10 health psychology Flashcards

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1
Q

What is health psychology?

A

Health psychology examines how biological, social and psychological factors influence health and illness. Health psychologists use psychological science to promote health, prevent illness and improve health care systems.

Health psychology explores those motivations in the pursuit of getting people to embrace health promotion and illness prevention. This specialty area examines how biological, social and psychological factors influence the choices we make about our health.

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2
Q

What are the conditions a health psychologist deals with?

A

illness to chronic conditions

chronic pain

medical consequences of substance abuse, …

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3
Q

What is stress?

A

natural physical and mental reaction to life experiences

beneficial in immediate, short-term situations

increased heart and breathing rate and muscle response

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4
Q

When does stress become detrimental?

A

If your stress response doesn’t stop firing, and these stress levels stay elevated far longer than is necessary for survival, it can take a toll on your health. Chronic stress can cause a variety of symptoms and affect your overall well-being.’

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5
Q

What biological functions underpin chronic stress?

A

hypothalamus pituitary adrenal axis - endocrine gland interactions
cortisol release - primes body for instant action
increases connections in amygdala - fear center
hippocampus signals deteriorate
weakens ability to control your stress
shrinks in size → prefrontal cortex, loss of neurons

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6
Q

What are popular definitions of stress?

A

“physical, mental, or emotional strain or tension”

“a condition or feeling experienced when a person perceives that demands exceed the personal and social resources the individual is able to mobilize.”

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7
Q

What is Selye´s definition of stress?

A

“the non-specific response of the body to any demand for change”

distinguishing between stimulus and response (stressor)
actually: description of strain

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8
Q

What is acute stress?

A

fight or flight
takes about 90mins for the metabolism to return to normal when response is over

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9
Q

What is the general adaptation/stress syndrome?

A
  • alarm stage
  • stage of resistance
  • the exhaustion stage
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10
Q

What effects can stress have physically?

A
  • headaches
  • heartburn
  • increased depression
  • insomnia
  • irritability
  • rapid breathing
  • weakened immune system
  • risk of heart attack
  • high blood pressure + sugar
  • stomachache
  • pounding heart
  • fertility problems
  • erectile dysfunction
  • low sex drive
  • missed periods
  • tense muscles
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11
Q

What are physical responses to stress?

A

CNS - continuous elevated state
if hypothalamus fails to communicate to other areas to go back to normal

respiratory and cardiovascular systems
- distribution of oxygen-rich blood through your body
- constriction of blood vessels

digestive system
- liver produces extra blood sugar - energy boost
- acid reflux

muscular system
- tense up to protect themselves from injury
- no chance to relax

reproductive system
- exhausting for body and mind
- lose your desire
- prolonged stress: drop in testosterone levels
- increase risk of infection
- can magnify symptoms of period/pregnancy/menopause

immune systen
- susceptibility to illnesses

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12
Q

What is chronic pain?

A

most symptoms (if pain is the primary symptom) are unrelated to identifiable pathology, but present at specific body locations

drugs cannot relieve sufficiently of chronic pain (less than 30% of patients experience 50% reduction in intensity)

persisting pain → from acute to chronic pain

chronic pain - total elimination of pain is rare

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13
Q

What is somatic symptom disorder according to the DSM-5?

A

A. one or more somatic symptoms that are distressing

B. excessive thoughts, feelings, behaviours related to that
- seriousness of one´s symptoms
- high level of anxiety
- time and energy devoted to these symptoms

C. state is present for 6+ months
- with predominant pain?
- persistent?
- mild, moderate, severe?

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14
Q

What is acute pain?

A

intense pain in a specific situation (injury, …)
it will remit on its own with minor care
rarely long-term consequences

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15
Q

What is nociception?

A

activation of sensory conduction in nerve fibres that transmit info about tissue damate from the periphery to the brain via spinal cord

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16
Q

What is recurrent acute pain?

A

pain disorders (migrane, arthritis, tic douloureux)
pain-free periods
episodic characteristics

17
Q

What is chronic pain?

A

osteoarthritis, fibromyalgia syndrome
impacts functioning
cause can often time not be identified
can lead to increased sensitivity within the CNS (central sensitisation)
based on self-report

18
Q

What is hazardous drinking, harmful drinking, and alcohol dependence?

A

hazardous drinking = above recognised sensitivity levels, but no experience of harm

harmful drinking = above recognised sensitivity levels, but experience of harm, physical or mental

alcohol dependence = drinking above recognised sensitivity levels, experience of harm and symptoms of dependence

19
Q

What are some stats around alcohol use disorder?

A

WHO - 2014 - 5.9% of global deaths were attributable to alcohol

mental health problems - depression, anxiety, drug misuse, nicotine dependence and self-harm

85% of patients have alcohol dependence in addition to psychiatric disorder (in specialised alcohol treatment services)
proportion is much lower when focussing on severe and enduring mental health problems

20
Q

What are three central questions that should guide assessment of chronic pain?

A

What is the extent of the individual’s disease or injury (physical impairment)

What is the magnitude of the illness? That is, to what extent is the individual suffering, disabled and unable to enjoy usual activities?

Does the individual’s behaviour seem appropriate to the disease or injury or is there any evidence of amplification of symptoms for any of a variety of psychological or social reasons or purposes?

21
Q

What are common thinking errors in individuals with chronic pain?

A

over-generalisation
catastrophising
all-or-nothing thinking
jumping to conclusions
selective attention
negative predictions
mind-reading

22
Q

what skills can be aquired to help cope with chronic pain?

A
  • relaxation
    controlled breathing and muscle relaxation
  • problem solving
    problem identification
    goal selection
    generation of alternatives
    decision making
    implementation
    evaluation
  • distraction
    1 focussing on the environment rather than the body
    2 neutral images
    3 dramatised images
    4 pleasant images
    5 rhythmic activity
  • biofeedback
    teaches individuals to exert control over physiological processes
    physiological information is fed back to the person
    → active learning process
  • exercise and activity pacing
  • assertiveness and communication skills training
  • role-playing and role-reversal
  • home assignments and practice
  • preparation for generalisation and maintenance
23
Q

What psychological interventions have been found to be useful for treatment of substance use?

A
  • BIs
    brief opportunistic interventions
    primarily alcohol
    brief advice, brief counselling
  • MI
    motivational enhancement/motivational interviewing
    expressing empathy, though reflective listening, developing discrepancy between patients goals and their current behaviours
  • CBT
    recognising and challenging dysfunctional thoughts
  • CM
    contingency management
    voucher-based therapy
    behaviour modification
    positive reinforcement
  • RP
    set of strategies to help the client maintain treatment gains, rather than a specific intervention per so
  • Therapeutic communities
  • 12-step approaches
    self-help group
  • Cue exposure treatment
    reactivity to alcohol cues without actual alcohol in sight