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Stress and disease: the concept after 50 years
1Department of Medicine, Cornell University Medical College, New York City, NY 10021.
Social Science & Medicine (1982)
|January 1, 1987
Summary
Stress, while undefined, is studied by observing its causes and effects on organisms. Psychological stress can impact biological functions and contribute to disease as a disorder of adaptation.
Area of Science:
- Biological sciences
- Social sciences
- Medical sciences
Background:
- The term 'stress' lacks a universal definition in biological and social systems.
- Scientists effectively communicate about stress by measuring its sources and effects on organisms.
- Stressors can be concrete (biological/medical) or informational (social/behavioral), mediated by the central nervous system.
Purpose of the Study:
- To explore the concept of stress and its role in disease.
- To examine how biological and social sciences approach the study of stress.
- To establish the connection between stress, adaptation, and disease.
Main Methods:
- Observational studies of stress sources and their effects.
- Analysis of how psychological stressors influence physiological functions.
- Review of established stress theory in medicine.
Main Results:
- Psychological stressors can induce biochemical changes and contribute to disease.
- Disease is understood as a threat to an organism's dynamic steady state.
- Disease manifestations are largely adaptive responses to integrity threats.
Conclusions:
- The stress theory of disease, as proposed by Cannon and Selye, is well-supported.
- All diseases can be viewed as disorders of adaptation.
- Understanding stress is crucial for comprehending disease etiology and progression.
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