PSYC 102 Final Flashcards

1
Q

3 primary ways in which researchers study stress

A

Stressors as Stimuli/What is Stressful: focuses on identifying different types of stressful events, pinpointed categories of events, which can have cumulative effects, unite (cement interpersonal bonds, increase social awareness) or divide

Stress as a Transaction/Why is Something Stressful: transaction b/w people & their environments, how do people interpret & cope with stressful events

Stress as a Response/Diversity of Stress Responses/How dow we Respond: differently assess people’s psych+phys reactions to stressful circumstances, studied by exposing subjects to stress-producing stimuli or subjects who’ve encountered real-life stressors, measure a host of outcome variables (depression, hostility, heart rate, stress hormones-corticosteroids which activate the body to prepare us for stressors)

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2
Q

Stress + Traumatic Event

A

Stress: Negative emotional experience/response that consists of biochemical, physiological, cognitive & behavior changes that arises when a stressor perceived threatening strains ability to cope effectively.

Traumatic Event: stressor that’s so severe it can produce long-term psychological or health consequences

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3
Q

Clinician’s Illusion

A

Error of overestimate people’s fragility & underestimate their resilience as they only see those who react emotionally to stress who seek them, healthy people don’t seek out help

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4
Q

Who are more high risk for stressful events?

A
  • Young, unmarried, immigrants, BIPOC, low socioeconomic status, recently retired (low income, physical disability)
  • Women higher risk of sexual assault & child abuse, speeds up pregnancy
  • Men higher risk of nonsexual assaults, accidents, disasters, fires, wartime combat
  • Stress-producing events are widespread among all sectors of society, no difference b/w rural & urban environments
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5
Q

9 Types of Stressful Events

A
  • Acute Stressors: threatening events that have a relatively short duration & a clear end point (ex.Exam, flat tire)
  • Chronic Stressors: threatening events that have a relatively long duration & no readily apparent end point (ex.Financial insecurity, Caretaking)
  • Major Life Events: cause noticeable alterations in one’s living circumstances that require (re)adjustment (ex.Funerals, Marriage, Baby)
  • Frustration: occurs in any situation in which the pursuit of some goal is thwarted
  • Hassles: minor annoyances or nuisances
  • Failures: goal unreached
  • Losses: losing
  • Pressure: expectations or demands that one behave in a certain way or perform to a certain level
  • Self-Imposed Pressure:
  • Pressure from Social Roles:
  • Work & School Pressure:
  • Time Pressure: perception that there is not enough time to do what needs to be done
  • Internal Conflict: competition b/w two or more incompatible motivations or behavioral impulses
  • Approach-Approach: choosing b/w 2 attractive goals
  • Avoidance -Avoidance: choosing b/w 2 unattractive goals
  • Approach -Avoidance: deciding whether to pursue a goal with both attractive & unattractive aspects
  • Unpredictability
  • Uncontrollability
  • Repeated Stressors
  • Ambiguous Situations
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6
Q

How is stress a subjective phenomenon using Lazarus & Folkman’s model of stress + Crit

A

Psychological Appraisal: Stress is a subjective experience that is dependent on the interaction b/w individual & the environment

Primary Appraisal: initial decision regarding whether an event is harmful, positive, neutral or negative
Negative: presently harmful, threatening to the future or challenging
Ex. Very hard test coming up will decide future vs insignificant
Second Appraisal: perceptions regarding our ability to cope with an event that follows primary appraisal, are coping abilities & resources sufficient to overcome the harm, threat, or challenge posed by the event
Depends on self-efficacy, social support, knowledge, training, experience, resources
Ex. Not prepared short time vs prepared lots of time
Crits: stress is all in your head, victim blaming

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7
Q

5 ways in which attitudes, beliefs & personality might impact the ways people respond to stress?

