Diathesis Stress Model

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Although stress is an inevitable part of a person’s life, it has different effects on

different people. Some people develop psychological disorders after being


exposed to major environmental stressors, while others do not.
Scientists have been trying to find out and explain what causes this difference in
outcomes. The diathesis-stress model is one explanation based on scientific
understanding.

THE DIATHESIS-STRESS MODEL


The diathesis-stress model describes how the interaction of predisposition
(diathesis) and stressful situations (stress) can trigger physical or mental health
disorders. It is also known as the stress-vulnerability model or stress-diathesis
model.
Diathesis is a person’s predisposition or vulnerability to a medical condition,
which can be a psychological or physical disorder. This terminology was first
used in psychiatry in the study of schizophrenia, and later depression.
This predisposition can be inherited genetically, created by environmental
stressors early in life, or caused by the genetics × environment interaction
(GxE).
According to the diathesis-stress theory, stress is more likely to lead to physical
or mental illnesses in someone predisposed to it as opposed to someone without
the disposition.

THE DUAL RISK MODEL


The diathesis-stress model is also known as the dual risk model because stress
is a risk factor that has two roles here.
Certain environmental risk factors may increase a person’s predisposition in
early life. This early life experience can lower an individual’s threshold for
developing mental disorders, and allow subsequent stressors to trigger the
disorders more easily.
Examples of risk factors include punitive parenting, childhood maltreatment,
physical or sexual abuse, and young girls.
Stress, therefore, plays a dual role:
• Early stress exerts a formative influence on children increasing their
underlying vulnerability to psychological disorders.
• Later stress exerts a precipitating or triggering influence by activating the
actual onset of the disorders.

DIATHESIS CAN CAUSE STRESS


One possible interaction between diathesis and stress is that the underlying
predisposition may cause or affect the experience of stress. That is, having
certain vulnerabilities may increase one’s likelihood of incurring a high level of
stress.
For instance, a genetic vulnerability may cause a person to cope with life in a
way that creates a stressor that normal people without the trait will not
experience.
This bidirectional influence can be seen in some individuals predisposed to
depressive symptoms. These individuals may exhibit irritability, fatigue, and
social withdrawal. These symptoms can cause problems in their interpersonal
relationships and employment. If those problems end up causing the loss of a
close relationship or job, then those experiences become the stressors that
catalyze the onset of major depressive disorder.
In this scenario, stress is not just a random event, but the consequence of having
a vulnerability.
Another type of interaction is that vulnerabilities can alter a person’s perception
of stress.
For example, a vulnerable person may perceive an ordinary experience as a
highly stressful event. The vulnerabilities essentially cause high levels of
psychological distress.

STRESS CAN CAUSE DIATHESIS


In the depression scar hypothesis, the first episode of a person’s major
depression may cause them to form negative thinking patterns. These new
thinking patterns then become the vulnerability and lead to later episodes of
depression when further stressful events are encountered.
In recent years, scientists have found another pathway for stressful events to
create a biological vulnerability. They found that some environmental factors
can modify gene expression through epigenetic processes. Such modifications
are independent of the genetic makeup of a person.

DIATHESIS-STRESS MODEL AND PARENTING


The diathesis stress theory consolidates existing research on parenting proving
that parenting matters. Lack of parental emotional support, authoritarian
parenting, and domestic violence are among the risk factors that can lead to
vulnerabilities in children. Children who grew up under these conditions are at a
high risk of depression and other serious mental illness.

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