Lecture 3 Flashcards

Coping, types of coping, effects of coping, compare direct effects model & stress-buffering hypothesis

1
Q

Coping with Stress

What is Coping?

A

Coping: anything people do to reduce stress

Includes efforts to manage internal and external demands. Whether successful or not

It is not a single event — it’s multiple transactions with environment, and continuous appraisal and reappraisals

Stimulus — > appraisal (primary and secondary) —> demand is high, resources are low, you stress —> coping

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2
Q

Coping with stress

what are the 3 functions of Coping (Lazarus & Folkman, 1984)

A

Problem-focused coping: direct efforts to solve the problem
Changing the situation, or changing yourself

Emotion-focused coping: efforts to manage emotions
Denial, distancing, Freud’s mechanism, wishful thinking, self-care, social comparison

Relationship-focused coping: efforts to maintain and manage emotions
Empathy
Taking someone’s perspective
Withdrawal
Confrontation
Compromise

Any one strategies can have a mixed function, and “support” can be emotional or relationship-based

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3
Q

Coping with stress

What is Meaning-Focused Coping

A

Mean-focused coping: efforts to change the meaning of an event or situation
Beliefs, values and goals to motivate coping
Positive outcomes

Think about religious beliefs of the afterlife or sayings that “everything happens for a reason”, they’re ways of coping that try to give the situation new meaning; making meaning and purpose to something you don’t fully understand yet

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4
Q

coping with stress

compare Approach to Avoidance-coping

A

Approach Coping – Attempts to actively deal with the problem or manage the tension.
cognitive (e.g., trying to see the positive in the negative, seeing things differently) or behavioural (e.g., talking to a friend, looking up solutions )
Approach = fight
BENEFITS: Appropriate action—can release emotions, and reduce stress
COSTS: more distress, can cause rumination and worry — trying to not avail

Avoidance Coping – Attempts to distance oneself from the problem and not think about it.
cognitive (e.g., trying not to think about it, denial) or behavioural (e.g., drinking to reduce tension, physical distractions )
Avoidance = flight
BENEFITS: reducing short-time stress (dosing—small amounts of stress)
COSTS: greater than the benefits, emotional numbness, you don’t take action, ignoring things that bother you, possibly maladaptive behaviors like drug/drinking abuse

Better if the situation is uncontrollable — like if someone has died
Emotions are intense at the start, so dosing is good

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5
Q

coping with stress

What is the best way to cope?

A

Depends on personal attributes, abilities, contextual factors, social factors, controllability of the stressor, etc

The best indicator in research of effective coping is THE OUTCOME (of the behaviour)

Questions asked in research to be measured:
Was the goal accomplished?
Was the problem solved?
Was the challenge overcome?
Was there an impact on mood or health?
Daily process / daily diaries

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6
Q

Coping with stress

What is resilience?

A

positive adaptation for coping to a stressful situation
Recovery from stress/adversity without a lasting impact.

Coping is something either positive or negative
Don’t assume that there’s an outcome when it come stp coping
Coping isn’t always adaptive or maladaptive—depends on the person, situation, and the environment
Many ways to conceive resilience
We know that genes and biology play a role, but early life and environment also matters
EX. How a low level of extraversion is a risk factor of PTSD
EX. High openness predicts a level of resilience

Allostatic load, measuring resilience through a variety of ways

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7
Q

What is Major et al. Model of Resilience?

A

Involves high levels of 3 positive aspects of personality:

Self-esteem: as a state
personal control: how much perceived control you have
optimism: expecting positive events to occur or be plentiful in the future

High self-worth, preserved control, and maintained optimism during adversity
Similar to hardiness: people who are hardy are people who can resist any lasting impact of stress
Control (Perceived control), Commitment (being involved in life, having a sense of purpose, setting goals) Challenge (interpreting events as challenges rather than threats or demands)

Setting goals and committing to those goals, appraising things as challenges rather than threats

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8
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A
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9
Q

Discuss Activities of Daily Living (ADL)

A

Health in old age
Quality of life, ability to engage in everyday abilities (engaging in social relationships, making food, getting up for bed)

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10
Q

What does George Bonanno say about resilience?

A

In the just of feeling stressed and burned out—doesn’t necessarily mean that are not resilient

George Bonanno—we’re all pretty resilient, with loss and death
Populations of people who lose a spouse in old age, the majority return to baseline in 2-3 months
Measured in depression levels
This is problematic since it’s considering a very narrow definition of resilience
Risk of increasing a likelihood of a trauma by interfering too early
He criticized overconcern of people who have difficulty of events
How do health psychologists look at people
Resilience is measured in a trait-like measure

Significant loss in life, eventually recover without lasting impact, not resilient is in the minority, and we may focus on resilience too much and therapy may even hinder natural recovery
A controversial take in the mental health community

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11
Q

Coping with stress

How to manage stress?