A

Our attitudes, personality, and socialization shape our reactions—for better and worse—to potential stressors
Hardiness: set of attitudes marked by a sense of control over events, commitment to life & work, & courage & motivation to confront stressful circumstances, tend to view change as a challenge rather than a threat. Closely associated with low levels of anxiety-proneness, Tendency to act calmly vs hardiness still unclear which is major predictor of successful coping
* Belief of control over situation predicts how stressful situation is perceived to be: West: mastery focused on individual, degree to which personal effort & problem-solving skills can be used to solve & cope with problem
Indigenous+East: communal focus, individual mastery may not be successful outcomes when dealing with stress

Optimism: rosy outlook, don’t dwell on dark side of life, more productive, focused, persistent & better at handling frustration than pessimists, lower mortality rate, risk of heart failure, lower risk of depression following heart attack, distress in infertile females trying to have child, better surgical outcomes, physical complaints, vigorous immune response,

Spirituality/Religion: limited research (unquantifiable), search for the sacred (may or not extend to belief in God), vital role in many lives, religious have lower mortality rates, improved immune system functioning, lower blood pressure, greater ability to recover from illnesses.
* Many religions foster self-control & prohibit risky health behaviors (drugs, alcohol, unsafe sexual practices)
* Religious engagement often boosts social support & marital satisfaction
* Sense of meaning & purpose, control over life, positive emotions & positive appraisals of stressful situations associated with prayer & religious activities may enhance coping

Flexible Coping: ability to adjust coping strategies as the situation demands critical to contending with many stressful situations

Rumination - Counterproductive: focusing on how bad we feel & endlessly analyzing the causes & consequences of our problems, recycling negative events in our minds leads us to depression, all would benefit from cutting down rumination & confronting problems head on
* Cardiovascular Recovery: heart rate & blood pressure higher for those ruminating after stressor, prolongs cardio activation
* Romantic Relationship: negative adjustment of regret, brooding, relationship preoccupation, positive adjustment of reflection
* Women ruminate more → higher rates of frequent bouts of depression than men, parented to analyze & talk about problems
* Men stressed focus on pleasurable or distracting activities (work, drinking, games) & adopt more direct approach to solving problems than women, parents actively discouraged boys from expression feelings, encourage to take action or tough it out

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8
Q

Physiological responses to stress

A

Fast Pathway (immediate) Sympathetic: nerve signals from the brain signal the release of adrenaline, incr. Heart rate, lung volume, blood to the muscles, decrease digestion
Slower Pathway(delayed): hormones released from the brain trigger the release of cortisol, prevents inflammation, liver releases glucose for energy
Tend to Befriend: primarily seen in women, relying on social connections, caring for children & others, evolutionary roots
Having fight or flight for long periods of time can have major consequences on our health GAS
Chemicals: cortisol, adrenaline, Adrenaline/Epinephrine and Glucocorticoids, backbones of stress response

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9
Q

Why is the stress response that was so critical to the survival of our ancestors such a hazard for modern human beings?

A

Survival: helped be aware, ready for fight or flight, was over after 3 minutes, only basic processes, not essential components turned off, life or death

Modern: lowers life expectancy especially if prolonged, we turn own stress for purely psychological states, not just physical threats, can seem to turn it off, for no physiological reason and doing it nonstop. No control in life. Lack of predictability.
* Increased risk of cardiovascular disease, early death, aging, kill shrink brain cells, fat gain, unraveling chromosomes, accelerate shortening of telomeres, weaker immune system
* Stress affects memory, Brain chemistry, learning, vulnerable to depression + psychiatric strategies, respond to stress, chronic changes brain circuits lose capacity to remember things that we need to, acute stress make it impossible in short term periods to remember things you know perfectly well
* Stress hormones of mother impact fetuses nervous system

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10
Q

Selye’s General Adaptation Syndrom (GAS) + 2 Influences + 4 Crits

A

Patterns of responding to prolonged stress on the body, different stressors have similar impacts on body, labs of chronic stress on mice. Recognized a connection b/w stress response of animals (stomach ulcers, adrenal gland size increase which produces stress hormones) and that of physically ill patients who showed consistent patterns of stress-related responses
1) Alarm Phase: fight or flight-phys+psych reaction that mobilizes people & animals to either defend themselves (fight) or escape (flee) a threatening situation, excitation of the autonomic nervous system
* Fight or flight: a set of physiological & psychological reactions that mobilize us to confront (attack the threat or cope in the immediate situation) or leave a threatening situation (escape)
* Discharge of stress hormone adrenaline & physical symptoms of anxiety from the emotional brain of the limbic system (amygdala, hypothalamus, hippocampus)
Ex. Dry mouth, heart pounding, breathing rapid, dizzy, imagining scenarios from amygdala terrifying images.

