ppl based on genetic and personal health history, body type, and current physical, emotional, and mental symptoms
"Like Cures Like"
Concept of homeopathy. Disease can be cured by a substance that produces similar symptoms in healthy people
Law of Minimum Dose
Lower the dose, greater its effectiveness. Substances are diluted in a stepwise fashion and shaken vigorously between each dilution
Ayurvedic Medicine
Aim is to integrate and balance the body, mind, and spirit by using a variety of products and techniques to cleanse the body and restore balance. 600 herbal formulas & 250 single plant drugs are included in the "pharmacy"
Probiotics
"Good bacteria." Live microorganisms that are similar to beneficial microorganisms found in the human gut that are used to prevent and treat certain illnesses and support general wellness.
Spinal manipulation
Used by ppl w/low-back pain in attempts to relieve pain and improve functioning. Performed by using hands or a device to apply controlled force on a joint of the spine. Research has begun to look at the effects of diff forms of manipulation.
3 Overall Coping Techniques
Situation Reconstruction
Compensatory Self-Improvement
Find humor
Situation reconstruction
replay situation in mind and re-evaluate the whole situation
Compensatory self-improvement
confront something you cannot change; accept it gracefully w/out bitterness. Can't fix but can improve
Find humor
allow laughter
Psychotic disorders
experience delusions and hallucinations, do not understand these thoughts are abnormal. Examples are schizophrenia and paranoia
Mood disorders
disturbances in mood or persistent emotional states that affect how a person acts, thinks, and perceives environment. Examples include depression and bipolar.
Eating disorder
disturbances in eating pattern. Examples include anorexia nervosa and bullimia nervosa
Substance-Use Disorder
result of using substances that act on the CNS. Examples include alcoholism, cocaine, Rx, caffeine
Anxiety disorders
mental and physical manifestations of anxiety not attributable to real danger and occur as attack or as persisting state. Bottling up of fear leads to attack
General Anxiety disorder
uncontrolled worry for 6 or more months
Social disorder
afraid of scrutiny
Post-traumatic stress
nightmares and anger or substance abuse
Obsessive Complulsive Disorder
thoughts, can trigger the behavior
Impulsive Control
failure to resist an impulse; drive to perform act that is harmful to oneself or others
4 Disorders resulting from low impulse control
Kleptomania -- steal just to have it
Pathological gambling
Pyromania -- starting fires
Trichotillomania -- pull their hair out
Characteristics of Depression
depressed mood
decreased interest or pleasure in activities
fatigue and loss of energy
recurrent thoughts of death
appetite disturbances
Characteristics of Mania
inflated self-esteem and grandiosity
frantic work activity/increased talkativeness
decreased need for sleep
flights of ideas of racing thoughts
Depression
clinical depression is a disease that is caused by a chemical imbalance (Neurotransmitters such as serotonin, norepinephrine, and dopamine) in the brain.
Requirements to be clinically depressed
Must have a depressed mood and a loss of interest or pleasure in daily activities consistently for @ least 2 weeks
Symptoms of depression
Diminished interest or pleasure in all, or almost all, activities
Signif weight loss when not dieting
Insomnia or hypersomnia
Psycho-motor agitation or retardation
Fatigue or loss of energy
Feelings of worthlessness or guilt
Diminished ability to think or concentrate
Thoughts of death
Depression Statistics
10-14 million affected in US @ any time
Leading cause of disability in U.S. and worldwide in ages over 5.
