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Emotional Stress


Presentation

  • Twenty-four (82.76%) children needed psychological or psychiatric intervention; 17 of them presented neurotic disorders and 7 children presented antisocial disorders.[ncbi.nlm.nih.gov]
  • RESULTS: Eleven patients presented with tako-tsubo syndrome (1 man and 10 women) during the 8-year period (January 2000 to January 2008).[ncbi.nlm.nih.gov]
  • CONCLUSION: The present study extends previous reports, suggesting that altered SLC6A4 methylation associates with greater socio-emotional stress sensitivity in 3-month-old VPT infants.[ncbi.nlm.nih.gov]
  • This patient with CRPS presents several years younger than what is commonly described in the literature in the stressful setting of a deployed parent.[ncbi.nlm.nih.gov]
  • Of these, 4.1% (n 20) presented with pleasant preceding events and 95.9% (n 465) with unequivocal negative emotional events associated with TTS.[ncbi.nlm.nih.gov]
Fatigue
  • Kundalini Yoga A Kundalini Practice to Fight Fatigue with Guru Jagat Fatigue is all too common these days, thanks to our constant connection with technology.[yogajournal.com]
  • Headache, gastrointestinal disturbances, sleep problems Muscle tension, muscle ache, muscle pain Fatigue All of the above Stress is an unnatural reaction. Stress is a natural, normal part of life.[medicinenet.com]
  • Stress and Depression Byproducts of stress hormones can act as sedatives (chemical substances which cause us to become calm or fatigued).[mentalhelp.net]
  • Common physical effects of stress can include: [4] [5] Headache Muscle tension, aches and pains Chest pain Fatigue or exhaustion Alteration of your appetite or sex drive Upset stomach and nausea Trouble sleeping Heartburn or acid reflux Difficulty with[wikihow.com]
  • Chronic fatigue , tiredness, and lack of energy . "When the body cannot handle emotional overload, it simply begins to shut down. And that is often manifested by a sense of extreme tiredness and fatigue ," says Kalayjian.[webmd.com]
Excessive Daytime Sleepiness
  • Sleep disturbances were recorded as insomnia, excessive daytime sleepiness (EDS) or sleep difficulty. Chronic emotional stress was determined by the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).[ncbi.nlm.nih.gov]
Ecchymosis
  • DISCUSSION: Pediatric CRPS is characterized by ecchymosis, edema, allodynia, mottling, and abnormal hair growth in the region of pain after minor trauma.[ncbi.nlm.nih.gov]
Hemoptysis
  • Although she received anti-tuberculosis treatment, the steroids caused an exacerbation of the tuberculosis, and after a massive hemoptysis in 1993, a right upper and middle lobectomy was performed.[ncbi.nlm.nih.gov]
Nausea
  • Abstract The purpose of this study was to compare physiological and psychological reactions among Taiwanese women with different degrees of severity of nausea and vomiting (NV) during pregnancy.[ncbi.nlm.nih.gov]
  • Some of the emotional and physical effects of stress include: Effects of Stress Physical effects Feelings of nausea Feeling faint or sweaty Headaches or migraine Indigestion, constipation Increased skin irritations e.g. eczema An increase in minor illnesses[stresshack.com]
  • ., racing heartbeat, nausea, sweaty palms, etc.), feelings of helplessness and a sense of impending doom. Thought patterns that lead to stress (and depression, as described above) can also leave people vulnerable to intense anxiety feelings.[mentalhelp.net]
  • You might experience a rapid heartbeat, a fluttery stomach, nausea, etc. Say gently to yourself, “This is a moment of stress.” It’s important to acknowledge when we’re in pain, rather than try to ignore or repress it.[wikihow.com]
  • You might also experience nausea, vomiting, or a stomachache. Muscular system Your muscles tense up to protect themselves from injury when you’re stressed.[stress.org]
Abdominal Pain
  • After a persistent episode of severe abdominal pain due to acute cholecystitis and recurrent events of emotional stress, characteristic features of TTC could be documented.[ncbi.nlm.nih.gov]
  • Of them, 270 (12.5%) had at least 1 abdominal pain-predominant FGD.[ncbi.nlm.nih.gov]
Severe Abdominal Pain
  • After a persistent episode of severe abdominal pain due to acute cholecystitis and recurrent events of emotional stress, characteristic features of TTC could be documented.[ncbi.nlm.nih.gov]
Regurgitation
  • After resuscitation an immediately performed echocardiography showed a severe mitral regurgitation due to rupture of antromedial papillary muscle.[ncbi.nlm.nih.gov]
Tachycardia
  • Acute episode of emotional distress (and notably anger-like stress) may trigger ventricular ectopic beats and tachycardia, as well as acute myocardial infarction.[ncbi.nlm.nih.gov]
  • […] catecholamines (stress hormones, including epinephrine, which is also known as adrenaline) from the adrenal glands Increased oxygen demand on the body (temporarily higher metabolic rate) Lower threshold for abnormal heart rhythms including ventricular tachycardia[jamanetwork.com]
Alopecia
  • Recent evidence indicates that acute stress can precipitate a number of dermatological conditions, including alopecia areata.[ncbi.nlm.nih.gov]
Headache
  • Headache, gastrointestinal disturbances, sleep problems Muscle tension, muscle ache, muscle pain Fatigue All of the above Stress is an unnatural reaction. Stress is a natural, normal part of life.[medicinenet.com]
  • […] things Feeling on edge A change in eating habits Sleeping more than usual or difficulty getting to sleep Being more emotional Using alcohol or drugs to relieve or forget stress Symptoms of stress Symptoms of stress include: Chronic back pain Tension headaches[my.clevelandclinic.org]
  • Perhaps you may get stress headaches ? Progressive muscle relaxation involves tensing and relaxing the muscles. The idea of this body-to-mind relaxation strategy is that a tense mind cannot reside in a relaxed body. Practice mindfulness meditation.[stresshack.com]
  • Tooth Grinding Teeth grinding can cause major problems with your oral health including jaw ache, permanent tooth damage, and headaches.[uk.news.yahoo.com]
Tremor
  • Tremors, trembling of lips, hands 5. Neck ache, back pain, muscle spasms 6. Light headedness, faintness, dizziness 7. Ringing, buzzing or “popping sounds 8. Frequent blushing, sweating 9. Cold or sweaty hands, feet 10.[stress.org]
  • Finally, the court looked to the physical manifestations of the psychological injury—the tremor, the hypersensitivity to pain, and the paralysis.[hbr.org]
Behavior Problem
  • The findings of the present study suggest that behavioral problems and potential emotional problems can be risk factors to bruxism in children.[ncbi.nlm.nih.gov]

