Distress - what it is, types and phases, causes, symptoms, prevention

Stress is good and bad: we understand the types and stages of development

In fact, stress helps our body; it is a natural mechanism that triggers the process of adaptation to any internal and external changes.

For example: You cut your finger - you experience stress, which makes your body understand that it’s time to leave the rescue team to heal the wound. or you have flown to a tropical country - stress tells the body what and how to change in order to more easily endure the heat and humidity.

However, stress can develop into a permanent state and then it becomes dangerous for your entire health and normal life.

Stress can be of two types: positive and negative.

What is distress

The concept of distress implies destructive stress that negatively affects the body over a long period of time . Under the influence of this condition, a person’s will and consciousness are suppressed, he loses the ability to adapt, the result is both social problems and health difficulties.

Stress in adults who are able to cope with it is a positive phenomenon in psychology. Such stress is called constructive - it is, in fact, an offer of change to a person. After nervous tension in a state of stress, a person relaxes and is emotionally discharged. The transition from stress to distress occurs when tension increases and there is no relaxation after it . This leads to constant spasm, where the body is tense and unable to relax.

Types of distress

Negative stress can be classified into different types depending on the area of ​​causes that contribute to its occurrence.

• Physiological . Occurs with bodily problems. For example, in case of serious illness, hunger or malnutrition;
• Psychological . May occur in the presence of mental problems. These include phobias, complexes, illusory perception of the world;
• Nervous. Appears against a background of strong, prolonged internal tension, often accompanying neuroses.

By extent, destructive stress can be divided into:

• Acute, or short-term . Associated mainly with the immediate reaction of the body's defense systems. This is how the instinct of self-preservation reacts;
• Chronic . A state of distress characterized by prolonged nervous tension.

There is also a separate section in psychology: didactogenies (didactogenic states, neuroses) - this is the name given to childhood (school) distress caused directly by the educational system. These include:

• Emotional distress . The characteristic and most important feature is increased anxiety, heightened emotions in relation to success, results, or vice versa – to failures;
• Exam distress (stress of receiving a grade);
• Information-temporal distress . Appears due to overload, requiring you to constantly rush to get everything done;
• Communication distress . Due to the teacher’s illiteracy in building relationships with the class or individual students;
• Frustration distress . Associated with the teacher’s lack of sensitivity and his unfair attitude towards the student.

Interesting fact

Our reaction to stress is associated, for the most part, not with the stressful situation itself and its strength, but with our sensitivity and susceptibility to it. There are high and low sensitivity thresholds. Low gives good resistance to stress. When high, the slightest stress factor can cause a violent and unpredictable reaction.

Phases of distress

The body's response to a stressful situation develops in stages; several successive phases can be distinguished:

• The initial phase is characterized by a state of fear , anxiety, and increased anxiety. At the first stage of development, the body’s resources are mobilized in order to cope with the negative impact as soon as possible;
• The next phase is denial . During this period, the person closes off emotionally, trying not to think about the problem;
• The last phase is resistance . It is at this time that, independently or with the help of others, tactics of behavior and options for resolving the situation are developed.

The development of distress corresponds precisely to the last phase, or more precisely, to disruptions in its passage . In case of incorrect assessment and prediction of the development of a situation, a person takes the wrong ways to solve it. This makes it difficult to cope with the problem, nervous tension increases, and the body’s resources come to an end. As a result, nervous exhaustion occurs and somatic disorders develop.

More than 9,000 people have gotten rid of their psychological problems using this technique.

What not to do in a stressful situation:

• Panic. Panic prevents a person from correctly assessing the situation; a person is unable to confidently and consistently move towards solving the problem;
• Show aggression. It’s not for nothing that they say: “Anger blinds the eyes.” Anger is not conducive to rational thinking;
• Act primitively or childishly (be offended, feel sorry for yourself, try to get away from the problem);
• Obsess over what is happening. The “cloudedness” of the view prevents you from rethinking the issue from different angles to find a possible solution;
• Begin to depend on the problem. A way out can be found from any situation. Situations on which your life truly depends are extremely rare.

What is the difference between stress and distress?

The book "stress without distress" was written by the founder of this term and explains a lot about the origin of stress, its euform and distress. The name itself makes it very clear that distress stems from stress. The book "stress without distress" explains the importance of eustress as a physical manifestation and its difference from pathological distress.

Stress is a more physiological state, ideally with the goal of adapting the body to certain unfavorable environmental conditions. Initially, stress is an adaptive mechanism that allows an individual to survive. It was relevant even during the life of primitive people, since there was a need to really survive. And in our time, during critical world changes and a different world perception, stress, due to its chronicity and long-term, one might say endless influence from all sides, has turned into distress.

The concept of distress in its primary essence comes from stress, but it lasted so long and acted so unfavorably that it passed into a more destructive state, which received the term distress.

The difference is that stress activates and forces a person to fight, go to the goal and win, achieve and chew out the rest. While distress weakens, depletes and knocks the individual out of social life. Stress can have a positive side, it can be holistically positive in joyful moments. For example, pregnancy and the birth of a baby are positive stress, which has the term eustress.

The concept of distress carries a much greater danger and indicates the presence of possible irreversible consequences in such a condition. In distress, somatization of mental experiences is always powerful. Distress carries with it serious pathologies, sometimes leading to a stroke.

Frequent accompaniments of distress are headache and insomnia, which do not allow the individual to exist in a comfortable state. A person perceives his surroundings very hostilely and apathetically. Distress is a negative form of stress that leads to consequences and often provokes mental disorders.

Fatigue during distress will also be higher and this affects relationships and life. The basic determination of what level the stress has reached and whether it has already become distress can only be given by the patient himself, since these experiences are individual. But undoubtedly, if the level of exhaustion and overwork reaches its maximum, then this is the development of distress.

There are special test methods for self-determination of distress or questionnaires for doctors. Distress is a powerful predictor of emotional burnout, which can unsettle any person for a long time.

Causes of distress

The causes of distress vary widely. They can be united by one definition - psychotrauma. At the same time, it is almost impossible to name situations that are known to cause harm to a person, since everyone’s psychological characteristics are different. The body's stress response is influenced by attitudes toward life, values, beliefs, and the tendency to interpret events in a certain way. However, there are some factors that in most cases cause chronic distress:

• A person is unable to satisfy his primary physiological needs (according to Maslow’s pyramid of needs: hunger, thirst, reproductive instinct, etc.)
• Health problems (long-term serious illness, chronic pain, injuries requiring long-term recovery);
• A person is constantly accompanied by situations that evoke sharply negative emotions;
• Serious losses (death of loved ones, separations, divorces);
• Long-term restrictions in anything (limitation of freedom, forced rehabilitation measures in case of injuries and illnesses, diet or smoking cessation);
• Financial difficulties (lack of money, lack of work, debts);
• Major life changes (marriage, having children, moving);
• Family difficulties (conflicts with life partner, children, parents);
• Complete absence of any stress factors. In this case, distress is caused by a lack of goals and aspirations in life.

It is also interesting that another condition for the development of a long-term state of distress is the number of stressful situations over a certain time period. Moreover, it is easier to deal with one major trouble than with a bunch of minor problems.

4. Treatment of the disease

Typically, people who develop ARDS are already in a fairly serious condition and are most often treated in a hospital. And, as a rule, acute respiratory distress syndrome requires resuscitation measures

.

There is actually no specific treatment for ARDS. The goal is to support the patient's respiratory function

and allow the lungs to recover.
This may involve the use of ventilators
or
oxygen injection into the lungs
. Currently, scientists are developing new methods of maintaining the lives of patients with ARDS. And, for example, it was found that the operation of conventional mechanical ventilators, which creates air flow, reduces the mortality rate of patients with ARDS and allows them to begin breathing on their own faster and abandon ventilators.

In addition to maintaining breathing, treatment for ARDS includes combating the underlying cause of the pathology.

. For example, if a patient is diagnosed with a bacterial infection, antibiotics are usually prescribed. Because patients are usually unable to feed themselves during therapy, fluids and nutrients are administered to the body through IVs and tubes.

Outlook for patients with ARDS.

As already mentioned, ARDS is a life-threatening condition. It is worth noting that the survival rate of people with ARDS has increased in recent years. While some recover completely from the disease, others experience long-term breathing problems and chronic lung damage.

Usually bad forecasts

associated with some unfavorable factors:

• Progressive cancer;
• Advanced age of the patient;
• Sepsis (bacterial blood infection);
• Long-term alcohol abuse;
• Chronic liver diseases;
• HIV infection;
• Multiple organ damage;
• Organ transplantation.

Full recovery from ARDS can take several months or even years. Pulmonary rehabilitation

is an important part of the recovery program. A good pulmonologist will definitely tell you how to restore normal lung function. And, of course, periodic examinations by a pulmonologist are necessary to assess the condition of the lungs and adjust the course of rehabilitation.

