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Chronic stress

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Chronic stress is the response of the brain to unpleasant events for a prolonged period over which an individual perceives he or she has no control. It involves an endocrine system response in which occurs a release of corticosteroids. If this continues for a long time, it can cause damage to an individual's physical and mental health.

Biology

Animals exposed to distressing events over which they have no control respond by releasing of corticosteroids.[1][2] These, if prolonged, lead to structural changes in their brains. Changes happen to neurons and their synapses in the hippocampus[3] and medial prefrontal cortex.[4] These produce impairments in working memory,[5] spatial memory[5], and increased aggression.[6]

Linked to impairment of the medial prefrontal cortex are deficits in the part of the striatum with which it is linked.[7] This can bias decision-making strategies, as affected individuals shift from flexible behavior to one dominated by habit.[7] Changes also occur to dopaminergic activity in the prefrontal cortex.[5]

Symptoms

In humans, symptoms of chronic stress can vary from anxiety, depression, social isolation, headache, abdominal pain or lack of sleep to back pain and difficulty concentrating. Other symptoms include: