Coping and Seeking care Flashcards
what are the 2 kinds of strategies used to cope
problem focused = take steps to solve source of stress
emotion focused = deal with emotional consequences of stressful events
when is problem focused coping mostly used
in situation that are perceived as changeable, more adaptive
what are the 2 main strategies of emotion focused coping
avoidance = denial and distraction
approach = social support expressing and processing emotion
do older adults use more problem based or emotional based coping
emotion → many problems especially health related become unsolvable
what are the 3 stages of delay in the stages of delay model
(1) appraisal delay = deciding if one is ill or not, related to perception,
(2) illness delay = deciding if one needs medical care, rumination delays most at this stage
(3) utilization delay = is the care worth the cost (financial, emotional, fear)
what is the common sense model of illness
people attempt to identify the nature and cause of their own illness, create appraisals based on medical information they already know / prototype they have create
what are the 5 factors that influence illness representation in the common sense model
(1) identity of the disease
(2) timeline
3) determination of cause
(4) consequences of disease
(5) controllability
IDTCC
what are the factors that influence response to initial symptoms in the common sense model
visibility, perceived severity, extent to which they interfere with a person’s life, frequency and persistence of symptoms
what is the Nocebo effect
persons experiences told side effects of the placebo drug
what is adherence
the degree to which patient carries out prescribed treatment and behaviours
what are factors that can influence adherence to more intense treatment
complexity, cost, cultural norms /personal beliefs, social support, amount of stress
factors that decrease adherence between practitioner-patient interaction
patient fails to receive info requested, patient believe physicians is talking down to them
factors that increase adherence between practitioner-patient interaction
patient center communication, patient believes physician understood why they are seeking treatment , physician and warm and caring
what educational strategies work / don’t work for adherence
clear and conscience information = works, threats and fear = doesn’t work
positive emotion = works
education alone = not enough
behavioural strategies for adherence (more effective than educational)
(1) prompting / environmental cues
(2) tailoring a regime to be compatible with patients habits
(3) self-monitoring
(4) behavioural contracting, negotiation of treatment goals in writing
