Health Beliefs Flashcards

1
Q

Health

A

State of complete physical, mental and social well-being
World Health Organisation (1948)

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2
Q

Health: ill

A

Symptoms are perceived, evaluated and acted upon
Social situations
Cultural differences

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3
Q

Diagnosis

A

Process of determining the nature of a disease or disorder and distinguishing it from other possible conditions

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4
Q

Diagnosis: perspective of clinician

A

Signs and symptoms grouped together
Identify patterns in the body
Appropriate action
Seen it before

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5
Q

What does a diagnosis do?

A

Gives reason
Reassurance
Legitimise
Expectation that healthcare professionals can treat it
Label - positive or negative
Stigmatise people
Impact sense of self identity
Rename us to others

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6
Q

What does a diagnosis not do?

A

Not always a clear explanation
Not a clear idea of future
No diagnosis - medical unexplained symptoms, lack of clarity

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7
Q

Illness cognition

A

Patients owt implicit common sense beliefs about their illness - Leventhal et al., 1980, 1997
Framework for coping and understanding illness

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8
Q

Cognitive dimensions of illness beliefs: identity

A

What they think the illness is

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9
Q

Cognitive dimensions of illness beliefs: perceived cause

A

Cause of the illness

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10
Q

Cognitive dimensions of illness beliefs: time line

A

Duration of the illness

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11
Q

Cognitive dimensions of illness beliefs: consequences

A

Impact of the illness of their health
E.g. pain and symptoms, social life and work

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12
Q

Cognitive dimensions of illness beliefs: durability and controllability

A

How likely it is to cure the illness and still live a good lifestyle

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13
Q

Leventhal’s self regulatory model of illness behaviour

A

Interpretation, coping and appraisal interrelate in order to maintain a status quo
Normal health disrupted - model purposes that the individual is motivated to return to the balance back to normality
Everything influences each other

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14
Q

Leventhal’s self regulatory model of illness behaviour: representation of health threat

A

Identity
Cause
Consequence
Timeline
Cure/control

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15
Q

Leventhal’s self regulatory model of illness behaviour: stage 1 - interpretation

A

Symptoms perception
Social messages - deviation from norm

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16
Q

Leventhal’s self regulatory model of illness behaviour: stage 2 - coping

A

Approach coping - learn and does as much as they can themselves
Avoidance coping - leave to health professionals

17
Q

Leventhal’s self regulatory model of illness behaviour: stage 3 - appraisal

A

Was my coping strategy effective

18
Q

Leventhal’s self regulatory model of illness behaviour: emotional response to health threat

A

Fear
Anxiety
Depression
Determination

19
Q

Locus of control

A

Degree to which people perceive themselves to be in control of a situation - Rotter, 1966
Continuum

20
Q

Locus of control: internal

A

Your are in control of events
Personally responsible of what happens to you
Your actions affect the outcome

21
Q

Locus of control: external

A

Events are uncontrollable
Controlled by external factors or luck
Things happen to you

22
Q

Health locus of control

A

Wallston and colleagues (1991, 1994)
Evaluated whether an individual believes their health is controlled by them or external factors
Internal - more likely to engage in health enhancing behaviour

23
Q

Internal health locus of control

A

Internal beliefs
High health protective behaviour

24
Q

External health locus of control

A

Strong external beliefs consider external forces
I.e. luck, fate, or chance

25
Q

Health locus of control: powerful others

A

Strong beliefs that state is determined by the action of powerful others
I.e. healthcare professionals

26
Q

Learned helplessness

A

Seligman, 1972
Perceived lack of control
Failure is inevitable
Generalised helpless behaviour in response to failure

27
Q

Self-efficacy

A

One has the capabilities to execute the courses of actions required to manage prospective situations
Situation specific self-confidence
Belied in their ability to succeed in particular behaviour
Rehabilitation process
Sense of mastery - mediating, moderating role