Depression Worsens Stress- Brings More Harm to Our Health
Even a little stress, almost
imperceptible for a healthy person, causes a long-lasting and robust reaction
in a patient with depression.
In response to stress, the body
mobilizes all resources: the level of stress hormones
increases, breathing and heartbeat increase, the level of glucose in the blood
increases, from which all organs receive energy. Mobilization also applies to
the immune system: the level of regulatory proteins of cytokines, which
stimulate inflammation, rises- the immune system is preparing for the
appearance of potentially dangerous foreign substances.
The stress appears mostly as a
normal reaction, "physiological" of the body. If he persists, he is
responsible for all those unpleasant symptoms that often lead to the stress of
seeing a doctor. Stress is not considered as an illness, but if it is not
managed or controlled, it can promote the occurrence of sometimes serious diseases.
The scientific community, therefore, defines stress as a risk factor for the
appearance of certain diseases.
Cardiovascular complications
They are due to the presence of
atheroma deposits on the small arteries irrigating the heart, the coronaries.
Narrowing, or stenosis, of one or more of these arteries, can lead to
myocardial infarction with a life-threatening risk.
In the 1950s, American
cardiologists found that many of their coronary patients shared the same type
of behavior. In 1959 they describe profiles A and B.
TYPE A: he conceives life as a
struggle. He is impatient, ambitious. He acts quickly and does not disdain the
competition. He is willingly extroverted, angry and even aggressive. He appears
clearly stressed.
TYPE B: He is rather introverted,
appears relaxed, patient. He does not conceive of life, his work as a struggle.
The study reinforces the link
between Patients belonging to Profile A and the risk of occurrence of coronary
heart disease. In fact, this risk appears to be twice as high in a Type A
subject as in an individual belonging to Profile B.
Since the 1990s, beyond typology
A or B, hostility, aggression, nervousness, overwork, anger, depressive state
are all signs that define the fuzzy contours of cardio- in the stressed individual.
This risk cannot, for the most part, be sufficient to explain the occurrence of
a coronary event. However, we know that stress is often accompanied by tobacco
abuse, high cholesterol, overweight and sedentary lifestyle. These risk factors
are primarily involved in the occurrence of these diseases. Their association
with stress is all the more deleterious on health, especially coronary.
So, can stress alone be
responsible for a cardiovascular event? It is no longer rare for cardiologists
to receive in consultation or to receive in intensive care individuals, often
young, in whom we find no other factor promoting coronary disease that intense
stress and often prolonged.
In Japan, karôshi is sometimes
recognized as an occupational disease. This is major occupational overwork
resulting in death by cardiac arrest. One of the essential mechanisms of these
coronary problems of young adults seems to be related to hypersecretion of
adrenaline which is harmful for the heart, especially through an acceleration
of the heart rate. In the absence of a correlation currently demonstrated, we
can only evoke the probable relationship between the acceleration of the heart
rate and the risk of coronary heart disease.
The anxiety is probably the first
complication psychological stress. It consists of a state of alert, of
psychological and somatic tension in relation to an unpleasant feeling of fear
and worry. Physiological manifestations may accompany the state of anxiety:
dizziness, nausea, palpitations, difficulty breathing, constriction of the
chest, sweating. Nevertheless, when the physical symptoms are very present, the
phenomenon is rather classified as anxiety.
The phobias seem influenced by
stress. They are very frequent, especially since those who suffer from it now
dare to talk about it. Indeed, a feeling of shame or fear of ridicule seems to
minimize (is not that rather the meaning, in the perception of the frequency of
phobias rather than in the reality of crises?) their frequency. This is a
totally irrational fear triggered by certain situations: agoraphobia (fear of
emptiness but also of the crowd), monophobia (fear of germs and diseases), fear
of the highway, snakes, and spiders. Attention, it is not a mere fear or
disgust but an intense fear accompanied by very unpleasant symptoms or even
feeling of "impending death". We often find initial stress, a
psychological shock before the onset of these panic attacks.
The depression sometimes appears
as a successor to intense and prolonged stress. The signs of depression
associate pell-mell fatigue, disinterest, the sadness of mood, wanting to do
nothing or even real moral pain that can lead to a suicide attempt. One must
certainly take into account the personality of the individual, perhaps psychologically
fragile, and the context. We cannot ignore the occurrence, in recent years,
cases of suicides many employees of a large French national telephone company.
It seems that stress and overwork have been at the rendezvous.
Stress, so commonplace in the
media and by doctors, themselves often poor, can probably kill. It must,
therefore, be taken seriously, be detected early and treated.
Psychosomatic complications
Psychosomatic diseases are all
disorders, syndromes or symptoms with a psychological basis.
In general, gastrointestinal
disorders are the most frequent psychosomatic diseases:
the liver, the intestines, and the colon are indeed the target organs of
neuroses. Many stressed patients have functional colopathy that is sometimes
very troublesome.
It has also been established that
skin diseases if they are not related to a disease or a virus, would have a
psychic origin. Psoriasis, which affects 2% of the French population, warts,
herpes, excessive sweating, rosacea or eczema appear willingly due to
annoyances and emotions.
Asthma and obesity have complex
and multifactorial causes. However, in these frequent and chronic diseases
stress appears, if not as a causative factor, as a perennial factor.
Immune complications
Let's be clear! At present, there
is no sound medical study to suggest that AIDS or cancers are promoted by
stress.
However, it is reasonable to
assume that chronic stress can weaken the body's defenses. Many studies have
been conducted in animals and sometimes in humans. The results are often
contradictory: thus it was possible to show in the animal a fall of the immune
defenses in the event of intense stress. To say that stress triggers or
aggravates AIDS or cancer, there is only one step that no scientist crosses.
AIDS remains a disease due to the development of a virus in the body. Cancers
remain linked to uncontrolled tumor development favored, for some, by
environmental or personal parameters.
In all cases, whether it is
cancer or AIDS, the stress factor should not be neglected. Severe chronic
diseases cause stress by themselves, putting the patient through a diagnosis of
serious consequences and a long and difficult treatment to live on a daily
basis. It will be important for the practitioners in charge of these patients
to be attentive and to help them manage their stress, their anxiety or even a
beginning of the depression.
The future and medical research
may tell us one day if stress is responsible for all these ills. In any case,
cardiovascular diseases kill. Anxiety, depression, obesity, and eating
disorders are most likely to be stress-driven and often destroy the social and
family fabric so necessary to humans. As for people with cancer or AIDS, they
do not need additional stress!
Besides, it is best to beat
depression in its own way. Jonathan Otto,
a popular personality and research journalist, provides assistance to
depression patients via his documentary series discussing the possible causes
and how one can get rid of it without any serious medications.
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