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Article

Well-Being and the Preparation of Teachers  

Josep Gustems-Carnicer and Caterina Calderon

Modern society has achieved levels of well-being linked to economic prosperity, better and more extended education, and greater life expectancy. For individuals, improvements in well-being impact positively on friendships and other social relationships, marriage, and work satisfaction. There is no doubt that the future of society depends in great measure on the teachers who work with future citizens. Unfortunately, too many teachers in developed countries suffer from chronic, work-related stress, which negatively affects their health, life satisfaction, vocation, and professional stability in the education system. Ensuring the well-being of teachers is essential to ensure that future generations of citizens receive the best help in their intellectual, emotional, and interpersonal growth. For teachers, certain personality traits can mitigate the effects of stress. Mindfulness and coping strategies can also help to minimize the negative effects of stress, but the most effective way to help student teachers deal with stress is to include specific programs throughout teacher education courses in universities. Starting university is traditionally considered to be a period characterized by many changes that can cause stress among students, such as separation from one’s family, entering the job market, negotiating the student workload, changing address, and attempting to make new friendships. In teacher education, universities are in a position both to improve their students’ lives and to give them information about how to negotiate future professional difficulties. Teacher education programs must maintain constant interest in enhancing the academic performance of the students, and their affective conditions must enrich the exercise and development of students’ virtues and strengths, at the same time as students are offered tools for their working future. The actions promoted to help students develop these virtues and strengths should be accompanied by an effective tutorial action plan, a psychological health service for students, activities to help students acquire self-awareness of character strengths, a mentoring plan, tutoring among students, teamwork, programs to develop coping strategies, the organization of educational material, discipline, full class control, programs to optimize students’ time management, guidance on negotiating the increasing levels of bureaucracy in education, creative exercises to compensate for the lack of resources, collective exercise (sports), artistic activities, programs of mindfulness, religious practice, and volunteer work. Education students need to have a university experience that provides them with numerous opportunities to develop values, competences, attitudes, knowledge, beliefs, an identity, and coping strategies that will help them to be better professionals, more conscientious citizens, and happier individuals.

Article

Physiological Measures of Wellness and Message Processing  

Kory Floyd, Corey A. Pavlich, and Dana R. Dinsmore

Research has shown that the expression of affection and other forms of prosocial communication between two or more people promotes wellness and has the potential to increase life expectancy. The human body contains multiple physiological subsystems that all contribute to the overall health and well-being of an individual; the simple act of engaging in prosocial communication has been shown to positively influence one’s health and well-being. The specific benefits of engaging in prosocial communication are not limited to one specific physiological subsystem; it is the pervasiveness of this benefit that is so important. The benefits of prosocial communication range from building the body’s defense systems to increasing the effectiveness of recovery; in essence, prosocial communication increases the body’s overall integrity and rejuvenating power. These benefits have been observed for a variety of prosocial behaviors, including the expression of affection, touch, social support and cohesion, and social influence. The health benefits of prosocial communication point to the importance of considering prosocial communication when designing health and risk messages.