2) Resistance Phase: stress still activated, after initial rush of stress hormones, no longer fight or flight, adapts to stressor, finds ways to cope, when hippocampus detects danger it opens gateway to portions of cerebral cortex, basal ganglia plans wiser thinking “thinking brain”
Ex. Reminding yourself statistically you are unlikely to die, eating lots of food, seeing how other people are reacting, reminding oneself to breathe slowly

3) Exhaustion Phase: if prolonged stressor that is uncontrollable, resistance breaks down, levels of activation bottom out, run out of hormones and energy to resist causing damage to organs/body, depression, anxiety, break down in immune system, diseases
Ex. Wartime combat lasting months (chronic) not same as a flight that will end after a set amount of time (acute)

Influence: (1)Offers a general theory of reactions to a wide variety of stressors over time. (2)Suggests a physiological mechanism for the stress-illness relationship (cardiovascular diseases, arthritis, hypertension)

Crits:
* Very little attention on psychological factors
* Assuming that responses to stress are uniform, we appraise events differently causing different physiological responses (ex. Tiger vs Social)
* Stress is evident only when the GAS has run its course to exhaustion
* Prolonged exposure to the physio cascade from stress, not exhaustion of physio resources that causes health problems

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11
Q

Eustress

A

Advantageous Stress: opposite of distress, eu good Greek, events that are challenging, not overwhelming can create positive stress, provide opportunities for personal growth or short term stress that lasts minutes to hours can trigger healthy immune response to help fend off physical ailments
Ex. Athletic event, giving speech, performance, watching a hockey game

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12
Q

Sapolsky

A

This was the first time anyone had linked stress to the deteriorating health of a primate in the wild
Higher heart rates and blood pressure for lower ranking baboons, weaker immune and reproductive system, more stress hormones, brain chemistry bares similarly to clinical depressed humans
A baboon’s rank determine the level of stress hormone in his system, so if you’re a dominant male you can expect your stress hormones to be low and if you are submissive much higher, but there was an even more revealing find.

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13
Q

Shively

A

Stress, causes clogged arteries & cardiovascular issues. Resulting flood of hormones, had increased blood pressure, damaging artery walls, making them repositories for plaque. Threatened, arteries don’t expand, muscles don’t get more blood, causes heart attack.
- Arteries of a dominant monkey one with little history of stress, its arteries were clean. But a subordinate monkey’s arteries told a grim tale… A subordinate artery has lots more atherosclerosis build up inside it than a dominant artery has.

Pleasure vs Stress: dominant primates reward area lights up more, feel more pleasure about life, subordinates very dull due to less receptor binding in area, less dopamine means less pleasurable

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14
Q

Blackburn & Eppel

A

Blackburn: mothers to young disabled children. Length of the telomeres directly relates to the amount of stress somebody is under, and the number of years that they’ve been under the stress.

Eppel: Being a mother to young special needs children, it can tax the very reserves that sustain people, and if they’re stressed, if they report stress, they tend to die earlier. Roughly 6 years of aging

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15
Q

Whitehall Study

A

British Civil Service, every job is ranked in a precise hierarchy perfect lab to determine link between rank & stress, stable jobs, no industrial exposures
Control: everybody has same medical healthcare system, just like baboons all eat the same, remove confounds, and both studies produce identical findings
Determined whether there might be a link between rank and stress, length of life, risk of disease

Findings: Lower you were in the hierarchy the higher your risk of heart disease and other diseases
People second from the top had higher risk than those at the top.
People third from the top had a higher risk than those second from the top and it ran all the way from top to bottom
Putting on weight and distribution of weight, putting it on center is related to position in the hierarchy. Stress changes the way body deposits fat on body. Dangerous inside abdomen, produces different effects on health

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16
Q

Psychoneuroimmunology + Stress on Immune System

A

Psychoneuroimmunology: study of the relationship b/w they immune system & central nervous system-seat of emotions & reactions to environment, links b/w life circumstances & immune effectiveness
Careful of exaggerated claims, positive or negative thoughts don’t cause or reverse physical diseases (nocebo + placebo), alternative medical practitioners. Nor is psychotherapy prolong survival of breast cancer patients.

