Chronic Stress Hormonal Impact refers to the long-term, maladaptive changes in the neuroendocrine system resulting from prolonged exposure to psychological or physiological stressors. This sustained activation of the hypothalamic-pituitary-adrenal (HPA) axis leads to persistent hypercortisolemia and eventual HPA axis dysregulation. Clinically, this impact can manifest as impaired thyroid function, suppressed reproductive hormones, and metabolic derangements, profoundly affecting well-being.
Origin
The concept is rooted in Hans Selye’s General Adaptation Syndrome, which first described the physiological response to stress in the mid-20th century, though the detailed hormonal mechanisms were elucidated later. “Chronic stress” denotes the enduring nature of the stimulus, and “hormonal impact” precisely identifies the endocrine system as the primary affected physiological domain. This term emphasizes the clinical consequences of unremitting allostatic load.
Mechanism
Persistent stressors trigger the hypothalamus to release corticotropin-releasing hormone (CRH), stimulating the pituitary to release adrenocorticotropic hormone (ACTH), which in turn prompts the adrenal glands to secrete cortisol. Over time, the sustained high cortisol levels lead to a blunting of receptor sensitivity and a disruption of the normal diurnal cortisol rhythm. This dysregulation compromises the negative feedback loops, creating a state of hormonal imbalance that extends beyond the adrenal axis.
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