Article

Vowel Length in the Romance Languages  

Michele Loporcaro

This article classifies all the Romance languages and dialects with regard to the phonological property of vowel length, phonemic and allophonic, considering its relationship to its correlate in phonetic substance, namely vocoid duration. It examines the rise and fall of vowel length in Romance, starting with a reference to Latin, where vowel length was contrastive as was consonant length, while in the Latin-Romance transition the former became dependent on the latter, as a part of a syllable structure conditioning. Consequently, Proto-Romance can be reconstructed as featuring an allophonic rule that lengthens stressed vowels in non-final open syllables (short, OSL) identical to that operating today in standard Italian, all Italo-Romance dialects south of the La Spezia-Rimini line, and Sardinian, which I will label type A languages. Due to a series of later changes, the remaining Romance languages and dialects lost this allophonic rule, which gave rise to either of the two further types: on the one hand, languages lacking contrastive gemination and contrastive vowel length (type B, including Daco- and Ibero-Romance all along their documented history, as well as, today, most of Gallo-Romance); and, on the other hand, languages lacking contrastive gemination but displaying contrastively long versus short vowels (type C, including most of northern Italo-Romance as well as part of Raeto- and Gallo-Romance, but which arguably stretched from the Apennines to the North Sea in the Middle Ages). This article examines all relevant sources of evidence, from Latin epigraphic inscriptions to experimental phonetic measurements, showing that they all chime perfectly with the picture just outlined. Needless to say, while the data from modern languages and dialects are observational, and those from older stages delivered by the written record need interpretation, reconstruction is, by definition, constructional: It can be supported by several sources of evidence but is in itself always provisional. Therefore, the story to be told here must be considered the best approximation to the historical truth that the present author deems reconstructible based on the available evidence.

Article

Stress-Modulated Pathways  

Nicolas Rohleder

Stress is a condition or an experience that is pervasive throughout human life. While there are many definitions of stress, a common notion is that stress is processed in the central nervous system and has effects on health that are mediated by stress-modulated pathways. Several brain areas, such as the amygdala and the broader limbic system, are involved in interpreting situations as potentially stressful. The signals of these areas converge in the hypothalamus, which orchestrates peripheral stress-modulated pathways, mainly the hypothalamus-pituitary-adrenal (HPA) axis and the autonomic nervous system (ANS). Health effects of stress are mediated by long-term alterations of basic stress system activity, which has downstream effects on pathophysiological pathways such as the inflammatory system.

Article

Critical Challenges to Police Officer Wellness  

Brooke McQuerrey Tuttle, Daniel M. Blumberg, and Konstantinos Papazoglou

Police officers face unique challenges in the line of duty that threaten their health and well-being. Officers experience organizational, operational, community-related, and personal stressors ranging from shift work and critical incident response to public pressures related to police-community relations and social media. Police stress was amplified by the COVID-19 global public health crisis and the fractured community–police relations during the civil unrest of 2020 following a high-profile police use-of-force death in the United States. Exposure to police stress and trauma presents external challenges to wellness which makes officers vulnerable to experiencing compassion fatigue, moral injury, and burnout. Compassion fatigue, resulting from caring for those who suffer, is associated with feelings of anger, anxiety, guilt, hopelessness, and powerlessness. Other symptoms may include emotional instability, diminished self-esteem, self-harm, inability to concentrate, hypervigilance, disorientation, rigidity, apathy, perfectionism, and preoccupation to trauma. Furthermore, moral injury occurs when officers witness or take part in acts that violate their deeply held moral beliefs, which in turn carries implications for psychological and spiritual well-being. The interconnectedness of challenges to officer wellness are detrimental to physical, cognitive, emotional, spiritual, behavioral, and social health, as well as ethical decision-making in the line of duty. Negative health outcomes include risk for sleep disorders, cardiovascular disease, destructive coping, posttraumatic stress disorder, and suicide. Implications from prior research with police, other frontline professionals, veterans, and military personnel have led to a police health promotion approach that focuses on wellness, ethics, and resilience, as well as a number of interventions and techniques that can potentially promote wellness and effective stress management for police officers. Training related to stress management and wellness promotion have been found to significantly improve officers’ performance in the line of duty and overall health. This includes viewing wellness as a perishable skill, requiring ongoing practice, updated training, and numerous outside resources (e.g., psychological services, posttrauma intervention, peer support, and chaplaincy). Stress management techniques, gratitude and appreciation letters, mindfulness, and other community-oriented programs are some examples of effective strategies to promote the health of the law enforcement community. Furthermore, compassion satisfaction, emotional intelligence, and emotional regulation play a significant role in helping officers maintain stability in their personal and professional lives while capably serving their communities.