80-90 percent can be treated successfully, but only 1/3 seek treatment
Factor in suicide
Self-esteem and social support buffer depression
Creative personalities have high incidence of depression
Those who experience chronic, unrelenting pain have the highest rate of any group
Varies by geographic region in 2008: 14.8% in MS, 4.8% in ND, 8.1-9.4% in IL and MO
Children and Adolescents (Ages 19-24)
with Depression
Exhibit same symptoms as adults w/addition of:
Somatic (bodily) complaints
Irritable Mood
Clinging
Withdrawal
Acting Out
Nightmares
Downturned Mouth and Eyes
Slowness

Seniors with Depression
Up to 2/3 of older adult suicides are attributed to untreated or misdiagnosed depression
Many patients commit suicide after a recent physician visit (20% same day, 40% w/in a week, 70% w/in a month)
How depression goes unnoticed in seniors
"Just aging"
Somatic complaints
Cognition complains
Irritable
Dont verbalize
Meds
Social isolation
Psychotherapy
treatment of mental illness or emotional disturbance primarily by verbal or nonverbal communication
Pharmacological Interventions
treatment by means of drugs
Cognitive-Behavioral Psychotherapy
helps patients change negative styles of thinking and behaving by identifying maladaptive thoughts and suggesting alternative behaviors
Interpersonal Psychotherapy
focuses on working through disturbed personal relationships through family sessions and psychoanalysis (uncovering unconscious thoughts, uses hypnosis, costly)
MAOI
inhibits the action of Monoamine Oxidase enzyme which breaks down neurotransmitters (serotonin, dopamine, norepinehprine) @ synapse. Examples of MAOIs include Nardil, Marplan, and Parnate
SSRI
selective serotonin reuptake inhibitors. Examples include Prozac, Zoloft, Paxil, Celexa, Lexapro, Luvox
SNRI
selective serotonin norepinephrine reuptake inhibitors. Examples include Cymbalta and Effexor
NDRI
selective norepinephrine dopamine reuptake inhibitors. Example includes wellbutrin.
Electroconvulsive therapy (ECT)
"shock therapy." It is used with severe patients, drug resistant patients, psychotically depressed, highly suicidal, elderly
Light therapy
used for specific depression (SAD). Depressed mood during autumn and winter for three or more consecutive years.
Suicide
“Most people who commit suicide suffer from deep despair, loneliness, and helplessness. They feel that their lives are completely out of their control and that the only way they can regain control is to take their lives.”
Statistics of Suicide
More people die from suicide than from homicide.
3rd leading cause of death, ages 15-24
8th leading cause of death for all U.S. men
Men more 4X’s more likely to die from suicide
Women more likely to attempt suicide
Signs of Contemplating Suicide
Change in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, running away
Drug and alcohol use
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, decline in quality of schoolwork
Frequent complaints (physical symptoms, stomachaches, headaches, fatigue, etc.)
Loss of interest in pleasurable activities
Not tolerating praise or rewards
Complain of being a bad person or feeling “rotten inside”
“I won’t be problem for you much longer”, “Nothing matters”, “It’s no use”, “I won’t see you again”
Give away favorite possessions, clean room, throw away belongings
Hallucinations; bizarre thoughts
Protective factors from suicide
Effective clinical care for mental, physical, substance abuse disorders
Easy access to a variety of clinical interventions and support for those seeking help
Family and community support
Support from ongoing medical and mental health care team
Skills in problem-solving, conflict resolution, nonviolent handling of disputes
Cultural and religious beliefs that discourage suicide and support self-preservation instincts
Sleep Stages
4-6 times a night, 90-110 minutes/cycle
Stage 1 of Sleep
"light sleep"
Easily awakened; eye movement and muscle activity slowed
Stage 2 of Sleep
"onset of sleep"
Body temperature drops; eye movement stops
Stages 3 and 4 of Sleep
"deep sleep"
Deepest & most restorative sleep:
Tissue Repair and Growth
Energy restored
Growth Hormone released (muscle development)
Stage 5 of Sleep
"REM"
Provides energy to brain and body (muscles turned off)
Eye movement; supports daytime performance
How many types of sleep are there?
2! REM and Non REM!