Stress & Colds: more likely to get a cold when really stressed out, but exposure to cold is necessary, best predictors are significant stressors (unemployment, interpersonal difficulties lasting a month at least) as promotes inflammatory response known to increase risk. Social support affords protection. Ruling out stress affecting health behaviors not directly colds: Even when controlling for sleep quality & other health related behaviors, stress & cold relation remained

Healing Wounds: small wound took 24% longer to heal in Alzheimer’s caregivers compared to those who weren’t taking care of relative with Alzheimers

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17
Q

Psychosomatic + Psychophysiological + Biopsychosocial + Stressed-Related Illness or Disorders

A

Psychosomatic: deep-seated conflicts & emotional reactions are culprits of certain illnesses & disorders

Peptic Ulcer: inflamed area in gastrointestinal tract that causes pain, nausea & loss of appetite, common myth that it is caused by stress. Ulcers are a bacterial disorder, its major cause is bacteria. Research revealed that when stressed, the body begins shutting down all non-essential systems, including the immune system. And it became clear that, if you shut down the immune system, stomach bacteria can run amok… Because what the stress does is wipe out the ability of your body to begin to repair your stomach walls. When they start rotting away from this bacteria… So stress can cause ulcers by disrupting our body’s ability to heal itself.

Psychophysiological: illnesses (asthma & ulcers) in which emotions & stress contribute to, maintain, or aggravate the physical conditions

Biopsychosocial Perspective: view that an illness or medical condition is the product of the interplay of biological, psychological & social factors. (ex. Healthy people convinced they are suffering from acute illness),

Coronary Heart Disease (1/2.5 deaths): damage to heart from complete or partial blockage of arteries that provide oxygen to the heart, males more likely+earlier, females more strokes
Develops when deposits of cholesterol collect in walls of arteries, narrowing & blocking coronary arteries causing atherosclerosis; inflammatory response in the artery walls, if condition worsens can lead to chest pain, they deterioration & death of heart tissues known as heart attack
- Stress may lead to high blood pressure, which can pose a risk for heart attack and stroke. Stress also may contribute to such cardiovascular disease risks as smoking, overeating and lack of physical activity. Higher levels of inflammation in the body that contribute to increases in plaque buildup in the arteries

18
Q

Risk Factors for Coronary Heart Disease

A

Factors (usually overlapping): behavioral risks (smoking, poor diet, inadequate exercise), high cholesterol & blood pressure, diabetes, low vitamin D, stress → blood pressure, enlargement of heart, high stress→ disruptions in normal heart rhythm, sudden death & atherosclerosis, SES causes lack of access to good nutrition, heightened stress, less physical activity from less leisure time

Hyped-up Autonomic Nervous System: elevated heart rates, exaggerated responses to physical stressors

Personality: behavior patterns contribute to risk, higher risk if Type A Personality: people who are competitive, driven, hostile, ambitious, restless, perfectionistic, stubborn, opinionated, controlling even when factoring smoking & diet

Hostility is the most predictive heart disease associated with alcohol consumption, smoking, and weight gain. Less hostility & forgiveness helps reduce CHD risk.

19
Q

Factors that Decrease Stress or Counter Negative Effects

A

Resilience: is rule not exception when it comes to responses to trauma
Frequency & perceived severity of hassles are better predictors of physical health, depression, & anxiety than major life events (negative reactions to seemingly minor stressful events predict anxiety & depressive disorders 10 years later)
Compassion, humour, comparing, connecting with others
Control: seen in work hierarchy studies
Cognitive Change: deciding what stressors mean to you, what you value

20
Q

Why did Sapolsky choose to study baboons?

A

These primates organize themselves into distinctly hierarchical groups, and subject one another to social stress.
3 hours for food, 9 hours of free time devoted to making somebody else miserable, lots of room for social interaction, stressed by each other, stressed by social and psychological tumult invented by their own species. Perfect model for Westernized stress-related disease
They are these scheming, back-stabbing machiavellian bastards that hurt each other, perfect for studying social interactions
Evolved large brains to navigate complexities of large societies, troops as high as 100
Not scared of human touching them if they are under burlap, lack object permanence

21
Q

Coping

A

Coping: thoughts and behaviors used to manage the internal & external demands of situations that are appraised as stressful (ie coping is a response to stress)
* Dynamic process, occurring over time, by which the environment & the person influence each other
* Broad set of responses, which include emotional reactions & voluntary & involuntary actions undertaken to address the stressor

22
Q

Coping Styles

A

Coping Style (Gaining Control) - like a personality trait, a general propensity to deal with stressful events in a certain way, stable patterns of responding to stress, characteristic of individuals. No one style is most effective in reducing stress, effectiveness may depend on the the type and duration of the stressor

