Mental and emotional stress induced by external or internal stressors, or both, can exert biological effects. Some stress, such as when it is a temporary and acute reaction danger or a problem, is positive. Biological effects in this scenario would enhance one's ability to handle or avert the stressor. Continuous or chronic stress, however, is a negative reaction that may contribute variably and adversely to health. Chronic stress in susceptible individuals may contribute to, worsen, or even cause some conditions, including altered blood pressure, compromised immune status, headaches, cardiovascular problems, aberrant insulin metabolism, worsening of asthma, back pain, and arthritis, gastrointestinal problems, and mood and behavior changes. 1 Russell E. Koren G. Rieder M. et al. Hair cortisol as a biological marker of chronic stress: current status, future directions and unanswered questions. Psychoneuroendocrinology. 2012; 37: 589-601 Abstract Full Text Full Text PDF PubMed Scopus (595) Google Scholar A role for stress in cancer metastasis is proposed. 2 Moreno-Smith M. Lutgendorf S.K. Sood A.K. Impact of stress on cancer metastasis. Future Oncol. 2010; 6: 1863-1881 Crossref PubMed Scopus (269) Google Scholar In certain individuals, stress reduction appears to attenuate disease effects or decrease disease progression. 3 Schneider R.H. Grim C.E. Rainforth M.V. et al. Stress reduction in the secondary prevention of cardiovascular disease: randomized, controlled trial of transcendental meditation and health education in Blacks. Circ Cardiovasc Qual Outcomes. 2012; 5: 750-758 Crossref PubMed Scopus (133) Google Scholar , 4 Baker J. Costa D. Nygaard I. Mindfulness-based stress reduction for treatment of urinary urge incontinence: a pilot study. Female Pelvic Med Reconstr Surg. 2012; 18: 46-49 Crossref PubMed Scopus (18) Google Scholar But does this relationship extend to kidney stone formation or to unusually aggressive or more complex stone problems? Chronic Stress and Calcium Oxalate Stone Disease: Influence on Blood Cortisol and Urine CompositionUrologyVol. 82Issue 6PreviewTo evaluate the influence of chronic stress (CS) on urine composition of calcium oxalate (CaOx) stone patients and controls. Full-Text PDF ReplyUrologyVol. 82Issue 6PreviewThe Editorial Comment provides an excellent summary of our current knowledge of the relation between stress and disease. That some acute stress reactions are necessary to protect us in dangerous situations is well known. However, when this kind of reaction is maintained continuously over a long period, it can become a risk factor for a variety of chronic illnesses. The objective of our study was to examine a possible link between chronic stress, measured from a multidimensional point of view, with one specific chronic illness: calcium oxalate (CaOx) stone disease. Full-Text PDF