Health Psychology Flashcards
What are the two models of treatment seeking
Biomedical model
Biopsychosocial model
What is attribution
Sensations then “attributed”
as symptoms
Attribution is when we hypothesise what causes a symptom
What does it mean by saying we have illness Prototype (from self regulatory model)
Prototypes are ideas about the identity timeline cause cure control and consequences of an illness
When do we seek healthcare advice? (SRM)
It's more likely when Illness CONSEQUENCES are high TIMELINE is chronic CURE is accessed via hcp CONTROL is low (not through lifestyle CAUSE COPING resources are low IDENTITY prototype and symptoms match Coping w non healthcare seeking is APPRAISED ineffective EMOTIONAL RESPONSE is high
Srm says patient can use here herustics or rule of thumb to aid decisions about symptom what are they?
Rate of change rule - seek help if unstable and get worse quickly Severity rule Age illness rule Stress illness rule -mental attribution Pattern rule Location rule Optimistic rule - it won't happen to me
Describe the stage model of coping with diagnosis e.g. five stages of grief
Whom is it by
Denial – shock Anger Bargaining – if I do this I will get more time Depression Acceptance – not the same as giving up By kubler Ross
What framework indicates Appraisal of treatment
The necessity- concerns framework
Doubt about treatment needs and concerns about adverse affect make a person unlikely to adhere to their medication
Process and outcome of good shared decision-making
Process; recognise need for decision, informed about options:risk, benefits, consequences. Patience values Can discuss their worry with hcp Involved in decision-making
Outcome:accurate risk perception
Good knowledge relevant to decision
Feel that their value are Respected
What is the difference between self-management and self-care
Self-care used in the same way as self management more of a short term focus Management Chronic condition
Describe the component of self management interventions
1 plan and reinforce heathy behaviours -smart goals
2 cope with emotional impact
3 healthcare team
4 eduction about condition and signposting
What theory influences self management
Whom by
Social learning theory
Albert bandura
The social learning theory describes three ways we learned behaviour…
1 modelling, imitating
2 reinforcement -be rewarded
3 vicarious reinforcement - echo feelings- watch other get rewarded
What does the self management intervention involve (4)
- Affirmations - well done for doing Sth.
2 vicarious reinforcement by expert patient
3 technique teaching improve self efficacy
4 set SMART goals
What are smart goals
Specific Measurable Achievable Results focused Time bound
What are the self management behaviours in asthma
Adhere to preventer trt Good inhaler technique Stop smoking Maintain a healthy weight Avoid trigger Flu vaccination
What are the self management behaviour in hypertension
Adhere to antiHT Self monitor of BP Stop smoking Healthy weight Reduce alcohol intake
What are the problems with self management intervention
Time (hcp Money Patient engagement Training Outcomes are different for diff patient
Define self-management
Self-management refers to individual’s ability to manage symptoms, treatments, physical and psychological consequences and lifestyle changes for chronic condition
Scott &a Bruce’s decision making styles suggested 5 types …
Rational Intuitive Dependent Avoidant Spontaneous
Differences between intuitive and a spontaneous decision making
Both quick decisions, high self esteem, careless about what other think
Spontaneous decision linked to poorer outcomes
What’s dependent decision making? Is it linked to high or low self esteem?
Making decisions after seeking advices from others
Lower self esteem
What is common knowledge bias in decision-making as a group
Tend to talk about things we agree on
Miss out things that a few people knows that are also IMPORTANT