Cli. 2 Stress Flashcards

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1
Q

Johansson - BACKGROUND?

Workplace stress - combined

A

Stress - reaction to excessive pressures (worry we can’t cope)
3 main factors:
-task related (information overload)
-interpersonal (role conflicts)
-environmental (temperature)
Health related mental illness - £28bn (¼ UK sick bill)
Stress can cause mental/physical illness

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2
Q

Johansson - AIM?

Workplace stress - combined

A

Investigate which stressors increase stress related physiological arousal and stress related illness

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3
Q

Johansson - SAMPLE?

Workplace stress - combined

A

24 workers in Swedish sawmill:

  • high risk - 14 (complex, computer paced jobs)
  • low risk - 10 (cleaners, maintenance)
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4
Q

Johansson - METHOD?

Workplace stress - combined

A

Quasi

High risk job or control (low risk)

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5
Q

Johansson - PROCEDURE?

Workplace stress - combined

A

High risk group (14 finishers):
-worked in final stage of processing timber
-machine paced, isolated, respective and highly skilled
-productivity determined wage rates of entire factory
Compared with low risk group (10 cleaners):
-more varied, self paced and allowed socialising with other workers

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6
Q

Johansson - DATA?

Workplace stress - combined

A
Stress related hormone (adrenaline and noradrenaline) - in urine
Records of days off sick due to stress
Self report - mood and alertness
Caffeine and nicotine consumption
Body temperature
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7
Q

Johansson - RESULTS?

Workplace stress - combined

A

2x stress hormones (adrenaline and noradrenaline) produced in high risk group (14 finishers) on work days than rest days
Higher levels of stress hormones, stress related illness (headaches) and absence from work than control group

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8
Q

Johansson - CONCLUSIONS?

Workplace stress - combined

A

Combination of work stressors (repetitiveness and machine paced) and high levels of responsibility lead to chronic (long term) physiological arousal
Leads to stress related illness and absence from work

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9
Q

Kanner - BACKGROUND?

Hassles and life events

A

Not all stress comes from major events - lesser events (giving presentation) can be stressful
Richard Lazarus developed scale to measure hassles - 117 events (minor annoyance to major problem)
Participants indicated which events took place and rated them - most common: health and too many things to do
Uplifts scale developed (for good things)

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10
Q

Kanner - AIM?

Hassles and life events

A

Compare ‘hassles and uplifts scale’ with ‘Berkman life events scale’ as predictors of physiological symptoms for stress

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11
Q

Kanner - SAMPLE?

Hassles and life events

A

100 people who completed health survey in 1965
From California
Mostly white and Christian
With adequate or above income
9th grade education minimum
216 initially contacted - 109 agreed (9 dropped out) = 100

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12
Q

Kanner - METHOD?

Hassles and life events

A

Repeated measures design
Completed ‘Hassles rating scale’ and ‘life events scale’
Psychological symptoms assessed using Hopkins symptom checklist and Bradburn morale scale

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13
Q

Kanner - PROCEDURE?

Hassles and life events

A

All tests sent out by post 1 month before the study:

  • hassles rating for 9 months
  • life events rating after 10 months
  • hopkins symptom checklist (HSCL) and Bradburn morale scale every month (for 9 months)
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14
Q

Kanner - RESULTS?

Hassles and life events

A

Hassles consistent month to month
Men: life events correlated positively with hassles - negatively with uplifts
Women: the more life events, the more hassles and uplifts reported
Hassle frequency correlated positively with psychological symptoms (HSCL)
Hassles correlated positively more with psychological symptoms than life events

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15
Q

Kanner - CONCLUSIONS?

Hassles and life events

A

Hassles are a better predictor of psychological symptoms than life events
Hassles contribute to psychological symptoms no matter the life events

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16
Q

Kanner - EVALUATION?

Hassles and life events

A

-

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17
Q

Geer and Maisel - BACKGROUND?

Lack of control - physiological

A

People prefer predictable rather than unpredictable events

When we can control when an unpleasant event will stop - lower response (predict length)

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18
Q

Geer & Maisel - AIM?

Lack of control - physiological

A

To see if perceived control or actual control reduce stress to averse stimuli

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19
Q

Geer & Maisel - SAMPLE?

Lack of control - physiological

A

60 psychology undergraduates at New York university

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20
Q

Geer & Maisel - METHOD?

Lack of control - physiological

A

Lab
Shown photos of dead car crash victims
Stress levels measured by GSR (Galvanic Skin Response)
Heart rate measured through ECG monitoring
Independent measures - 3 groups:
Group 1:
-control over time looking at photo (could press button to skip)
-warning tone before photo
Group 2:
-warned photo would be 60 seconds apart (photos shown for 35 seconds)
-10 second warning tone before photo
-no control but knew what was happening
Group 3:
-told they would see photos and hear tones
-not given timings or control

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21
Q

Geer & Maisel - GROUPS?

Lack of control - physiological

A

Group 1:
-control over time looking at photo (could press button to skip)
-warning tone before photo
Group 2:
-warned photo would be 60 seconds apart (photos shown for 35 seconds)
-10 second warning tone before photo
-no control but knew what was happening
Group 3:
-told they would see photos and hear tones
-not given timings or control

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22
Q

Geer & Maisel - MEASURES?

Lack of control - physiological

A

GSR (Galvanic Skin Response) - finger grips with moisture sensors on the ends of the fingers
Moisture change can be recorded (after 5 minute baseline - calibrated to zero)

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23
Q

Geer & Maisel - PROCEDURE?