Symptoms

Signs of distress that is acute, that is, occurring suddenly for unforeseen reasons, are difficult to miss. Most often they manifest themselves as somatic reactions, depending on the physiological characteristics of the body:

• Pressure surge;
• Ragged and rapid breathing;
• Blood drains from the skin, causing pallor or red spots to appear;
• Chills, trembling in the hands, in the body;
• Sweating;
• Nausea;
• Pain in the head, heart, muscles.

Symptoms of chronic distress can also be recognized with sufficient observation. These include the following changes:

• A person’s taste habits and appetite change;
• Bad habits appear or intensify;
• Interest in activities that previously brought pleasure fades away. An example is refusal of sexual relations, communication, hobbies, sports;
• Everyone's inherent desire to improve something in their life is lost. The person becomes apathetic, passive, loses his sense of humor;
• From the nervous system, symptoms such as problems with sleep and memory appear. A person begins to worry and fuss over trifles, become nervous, irritable, absent-minded;
• Speech changes for the worse, previously existing problems worsen, slurring, stuttering, and filler words appear;
• Thinking abilities decrease, as attention becomes unstable and focused on the problem.

Possible consequences of chronic distress include:

• Development of neuroses and psychoses;
• Alcoholism, drug addiction;
• Cardiovascular diseases;
• Ulcerative diseases of the gastrointestinal tract.

Diagnostics

In psychology, there are a number of tests that allow you to independently diagnose the level of stress, depression and anxiety. The main ones:

• L. Reader's test. Determination of the level of psychosocial stress;
• Beck Depression Inventory;
• Spielberger and Hanin test. Assessment of the level of reactive and personal anxiety;
• Sheehan Anxiety Scale. Help in diagnosing anxiety disorders.

All these tests are quite simple and straightforward. With their help, you can assess your condition and decide whether you need specialist help.

Treatment and prevention

Until distress has acquired a clinical form that requires the help of a specialist and medication, there are quite a large number of methods of self-treatment:

• Organize yourself a good sleep, go to bed not during the day, but at night, always before midnight. Eliminate interfering factors, sleep at least 7-8 hours;
• Walk and relax in the fresh air more often;
• Engage in non-exhaustive sports; excessive physical activity in a state of distress is contraindicated;
• Practice proper relaxation. Do yoga, meditation, breathing exercises. Massage will help a lot;
• Adjust your diet towards healthy nutrition, give up stimulants, strong tea, coffee;
• Give vent to the negativity. Choose the best method for yourself: hit a pillow or punching bag, scream in the forest or in the field, break dishes;
• Don't focus on the problem. Take time for something else, choose an activity that will distract you. Works that require full concentration are well suited: pottery, carpentry, drawing;
• The solution often comes when you say the things that are bothering you out loud. Discuss your problem with a loved one. Sometimes an outside perspective can help you find a non-trivial solution.

Prevention of distress is individual in each case, since its causes are always subjective. We can only give some general recommendations:

• Before rushing into any adventures, assess whether there are prospects, consult with others;
• Consider your problems from a rational perspective, without complaints or accusations;
• Adequately evaluate yourself, your abilities, and the capabilities of your body. You should not take on obviously impossible obligations;
• Learn to stop and take a break. Even ten minutes a couple of times during the working day is enough. Relax on the weekend. The body's resources are not unlimited, constant work will undermine your strength, and in the end, due to fatigue, you will do less than you intended;
• Accept your mistakes as learning experiences. Analyze, find reasons, try to draw conclusions so as not to get into similar situations in the future.

Regular release of accumulated tension is very important for prevention . Everyone chooses a convenient and socially acceptable way. Use as many senses as possible. Eat well, rest, take vitamins. All this will help the body recover and prepare for inevitable new stress.

If you don’t want to give up and are ready to really, and not in words, fight for your full and happy life, you may be interested in this article .

3. Diagnosis of acute respiratory distress syndrome

There are no specific tests to diagnose acute respiratory distress syndrome. The doctor usually performs a general examination

and listens to the heart and lungs with a stethoscope.
characteristic breathing
will be heard - wheezing, with crackling sounds.

When there is low oxygen in the blood, the skin and lips may take on a bluish tint. An arterial blood test can be done to check your blood oxygen levels.

.
In some cases where ARDS is suspected, general tests
:

• Chest X-ray
  , which will help ensure that there is no fluid in the air spaces of the lungs;
• Complete blood count
  and other blood tests to detect signs of infection;
• Sputum testing
  to detect the presence of bacteria or fungus in mucus released from the lungs when coughing;
• Computed tomography (CT) scan to look for fluid in the lungs, signs of pneumonia, or to diagnose other lung problems.

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