1) Approach vs Avoidance (Emotional Control): dealing or suppressing
2) Problem (Behavioral Control) vs Emotion focused (Cognitive Control): problem solving/tackling head on or regulate emotions
3) Decisional Control (ability to make decisions, not paralyzed by decision making): ability to choose among alternative courses of action (ex. Deciding b/w teachers, which shop to go to)
4) Informational Control: ability to acquire info about stressful event (ex.Knowing what types of questions are on test to prepare)
- Proactive Coping: anticipate stressful situations & take steps to prevent or minimize difficulties before they arise, tend to perceive stressful circumstances as opportunities for growth

23
Q

Approach vs Avoidance Coping Styles

A

Approach: directly deal with the stressor, more effective if there is something to be dealt with, ineffective if there is nothing to do (ex. Project)

Avoidance (Emotional Control): minimize or ignore the stressor (ex. Grades) ability to suppress & express emotions (ex. Writing in diary, singing) can facilitate emotions control & long-lasting benefits
- Study: students who opened up about traumatic experiences through daily diary entries made fewer visits to the health center & showed signs of improved immune functioning compared to students who did not

24
Q

Problem vs Emotion focused Coping Styles

A

Problem Focused Coping - Behavioral Control: attempts to do something about the stressful conditions that are harming or threatening the individual (ex. Studying for test), coping strategy by which we problem solve & tackle life’s challenges head on, ability to step up & do something to reduce impact of stressful situation or prevent its recurrence
* More likely if secondary appraisal is optimistic, belief that we can achieve overcome
* Better than avoidance-oriented coping: avoiding action to solve our problems or giving up hope & better for situations we can’t change
* Lab: more problem-focused coping techniques, less likely to develop drinking problems. Dementia progression slowed when caregivers used problem-focused coping

Emotion Focused Coping - Cognitive Control: efforts to regulate emotions experienced due to stressful events (ex. Taking test), coping strategy that features a positive outlook on feelings or situations accompanied by behaviors that reduce painful emotions (encourage communication+dating b/w divorced), ability to cognitively restructure or think differently about negative emotions that arise in response to stress-provoking events
* More likely if situation arises that we can’t avoid or control or change.
* Study: those who used emotion-focused coping strategies reported less stress than those who received instructions to use problem-focused coping. Collective self-esteem, evaluation of one’s social identity, is tied to better health for those with little perceived control, protect those older adults who believe they have little control over important events in their lives

25
Q

15 Coping Strategies

A

Coping Strategies: effectiveness depends on situation and outcome short-term long-term

PASS: healithiest best strategies
* Planning: plan how to address stressor
* Active Coping: doing something to deal with stressor
* Seeking Social Support: asking for help and support
* Seeking Info: books on how to cope with stress

DRCSS: harmful strategies
* Denial: denying the problem, helpful if stress is too great
* Rumination: can’t stop thinking about it, keeps running through mind, helpful to lead to social support
* Catastrophizing: blowing problem out of proportion leads to social support
* Self-Distraction: netflix, food
* Self-Blame: reflection and improvement

RAH: acceptance, reframing, YOLO
* Reappraisal: changing the thinking
* Positive Reframing: lost a job, better options
* Acceptance: beyond control, letting it be
* Humor: to lessen the darkness

BRS: fraternity, bro
* Substance Use:
* Behavioral Disengagement: disengage or reduce the effort in a task or social situation
* Religion: letting go to a higher power

26
Q

Social Support + Health Outcomes

A

Social Support: relationships with people and groups that can provide us with emotional comfort & personal, informational & financial resources. Help solving problems & contend with stressful situations. Enhanced by spirituality

Health Outcomes: the more connected to others the healthier we are, being socially isolated is equivalent to smoking a pack of cigarettes per day

27
Q

3 Types of Social Support

A

Tangible Support: provision of material support, such as services, financial assistance, or goods
Informational Support: info offered to the individual that helps them understand a stressful event better & determine what resources & coping strategies may be mustered to deal with it (ex. Cancer friend, what doctors do best, treatments, ex. Job search friend) Info from others that one is loved and cared for esteemed and valued and part of a network of communication and mutual obligations
Emotional Support: reassurance that the person is valued & cared for

28
Q

Perceived vs Received Support

A

Perceived Support: many of the benefits of social support may actually come from the perception that social support is available. Higher for securely attached individuals
* Do you have someone who is open & supportive (emotional)
* Do you have someone that would help me (tangible support)
* Do you belong to a group of people that value you (belonging)

Received Support: how much support you receive. Receiving social support from another person can have several potential problems. Lots of support doesn’t mean it will be beneficial.

