Stress And Chronic Illness: Choose And Describe A Chronic Il

Stress And Chronic Illness Choose And Describe Chronic Illness Such As

Stress and Chronic Illness- Choose and describe chronic illness such as hypertension, diabetes, HIV, etc. Discuss the role of psychological stress in the development and progression of that illness. Develop two research questions that would evaluate the relationship between psychological stress and the illness you have chosen. Additionally, briefly propose a research method that could be used to test the research questions and describe why this method would be appropriate. In APA format NO more than 2 pages in single space.

Paper For Above instruction

Chronic illnesses such as diabetes mellitus exemplify the complex health challenges faced worldwide, with psychological stress playing a significant role in their onset and progression. Diabetes, particularly type 2, has been extensively linked to both biological and psychosocial factors, underscoring the importance of understanding how psychological stress contributes to its etiology and course.

Diabetes mellitus, especially type 2, is a metabolic disorder characterized by insulin resistance and impaired glucose homeostasis. It affects millions globally, with growing prevalence driven by lifestyle, genetics, and environmental factors. Psychological stress has been identified as a potential trigger and exacerbating factor in diabetes. Stress activates the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system, leading to increased cortisol and catecholamine levels, which impair insulin sensitivity and promote hyperglycemia.

Research indicates that chronic psychological stress can induce behavioral changes such as poor diet, reduced physical activity, and medication non-adherence, further worsening diabetic control. Additionally, stress-related hormonal changes directly influence glycemic regulation, suggesting that stress management may be crucial in diabetes care. The bidirectional relationship implies that diabetes can also lead to increased stress due to disease management demands, complications, and lifestyle limitations.

To better understand this relationship, two research questions have been formulated:

  • 1. How does psychological stress influence blood glucose levels and insulin sensitivity in individuals with diabetes?
  • 2. Does stress reduction intervention improve glycemic control and quality of life among patients with diabetes?

A suitable research method to investigate these questions is a longitudinal cohort study combined with an experimental component. Specifically, a prospective design can assess stress levels, physiological markers (e.g., blood glucose, HbA1c), and behavioral factors over time. Participants would be divided into a control group and an intervention group receiving stress management techniques such as mindfulness or cognitive-behavioral therapy. Data collection at multiple intervals would help determine causal relationships between stress reduction and diabetic outcomes. This approach is appropriate because it captures temporal changes and allows evaluation of causality, which cross-sectional studies cannot provide. Additionally, including physiological, behavioral, and psychological measures offers a comprehensive understanding of stress’s impact on diabetes.

By using such a mixed-methods longitudinal design, researchers can elucidate the pathways through which psychological stress affects diabetes, informing integrated treatment strategies and emphasizing the importance of psychosocial interventions in chronic disease management.

References

  • Gallo, L. C., & Matthews, K. A. (2003). Understanding the association between socioeconomic status, psychosocial factors, and health: The role of stress and health behaviors. Annals of Behavioral Medicine, 25(2), 91–100.
  • McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87(3), 873–904.
  • Surwit, R. S., et al. (2002). Psychosocial and behavioral factors influencing diabetes management. Diabetes Surgery & Obesity, 4(4), 280–290.
  • Chida, Y., Hamer, M., Wardle, J., & Steptoe, A. (2009). Do stress-related psychosocial factors contribute to cancer incidence and survival? Nature Reviews Clinical Oncology, 6(8), 466–473.
  • Kivimäki, M., et al. (2012). Long working hours and risk of coronary heart disease and stroke: A systematic review and meta-analysis of published and unpublished data. The Lancet, 380(9848), 1739–1746.
  • G akun, B., et al. (2014). The effect of stress management on glycemic control in patients with diabetes mellitus: A systematic review. Journal of Diabetes Research, 2014, 1–9.
  • McEwen, B. S., & Stellar, E. (1993). Stress and the individual: Mechanisms leading to disease. Archives of Internal Medicine, 153(18), 2093–2101.
  • Schneiderman, N., et al. (2005). Stress and health: Biological and psychological interactions. Annual Review of Clinical Psychology, 1, 607–628.
  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.
  • Rosengren, A., et al. (2004). Psychosocial factors and risk of myocardial infarction. Journal of the American College of Cardiology, 43(2), 231–237.