Typically it is said when listening to someone talking-- it is a polite way to let them know that you are paying attention. Think of it as going 'mm' or 'ah'.
In addition stress can have direct effects on the skin (rashes, hives, atopic dermatitis, the gastrointestinal system (GERD, peptic ulcer, irritable bowel syndrome, ulcerative colitis) and can contribute to insomnia and degenerative neurological disorders like Parkinsonâs disease.
Effects of Traumatic Stress after Mass Violence, Terror, or Disaster Normal reactions to an abnormal situation It is important to help survivors recognize the normalcy of most stress reactions to disaster.