Workup

  • "Unusual symptoms that resist the million-dollar workup can be a sign that your body is expressing some kind of emotional upset," says Goodstein.[webmd.com]
Cortisol Increased
  • In experimental psychology tests, playing a fast-paced video game will make salivary cortisol increase and norepinephrine spill over into venous blood almost as soon as the virtual battle begins.[brainpickings.org]
Torsades De Pointes
  • Notable features of the case are the lack of neurohumoral activation, a 1-week delay between the identified emotional stressor and presentation, and the development of torsades de pointes with amiodarone therapy.[ncbi.nlm.nih.gov]
  • We present a case of significant QTc prolongation with torsade de pointes in a female patient with a DDD pacemaker, who had been treated with an established dose of sotalol for two years.[ncbi.nlm.nih.gov]

Treatment

  • Reversal of this phenomenon occurred after treatment with a portable insulin infusion pump (PIIP). Following initiation of PIIP treatment, this abnormal rise in FFA secretion was eliminated, as were the patient's episodes of ketoacidosis.[ncbi.nlm.nih.gov]
  • Therefore, CRF has been a major target of drug development for treatment of stress-related disorders.[ncbi.nlm.nih.gov]
  • Systemic treatment with prednisone,100 mg/d, resulted in regression of the eruption within a month, and the dose was tapered to 10 mg every second day.[ncbi.nlm.nih.gov]
  • The discontinuation of treatment with sotalol resulted in clinical recovery and QTc normalisation.[ncbi.nlm.nih.gov]
  • Twenty-four unmedicated outpatients with pre- and stage 1 hypertension, were randomly assigned to active treatment (BF-Training) or control (BP-Monitoring) group. Subjects in BF-Training Group underwent four BF sessions.[ncbi.nlm.nih.gov]

