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Protective and Damaging Effects of Stress Mediators

Bibliographic Data

ID23313693
AuthorsBruce S Mcewen (0000-0002-5288-7892, Rockefeller University, corresponding author)
EditorsJeffrey S Flier, Lisa H Underhill
Year1998
Volume338
Issue3
Pages171-179
Publication date1998-01-15
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueNew England Journal of Medicine (JOURNAL)
Journal identifiersISSN: 0028-4793 • E-ISSN: 1533-4406
PublisherMassachusetts Medical Society (PUBLISHER • US)
DOI10.1056/nejm199801153380307
PMID9428819
OpenAlexW2334787351
LanguageEN
Citations received1.000
References cited103

Over 60 years ago, Selye1 recognized the paradox that the physiologic systems activated by stress can not only protect and restore but also damage the body. What links these seemingly contradictory roles? How does stress influence the pathogenesis of disease, and what accounts for the variation in vulnerability to stress-related diseases among people with similar life experiences? How can stress-induced damage be quantified? These and many other questions still challenge investigators.This article reviews the long-term effect of the physiologic response to stress, which I refer to as allostatic load.2 Allostasis — the ability to achieve stability through change3 — . . .

Allostasis · Allostatic load · Disease · Pathology · Stress (linguistics) · Vulnerability (computing) · Circadian rhythm and melatonin · Climate Change and Health Impacts · Immunology · Medicine · Stress Responses and Cortisol · Gerontology

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Unique citing works1.000
Citations per year35,71
Citation span1998 - 2026 (29)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 886

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