29
Q

5 Reasons why would received support not be helpful to the recipient?

A

Potential guilt: inability to reciprocate help, causes guilt for receiving guilt
Cancer Study fatigue: I don’t want to be a burden, guilty not bing able to do my share, affected ability to work & contribute around the home

Threaten self-esteem:
Osteoarthritic (Joint issues) Study difficulty for daily living: those who valued independence were more likely to react vegatively to support/negative reactions to support. How important is your independence? How often does your husband help you? How do you feel when you receive support?

Unsolicited/unwanted: support commission poor psychosocial adjustment if support is received but not wanted

Poorly Matched to Needs: optimal matching model of social support predicts that support is most beneficial when it matches the specfiic needs or goals of the stressed individual
- Study: participants told to give a 5-10 min speech, given 10 min to prepare, 3 people will evaluate you and will be video recorded, how much stress hormone created
Condition 1: alone (M-high levels) (F-low)
Condition 2: opposite sex stranger to provide support (M-reduced levels) (F-low)
Condition 3: heterosexual partner (M-lowest levels) (F-high, partner is not helping, poorly matched support, info over emotional support)

Poor delivery (hostile, critical): interpretation have negative impacts

30
Q

How has life expectancy changed over the last century? + Alameda County Studt

A

Total life expectancy has increased dramatically. What is killing us has transitioned from infectious disease to living habits. Highest causes of death or caused by factors in our control/our health behaviors: cancer, heart disease, stroke, etc.

Alameda County Study: who lives who dies, 1928, 1965, 1974, 1983,1994,1995, mortality: lived longer if avoid smoking, exercise regularly, maintain healthy body weight, limit consumption of alcohol, sleep 7-8 hrs, eating breakfast daily, no snacking

31
Q

Health Habits: positive & negative + Health Psychology

A

Health Habits: a health related behavior that is firmly established and often performed automatically. Governments and households try their best to increase this: brushing teeth, sleep, exercise, mask wearing, condoms, seatbelts, doctor check ups, sunscreen, vaccination. As health habits become more widespread & informed, causes of death change.

Positive Health Behaviors: behaviors undertaken by people to enhance or maintain their health (stop smoking, curb drinking, achieve healthy weight, exercise)

Poor (Risky) Health Behaviors: Gun, suicide, accidental death, smoking, drinking, inactivity, fatty foods

Health Psychology/Behavioral Medicine: field of psychology that integrates behavioral sciences with the practice of medicine, studies influences of psychological factors on physical disorders, combine educational & psychological interventions to promote+maintain health & prevent & treat illness

32
Q

Savior of Mothers + How does Health Behaviors Change Causes of Death

A

1840s Dr.Ignaz Semmelweis (Hungarian), first health behavior

Hospital A: 18% mothers die after childbirth, mon, wed, frid
Hospital B: 4% mothers die after childbirth, tue, thu, sat
Findings: physician got stabbed and died, similar to how women died, went from cutting up dead bodies to delivering bodies, infecting women, carrying over, recommended hand washing with clean water

33
Q

Stop Smoking + Alcohol Consumption

A

Leading cause of preventable disease & death, smoking treatment & prevention priority through education of consequences + stress management + avoiding high-risk situations

Drinking heavily associated with risk of cardiovascular disease, can be reversed or minimized by abstaining.
- 1-2 drinks per day lessen risk of heart disease explained: those who drink moderate amounts have higher incomes + lifestyles compared with those who abstain or drink more than 2 at a sitting. Those who abstain ore in poorer health to begin. Systematic reviews found no health differences

34
Q

Achieving Healthy Weight: weight loss techniques + Factors of Obesity

A

Body mass index, child obesity has tripled attributed to decreases physical activity. Risk of heart disease, stroke, arthritis, cancer, respiratory problems, diabetes. Improves mood, reduces anxiety.
Weight Loss: Exercise is the best means. Low-fat diet more positive moods & greater sense of well-being compared to low-carbohydrate diet. After 6 months most people regain their weight, stray from their diet.
- Scientifically Backed: regular exercise, monitor total calories + body weight, eat foods with good fats, lower salt & caffeine, eat high fiber foods, social network support to lose weight, control portion size, smaller plate

Obesity Factors: lack of sleep, endocrine disruptors in food that modify fats in body, comfortable temperatures, medicines, increases in pop. segment, older mothers pregnant, genetics, evolutionary advantage, assortative mating tend to marry those with similar body type, weaker, less energetic, inactivity, poor nutrition, social emotional problems, discrimination in social arena + workplace, depression, anxiety, less wealthy, unmarried, less education independent of intelligence or financial status
- Genetics: half of differences in people’s tendency to lose weight is genetically influenced, genes associated to appetit, energy use, development of drugs to switch genes on & off

