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BS 22

BS 22. Psychosomatic medicine. Stress & health Psychological factors affecting health – psychosomatic disorders – involve any system – Poor health behavior – smoking & no exercise Chronic / acute life stress – depression (emotional), divorce (social), loss of job (economic).

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BS 22

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  1. BS 22

  2. Psychosomatic medicine • Stress & health • Psychological factors affecting health – psychosomatic disorders – involve any system – Poor health behavior – smoking & no exercise Chronic / acute life stress – depression (emotional), divorce (social), loss of job (economic)

  3. Physiologic effects of stress: • Acute / chronic life stress lead to activation of ANS, which in turn affect CVS / RS • Stress may lead to altered level of neurotransmitter (like serotonin / nor epinephrine) which result in mood / behavior changes • Stress may increase release of adreno corticotropic hormones (ACTH), which may lead to decreased immune response

  4. Stressful life events – Holmes & Raphe scale • 80% of persons with > 300 points become ill next year

  5. Magnitude of stress(Holmes & Rahe Scale)

  6. Hospitalised pts, surgical pts, ICU, CCU pts – depressions • Pts with chronic pain –trtmt with opiates – fear of addiction – not correct

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