Cli. 2 Stress Flashcards

(58 cards)

1
Q

Johansson - BACKGROUND?

Workplace stress - combined

A

Stress - reaction to excessive pressures (worry we can’t cope)
3 main factors:
-task related (information overload)
-interpersonal (role conflicts)
-environmental (temperature)
Health related mental illness - £28bn (¼ UK sick bill)
Stress can cause mental/physical illness

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2
Q

Johansson - AIM?

Workplace stress - combined

A

Investigate which stressors increase stress related physiological arousal and stress related illness

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3
Q

Johansson - SAMPLE?

Workplace stress - combined

A

24 workers in Swedish sawmill:

  • high risk - 14 (complex, computer paced jobs)
  • low risk - 10 (cleaners, maintenance)
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4
Q

Johansson - METHOD?

Workplace stress - combined

A

Quasi

High risk job or control (low risk)

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5
Q

Johansson - PROCEDURE?

Workplace stress - combined

A

High risk group (14 finishers):
-worked in final stage of processing timber
-machine paced, isolated, respective and highly skilled
-productivity determined wage rates of entire factory
Compared with low risk group (10 cleaners):
-more varied, self paced and allowed socialising with other workers

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6
Q

Johansson - DATA?

Workplace stress - combined

A
Stress related hormone (adrenaline and noradrenaline) - in urine
Records of days off sick due to stress
Self report - mood and alertness
Caffeine and nicotine consumption
Body temperature
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7
Q

Johansson - RESULTS?

Workplace stress - combined

A

2x stress hormones (adrenaline and noradrenaline) produced in high risk group (14 finishers) on work days than rest days
Higher levels of stress hormones, stress related illness (headaches) and absence from work than control group

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8
Q

Johansson - CONCLUSIONS?

Workplace stress - combined

A

Combination of work stressors (repetitiveness and machine paced) and high levels of responsibility lead to chronic (long term) physiological arousal
Leads to stress related illness and absence from work

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9
Q

Kanner - BACKGROUND?

Hassles and life events

A

Not all stress comes from major events - lesser events (giving presentation) can be stressful
Richard Lazarus developed scale to measure hassles - 117 events (minor annoyance to major problem)
Participants indicated which events took place and rated them - most common: health and too many things to do
Uplifts scale developed (for good things)

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10
Q

Kanner - AIM?

Hassles and life events

A

Compare ‘hassles and uplifts scale’ with ‘Berkman life events scale’ as predictors of physiological symptoms for stress

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11
Q

Kanner - SAMPLE?

Hassles and life events

A

100 people who completed health survey in 1965
From California
Mostly white and Christian
With adequate or above income
9th grade education minimum
216 initially contacted - 109 agreed (9 dropped out) = 100

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12
Q

Kanner - METHOD?

Hassles and life events

A

Repeated measures design
Completed ‘Hassles rating scale’ and ‘life events scale’
Psychological symptoms assessed using Hopkins symptom checklist and Bradburn morale scale

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13
Q

Kanner - PROCEDURE?

Hassles and life events

A

All tests sent out by post 1 month before the study:

  • hassles rating for 9 months
  • life events rating after 10 months
  • hopkins symptom checklist (HSCL) and Bradburn morale scale every month (for 9 months)
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14
Q

Kanner - RESULTS?

Hassles and life events

A

Hassles consistent month to month
Men: life events correlated positively with hassles - negatively with uplifts
Women: the more life events, the more hassles and uplifts reported
Hassle frequency correlated positively with psychological symptoms (HSCL)
Hassles correlated positively more with psychological symptoms than life events

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15
Q

Kanner - CONCLUSIONS?

Hassles and life events

A

Hassles are a better predictor of psychological symptoms than life events
Hassles contribute to psychological symptoms no matter the life events

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16
Q

Kanner - EVALUATION?

Hassles and life events

A

-

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17
Q

Geer and Maisel - BACKGROUND?

Lack of control - physiological

A

People prefer predictable rather than unpredictable events

When we can control when an unpleasant event will stop - lower response (predict length)

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18
Q

Geer & Maisel - AIM?

Lack of control - physiological

A

To see if perceived control or actual control reduce stress to averse stimuli

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19
Q

Geer & Maisel - SAMPLE?

Lack of control - physiological

A

60 psychology undergraduates at New York university

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20
Q

Geer & Maisel - METHOD?

Lack of control - physiological

A

Lab
Shown photos of dead car crash victims
Stress levels measured by GSR (Galvanic Skin Response)
Heart rate measured through ECG monitoring
Independent measures - 3 groups:
Group 1:
-control over time looking at photo (could press button to skip)
-warning tone before photo
Group 2:
-warned photo would be 60 seconds apart (photos shown for 35 seconds)
-10 second warning tone before photo
-no control but knew what was happening
Group 3:
-told they would see photos and hear tones
-not given timings or control

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21
Q

Geer & Maisel - GROUPS?

Lack of control - physiological

A

Group 1:
-control over time looking at photo (could press button to skip)
-warning tone before photo
Group 2:
-warned photo would be 60 seconds apart (photos shown for 35 seconds)
-10 second warning tone before photo
-no control but knew what was happening
Group 3:
-told they would see photos and hear tones
-not given timings or control

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22
Q

Geer & Maisel - MEASURES?