35
Q

Exercise: aerobic, intensive, moderate, coping

A

Exercise: good at any age, more beneficial later in life when facing stressful life events
Aerobic Exercises: exercise that promotes the use of oxygen in the body (jogging, swimming, bicycling) lowers blood pressure, risk for CHD, cancer & diabetes, improve lung function, relieve symptoms of arthritis
Running, weight lifting, yoga, improve cardiovascular recovery from stress & anxiety
Not Pain, No gain: exercise must be vigorous & sustained to reach our fitness potential
Moderate exercise: 30 minute everyday activity can lead to improved fitness & health, cognitive function
- Study: no physical activity at work but burned 2000 calories per week in spare time lived 2.5 years longer than average male who were less active in leisure hours correlation.

Coping Strategy: regular exercise yielded a reduction of stress after 2 years for those who started with high levels of stress, fewer physical symptoms after 4 years

36
Q

7 Factors Associated with Health Behaviors: why don’t people do these healthy behaviors

A
  • Health habits develop during childhood & adolescence, when most people are healthy, so often people have little immediate incentive for practicing good health behavior as they don’t notice the benefits
  • Unhealthy behaviors can be pleasurable, automatic, addictive, and resistant to change, only experiencing the consequences years later

Video: Disadvantaged, financially poor, unable to afford healthy habits, to accomplish one thing, you lose the other (ex.Food choices vs Utilities vs Clothes vs Health)

Socioeconomic Status (SES): younger educated rich less stressed resources (fresh produce), are more likely to practice healthier behaviors
Priorities & Personal Goals: rent, kids, grades, work,
Place: urban vs rural, medical services, rich areas, safety, climate, air quality
Social Influences: family, social circles,
Age: different time constraints, priorities, stressors, conditions
Gender: F less likely to physical activity, M eat more poorly, drink more, more risky behaviors
Cultural Values: what you eat, exercise importance, norms (drinking high on campus, low off campus)

37
Q

Predictors of Health Behavior Change

A

Beliefs: whether the person perceives/believes there is
- A personal to health
Present vs Future threat
. People tend to take present threats more seriously than preparing for future threats (ex.Spider vs Skin Cancer)
- Personal Inertia: difficulty to try something new, many self-destructive habits relieve stress & don’t create imminent health threat, easy to let things be. Study: 19% those new year resolution to change a problem behavior maintained when followed up 2 years later
- Mis-Estimates of Risk: underestimate frequency of most common causes of death + risks associated to health & overestimate least common & others (ex.Diabetes vs Murder, Sharks vs Cattle, Vehicle vs Strokes or digestive cancer)
- A specific change in health practice will reduce that threat (Ads that explain how smoking prevents disease, other symptoms) Ex. Smokers greatly overestimate chances of living to old age, so don’t change habit
- Benefits of change must outweigh the cost (Ads that explain the significant benefits of not smoking, providing alternatives) Ex. Rationalizing behavior “something’s going to kill me anyway”

Self Efficacy: confidence that one can successfully engage in a behavior to produce desired outcomes (ex. Some feel powerless to get good grades)
- Powerlessness to Change: habits too ingrained

Subjective Norms: what a person believes others think that person should do & the motivation to comply with those normative references
- Study Social Ties & Obesity: people with similar body size tend to group/cluster socially as they are more likely to share similar values, activities, norms, etc.

38
Q

Alternative Medicine

A

Alternative Medicine: health care practices & products used in place of conventional medicine which there’s solid evidence of safety & effectiveness. Half of money spent on healthcare each year is to alternative medicine

Biologically Based Therapies - - Vitamins, Herbs & Food Supplements: just because natural doesn’t mean safe or healthy (Natural Commonplace), very popular, unmonitored for safety (ex. Kava shrub liver damage), purity or effectiveness, a gamble with our health, no guarantee they contain what they claim to contain, can interfere with conventional medicines (ex.St.John’s wort block effectiveness of AIDS drugs)
- Herbal & Natural Preparations: once viewed as promising have been found to be no more effective than a placebo with negative findings (acai berries, shark cartilage)
- Vitamins & Dietary Supplements: megadoses of vitamins or minerals far excess recommended amounts, not beneficial to vitamin deficiencies