Article

Trauma  

Nancy J. Smyth

This entry summarizes the current state of knowledge about the nature of trauma and intervention with trauma reactions. It includes the history of traumatology, demographics, theory, research and best practices, controversies, and current trends as well as diversity issues and international and interdisciplinary perspectives.

Article

Stress Effects on Health  

Paula S. Nurius and Charles P. Hoy-Ellis

Evolving understandings of stress have literally transformed how we think about health as contextualized within complex and multilevel transactions between individuals and their environment. We present core concepts of stress through the lens of life-course and life-span perspectives, emphasizing appraisal-based and biobehavioral models of stress response systems. We describe theories of allostatic load, embodiment, epigenetics, weathering processes, and accelerated aging that operationalize mechanisms through which stress affects health and contributes to health disparities. In addition to social determinant and life-span developmental perspectives on stress and health, we emphasize the value of health-promotive factors that can serve to buffer stress effects. Social work has important roles in targeting health-erosive stress from “neurons to neighborhoods”.

Article

Adolescent Brain Development  

Jessica M. Black

Although it was once widely held that development through toddlerhood was the only significant time of tremendous brain growth, findings from neuroscience have identified adolescence as a second significant period of brain-based changes. Profound modification of brain structure, function, and connectivity, paired with heightened sensitivity to environment, places adolescence both as a heightened period of risk and importantly as a time of tremendous opportunity. These findings are of key relevance for social-work policy and practice, for they speak to the ways in which the adolescent brain both is vulnerable to adverse conditions and remains responsive to positive environmental input such as interventions that support recovery and resilience.

Article

Trauma and Stress-Related Disorders  

Kathryn Basham

Traumatic events have permeated our lives throughout history and across the globe, inflicting profound losses on individuals, families, and communities during warfare, armed conflict, natural disasters, and relational violence. Although many survivors of these events harness their resilience and cope without long-term negative mental health effects, others experience a range of physical and mental health conditions, including trauma- and stress-related disorders. With an emphasis placed on adult trauma survivors, the conditions of posttraumatic stress disorder, acute stress disorder, adjustment disorders, complex trauma, and other stress-related conditions have been explored within a social context. Starting with a historical context, the following topics were addressed. The typologies of trauma were introduced including the definitions of Type I trauma—a single discrete event including natural catastrophes; Type II trauma—chronic and repetitive traumatic physical, sexual, and/or emotional abuse; and Type IIII—severe and multiple abusive events with multiple perpetrators. Historical and intergenerational trauma reflect a collective of complex traumatic events throughout generations that resonate in subsequent generations in terms of ungrieved losses and survivor guilt, among other psychosocial issues. Cultural and racial trauma include chronic verbal and/or physical assaults that involve racialized bigotry. Combat trauma involves a combination of deployment stressors that have affected servicemembers in distinct ways with “signature injuries” associated with different wartime conflicts. The next section addresses the current typology of the Diagnostic and Statistical Manual of Mental Disorders—V, noting the changes in diagnostic criteria, in particular related to the diagnosis of posttraumatic stress disorder (PTSD). Mental health responses to trauma vary a great deal based on a balance of risk and protective factors, often revealing noteworthy resilience and the absence of negative aftereffects. The neurobiological effects of trauma are addressed along with mental health conditions or disorders (e.g., acute stress response, PTSD, complex trauma, and anxiety disorders). Specific phase-oriented and multimodality treatment interventions are reviewed that focus specifically on the mental health conditions presented. These approaches are research-informed, culturally responsive, and theoretically grounded Finally, the responses experienced by clinicians who work with traumatized clients are outlined along with recommendations for ways to minimize the effects of secondary, or vicarious, traumatization. Clinical vignettes based on case composites have been utilized to illustrate central points.

