Internal and External factors of MEntal health Flashcards

1
Q

Internal factors that influence mental health?

A
Biological, genetics 
Thoughts/feelings
Hormones
physical health
Personality 
Immune system
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2
Q

External Factors that influence mental health?

A
Social relationships 
Employment status 
Socioeconomic 
Life events (traumatic) 
Nutrition 
Isolation 
Injury
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3
Q

The vendiagram of Ris factors

A

Biological, Psychological and social risk factors

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4
Q

Biological risk factors

A

Genetic Vulnerability- genes passed on by our parents, more susceptible
eg: Schizophrenia
Biological relative with schizophrenia have a 10% risk of developing the disorder, as compared with schizophrenia has a 40%-50% risk.
-Depression
-Poor response to medication due to genetic factors
-Poor sleep
- Long term substance use

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5
Q

Psychological risk factors

A

Rumination- is when people overthink or obsess about situations or life events
- has been linked to incidence of depression, anxiety and PTSD
Impaired reasoning and memory- cognitive problems that can contribute to development and progression of mental disorders.
Stress, chronic and acute stress contributes to mental disorders
Poor self efficacy- general coping strategies are poor, less likely to seek help

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6
Q

Social Risk factors

A

Disorganised attachment- struggle with relationships, avoidant personality. (attachment is the emotional bond that forms between an infant and caregiver)

  • Loss of a significant relationship- family, friend, can make people more vulnerable to mental disorder.
  • Stigma is a mark of disgrace or disgust that sets someone apart from others- Stigma as a barrier to accessing treatment- 25-50% sufferers don’t seek treatment.
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7
Q

WHAT is Cumulative risk?

A

All these factors interacting together to precipitate a mental health disorder

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8
Q

What are the 4 Ps?

A

Predisposing factors; Factors that increase vulnerability to developing mental health problems
Precipitating Factors; Factors that trigger the onset or exacerbation of mental health problems.
Perpetuating factors; Factors that inhibit recovery from mental health problems
Protective Factors; prevent the occurrence or recurrence of mental health problems

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9
Q

Predisposing Factors…

A

Factors that increase vulnerability to developing mental health problems:

  • Genetics
  • Hormones
  • Temperament
  • Poverty
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10
Q

Precipitating factors…

A

Factors that trigger the onset or exacerbation of mental health problems:

  • Environmental trigger
  • Significant life event
  • Trauma, accident, injury
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11
Q

Perpetuating factors…

A

Factors that inhibit recovery from mental health problems:

  • Poor health
  • Stigma
  • Lack of social support
  • Lack of resources
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12
Q

Protective Factors…

A

Prevent the occurrence or recurrence of mental health problems:

  • Good health/sleep/exercise
  • Hormonal balance/ no family incidence
  • Resilience
  • Resources
  • Strong social support and network
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13
Q

Contributing biological factors to stress?

A

Stress response
Long term potentiation-physical occurrences that happen in the brain as result of repeated stimulation of the neural pathway during learning (amygdala- initiating and processing emotional responses such as fear. Hippocampus-Involved in formation of declarative memories)
GABA Dysfunction- GABA regulates anxiety, sleep amd arousal. Plays a role in anxiety as it acts like a calming agent or ‘brake’ to the excitatory neurotransmitters that lead to anxiety.

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14
Q

Contributing Psychological factors?

A

Behavioural models: phobias are influenced by environmental factors
- SPecific phobia may be learnt through classical conditioning and maintained by operant conditioning. (P1 Little Albert developed a specific phobia of rats through classical conditioning. P2 Avoiding the -feared stimulus -rat, far is reduced - negative reinforcement = happy feeling- which maintains the phobia) eg: dentist, injections

Cognitive Models: Emphasises thought process on feelings and behaviour
Cognitive Bias- A tendency to think in a way that involves errors of judgement and faulty decision making.
Memory Bias- Memory encoded inaccurately and distorted, tend to remember the negative or threatening information about the phobic stimulus
Catastrophic Thinking- Over estimating the threat, irrational, obsessive thinking. Thinking any dog you encounter will attack you and leave you with permanent facial disfigurement.

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15
Q

Contributing social factors ?

A

Environmental triggers: Direct exposure to a traumatic or distressing event eg: bitten by a dog

  • Witnessing someone experience a traumatic event: eg see someone get bitten by dog
  • Reading or hearing about a traumatic event:eg hearing a story about someone being bitten by a dog
  • Stigma around seeking treatment: Mark of disgrace, labels and separates a person so less likely to seek help due to shame or embarrassment.
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16
Q

treatments for specific phobias?

A

Evidence based interventions;
Anti Anxiety medication- benzodiazapenes, a group of short acting drugs.
- Agonist- stimulates the GABA receptors, enhance effects of GABA (not antagonist as in study design).
- Anti anxiety and sleep inducing properties
- Commonly referred to as sedatives, mild tranquillisers or depressant, as they slow down CNS activity
- Also induce drowsiness, can be highly addictive and long term use is not recommended.

Breathing Re-training- slow breathing technique to manage effects of hyperventilation, calms nervous system and lowers anxiety

Exercise: helps reduce stress

  • Produces beta-endorphins, along with serotonin and dopamine and improves our mood and lowers anxiety.
  • Exercise burns up adrenalin and excess cortisol which is released during stress response.
17
Q

Psychological interventions?

A

CBT: uses combination of verbal and behaviour modification techniques to help people change irrational patterns of thinking that create phobias
- Focus on helping the person change negative thoughts and behaviours and replace them with more positive, realistic ones.

Systematic desensitisation- graduated exposure, teach relaxation techniques.

18
Q

Social interventions?

A

Psychoeducation;

  • Challenging unrealistic thoughts (ie, irrational fear)
  • Discouraging avoidance behaviours which can act as a negative reinforcer and strengthen the phobic behaviour.
19
Q

Biological factors as protecting factors…

A

Adequate diet

Sleep

20
Q

Psychological protective factors…

A
CBT
To maintain or improve mental health 
change negative thoughts to positive thoughts 
Mindfullness 
Resilience 
Angelee Duckworth; GRIT
21
Q

Social Protective factors…

A

Decrease stress
Emotional and /or tangible
Increases psychological wellbeing

22
Q

WHat is the Transtheoretical model of change?

A

Accesses an individual’s readiness to change by looking at the different stages an individual may go through as they move towards a healthier behaviour

23
Q

Components of Transtheoretical model?

A

Precontemplation: No intention to take action within 6 months
Contemplation: going to do something about it within 6 months
Preparation: Intends to take action within next 30 days
Action: Individual changes his or her behaviour in less than 6 months
Maintenance: Individual changes behaviour for more than 6 months and works to prevent relapse and consolidate the gains attained

Relapses do occur, go back to one of the first 3