Lack of control - physiological

A

Seated in sound proofed room and wired to GSR and ECG machines (calibrated for 5 minutes - give baseline)
Instructions read over intercom
Photo preceded with 10 second warning tone and then shown for 35 seconds (except group 1)
GSR taken on onset of tone, halfway through tone and in repose to picture

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24
Q

Geer & Maisel - RESULTS?

Lack of control - physiological

A

ECG recordings discarded - appeared inaccurate
Most stress - group 2
Least stress - group 1

25
Q

Geer & Maisel - CONCLUSIONS?

Lack of control - physiological

A

Having control over your environment reduces stress responses

26
Q

Geer & Maisel - EVALUATION?

Lack of control - physiological

A

A

27
Q

Holmes and Rahe - BACKGROUND?

Self report

A

Life events - major events that require psychological adjustment
Scale assigns value to each event
Social Readjustment Rating (SRRS) - people rated amount of readjustment required for each event

28
Q

Holmes & Rahe - AIM?

Self report

A

Create method that estimates extent of which life events are stressors

29
Q

Holmes & Rahe - SAMPLE?

Self report

A

394 participants (179m and 215f)

30
Q

Holmes & Rahe - METHOD?

Self report

A

Questionnaire

Discover how much each life event was seen as a stressor

31
Q

Holmes & Rahe - PROCEDURE?

Self report

A

Rated 43 life events
Marriage given arbitrary rating of 50 - events judged as requiring more or less readjustment and time
Ratings based on personal experience or perception of others

32
Q

Holmes & Rahe - RESULTS?

Self report

A

Final Social Readjustment Scale - finished using participants’ mean scores
Correlations high in all groups - EXCEPT between white and black people

33
Q

Holmes & Rahe - CONCLUSIONS?

Self report

A

Degree of similarity between different groups - impressive

Shows general agreement of what a life event is and what causes stress

34
Q

Holmes & Rahe - EVALUATION?

Self report

A

-

35
Q

Michenbaum - BACKGROUND?

Cognitive

A

-

36
Q

Michenbaum - AIM?

Cognitive

A

Compare Stress Inoculation Training with standard behavioural systematic desensitisation and control group (waiting list)

37
Q

Michenbaum - SAMPLE?

Cognitive

A

21 students (age 17-25)

38
Q

Michenbaum - METHOD?

Cognitive

A

Matched pairs (gender and anxiety levels):

  • SIT
  • waiting list (control)
  • standard systematic desensitisation
39
Q

Michenbaum - PROCEDURE?

Cognitive

A

Tested using an anxiety questionnaire - allocated to group
SIT group:
-8 therapy sessions
-insight approach (identify thoughts prior to test)
-given positive statements and relaxation techniques
Systematic desensitisation:
-8 therapy sessions
-progressive relaxation training (practiced at home)
Control:
-waiting list (therapy in the future)

40
Q

Michenbaum - RESULTS?

Cognitive

A

Performance improved in SIT group - more reported improvement in anxiety levels
Significant difference between therapy groups and control

41
Q

Michenbaum - CONCLUSIONS?

Cognitive

A

SIT more effective to reduce anxiety

More effective than behavioural techniques (systematic desensitisation) - SIT adds cognitive component to therapy

42
Q

Michenbaum - EVALUATION?

Cognitive

A

A

43
Q

Budzynski - BACKGROUND?

Behavioural

A

A

44
Q

Budzynski - AIM?

Behavioural

A

If biofeedback reduces tension headaches

45
Q

Budzynski - SAMPLE?

Behavioural

A
18 participants (2m and 16f)
Replied to advert in Colorado local paper
46
Q

Budzynski - METHOD?

Behavioural

A

Trained in LAB

Independent design - 3 groups

47
Q

Budzynski - PROCEDURE?

Behavioural

A

Patients keep record of headaches of 2 weeks
Group A - told to concentrate on clicks - clicks of biofeedback machine reflect muscle tension (slower clicks indicate less muscle tension)
Group B - told to concentrate on clicks (pseudo feedback)
Group C - no training - waiting list (training start in 2 months)

48
Q

Budzynski - RESULTS?

Behavioural

A

Group A muscle tension significantly lower than group B - after 3 months
Group A’s headaches dropped significantly from baseline (B and C didn’t)
Group A drug usage decreased (more than B)

49
Q

Budzynski - CONCLUSIONS?

Behavioural

A

Biofeedback is affective at training patients to relax and reduce headaches
Effective method of stress management
Relaxation training is most effective when combined with biofeedback

50
Q

Budzynski - EVALUATION?

Behavioural

A

A

51
Q

Waxler-Morrison - BACKGROUND?

Social support

A

A

52
Q

Waxler-Morrison - AIM?

Social support

A

See how social relationships influence response to breast cancer survival

53
Q

Waxler-Morrison - SAMPLE?

Social support

A
133 women (under 55 years)
Breast cancer
54
Q

Waxler-Morrison - METHOD?

Social support

A

Quasi - diagnosed with breast cancer

55
Q

Waxler-Morrison - PROCEDURE?

Social support

A

Mailed self administered questionnaire - gather demographic data, existing social networks, education level, responsibilities, perception of support
Psychometric test of social network - combined marital status, contact with friends and church membership
Diagnosis details recorded and survival rates checked in medical records

56
Q

Waxler-Morrison - RESULTS?

Social support

A

6 aspects of social network linked with survival:

  • marital status
  • supports from friends
  • contact with friends
  • total support
  • social network
  • employment
57
Q

Waxler-Morrison - CONCLUSIONS?

Social support

A

The more social networks and support = higher survival rate

Type of survival still main factor

58
Q

Waxler-Morrison - EVALUATION?

Social support

A

A