Lack of control - physiological

A

GSR (Galvanic Skin Response) - finger grips with moisture sensors on the ends of the fingers
Moisture change can be recorded (after 5 minute baseline - calibrated to zero)

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23
Q

Geer & Maisel - PROCEDURE?

Lack of control - physiological

A

Seated in sound proofed room and wired to GSR and ECG machines (calibrated for 5 minutes - give baseline)
Instructions read over intercom
Photo preceded with 10 second warning tone and then shown for 35 seconds (except group 1)
GSR taken on onset of tone, halfway through tone and in repose to picture

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24
Q

Geer & Maisel - RESULTS?

Lack of control - physiological

A

ECG recordings discarded - appeared inaccurate
Most stress - group 2
Least stress - group 1

25
Geer & Maisel - CONCLUSIONS? | Lack of control - physiological
Having control over your environment reduces stress responses
26
Geer & Maisel - EVALUATION? | Lack of control - physiological
A
27
Holmes and Rahe - BACKGROUND? | Self report
Life events - major events that require psychological adjustment Scale assigns value to each event Social Readjustment Rating (SRRS) - people rated amount of readjustment required for each event
28
Holmes & Rahe - AIM? | Self report
Create method that estimates extent of which life events are stressors
29
Holmes & Rahe - SAMPLE? | Self report
394 participants (179m and 215f)
30
Holmes & Rahe - METHOD? | Self report
Questionnaire | Discover how much each life event was seen as a stressor
31
Holmes & Rahe - PROCEDURE? | Self report
Rated 43 life events Marriage given arbitrary rating of 50 - events judged as requiring more or less readjustment and time Ratings based on personal experience or perception of others
32
Holmes & Rahe - RESULTS? | Self report
Final Social Readjustment Scale - finished using participants' mean scores Correlations high in all groups - EXCEPT between white and black people
33
Holmes & Rahe - CONCLUSIONS? | Self report
Degree of similarity between different groups - impressive | Shows general agreement of what a life event is and what causes stress
34
Holmes & Rahe - EVALUATION? | Self report
-
35
Michenbaum - BACKGROUND? | Cognitive
-
36
Michenbaum - AIM? | Cognitive
Compare Stress Inoculation Training with standard behavioural systematic desensitisation and control group (waiting list)
37
Michenbaum - SAMPLE? | Cognitive
21 students (age 17-25)
38
Michenbaum - METHOD? | Cognitive
Matched pairs (gender and anxiety levels): - SIT - waiting list (control) - standard systematic desensitisation
39
Michenbaum - PROCEDURE? | Cognitive
Tested using an anxiety questionnaire - allocated to group SIT group: -8 therapy sessions -insight approach (identify thoughts prior to test) -given positive statements and relaxation techniques Systematic desensitisation: -8 therapy sessions -progressive relaxation training (practiced at home) Control: -waiting list (therapy in the future)
40
Michenbaum - RESULTS? | Cognitive
Performance improved in SIT group - more reported improvement in anxiety levels Significant difference between therapy groups and control
41
Michenbaum - CONCLUSIONS? | Cognitive
SIT more effective to reduce anxiety | More effective than behavioural techniques (systematic desensitisation) - SIT adds cognitive component to therapy
42
Michenbaum - EVALUATION? | Cognitive
A
43
Budzynski - BACKGROUND? | Behavioural
A
44
Budzynski - AIM? | Behavioural
If biofeedback reduces tension headaches
45
Budzynski - SAMPLE? | Behavioural
``` 18 participants (2m and 16f) Replied to advert in Colorado local paper ```
46
Budzynski - METHOD? | Behavioural
Trained in LAB | Independent design - 3 groups
47
Budzynski - PROCEDURE? | Behavioural
Patients keep record of headaches of 2 weeks Group A - told to concentrate on clicks - clicks of biofeedback machine reflect muscle tension (slower clicks indicate less muscle tension) Group B - told to concentrate on clicks (pseudo feedback) Group C - no training - waiting list (training start in 2 months)
48
Budzynski - RESULTS? | Behavioural
Group A muscle tension significantly lower than group B - after 3 months Group A's headaches dropped significantly from baseline (B and C didn't) Group A drug usage decreased (more than B)
49
Budzynski - CONCLUSIONS? | Behavioural
Biofeedback is affective at training patients to relax and reduce headaches Effective method of stress management Relaxation training is most effective when combined with biofeedback
50
Budzynski - EVALUATION? | Behavioural
A
51
Waxler-Morrison - BACKGROUND? | Social support
A
52
Waxler-Morrison - AIM? | Social support
See how social relationships influence response to breast cancer survival
53
Waxler-Morrison - SAMPLE? | Social support
``` 133 women (under 55 years) Breast cancer ```
54
Waxler-Morrison - METHOD? | Social support
Quasi - diagnosed with breast cancer
55
Waxler-Morrison - PROCEDURE? | Social support
Mailed self administered questionnaire - gather demographic data, existing social networks, education level, responsibilities, perception of support Psychometric test of social network - combined marital status, contact with friends and church membership Diagnosis details recorded and survival rates checked in medical records
56
Waxler-Morrison - RESULTS? | Social support
6 aspects of social network linked with survival: - marital status - supports from friends - contact with friends - total support - social network - employment
57
Waxler-Morrison - CONCLUSIONS? | Social support
The more social networks and support = higher survival rate | Type of survival still main factor
58
Waxler-Morrison - EVALUATION? | Social support
A