The Stress Vulnerability model given by Spring and Zubin in 1977 signifies why some people are more vulnerable to acquiring mental illnesses. This model follows the interplay of factors like biological, environmental, and protective factors for the identification and intervention of mental and psychological disorders. When the level of stress crosses the limit of coping strategy, it is highly likely to be vulnerable to mental illnesses.
Read More: 15 Effective Stress Management Strategies for a Healthier Life
Biological Factors and Vulnerability
Genetic influences:
According to research, few genes can increase the susceptibility to mental illnesses, especially depression, schizophrenia, and bipolar disorder. The way neurotransmitters work in our brain, the structuration of the brain, regulation of stress hormones – all these factors are manipulated by certain genes identified in studies. Along with this, the neurobiology of the brain also comes into play. Serotonin and dopamine, the major neurotransmitter mechanism with the HPA axis (hypothalamic-pituitary-adrenal) directly manipulate the way an individual perceives and reacts to external stress.
Environmental Stressors:
There are a wide variety of environmental factors with diverse events such as employment insecurity, death of a loved one, and disruption in interpersonal relationships. When these conditions continue for a prolonged period, the coping mechanism of an individual gets tremendously damaged and weakened.
Early Life Experiences:
The conditions that a child experiences in the early developmental period hold great significance in making the child prone to mental illnesses. These include trauma, type of parenting and nurturing style, and unhealthy attachments. This affects the stress system and cognitive development.
Read More: Exploring Human Connection: A Look at Attachment Theory
Protective Factors and Resilience
Coping Strategies:
The way a person perceives, inhibits, and reacts to stress levels with their critical thinking and problem-solving skills largely impacts their coping mechanism. Seeking the right social support when needed, keeping the brain active with an affirmative external environment, and taking healthy breaks to relax; help in building stronger resilience and bouncing back to healthy mental health.
Social Support Networks:
Interpersonal relationships with family and friends along with community support act as reservoirs that can be used to deal with stress. Through this, a listening ear to vent about the stress can be made possible. By discussing the stress factors, the cloud of misery can turn into clarity. A sense of belonging and security can go miles to enhance the scoping mechanism for stress.
Access to Resources:
Accessibility to services of healthcare, employment, and adequate lifestyle is necessary to enhance and maintain healthy coping mechanisms and resilience. Healthcare, especially mental health care is considered a luxury in India. There are times when each one of us requires therapeutic support. Professional intervention through psychotherapists often gets stigmatized and people can’t afford it, be it in monetary terms or through acceptability.
How is the stress vulnerability model useful?
Assessment and Diagnosis:
Mental health professionals implement the stress vulnerability model for the screening and assessment of mental illnesses. The risk factors can be evaluated through this model along with customization and personalization of the interventional management. From comprehending genetic factors to experiences of daily living, coping mechanisms and triggers of stress can be analyzed.
Treatment Approaches:
The treatment plan incorporates multi-dimensional approaches such as psychotherapy, medications, and psycho-social support. Based on this stress vulnerability model, therapy helps in managing coping mechanisms while medications can help to regulate neurotransmitters. This contributes to building and strengthening resilience.
Preventive Interventions:
Prevention and early intervention are one of the most crucial elements of a healthy mental state of living. This is signified in the stress vulnerability model. Awareness and education about techniques and strategies for stress management can help in prevention further contributing to the reduction of triggers for stress inducement and the potential mental disorders associated with it.
Criticisms of the Stress-Vulnerability Model:
Criticisms for the stress vulnerability model revolve around the oversimplification of the complicated interplay of diverse factors such as biological, social, and psychological. Aspects like culture, family, and other interpersonal relationships, individualized resilience, and the shifting nature of the factors considered cannot be captivated altogether in this model.
Protective factors:
As the name suggests, protective factors are protected by the reduction of triggers to the state of vulnerability. For example, medications as the protective factor to degrade the symptoms of mental illnesses. Even providing a healthy and feasible environmental structure can act as a healthy protective factor that protects from stress.
The role of family and well-wishers:
The spectrum that is covered by the stress vulnerability model showcases the significant role that the family and other caregivers can cater to. This is possibly by building up and sustaining protective factors, it can be immediate aid or a long-term solution as well. Some of the examples include encouragement and support for the individual in continuing with medications and avoidance of substance abuse such as alcohol as an escape.
Gradual development of a sustainable coping mechanism by establishing and adapting effective communication skills and problem-solving skills for coping with diversified stress. Creating a positive and affirmative environment is another such factor that contributes as a protective factor made possible through family and other primary caregivers.
In conclusion, mental illnesses and other psychiatric disorders have both biological as well as environmental factors that function together. This model showcased how the effect of biological factors can be overpowered by the reduction of environmental triggers. These external factors can be as simple as taking medications regularly and avoiding alcohol. The role of family and other caregivers is highlighted to enhance the flow and quality of life when the stress is managed enough to not cause any impairment in healthy functioning.
References +
- Mueser & Glynn. (n.d.). THE STRESS VULNERABILITY MODEL OF PSYCHIATRIC DISORDERS [Journal-article]. https://www.mirecc.va.gov/visn22/stress_vulnerability_model_veteran_and_family_handout.pdf
- Msw, J. C. H. (2023, July 6). What is the Stress-Vulnerability model? Verywell Mind. https://www.verywellmind.com/what-is-the-stress-vulnerability-model-history-elements-6831765
- Demke E. The Vulnerability-Stress-Model-Holding Up the Construct of the Faulty Individual in the Light of Challenges to the Medical Model of Mental Distress. Front Sociol. 2022 May 23;7:833987. doi: 10.3389/fsoc.2022.833987. PMID: 35677188; PMCID: PMC9168073.
- https://australasianpsychologyservices.co/Articles/SFStressVulnerabilityCopingModel.pdf