Article

Work-Family Conflict and Work-Life Conflict  

Ellen Ernst Kossek and Kyung-Hee Lee

Work-family and work-life conflict are forms of inter-role conflict that occur when the energy, time, or behavioral demands of the work role conflicts with family or personal life roles. Work-family conflict is a specific form of work-life conflict. Work-family conflict is of growing importance in society as it has important consequences for work, non-work, and personal outcomes such as productivity, turnover, family well-being, health, and stress. Work-family conflict relates to critical employment, family, and personal life outcomes. These include work outcomes (e.g., job satisfaction, organizational commitment, and turnover), family outcomes (e.g., marital satisfaction and family satisfaction), and personal outcomes related to physical health (e.g., physical symptoms, eating and exercise behaviors), and psychological health (e.g., stress and depressive symptoms, life satisfaction). Many different theoretical perspectives are used to understand work-life conflict: starting with role theory, and more recently conservation of resources, job demands and resources, and life course theories. Many methodological challenges are holding back the advancement of work-family conflict research. These include (1) construct overlap between work-family conflict and work-life conflict, and work-life balance measures; (2) measurement issues related to directionality and operationalization; and (3) a lack of longitudinal and multilevel studies. Future research should include studies to (1) advance construct development on linkages between different forms of work-family and work-life conflict; (2) improve methodological modeling to better delineate work-family conflict mechanisms; (3) foster increased variation in samples; (4) develop resiliency interventions that fit specific occupational contextual demands; (5) increase integration and sophistication of theoretical approaches; and (6) update work-family studies to take into account the influence of the growing prevalence of technology that is transforming work-family relationships.

Article

Psychological Stress and Cellular Aging  

Idan Shalev and Waylon J. Hastings

Stress is a multistage process during which an organism perceives, interprets, and responds to threatening environmental stimuli. Physiological activity in the nervous, endocrine, and immune systems mediates the biological stress response. Although the stress response is adaptive in the short term, exposure to severe or chronic stressors dysregulates these biological systems, promoting maladaptive physiology and an accelerated aging phenotype, including aging on the cellular level. Two structures implicated in this process of stress and cellular aging are telomeres, whose length progressively decreases with age, and mitochondria, whose respiratory activity becomes increasingly inefficient with advanced age. Stress in its various forms is suggested to influence the maintenance and stability of these structures throughout life. Elucidating the interrelated connection between telomeres and mitochondria and how different types of stressors are influencing these structures to drive the aging process is of great interest. A better understanding of this subject can inform clinical treatments and intervention efforts to reduce (or even reverse) the damaging effects of stress on the aging process.

Article

Everyday Salivary Cortisol as a Biomarker Method in Lifespan Developmental Methodology  

Christiane A. Hoppmann, Theresa Pauly, Victoria I. Michalowski, and Urs M. Nater

Everyday salivary cortisol is a popular biomarker that is uniquely suited to address key lifespan developmental questions. Specifically, it can be used to shed light on the time-varying situational characteristics that elicit acute stress responses as individuals navigate their everyday lives across the adult lifespan (intraindividual variability). It is also well suited to identify more stable personal characteristics that shape the way that individuals appraise and approach the stressors they encounter across different life phases (interindividual differences). And it is a useful tool to disentangle the mechanisms governing the complex interplay between situational and person-level processes involving multiple systems (gain-loss dynamics). Applications of this biomarker in areas of functioning that are core to lifespan developmental research include emotional experiences, social contextual factors, and cognition. Methodological considerations need to involve careful thought regarding sampling frames, potential confounding variables, and data screening procedures that are tailored to the research question at hand.

