L17 - Health 1

Question 1

What type of psychology integrates physical and mental health?

Answer 1

health psychology

Question 2

Hleath Psychologists takes a systems level focus, what type of perspectives does this include?

Answer 2

biopsychosocial

biopsychosociocultural

Question 3

The biopsychosocial model is the core to health psychology

What type of approach does it take

Answer 3

a more holistic approach

(taking the context of the person into account, recognising the complexity of health andillness)

Question 4

Who developed the biopsychosocial model?

Answer 4

Engel and Romano

Question 5

The biopsychosocial model was developed in reaction to the classic models which was the ____

Answer 5

medical model

(reductionist, focusing on pathology and biology)

Question 6

What is the philosophy behind the biopsychosocial model?

Answer 6

the body, the mind, and the environment are interrelated, and interact.

What happens in the physical body can impact the psychological, and vice versa

Question 7

What type of approaches does the biopsychosocial model favour?

Answer 7

interdisciplinary, or
multidisciplinary approach

Question 8

What has the biopsychosocial model been criticised for?

Answer 8

Not being a testable theoretical model (debatable)

Being tokenistic (very often this is observed to the case)

Question 9

Which model considers the behavioural and social determinants of health?

Answer 9

biopsychosocial

Question 10

What is the difference between a clinical and health psychologist?

Answer 10

Clinical psychologists are trained in the assessment, diagnosis and treatment of psychological problems and mental illness – the focus is on severe mental illness

health psychology; the focus is on the relationship between physical and mental health

Question 11

What skills are included for a health psychologist?

Answer 11

Question 12

______ psychology investigates the links between psychology, social factors and physical health in order to improve health and prevent illness

Answer 12

health

Question 13

Health psychologists are specialists in health behaviour change and apply the ______approach to health care delivery

Answer 13

biopsychosocial

Question 14

What are the two main areas of which health psychologists practice?

Answer 14

Health Promotion

Clinical Health Psychology

Question 15

Explain the health promotion field of psychology

Answer 15

Question 16

Explain the clinical health psychology field

Answer 16

Question 17

For people with chronic pain, what is doctor shopping?

Answer 17

When you seek different medications from different doctors

Question 18

Why might Marlene (example study, someone with chronic pain) come to see a psychologist?

Answer 18

GP may have already treated Marlene with medication for pain and it not worked.

Question 19

What is the issue with long term medication for chronic pain?

Answer 19

Long term use can cause increased sensitivity to pain, further use of health care services and even death.

Overuse of medication is common - it is dangerous and can cause rebound pain

Question 20

Referrals to see a psychologist for chronic pain can come from a _____ or a ____

Answer 20

general practitioner or a psychiatrist

Question 21

What is psychoeducation?

Answer 21

Educating about psychology (e.g. fear of moving due to fear of causing pain creates a cycle of pain)

Important regarding medication and other drugs and alcohol

Question 22

What things might a health psychologist need to identify to be able to treat a patient with chronic illnesses pain?

Answer 22

Take a history – learn about the perceived cause/s,
previous and current treatments including medication and
other interventions (physiotherapy for example)

Establish what the pain means to her

Seek data from her about the pain – a pain diary for
example, can be useful to identify “boom and bust”
patterns, triggers for pain, etc.

Identify thinking patterns that might play a role in the pain
– for example, catastrophizing, black and white thinking

Identify reinforcers for pain – for example, the
reactions of others, secondary gain

Identify barriers to changing behaviour – for example,
Marlene is overweight – is she interested to lose
weight?

Screening for depression and anxiety - important

Question 23

What will the health psychologist be attempting to do with someone with chronic illness?

Answer 23

Increasing a sense of self-efficacy and control - important – so lessening feelings of helplessness and dependence on others, dependence on health care

Psychoeducation

Active coping strategies will be taught - Progressive muscular relaxation often used in treatment

Question 24

What is the best therapy to use for treatment for chronic pain

Answer 24

Cognitive Behavioural Therapy (CBT)

Question 25

What kind of interview technique can be used to identify what may be influencing/causing the chronic pain?

Answer 25

Motivational Interviewing