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Causes and Stages of Stress

Alarm reaction

For medical students2 min readUpdated 2026-10-10

Stress response (general adaptation syndrome) is a complex of nonspecific changes occurring in response to any unusual stimulus. It is an obligatory stage of urgent adaptation, mobilizing the body's protective forces to restore disrupted homeostasis.

Essence of stressA nonspecific (standard) reaction to any unusual or extreme stimulus.
Urgent adaptationStress always precedes the formation of the stage of sustained resistance.
Main goalElimination of homeostatic deviations and adaptation to new environmental conditions.
Three stagesThe process proceeds in a strict sequence: alarm, resistance, exhaustion.

What Triggers the Stress Response?

Any action of a stressor on the body initiates two parallel, closely interconnected processes:

  1. Mobilization of physiological mechanisms. They organize into new functional systems whose task is to provide specific adaptation to a particular stimulus. This can be a sharp drop in temperature (cold), lack of oxygen (hypoxia), heavy physical exertion, or exposure to toxins.
  2. Activation of nonspecific reactions. These are standard, universal processes that develop in response to absolutely any unusual exposure. This aggregate of nonspecific changes constitutes the true essence of the stress response.

Role of Stress and Possible Outcomes

The stress response plays a fundamental role in survival. It acts as an obligatory and inevitable link in the process of urgent adaptation to any extraordinary factor. Further adaptation is impossible without this stage: stress always precedes the formation of the sustained resistance stage and serves as its primary trigger mechanism.

The subsequent course of events depends on the success of adaptation and has two main outcomes:

Three Stages of the Adaptation Syndrome

The development of the general adaptation syndrome is a strictly programmed sequence of events. The stress response is conventionally divided into three consistent stages:

  1. Alarm reaction (Alarm reaction) — primary general response and mobilization of resources.
  2. Stage of resistance — period of maximal resistance to the damaging factor.
  3. Stage of exhaustion — failure of adaptation mechanisms under excessive exposure.

Alarm Reaction in Detail

The first phase of stress represents the stage of emergency adaptation. Its core essence lies in the lightning-fast mobilization of all the body's protective reserves to counter the extraordinary factor.

Trigger factors of the alarm stage:

Mechanism of development:

  1. The factor's impact causes a sharp increase in the flow of afferent signals into the central nervous system.
  2. These signals radically alter the current activity of cortical and subcortical regulation centers.
  3. An urgent formation of a new efferent signaling program, adequate to the emerged threat, occurs in the nerve centers.
  4. The ready program is immediately implemented in the periphery with the active involvement of both neural and humoral regulation mechanisms.

Mnemonic

The three stages of stress can be easily remembered by the acronym ARE: Alarm, Resistance, Exhaustion.

Frequently asked questions

Which hormones provide humoral regulation mechanisms during the alarm stage?

Sources indicate the involvement of neural and humoral regulation mechanisms during the alarm stage. Hormonal and biologically active factors mentioned in connection with excessive or prolonged alarm stages include:

  • Catecholamines (hypercatecholaminemia);
  • Glucocorticoids, including cortisol as a stress adaptation hormone;
  • Mineralocorticoids;
  • Thyroid hormones;
  • Other biologically active substances (BAS).
What mechanisms provide maximal body resistance during the resistance stage?

Maximal resistance of the body is provided by the following mechanisms:

  • Increased capacity and reliability of functional systems — achieved through hypertrophy and hyperplasia of structural elements in tissues and organs (endocrine glands, visceral, and hematopoietic organs).
  • Formation of specific resistance — resistance to a specific agent, as well as the cross-adaptation phenomenon (resistance to other factors).
  • Specific and nonspecific adaptation — via hyperfunction of dominant systems and the stress response.
What are the pathogenetic mechanisms of transition from stress to the stage of exhaustion?

The transition to the stage of exhaustion occurs if the stressor continues to act or its intensity increases. Here, adaptation and compensation mechanisms become insufficient, leading to breakdown and exhaustion of the body's adaptive responses. At this stage, the size of the adrenal cortex decreases, and hormone production drops.

What is the difference between specific and nonspecific reactions during stress?

Specific reactions ensure adaptation to a particular factor (e.g., cold or hypoxia). Nonspecific reactions are standard and develop during any unusual exposure—these form the basis of the stress response.

What happens if the body cannot adapt to the stressor?

If the stage of sustained resistance fails to form, homeostatic deviations persist or worsen. As a result, the stress state does not cease and subsequently progresses to the stage of exhaustion.

Which homeostatic parameters deviate during the alarm stage?

Vital indicators such as oxygen partial pressure (pO2), acid-base balance (pH), blood pressure, circulating blood volume (CBV), and body temperature change first.

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