Article

General Strain Theory  

Timothy Brezina

General strain theory (GST) provides a unique explanation of crime and delinquency. In contrast to control and learning theories, GST focuses explicitly on negative treatment by others and is the only major theory of crime and delinquency to highlight the role of negative emotions in the etiology of offending. According to GST, the experience of strain or stress tends to generate negative emotions such as anger, frustration, depression, and despair. These negative emotions, in turn, are said to create pressures for corrective action, with crime or delinquency being one possible response. GST was designed, in part, to address criticisms leveled against previous versions of strain theory. Earlier versions of strain theory have been criticized for focusing on a narrow range of possible strains, for their inability to explain why only some strained individuals resort to crime or delinquency, and for limited empirical support. GST has been partly successful in overcoming these limitations. Since its inception, the theory has received a considerable amount of attention from researchers, has enjoyed a fair amount of empirical support, and has been credited with helping to revitalize the strain theory tradition. The full potential of GST has yet to be realized, however, as the theory continues to evolve and further testing is required.

Article

Mineralocorticoid Receptors and Glucocorticoid Receptors in HPA Stress Responses During Coping and Adaptation  

Edo Ronald de Kloet and Marian Joëls

The glucocorticoid hormones cortisol and corticosterone coordinate circadian events and are master regulators of the stress response. These actions of the glucocorticoids are mediated by mineralocorticoid receptors (NR3C2, or MRs) and glucocorticoid receptors (NR3C1, or GRs). MRs bind the natural glucocorticoids cortisol and corticosterone with a 10-fold higher affinity than GRs. The glucocorticoids are inactivated only in the nucleus tractus solitarii (NTS), rendering the NTS-localized MRs aldosterone-selective and involved in regulation of salt appetite. Everywhere else in the brain MRs are glucocorticoid-preferring. MR and GR are transcription factors involved in gene regulation but recently were also found to mediate rapid non-genomic actions. Genomic MRs, with a predominant localization in limbic circuits, are important for the threshold and sensitivity of the stress response system. Non-genomic MRs promote appraisal processes, memory retrieval, and selection of coping style. Activation of GRs makes energy substrates available and dampens initial defense reactions. In the brain, GR activation enhances appetitive- and fear-motivated behavior and promotes memory storage of the selected coping style in preparation of the future. Thus, MRs and GRs complement each other in glucocorticoid control of the initiation and termination of the stress response, suggesting that the balance in MR- and GR-mediated actions is crucial for homeostasis and health.

Article

The Ouroboros of Inflammatory Signaling to the Brain for the Control of Neuroendocrine Function  

Georgia E. Hodes

In the late 20th century, the discovery that the immune system and central nervous system were not autonomous revolutionized exploration of the mechanisms by which stress contributes to immune disorders and immune regulation contributes to mental illness. There is increasing evidence of stress as integrated across the brain and body. The immune system acts in concert with the peripheral nervous system to shape the brain’s perception of the environment. The brain in turn communicates with the endocrine and immune systems to guide their responses to that environment. Examining the groundwork of mechanisms governing communication between the body and brain will hopefully provide a better understanding of the ontogeny and symptomology of some mood disorders.

Article

Behavioral Neuroendocrinology: Cognition  

Victoria Luine

The demonstration of steroid binding proteins in brain areas outside of the hypothalamus was a key neuroendocrine discovery in the 1980s. These findings suggested that gonadal hormones, estradiol and testosterone, may have additional functions besides controlling reproduction through the hypothalamic–pituitary–gonadal axis (HPG) and that glucocorticoids may also influence neural functions not related to the hypothalamic–pituitary–adrenal axis (HPA). In the past 30 years, since the early 1990s, a body of neuroendocrine studies in animals has provided evidence for these hypotheses, and in 2020, it is generally accepted that steroid hormones exert robust influences over cognition—both learning and memory. Gonadal hormones, predominantly estrogens, enhance learning and memory in rodents and humans and influence cognitive processes throughout the lifespan. Gonadal hormones bind to classical nuclear estrogen receptors and to membrane receptors to influence cognition. In contrast to the generally positive effects of gonadal hormones on learning and memory, adrenal hormones (glucocorticoids in rodents or cortisol in primates) released during chronic stress have adverse effects on cognition, causing impairments in both learning and memory. However, emerging evidence suggests that impairments may be limited only to males, as chronic stress in females does not usually impair cognition and, in many cases, enhances it. The cognitive resilience of females to stress may result from interactions between the HPG and HPA axis, with estrogens exerting neuroprotective effects against glucocorticoids at both the morphological and neurochemical level. Overall, knowledge of the biological underpinnings of hormonal effects on cognitive function has enormous implications for human health and well-being by providing novel tools for mitigating memory loss, for treating stress-related disorders, and for understanding the bases for resilience versus susceptibility to stress.

