Week 5: Stress & Coping Flashcards

1
Q

Explain generalised adaption syndrome

A

Found similar symptoms across all sorts of illness- may just be a response to being unwell

Unspecific reaction of the body to stressors in the environment

3 phases: alarm reaction, resistance phase, exhaustion phase
Body becomes fatigued coping with chronic stress

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2
Q

Explain the HPA stress response

A

The amygdala: detects things that are dangerous in the environment

Prefrontal cortex: regulates the stress response by making things seem less scary

Hypothalamus: wakes up the pituitary gland

Pituitary: hormones from here tell the adrenal gland to release cortisol

Cortisol: travels through the blood and tells other body parts to react to stress

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3
Q

What is the alarm reaction (generalised adaption syndrome)

A

Can cause downturn in bodily defences and BP, heart rate may initially decrease before rising to much higher than normal levels this arousal cannot be maintained for long periods of time

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4
Q

What is the stage of resistance (generalised adaption syndrome)

A

Body tries to adapt to a stressor arousal reduces but he still higher than normal this stage of mobilisation of bodily defences cannot last in definitely without the organism becoming vulnerable to illness

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5
Q

What is the stage of exhaustion (generalised adaptation syndrome)

A

Exhaustion if resistance stage last too long resulting in a depletion of bodily resources in energy the ability to Resist stress declined and an increased likelihood of diseases of adaption such as cardiovascular disease arthritis and asthma is proposed

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6
Q

What is acute stress

A

Short lived such as exam’s natural catastrophes and traumatic events

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7
Q

What is chronic stress

A

Occupational stress relationship stress persistent dresser and no easy way of reducing the stress

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8
Q

Explain stress and the dysregulation of the immune system

A

The central nervous system, Endocrine system and immune system are complex systems that interact with each other

Stressful life events and the negative emotions they generate can dysregulate the immune response by disturbing the sensitive interplay among these systems

Acute inflammation is an adaptive response to physical injury or infection

Chronic long-term stress can produce exaggerated and or prolonged inflammatory responses that is detrimental to health and has been linked with numerous diseases

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9
Q

What else has been linked to increases stress and pro-inflammatory responses to this stress?

A

Being in troubled relationships, having negative or competitive social interactions and feeling lonely.

Getting a good amount of sleep, eating well and exercising can mediate this.

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10
Q

What is the social readjustment rating scale (SRRS)?

A

Life events are scored according to estimated degree of adjustment they would each demand from the person experiencing them

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11
Q

What are the criticisms of the social readjustment rating scale?

A

The human is made a passive recipient of stress in these earlier models. They also ignored important individual variables (prior learning, environment, support networks, personality and life experiences)

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12
Q

Explain the transactional model of stress and coping

A

Stress is thought to be the product of a transaction between a person and his or her complex environment

Involves primary and secondary appraisal that lead to coping

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13
Q

Explain the primary appraisal process within stress as a transaction

A

The person decides if the situation is benign, stressful or irrelevant. If it is stressful, it is passed to secondary appraisal

‘How significant is this event?’

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14
Q

Explain the secondary appraisal process within stress as a transaction

A

It has passed to secondary appraisal, it has obviously been considered stressful. The person then needs to work out what they can do about it and how to respond

‘Do I have the resources to cope?’
Internal resources: strength, determination
External resources: social support, money

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15
Q

How did the transactional model of stress differ from earlier models

A

Coping was looked at in terms of thoughts and actions that people use in stressful situations - person is no longer seen as a passive recipient of stress

changed from earlier approaches where coping was defined in terms of personality style or defence mechanisms derived from the ego personality

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16
Q

What is coping?

A

The process of managing demands that are appraised as taxing/exceeding the persons resources

Anything a person does to reduce the impact of a perceived or actual stressor

Operates to alter or reduce negative emotions attached to the stressor or can directly target the stressor

May or may not succeed, it is concerned with trying to achieve adaption

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17
Q

What if coping skills balance with stresses?

A

No stress!

