Stress: How to Help Patients?

Cristina Aguzzoli, Anna Maria De Santi


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  • Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital. (last accessed May 2018)
  • Cannon WB. Bodily changes in pain, hunger, fear and rage. Whitefish, MT (USA): Literary Licensing, LLC, 2014. Original title: “Bodily changes in pain, hunger, fear and rage”, 1920
  • Chrousos GP. Stress and disorders of the stress system. Nat Rev Endocrinol 2009; 5: 374-81
  • Chrousos GP, Kino T. Intracellular glucocorticoid signaling: a formerly simple system turns stochastic. Sci STKE 2005; 2005: pe48
  • Yerkes RM, Dodson JD. The relation of strength of stimulus to rapidity of habit-formation. Journal of Comparative Neurology and Psychology 1908; 18: 459-82
  • Diamond DM, Campbell AM, Park CR, et al. The temporal dynamics model of emotional memory processing: a synthesis on the neurobiological basis of stress-induced amnesia, flashbulb and traumatic memories, and the Yerkes-Dodson law. Neural Plast 2007; 2007: 60803
  • Aguzzoli C, Tunini C. Emozioni e gestione dello stress. In: De Santi A, Fabio V, Filipponi F, et al. (a cura di). La promozione della salute nelle scuole. Attività pratiche su: salute mentale, life skills, educazione ai media, bullismo e sessualità. Roma: Istituto Superiore di Sanità, 2008. Rapporti ISTISAN 08/21. Available at (last accessed May 2018)
  • Rosendal M, Fink P, Falkoe E, et al. Improving the classification of Medically Unexplained Symptoms in Primary Care. Eur J Psychiat 2007; 21: 25-36
  • Kirmayer LJ, Groleau D, Looper KJ, et al. Explaining medically unexplained symptoms. Can J Psychiatry 2004; 49: 663-72
  • Tsigos C, Stefanaki C, Lambrou GI, et al. Stress and inflammatory biomarkers and symptoms are associated with bioimpedance measures. Eur J Clin Invest 2015; 45: 126-34
  • Hatcher S, Arroll B. Assessment and management of medically unexplained symptoms. BMJ 2008; 336: 1124-8
  • Russo SJ, Murrough JW, Han MH, et al. Neurobiology of resilience. Nat Neurosci 2012; 15: 1475-84
  • Rutter M. Resilience as a dynamic concept. Dev Psychopathol 2012; 24: 335-44
  • Southwick SM, Charney DS. The science of resilience: implications for the prevention and treatment of depression. Science 2012; 338: 79-82
  • World Health Organization. Programme on mental health: life skills in schools. WHO/MNH/PSF/93.7A Rev. 2. Geneva: WHO, 1997. Available at (last accessed May 2018)
  • Adam TC, Epel ES. Stress, eating and the reward system. Physiol Behav 2007; 91: 449-58
  • Dallman MF, Pecoraro NC, la Fleur SE. Chronic stress and comfort foods: self-medication and abdominal obesity. Brain Behav Immun 2005; 19: 275-80
  • Straub R. The origin of chronic inflammatory systemic diseases and their sequelae. Cambridge, MA (USA): Academic Press, 2015
  • Csíkszentmihályi M. Beyond boredom and anxiety. San Francisco, CA (USA): Jossey-Bass, 1975
  • Agnoletti M. Le esperienze ottimali, la resilienza e lo stress. PNEI NEWS 2015; 1: 7-10
  • Cherkas LF, Hunkin JL, Kato BS, et al. The association between physical activity in leisure time and leukocyte telomere length. Arch Intern Med 2008; 168: 154-8
  • Sleiman SF, Henry J, Al-Haddad R, et al. Exercise promotes the expression of brain derived neurotrophic factor (BDNF) through the action of the ketone body β-hydroxybutyrate. Elife 2016; 5: e15092
  • Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all cause mortality: a systematic review and meta-analysis. Prev Med 2012; 55: 163-70
  • Exercise is Medicine® (EIM). (last accessed May 2018)
  • True Health Initiative. (last accessed May 2018)
  • World Health Organization. The Ottawa Charter for health promotion. First International Conference on Health Promotion, Ottawa, 21 November 1986. Available at (last accessed May 2018)
  • American College of Lifestyle Medicine. (last accessed May 2018)
  • Institute of Lifestyle Medicine. (last accessed May 2018)
  • Italian Lifestyle Medicine. (last accessed May 2018)
  • Benson H. The relaxation response. Updated and expanded version. New York, NY (USA): HarperCollins, 2000. Original title: “The relaxation response”, 1975
  • Kabat-Zinn J. Bringing mindfulness to medicine: an interview with Jon Kabat-Zinn, PhD. Interview by Karolyn Gazella. Altern Ther Health Med 2005; 11: 56-64
  • Davidson RJ, Kabat-Zinn J, Schumacher J, et al. Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Med 2003; 65: 564-70
  • Zeidan F, Martucci KT, Kraft RA, et al. Brain mechanisms supporting modulation of pain by mindfulness meditation. J Neurosc 2011; 31: 5540-8
  • Rosenkranz MA, Davidson RJ, Maccoon DG, et al. A comparison of mindfulness-based stress reduction and an active control in modulation of neurogenic inflammation. Brain Behav Immun 2013; 27: 174-84
  • Ramel W, Goldin PR, Carmona PE. The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research 2004; 28: 433-55
  • Miller JJ, Fletcher K, Kabat-Zinn J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry 1995; 17: 192-200
  • Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. New York, NY (USA): Hyperion, 1994
  • Center for Mindfulness in Medicine, Health Care and Society. (last accessed May 2018)
  • Nakayama H, Kikuta F, Takeda H. A pilot study on effectiveness of music therapy in hospice in Japan. J Music Ther 2009; 46: 160-72
  • Yorks L, Kasl E. I know more than I can say: a taxonomy for using expressive ways of knowing to foster transformative learning. J Transform Educ 2006; 4: 43-64
  • Ben-Shahar T. Happier: learn the secrets to daily joy and lasting fulfillment. New York, NY (USA): McGraw-Hill Education, 2007, p. 192
  • Berk LS, Tan SA, Fry WF, et al. Neuroendocrine and stress hormone changes during mirthful laughter. Am J Med Sci 1989; 298: 390-6
  • Yovetich NA, Dale JA, Hudak MA. Benefits of humor in reduction of threat-induced anxiety. Psychol Rep 1990; 66: 51-8
  • Groene O (a cura di). Implementing health promotion in hospitals: Manual and self-assessment forms. Geneva: World Health Organization, 2006. Available at (last accessed May 2018)
  • The International Network of Health Promoting Hospitals and Health Services. (last accessed May 2018)
  • Aguzzoli C, Giacomini L, Della Vedova A, et al.; gruppo di lavoro sul benessere psicoemozionale. Come sostenere la valutazione sul benessere psicoemozionale nelle Aziende Sanitarie? Un contributo dalla rete HPH del Friuli Venezia Giulia. Health Promoting Hospitals, 2010. Available at (last accessed May 2018)


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