Health, Stress & Coping Flashcards

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1
Q

What is health psychology?

A

Devoted to understanding psychological influences on how people stay healthy, why they become ill and how they respond when they get ill.

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2
Q

Health Belief Model

+ it’s 4 factors that health behaviour is predicted by

A

BECK - 1955

Likelihood that individuals will take preventative action depends directly on the outcome of 2 assessments they make:

  1. Evaluations to the threat of a health problem
  2. Weight the pros/cons of taking action

4 Factors:

  1. Perceived susceptibility to health threat
  2. Perceived severity of health threat
  3. Benefits and barriers of undertaking particular health behaviours
  4. Cues to action of willingness to begin a healthy behaviour

*high risk + high severity + many enablers + few barriers = behaviour more likely to happen

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3
Q

Optimistic Bias

A

People believe that they are much less likely than other people to contract particular illnesses

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4
Q

Protection Motivation Theory

+ 4 key components

A

(Similar to health belief model)

Desire to protect yourself from a threat

4 Key Components:

  1. Vulnerability to health threat
  2. Severity of health threat
  3. Response efficacy (belief that suggestion action will actually help reduce the threat)
  4. Perceived self efficacy (being able to carry out what is need to avoid threat)
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5
Q

Self Efficacy

A

Belief that we can succeed at something we want to do

thought to be a task specific version of self esteem

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6
Q

Theory of Reasoned Action

+ Factors (2)

A

AZJEN and FISHBEIN (1980s)

Focuses on intentions, attitudes and subjective norms

If people evaluate something as positive and other people who matter to them are doing it, they are more likely to intend to do it too.

Factors:

  • Attitudes: behaviour is considered positive/negative
  • Subjective Norms: receiving social pressure from others to engage/not engage in behaviour
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7
Q

Theory of Planned Behaviour

A

(Theory of reasoned action + self efficacy)

AZJEN & FISHBEIN (1980s)

Like theory of reasoned action but instead of focussing on just 2 elements (attitudes and subjective norms) a 3rd one is also considered: “self efficacy” = perceived behavioural control

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8
Q

Self Efficacy Theory

A

BONDURA 1980s

Perceived self efficacy of being able to carry out what is needed to avoid threat.

Outcome expectancies: perceived positives and negatives of taking action

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9
Q

Determining Efficacy Judgements (4)

How ones self efficacy is influenced towards a task

A
  • performance outcomes: positive and negative experiences influencing the ability to perform (if they have performed well previously, they’re more likely to feel confident performing at similar tasks)
  • verbal persuasion: encouragement and dis encouragement to individuals performance or ability to perform
  • vicarious experiences: developing a high or low self efficacy based on other peoples performance.
  • physiological feedback: experiencing sensations from body on how they perceive this emotional arousal influences beliefs of efficacy
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10
Q

Transtheoretical Model

Stages (6)

Key terms (4)

A

PROCHASKA, DICLEMENTE (1990s)

We move through distinct stages:

  • precontemplation
  • contemplation
  • preparation
  • action
  • maintenance
  • relapse (can occur at any stage)

Key terms:

  • addiction: physical & psychological dependence on substance following use over period of time
  • physical dependence: body is used to the substance and incorporates use in its normal function
  • tolerance: increasing adaptation to substance needing higher doses to achieve same result
  • withdrawal: unpleasant physical & psychological symptoms upon withdrawal
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11
Q

Barriers to Healthy Behaviours:

  • individual (5)
  • family (1)
  • health system (4)
  • community, cultural and ethnic (3)
A

Individual:

  • lack of knowledge
  • short term rewards of health comprising behaviour
  • negative effects of health compromising behaviours are often not immediate
  • unrealistic optimism
  • gender: men less likely to engage in health promoting behaviour

Family:
- health habits acquired in childhood

Health system:

  • doctors trained to focus on illness not health
  • lack of health insurance
  • relationship between doctor/patient
  • communication between doctor/patient

Community, Cultural & Ethnic

  • norms of community
  • disparities in health between indigenous and non indigenous Australians
  • rural and remote living (access to health services)
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12
Q

Stress

(Meaning, produce and elicit)

3 possible views on stress

A

Challenge to a persons capacity to adapt to inner and outer demands

Typically produce psychological and emotional arousal

Stressful experiences typically elicit cognitive & behavioural efforts to cope with stress

3 views:

  • Focus on environment = stress as stimulus (stressors)
  • Reaction to stress = stress as response (distress)
  • Relationship between person & environment = stress as interaction (coping)
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13
Q

Stress as Psychobiological Process

(General Adaptation Syndrome)

3 stages

A

Alarm: release of adrenaline and other hormones (fight or flight)

Resistance: respiration and heart rate return to normal, glucose levels and some stress related hormones remain high

Exhaustion: after prolonged stress the body’s defences break down, increase vulnerability to infection/disease

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14
Q

Stress as Transactional Process

Theory + 2 stages

A

Stress is a transaction between individual and environment rather than property of either alone.

Primary appraisal: decide if situation is benign, stressful or irrelevant. If stressful: what to do about it
Secondary appraisal: evaluate options and decide how to respond, emotional forecasting

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15
Q

3 Types of Stress

A

Harm or Loss
Threat
Challenge

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16
Q

Stressors (2)

Types of stress

A

Acute stress: sudden, typically short-lived, threatening event (e.g. Robbery/giving a speech)

Chronic stress: ongoing environmental demand (e.g. Marital conflict/work stress/personality)

17
Q

Psychoneuroimmunology

A

Looks at influence of psychosocial factors on the functioning of immune system

18
Q

Coping with stress

3 types of focuses

A

Problem focused: person attempts to change situation

Emotion focused: person attempts to change thoughts or emotional consequences of the stressor

Social support focussed: presence of others in whom one can confide in and can expect help and concern
^^ high level of social support is protective against the effects of stress by buffering people against the effects of stress - making them less susceptible in the first place

19
Q

Health psychology aim: (4)

A
  • promote and maintain health
  • prevent and treat illness
  • identify etiological and diagnostic correlates of health and illness (research)
  • analysis of health care system and health policy formation