Manipulative & Body-Based Methods: chiropractors can’t perform surgeries or prescribe medication, based on unsupported idea of irregularities in alignment of spine (subluxations) prevent nervous & immune functioning properly. Benefit of attention, support, advice relieves stress, create strong placebo effect
- Chiropractic Manipulation: no evidence they can cure diseases not associated with back problems (cancer, diseases), no better than standard approaches (pain relievers, exercise, physical therapy) manipulate spine to treat wide range of pain-related conditions & injuries, provide nutritional & lifestyle counselling

39
Q

Complementary Medicine

A

Complementary Medicine: health care practices & products used together with conventional medicine

Mind-Body Medicine:
- Biofeedback: requires special training & time consuming, popularity waned, feedback by a device that provides almost an immediate output of a biological function, such as heart rate or skin temperature, overtime used to modify physiological responses associated with stress or illness
Relaxation training & biofeedback are equally effective in reducing stress & treating anxiety, headaches, insomnia & side effects associated with cancer chemotherapy
- Meditation: variety of practices that train attention & awareness, embedded in many world religions & lives, no one right way
West: to achieve stress reduction Non-West: to achieve insight & spiritual growth
Concentrative meditation: goal to focus attention on a single thing like a flame, mantra (internal sound), slow deep rhythmic breathing to promote relaxation
Awareness Meditation: attention flows freely & examines whatever comes to mind
Yoga (India Buddhism Hinduism): practices that include a sequence of postures, meditation, breathing techniques, mental concentration, visualization or guided imagery, relaxation exercise may be (few studies) helpful in reducing anxiety, depression, migraine headaches, pain & pain-associated disability
Correlational Scientific Benefits: heightened creativity, empathy, alertness, self-esteem, decrease anxiety, interpersonal problems, recurrences of depression. Added to psychotherapies, success in treating pain & numerous medical conditions. Enhance blood flow in brain & immune function
Reason: greater acceptance of thoughts & feelings, sitting quietly, resting, relaxing eyes closed, positive attitudes + expectancies
- Energy Medicine: increasingly popular based on idea that disruptions in body’s energy field can be mapped & treated (Chinese)
Acupuncture: thin needles inserted into specific points in the body (2000), meridians, they believe channel a subtle energy or life force called qi, relieve blockages of qi by applying needles or electrical, laser or heat stimulation
With Conventional: relieve nausea following surgical operations, treat pain-related conditions,
Unscientific: no evidence its due to energy changes, can’t be measured isn’t falsifiable
Uneffective for any Medical Conditions: remains popular

40
Q

Homeopathic Medicine

A

Alternative Medical System - Homeopathic Medicine: remedies that feature a small dose of an illness-inducing substance to activate the body’s own natural defenses. Treatment of disorder must resemble its cause (ex.Disorder caused by too much A, so treat it by presenting patient with as little A as possible)
* Representativeness Heuristic: like goes with like, mental shortcut judging similarity b/w 2 like thinks by gauging extent they resemble each other
* Scientifically Unsupported: believe that memory of substance is enough to stimulate body’s defenses (ex.Water remembering feces even after filtered & chlorined), extraordinary claim, at times diluted to so much original substance no longer exists

41
Q

Why do some CAM treatments seem to work, when in fact they don’t?

A

Placebos of Cam: Simpler explanation that better accounts for data than the hypothesis of energy fields, where placebo effects exert measurable impact on brain chemistry & activity, stimulate release of endorphins, responsive to pain, just as acupuncture does
- Study: Parkinson’s disease patients who thought they received treatment had better quality of life than those who received real surgery but thought they received sham surgery.
- reviewed research on CAM have failed to demonstrate that they’re more effective than placebos or “sham” (fake) treatment. The sham acupuncture more effective than sham oral placebo for migraines+headaches, but just as affective as standard acupuncture.
- Nocebo: opposite of placebo, negative perception causes negative outcome
Natural commonplace, natural so no adverse effects
- Brightside With Conventional: harness power of placebos, increase patients’ hope & positive expectancies to alleviate some physical symptoms & enhance effects of available treatments, however must control for placebo effects when evaluating real effectiveness of treatments

Symptoms of physical disorders naturally come & go, so attribute symptom of relief to treatment rather than changes in natural course of illness

Accompanies conventional treatments, so attribute improvements to CAM rather than less dramatic or interest conventional treatment

Problem may be misdiagnosed, so condition isn’t as sever as initially believed & positive effects attributed to CAM