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Stress and the General Adaptation Syndrome
Open accessAbstract
With the concept of the general adaptation syndrome we have attempted to integrate a number of seemingly quite unrelated observations into a single unified biologic system.I would draw attention briefly to the work of Claude Bernard, who showed how important it is to maintain the constancy of the "milieu interieur" ; Cannon's concept of " homoeostasis "; Frank Hartmann's " general tissue hor- mone" theory of the corticoids; Dustin's observations on the " caryoclastic poisons," the " post-operative disease," the curative action of fever, foreign proteins, and of other " non-specific therapeutic agents "; the " nephrotoxic sera " of Masugi; and to the " Goldblatt clamp" for the production of experimental renal hypertension.At first sight it would seem that all these observations have little in common and that there is no reason to attempt their integration into a unified system of physio- logical and pathological events.Yet most of my research work has been devoted to the construction of bridges between these and many additional facts, since they were thought to be interconnected in nature.Through the com- prehension of their unity we hoped to learn how to use them better for the understanding of life and the treatment of disease.The keynote of this unification was the tenet that all living organisms can respond to stress as such, and thiat in this respect the basic reaction pattern is always the same, irrespective of the agent used to produce stress.We called this response the general adaptation syndrome, and its derailments the diseases of adaptation.Anything that causes stress endangers life, unless it is met by adequate adaptive responses; conversely, anything that endangers life causes stress and adaptive responses.Adaptability and resistance to stress are fundamental pre- requisites for life, and every vital organ and function par- ticipates in them.In order to present a well-proportioned outline of the general adaptation syndrome it was necessary, therefore, to peruse every branch of physiology, biochemis- try, pathological anatomy, and clinical medicine in search of the "stress factor" in all aspects of normal and abnormal life.It will take many years, indeed many generations, before the details of the general adaptation syndrome are satis- *The first part of the Heberden Oration, given on June 2, 1950.
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“An updated version [10] of the classic general adaptation syndrome [152] and the foundational stress response theory of Horowitz [72], may provide a potential conceptual framework by postulating that stress reactions proceed through four hierarchical phases: freeze, flight, fight, and faint (or tonic immobility).”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [152]
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“Everything life-threatening may result in both stress and adaptive responses, making adaptability and resilience fundamental for facing stressful situations, in different life contexts [26,70].”
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“This response, according to Selye (1950) , is the alarm reaction.”
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“For example, his original detailing of the “general adaptation syndrome” included the notion that activation of the HPA axis by a stressor is a “basic reaction pattern irrespective of the agent used to produce stress” (Selye, 1950).”
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“Stress is actually the response of an organism to harmful situations or to a hostile environment that the individual perceives as a ‘threat’ [2].”
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“…nervous system; then second, the adaptive, or humoral, phase in which the adrenal cortex secretes glucocorticoids in an attempt to adapt to the damage or stressor; and third, if animals do not adapt, then they enter exhaustion, deterioration and ultimately death (Selye, 1937, 1950, 1975).”
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“Within the PNEI network, the stress response is at the crossroad of the reciprocal influences between the mind and the body, being triggered by both physical and psychosocial environmental challenges [11].”
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Becker, L., Kaltenegger, H. C., Nowak, D., Weigl, M., & Rohleder, N. (2023) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2023.106358 · Cited by 27
“…point for future research is to investigate associations between the stress systems of interest (i.e., SNS, HPA axis, and immune system) and their joint reactivity to multitasking and work interruptions, because these systems are not entirely independent (e.g., McEwen, 2007; Selye, 1950, 1946).”
BackgroundGoodchild, C. G., Frederich, M., & Zeeman, S. I. (2015) · Comparative Biochemistry and Physiology Part C Toxicology & Pharmacology · doi:10.1016/j.cbpc.2015.10.008 · Cited by 25
Beute, F., de Kort, Y. A. W., & IJsselsteijn, W. A. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13040420 · Cited by 27
“However, increasingly the evidence for the detrimental effects of stress points to prolonged (chronic) stress as the main contributor to the pathological effects rather than acute stressors (see e.g., [86–89]).”