Sleep Facts
REM discovered in 1953 with invention of brain monitor devices
Lack of REM can lead to insanity
REM plays role in facilitating memory storage and retention, organization, learning and performance
Adults spend 50% of time in Stage 2; REM for 20%; Other stages 30%
Infants spend 50% of their time in REM sleep
Older adults spend progressively less time in REM
Insomnia
difficulty falling asleep, waking up early, not being able to fall back asleep, waking up groggy, and frequent awakenings
Sleep Onset Insomnia
cannot go to bed when want to
Sleep Maintenance Insomnia
frequent and prolonged nocturnal awakenings
Temporary Insomnia
usually due to stress, illness, pain, diet, medicines, or disruption in circadian rhythms
Characteristics of Primary Insomnia
Sleeplessness that cannot be contributed to another cause
MUST have daytime symptoms
Difficulty falling asleep, staying asleep, poor quality, and early rising
Characteristics of Secondary Insomnia
Sleeplessness result of specific cause
Depression is #1
Can be caused by pain, illness, drugs, medications, caffeine, excessive worry, stress
Apnea
stoppage of breathing
2 types of sleep apnea
Obstructive -- windpipe collapses
Central -- brain neglects to communicate
Snoring
weight loss usually first recommendation
Narcolepsy
spontaneous sleep (usually hereditary)
Possible brain or neurological problems
Last few seconds to more than 30 minutes
Restless Legs Syndrome
Iron levels may play role
Bruxism
grinding of teeth as a reflex action
Night Terrors
Abrupt awakenings with fear, sweating, rapid breathing, and confusion
Physical movement allowed
Usually during “Deep Sleep”
Common in children
Emotional tension & alcohol may induce
Nightmares
Just scary
Usually take place in REM
Lack of physical movement
Sleep paralysis
Feeling of being conscious but unable to move
Passing between stages of wakefulness and sleep
Unable to move or speak
Predormital sleep paralysis
sleep paralysis while falling asleep
Postdormital sleep paralysis
sleep paralysis while you are waking
as you fall asleep, body slows and you become less aware
Minimize sleep paralysis episodes by
getting enough sleep
reducing stress
exercising regularly
keeping regular sleep schedule
Sleep Debt
When one loses one nights sleep, they will generally be irritable and clumsy
Missing 2 nights of sleep
Will create concentration problems (mistakes on simple tasks)
Missing 3 nights of sleep
cause hallucinations and loss of grasp on reality
needs 2 full nights of sleep to recover
loss of just 1.5 hrs can result in a 32% reduction in daytime alertness; impaired memory and cognitive ability; & will double the risk of occupational injury/accident
Biological/physiological/behavioral process in the circadian clock
Every living thing has this 24 hour rhythm (wake/sleep cycle)
Natural regulatory chemical release in the circadian clock
Promotes drowsiness and alertness
Body wants balance and consistency in circadian clock
Helps to regulate system
Correct chemical secretion at correct times
Sleep chemical tryptophan (amino acid)
Body uses it to produce serotonin (promote relaxation)
Found in food w/high protein (meats, poultry, eggs, nuts)
Sleep chemical melatonin (hormone)
Body uses tryptophan to create melatonin hormone
Released by pineal gland (during day, pineal inactive)
Encourages sleep onset (promotes drowsiness)
Bright light directly inhibits melatonin release
Sleep chemical cortisol
fat hormone (promotes wakening)
Sleep chemicals norepinephrine and acetylcholine
Promotes wakening
prolongs waking and increases cortisol activation
enhances arousal, functioning, attention, and vigilance
Leptin (under sleep and obesity)
appetite suppressant
Released by adipocytes (fat cells)
Ghrelin (under sleep and obesity)
long term weight regulation "empty signal"
released by stomach
Sleep and obesity
Lack of sleep affects leptin and ghrelin levels
4 hrs or less per night results in lower leptin levels and higher ghrelin levels, causing you to eat more
Alcohol and sleep
Depressant
Delays onset of sleep and deepens sleep in 1st part of night
Causes sleep fragmentation (cycles NOT complete)
Body metabolizes _____ drink/hour
One
Alcohol withdrawal
Withdrawal effects will persist 2-4 hrs after blood levels return to 0
Minor withdrawal: hand shaking, sweating, increase body temp, insomnia, vomiting, anxiety
Caffeine and sleep
Stimulant
Half life in 3-7 hrs (depends on intake amt)
Can stay in body for 12 hrs
Caffeine as a sleep inhibitor
Increases sleep latency (potential is there but NOT manifested)
Decreases ttl sleep time
Decreases slow wave sleep
Impairs sleep quality
Foods that encourage sleep
High in protein: fish, meat, rice, seeds, eggs, milk, seafood, soybeans
Complex carbs: corn, potatoes, nuts, bananas, melons, peanuts, figs, acovadoes
If you have a hard time falling asleep...
Eat dinner containing little protein and lots of complex carbs
Complex carb roughly 2 hrs b4 bed, such as oatmeal, PB sandwich
If you have a hard time staying asleep...
Have a late dinner (7:30-8:30)
Complex carbs b4 bed: tofu, whole grain cereal w/milk
How to Develop Better Sleeping Pattern
Allow time to unwind
develop pre-sleep ritual
go to bed ONLY when sleepy
if can NOT sleep, get out of bed
maintain regular rising time
reserve bed for sleep ONLY
do NOT nap