Two Key Studies of Biological Explanations of Stress (DP IB Psychology)

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Key study one: Kiecolt-Glaser et al. (1984)

Aim: 

  • To investigate whether stress at exam time could lead to a reduction in immune system function

Participants: 

  • A volunteer sample of 26 female and 49 male first-year medical students from the Ohio State University College of Medicine

Procedure: 

  • This was a natural experiment with a repeated measures design

  • A repeated measures design means that participants were tested twice for their levels of natural killer (NK) cells - a month before the exams and after they had sat their first two exams 

  • A low level of NK cells indicates a reduction in immune system function

  • Before their first blood test they were given a questionnaire and on the results of that divided into two groups: high stress and low stress

  • They were also asked about loneliness, and split into two groups on that measure as well

Results:

  • There was a significant decrease in NK cell activity between the blood test taken before the exams and the blood test taken during the stress of the exams 

  • Participants in the high-stress group had lower levels of NK cells in both tests than those in the low-stress group

  • This was also true of those in the high loneliness group, who had lower NK cell levels than those in the low loneliness group

  • This finding means that stress experienced before the exams played a role in their immune systems' ability to cope with the stress of examinations 

  • The findings also demonstrate the role of social support as a protective factor for health, as loneliness was a predictor of a low level of NK cells

Conclusion:

  • Stress has a direct effect on the immune system by suppressing NK cell activity

9-two-key-studies-of-biological-explanations-of-stress

Exam stress can lower your immune system

Examiner Tip

When evaluating studies like Kiecolt-Glaser’s, focus on the methodological strengths and limitations and do not be tempted to refer to ethical considerations unless you can link them to the validity or reliability of the findings. Make sure you link your evaluation of the study back to the question.

Evaluation of Kiecolt-Glaser et al. (1984)

Strengths

  • The use of a repeated measures design eliminated the problem of participant variability, as each participant’s second blood test was compared against their first baseline measurement

  • The results of this natural experiment have high ecological validity as it is a study that has taken place in real life and not under artificial conditions

Limitations

  • Some of the medical student participants may have had better coping strategies than others, which would affect their stress response

  • The participants were all young first-year medical students and younger people usually have better immune systems than older people, which limits the generalisability of the findings

Key study two: Fernald et al. (2008)

Aim: 

  • To investigate the effect of continued stress on the cortisol levels of children with low-income, depressed mothers

Participants:

  • 639 children (315 girls; 324 boys)

  • Aged between 2 and 6 years old 

  • The participants came from low-income areas of Mexico.

Procedure: 

  • Households were identified in a house-to- house survey in low-income areas of urban Mexico 

  • All participating households were visited without prior appointment by a team of health professionals

  • The mothers of the children were interviewed in their homes, with each interview lasting one hour

  • The mothers also completed a standardised depression scale

  • The children were given cognitive tests to complete 

  • The children’s saliva was sampled for cortisol levels three times: on arrival of the researchers (baseline test), 25 minutes after arrival and 50 minutes after arrival

Results:

  • The researchers found that the children of mothers who had high levels of depression had low levels of cortisol at baseline

  • Higher levels of maternal depression was also associated with less increase in children’s salivary cortisol in response to the arrival of the researchers and the cognitive testing

  • Girls had some increase in cortisol levels in response to the researchers, but boys’ levels showed no change at all

  • This result is in direct contrast to previous studies which suggested high child cortisol levels go hand in hand with high maternal depression

Conclusion:

  • Among very low-income families, high maternal depressive symptoms are associated with a blunted cortisol response, particularly in boys

Evaluation of Fernald et al. (2008)

Strengths

  • The findings (which were unprecedented) could lead to therapies and interventions being implemented for those affected by chronic stress

  • The children’s cortisol levels were taken three times, allowing for objective measurement against a baseline, eliminating participant variability/individual differences 

Limitations

  • The researchers did not use a control group of children from higher-income families, which limits the generalisability of the findings to just this small target group

  • The study did not control for possible confounding variables, such as food eaten, health problems, exposure to fighting between parents or current post-traumatic stress disorder

Worked Example

The question is: ‘Evaluate one or more explanations for one health problem.’ [22]

This essay question is asking you to assess the strengths and limitations of one or more explanations for one or more health problems, using evidence to support your argument.

One health problem that is often viewed as a biological problem is stress.  The ‘stress response’ is the activation of the HPA axis in response to one or more stressors, resulting in the release of the stress hormones adrenaline, noradrenaline and cortisol. While the first two hormones are involved in the instantaneous ‘fight or flight’ response, if the stress continues then it is cortisol that becomes the most relevant. It remains high for as long as the stress is present, or until the cortisol response becomes exhausted. High levels of cortisone in the body are associated with a reduction in immune system protection and illness, as it interferes with white blood cell activity and ability to fight off antigens like viruses and bacteria. This reduction in the immune system’s ability to fight off infection when under chronic stress is thought to be why many people get a cold around exam time

Kiecolt-Glaser’s (1984) research into whether stress at exam time could lead to a reduction in immune system function was conducted on first-year medical students. The researchers tested participants twice for their levels of natural killer (NK) cells - once just a month before the exams and once after they had sat their first two exams. A low level of NK cells indicates a reduction in immune system function. Before their first blood test the medical students were given a questionnaire and on the results of that they were divided into a high stress and low stress group. They were also asked about loneliness, and split into two groups on that measure as well. Results showed that there was a significant reduction in NK cell activity between the first and second blood tests. Moreover, the students who had high stress and high loneliness, had lower baseline measures of NK cells in the first blood test. This shows that stress experienced before the exams also played a role in the immune system’s ability to cope with the stress of examinations. 

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