Prognosis

  • OBJECTIVE: Anemia is a frequent comorbidity in chronic heart failure (CHF) adversely affecting patients' prognosis. Erythropoietin seems to improve exercise capacity in CHF patients.[ncbi.nlm.nih.gov]
  • The importance of heart rate in cardiovascular prognosis can be explained by its relationship with major pathophysiological determinants.[ncbi.nlm.nih.gov]
  • BACKGROUND: Symptoms are among the most important factors impacting quality of life (QOL) in hypertrophic cardiomyopathy (HCM) patients, and reflect a poor prognosis.[ncbi.nlm.nih.gov]
  • This may to some degree explain why beta blockers improve prognosis and reduce the risk of sudden death after a heart attack.[docsopinion.com]
  • When medical support is provided initially, patients with stress cardiomyopathy have rapid clinical and echocardiographic improvement and have an excellent prognosis.[nejm.org]

Etiology

  • Clinicians should recognize that Tako-Tsubo cardiomyopathy is one etiology of acute pulmonary edema with normal coronary artery finding.[ncbi.nlm.nih.gov]
  • Stress is a major risk factor in the etiology of several psychiatric diseases, such as anxiety disorders and depression.[ncbi.nlm.nih.gov]
  • Abstract Bruxism has a multifactorial etiology, and psychosocial factors have been considered to increase the risk of occurrence of this parafunction.[ncbi.nlm.nih.gov]
  • Since the 17th century, it has been suggested that emotional stress plays a role in the etiology of type 2 diabetes mellitus. So far, review studies have mainly focused on depression as a risk factor for the development of type 2 diabetes mellitus.[ncbi.nlm.nih.gov]

Epidemiology

  • It is therefore essential that research groups, who aim to conduct a new epidemiological cohort study, prospectively describe and publish the design of their study.[ncbi.nlm.nih.gov]
  • OBJECTIVE: Many epidemiologic studies have reported that obesity is associated with short sleep duration.[ncbi.nlm.nih.gov]
  • Further studies and analyses should be provided for better understanding of this complex, not fully known epidemiological problem. Copyright 2016 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.[ncbi.nlm.nih.gov]
  • […] an integrated "stress sys tem", the realization that there are bi-directional effects between stress and the immune system, the suggestion that a number of common psychiatric disorders represent dysregulation of systems responding to stress, and the epidemiologic[books.google.com]
  • Methods To study triggers an epidemiological study design, called case-crossover, has proven useful [ 18 ]. The case-crossover design has been applied several times in order to study trigger factors of injuries.[bmcgeriatr.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • Further investigation to clarify the pathophysiology of stress-related seizures is needed.[ncbi.nlm.nih.gov]
  • We report a case of acute ischemic cardiomyopathy after extreme stress in a child that may share the same pathophysiology.[ncbi.nlm.nih.gov]
  • The importance of heart rate in cardiovascular prognosis can be explained by its relationship with major pathophysiological determinants.[ncbi.nlm.nih.gov]
  • Rupture of an atherosclerotic plaque in a coronary artery with subsequent thrombosis and coronary artery occlusion is the key pathophysiologic mechanism leading to heart attack which in some cases may cause sudden death.[docsopinion.com]
  • "Protection and Damage from Acute and Chronic Stress: Allostasis and Allostatic Overload and Relevance to the Pathophysiology of Psychiatric Disorders." Annals of the New York Academy of Sciences , Vol. 1032, pp. 1-7.[apa.org]

Prevention

  • Further focus on caregiver prevention training and unit leadership recognition of stress may be needed.[ncbi.nlm.nih.gov]
  • […] subjective sleep disturbances (47.4 vs 25.5%; P CONCLUSION: Self-reported short sleep duration in obese individuals may be a surrogate marker of emotional stress and subjective sleep disturbances, whose detection and management should be the focus of our preventive[ncbi.nlm.nih.gov]
  • Individuals showing a high heart rate increase with mild emotional stress must be considered for additional investigations and for tailored preventive strategies aimed in first place to reduce the probability of ischemic heart disease.[ncbi.nlm.nih.gov]
  • Immobilization (IMO) stress of rats can reproduce the electrocardiographic and left ventriculographic changes that occur in takotsubo cardiomyopathy, both of which are prevented by combined blockade of alpha- and beta-adrenoceptors.[ncbi.nlm.nih.gov]
  • Disruption of stress response pathways and subsequent changes in lifestyle habits as ways of coping with a stressful life, and as probable cause for hypertension prevalence in SSA, may be included in future preventive measures.[ncbi.nlm.nih.gov]

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