Article

Sexual Harassment in the Workplace  

Rose L. Siuta and Mindy E. Bergman

Business and management conceptualizations of sexual harassment have been informed by both legal and psychological definitions. From the psychological perspective, sexual harassment behaviors include harassment based on one’s gender, enacting unwanted sexual attention, and sexual coercion. The most recent psychological theories of sexual harassment acknowledge that it is a gendered experience motivated by the societal stratification of gender and not by sexual gratification. Harassing behaviors negatively impact individual well-being. Well-documented workplace effects of sexual harassment include reduced job satisfaction, organizational commitment, and productivity, and increased job stress, turnover, withdrawal, and conflict. Sexual harassment negatively affects target’s psychological and physical well-being, including increases in post-traumatic stress disorder (PTSD), depression, and anxiety symptoms, emotional exhaustion, headaches, sleep problems, gastric distress, and upper respiratory problems. All of these individual-level effects can result in financial decrements for the target and the organization. Both individual and organizational factors predict sexual harassment. Women are more likely to experience sexual harassment, as well as minoritized persons, with women who embody more than one minority identity being the most likely to experience sexual harassment. This finding supports the interpretation of sexual harassment as motivated by reinforcing societal power hierarchies. Other individual factors such as sexual orientation, age, education level, and marital status are also related to experiencing sexual harassment. At the organizational level, organizational climate, job-gender context, and relative power between the harasser and the target predict sexual harassment. Organizational climates that are more tolerant of sexual harassment produce more sexual harassment. In addition, as masculinity of a work context increases, so does sexual harassment for women. Lastly, those with lower organizational power are more likely to experience sexual harassment, particularly by people with higher levels of power; however, contrapower harassment (harassment of individuals with higher organizational power by those with lower organizational power) can also occur. Reporting harassment to organizational authorities has been theorized to lead to positive outcomes, but reporting rates are low. This may reflect findings that procedures for reporting are often unclear and that reporting often leads to worse outcomes for targets of harassment than their non-reporting peers. The two most common approaches to measuring sexual harassment are direct query (explicitly ask about sexual harassment) or behavior experiences (ask respondents about how many sexually harassing behaviors they have experienced). A few considerations for the methodology used in these studies include inconsistency in conceptual or operational definitions of sexual harassment, the framing of a study, the retrospective nature of research asking about past experiences, and the sampling methodology used. A number of gaps remain in the documentation and understanding of sexual harassment phenomena, which intersect with some research practices and challenges. These include (a) the need to take into account factors other than incidence rates, such as perceived severity of experiences; (b) further examination of how multiple minority statuses and intersectional oppression affect harassment; (c) the importance of conducting research on harassment perpetrators; and (d) the examination of culturally informed topics related to sexual harassment, particularly outside Western countries.

