Chronic Stress Response Blunting describes a state where the hypothalamic-pituitary-adrenal (HPA) axis exhibits a diminished or flattened output of cortisol and other stress mediators despite ongoing psychological or physiological stressors. This represents a deviation from the expected acute feedback loop observed in healthy stress adaptation. It signals potential adrenal fatigue or dysregulation in the feedback mechanisms.
Origin
This term arises from clinical endocrinology research observing long-term HPA axis function in individuals experiencing persistent adversity. Etymologically, “blunting” signifies a reduction in the expected peak response amplitude characteristic of the initial stress mobilization phase. It contrasts sharply with the hyper-responsiveness seen in early-stage chronic stress.
Mechanism
The mechanism often involves altered glucocorticoid receptor sensitivity in the hypothalamus and pituitary, leading to reduced ACTH and subsequent cortisol release upon stimulation. Sustained high levels of circulating cortisol initially may lead to receptor downregulation or exhaustion of adrenal capacity. This blunting impairs the body’s ability to mount an appropriate, rapid counter-regulatory response when acute challenges arise.
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