Anxiety and Depression in Patients Undergoing Mitral Valve Surgery: A Prospective Clinical Study
Botzet, K., Dalyanoĝlu, H., Schäfer, R., Lichtenberg, A., Schipke, J., & Korbmacher, B. (2017) · The thoracic and cardiovascular surgeon · doi:10.1055/s-0037-1604461 · Cited by 23
Keshavarzy, F., Bonnet, C., Bezhadi, G., & Cespuglio, R. (2014) · Brain Structure and Function · doi:10.1007/s00429-014-0728-6 · Cited by 25
“…our data suggest that the changes in p-ERK levels and c-Fos expression observed in PVN, LC and DR nuclei, which are intense just at the end of the stress but reduced 3 h later, are primarily involved in the acute phase of the stress comprising alarm and resistance, as defined by Selye (1950).”
Price, C. S., & Schreck, C. B. (2003) · Canadian Journal of Fisheries and Aquatic Sciences · doi:10.1139/f03-080 · Cited by 25
“The physiological stress response is considered an adaptive mechanism by which a perturbed organism attempts to regain homeostasis and increase survival (Selye 1950; McEwen 1998; Schreck 2000).”
BackgroundHarrell, R. M., & Moline, M. A. (1992) · Journal of the World Aquaculture Society · doi:10.1111/j.1749-7345.1992.tb00751.x · Cited by 25
Therapy of acute myelogenous leukemia
Foon, K. A., & Gale, R. P. (1992) · Blood Reviews · doi:10.1016/0268-960x(92)90004-a · Cited by 25
Butterflies in the gut: the interplay between intestinal microbiota and stress
Lai, T.-T., Liou, C.-W., Tsai, Y.-H., Lin, Y.-Y., & Wu, W. (2023) · Journal of Biomedical Science · doi:10.1186/s12929-023-00984-6 · Cited by 26
“Corticosterone is a glucocorticoid in rodents (cortisol in humans) that serves as a crucial steroid hormone secreted in response to stress [60].”
BackgroundBaek, H., Yi, M., Pandit, S., Park, J. B., Kwon, H. H., Zhang, E., Kim, S., Shin, N., Kim, E., Lee, Y., et al. (2016) · Neurochemistry International · doi:10.1016/j.neuint.2016.05.006 · Cited by 26
Colombetti, G., & Zavala, E. (2019) · Biology & Philosophy · doi:10.1007/s10539-019-9699-6 · Cited by 33
“Only later did he mention the hypothalamus as a possible initiator of the syndrome (Selye 1950); and, even then, he still described the syndrome entirely in terms of bodily changes, focusing on endocrine processes.”
BackgroundTetel, V., Tonissen, S., & Fraley, G. S. (2022) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2021.113975 · Cited by 24
Mas‐Bargues, C., Sanz‐Ros, J., Romero-García, N., Huete-Acevedo, J., Dromant, M., & Borrás, C. (2023) · Redox Biology · doi:10.1016/j.redox.2023.102668 · Cited by 25
Shirvan, R. A., Setarehdan, S. K., & Nasrabadi, A. M. (2018) · International Clinical Neuroscience Journal · doi:10.15171/icnj.2018.11 · Cited by 23
Heart rate variability mediates motivation and fatigue throughout a high-intensity exercise program
Crawford, D. A., Heinrich, K. M., Drake, N. B., DeBlauw, J. A., & Carper, M. J. (2019) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2019-0123 · Cited by 23
Metadata
- Authors
- Selye, H.
- Affiliations
- Université de Montréal (CA)
- Corresponding author
- Selye, H.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1950-06-17
- Volume
- 1
- Issue
- 4667
- Pages
- 1383-1392
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC2038162
- OpenAlex
- W1991680271
- Cited by
- 1,481
- References
- 0
- Citations by year
- 2026: 59 · 2025: 98 · 2024: 79 · 2023: 111 · 2022: 117 · 2021: 96 · 2020: 102 · 2019: 90 · 2018: 80 · 2017: 64 · 2016: 64 · 2015: 47 · 2014: 54 · 2013: 51 · 2012: 52
- FWCI
- 12.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Bioactive Compounds
- Keywords
- general adaptation syndrome, stress, stress response, homeostasis, milieu intérieur, corticosteroids, tissue hormones, fever, nonspecific therapy, experimental renal hypertension, adaptability
- MeSH terms
- Acclimatization, Adaptation, Physiological, Adrenal Cortex, Adrenocorticotropic Hormone, General Adaptation Syndrome, Stress, Physiological, Tissue Extracts
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