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18
Q

What predicts psychological adjustment and quality of life?

A

Coping and social support

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19
Q

Cohen and Lazarus described (5) main coping tasks. What are they?

A
  • Reducing harmful external conditions
  • adjusting to negative events
  • Maintaining a positive self-image
  • Decreasing emotional stress
  • Maintaining a satisfactory relationship with the environment or with others
20
Q

What are the two proposed classes of coping as proposed by the transactional model of stress

A

Problem-focussed and emotion-focussed coping

21
Q

What is problem-focused coping?

A

Efforts or strategies to change the nature or aspects of a problem situation

22
Q

What is emotion-focussed coping?

A

Aims to regulate emotions experienced because of the stressful event
E.g. Sharing feelings about a problem with a loved one

23
Q

Explain: monitor vs. blunter (coping)

A

Monitors have a dispositional tendency to approach problems, seek out threat relevant information
Blunters tend to avoid or distract themselves

24
Q

Is there a right way to cope?

A

NO!

Having a broad coping repertoire and active coping is adaptive in the long term as stressors never take on one form

25
Q

Why is self-regulation important in coping?

A

Being able to reflect on appropriateness and effectiveness of coping allows modification and adjustment

26
Q

Which coping strategies lead to increased psychological distress and poorer outcome?

A

Persistent avoidant, passive and helpless coping is maladaptive

27
Q

Explain adaptive coping?

A

Coping has to be amenable to change.

Problem-focused and emotion-focused may be used together

28
Q

When is problem-focussed coping more adaptive?

A

Tends to be more adaptive where there is something that can be done to alter or control the stressor event

29
Q

When is emotion-focussed coping more adaptive?

A

Where control over the event or resources are low

30
Q

What are some positive findings to come from illness?

A

Benefit finding
Post trauma growth
Satisfaction with life

31
Q

Personality and illness?

A

Can be predictive of disease onset
May change as a result of illness
May promote unhealthy behaviours predictive of disease
May influence illness progression or outcomes because it influences coping

32
Q

Coping with stress: explain optimism?

A

Significantly associated with coping - promotes active and persistent coping

Reduced symptom reporting, reduced negative mood or depression, increased wellbeing

33
Q

What is social support?

A

The presence of others in whom one can confide in and can expect help and concern from

34
Q

What are the different types of social support?

A

Informational: informs knowledge and coping

Instrumental: practical help and assistance

Emotional: aids cognitive and emotion focussed coping. The person feels listened to and understood, validated and cared for.

35
Q

Explain availability vs. use of social support

A

Sometimes people do have others that are there for them but they dont call on them for whatever reason

36
Q

How do individuals with high social support appraise stress?

A

More likely to appraise events as less stressful than individuals that do not perceive support

Social support acts as a buffer against stress

37
Q

What is the direct effect hypothesis?

A

Social support is generally beneficial during non-stressful times as well as highly stressful times

Makes people less susceptible to stress in the first place

38
Q

What is the buffering hypothesis?

A

The health benefits and mental health benefits of social support are chiefly evident during periods of high stress

When there is little stress, social support may have few health benefits

social support protects the person against negative effects of high stress

39
Q

What happens if someone doesnt have any social support?

A

Higher depression and anxiety

Lack of adds another stressor

40
Q

What are the overall effects of social support on illness?

A

Lowers the likelihood of illness, speeds recovery and reduces the risk of death

41
Q

In relation to illness, what do high quality relationships provide?

A

They are associated with lower mortality rates

High social support and relationships are associated with adherence to medical regimens

42
Q

How can social influences adversely affect health

A

If the peer group engages in health compromising behaviours

43
Q

Why are the people who may need social support the most, often the least able to use it?

A

They are typically:

  • Shy and introverted
  • Depressed or anxious
  • Mistrustful
44
Q

What is dyadic coping?

A

When there are mutual influences on coping processes in close relationships

45
Q

What kinds of social support are the most effective?

A

When they match the stressor

46
Q

Too much social support?

A

can be intrusive