Article

Work, Stress, Coping, and Stress Management  

Sharon Glazer and Cong Liu

Work stress refers to the process of job stressors, or stimuli in the workplace, leading to strains, or negative responses or reactions. Organizational development refers to a process in which problems or opportunities in the work environment are identified, plans are made to remediate or capitalize on the stimuli, action is taken, and subsequently the results of the plans and actions are evaluated. When organizational development strategies are used to assess work stress in the workplace, the actions employed are various stress management interventions. Two key factors tying work stress and organizational development are the role of the person and the role of the environment. In order to cope with work-related stressors and manage strains, organizations must be able to identify and differentiate between factors in the environment that are potential sources of stressors and how individuals perceive those factors. Primary stress management interventions focus on preventing stressors from even presenting, such as by clearly articulating workers’ roles and providing necessary resources for employees to perform their job. Secondary stress management interventions focus on a person’s appraisal of job stressors as a threat or challenge, and the person’s ability to cope with the stressors (presuming sufficient internal resources, such as a sense of meaningfulness in life, or external resources, such as social support from a supervisor). When coping is not successful, strains may develop. Tertiary stress management interventions attempt to remediate strains, by addressing the consequence itself (e.g., diabetes management) and/or the source of the strain (e.g., reducing workload). The person and/or the organization may be the targets of the intervention. The ultimate goal of stress management interventions is to minimize problems in the work environment, intensify aspects of the work environment that create a sense of a quality work context, enable people to cope with stressors that might arise, and provide tools for employees and organizations to manage strains that might develop despite all best efforts to create a healthy workplace.

Article

Natural Environments, Health, and Well-Being  

Matilda van den Bosch

Human beings are part of natural ecosystems and depend on them for their survival. In a rapidly changing environment and with increasing urbanization, this dependence is challenged. Natural environments affect human health and well-being both directly and indirectly. Urban green and blue areas provide opportunities for stress recovery and physical activity. They offer spaces for social interactions in the neighborhood and places for children’s play. Chronic stress, physical inactivity, and lack of social cohesion are three major risk factors for noncommunicable diseases, and therefore abundant urban greenery is an important asset for health promotion. Through numerous ecosystem services natural environments play a fundamental role in protecting health. Various populations depend on nature for basic material, such as fresh water, wood, fuel, and nutritious food. Biodiverse natural areas are also necessary for regulating the environment and for mitigating and adapting to climate change. For example, tree canopy cover can reduce the urban heat island effect substantially, preventing excess morbidity during heat waves. This natural heat-reducing effect also lessens the need for air conditioning systems and as a consequence decreases energy spending. Urban trees also support storm-water management, preventing flooding and related health issues. Air pollution is a major threat to population health. Urban trees sequester pollutants and, even though the effect may be relatively small, given the severity of the problem it may still have some public-health implications. The evidence around the effects of natural environments on health and well-being is steadily increasing. Several pathways and mechanisms are suggested, such as health services through functional ecosystems, early life exposure to biodiverse microbiota, which is important for the immune-system development, and sensory exposure, which has direct neurobiological impact supporting cognitive development and stress resilience. Support for several pathways is at hand that shows lower mortality rates and prevalence of cardiovascular and respiratory diseases, healthier pregnancy outcomes, reduced health inequalities, and improved mental health in urban areas with greater amounts of green and blue space. Altogether, the interactions between healthy natural environments and healthy people are multiple and complex, and require interdisciplinary attention and action for full understanding and resilient development of both nature and human beings.

Article

Stress and Neuroimmunology  

Eric S. Wohleb

Stress is experienced when stimuli pose a perceived or actual threat to an organism. Exposure to a stressor initiates physiological and behavioral responses that are aimed at restoring homeostasis. In particular, stress activates the hypothalamic-pituitary-adrenal axis, leading to release of glucocorticoids, and engages the autonomic nervous system, causing release of norepinephrine. These “stress hormones” have widespread effects, because most cells express respective receptors that initiate cell-type-specific molecular signaling pathways. In the brain, acute stress promotes neuronal activation, resulting in alertness and adaptive behavioral responses. However, chronic or uncontrolled stress exposure can have deleterious effects on neuronal function, including loss of synaptic connections, which leads to behavioral and cognitive impairments. Stress responses also influence the function of brain-resident microglia and peripheral immune cells that interact with the brain, and alterations in these neuroimmune systems can contribute to the neurobiological and behavioral effects of chronic stress. Ongoing research is aimed at uncovering the molecular and cellular mechanisms that mediate stress effects on neuroimmune systems, and vice versa.