A

If there is something you can do about the problem, then dealing with it and problem-solving is beneficial
More maladaptive if you deny and avoid the situation in most cases
Taking a hands-on approach is important

Processing and expressing your feelings (disclosure)
Rumination is one of the most maladaptive coping mechanisms
Just swirling a thought in your head over and over again

Engaging with positive emotions, and finding benefits and meaning (positive reappraisal)
Fighting against the stressor can make things worse—acceptance can alleviate that tension
Finding support and collaboration, as opposed to withdraw, is beneficials (empathy)
Also interacting with friendly animals and spending time in nature is beneficial to alleviate stress
EX. For hostile animals, kickboxing a kangaroo —> exercise + challenge mindset —> could be less stress

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12
Q

How to manage stress

Discuss Positive Appraisal

A

A highly adaptive strategy focused on gaining meaning from a stressful event
Involves deriving personally relevant positive meaning from an experience in the face of its negative qualities
Finding SOMETHING positive in the situation, not necessarily making the negative positive

Not that easy in most situations—genuinely and sincerely looking at a event differently
For most people, it takes a lot of time and inner work to reframely an event positively
There are some scenarios where the immediate positive reappraisal

Study on Older Adults
Lower anxiety and depression over time
Higher current positive positive emotions
Counseling and group therapy that aids and guides individuals to
Positive reappraisal—most likely to be the adaptive across all situations

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13
Q

How to manage stress

Discuss disclosure

A

An adaptive strategy in which a person describes their feelings about a stressful or traumatic experience
Similar to emotional expression; an important aspect of emotion regulation

Speaking to someone else about your emotions
Verbal or written
We see written disclosure is effective even if no one reads it (better than nothing)
But verbal disclosure is the most effective
Lack of disclosure tends to be maladaptive

Ideally we disclosure with the intent of resolving or working through things
Disclosure can have an impact on the other person involved as well

Cepeda et al, Cancer patients to write a story 20 minutes/week
Less pain and higher wellbeing when writing stories
It doesn’t take much to see an effect—even just writing for a short amount of time
Narrative therapy is effective because of disclosure
Disclosure could also be effective with non-human animals, like pets
Being on the other side, the listener:
We often support by adding our opinion and our persepective
We should just be there and listen—at least in the beginning

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14
Q

social context to stress

What is Tend-and-Befriend

A

People don’t always respond through fight-to-flight but also respond to stress with social behaviour
Resilience being stronger in numbers
Suggests this is a common response to stress, more commonly seen in females due to evolutionary roles and responsibility
Identifies a hormone, oxytocin to play a role in this

Released when stress is low (reward social behaviour) and high
lowers HR, BP, etc.; modulates HPA activity; increases social behaviours.

Counter physiological effects and becoming more trusting of other people
Some evidence saying that women have a higher level of oxytocin, thus making it seem like women use tend-and-befriend approach more

is released during/after childbirth, during breastfeeding, and in response to low-intensity stimulation (e.g., touch), mutual smiling, and sexual activity, the release of oxytocin in the infant and mother
Oxytocin released when bonding with a newborn is more common in mothers but also seen in fathers
Similar levels comparable to mothers experienced with gay men

Oxytocin reinforces that pro-social behaviour
plays a role in attachment, pair-bonding, trust, social recognition, and stress reduction; also out-group aggression
More likely to recognize familiar people
Can also increase aggression toward people who are different (protective response, hence out-group aggression)
Treatment in PTSD but is showing addictive qualities

Positive feelings in its way to lower heart rate and blood pressure, and moderates HPA axis
Surge in oxytocin —> inclination to interact with people

Oxytocin is being released to reinforce those social bonds—we are doing something good by engaging in these activities
Plays a role in attachment

To encourage attachment and bonding
Pair-bonding in adult relationships
Honeymoon is to be blamed in oxytocin
Short-term stress encounter: buffers epinephrine and cortisol
Makes us feel more aggressive to people in other groups—like being a parent protecting your own child
Oxytocin is released during stress and when we’re feeling lonely—causing us to seek out more relationships

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15
Q

social context to stress

What is the Stress Buffering Hypothesis?

A

Social support serves a protective function, a coping measure to cope with stress
When stress is high, social support reduces its impact on health
buffers the impact of stress and environmental demands on the individual
Looking for a moderation effect
In contrast with direct effect: regardless of stress, social support has direct impact on health, and benefits, regardless of stress there, are mediating variables at play of course that over time contribute to good health

Social support is a protective factor
Contrasting with eth direct effect model: social support affects health REGARDLESS of stress
This includes oxytocin
Quality of life is an indicator of health
Examining relationship as a
When stress is high = higher level of quality of life, as
Evidence of a buffering effect
Negative impact on health is being reversed
Impact of stress is mitigated as a function of social support

E.g., in couples coping with early-stage dementia

Gellert et al. (2018) relation of stress and quality of life
No significant difference when stress is low; social support does not matter when stress is low in quality of life

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16
Q

social context to stress

How does social support buffer trauma

A

Social support is a major protective factor following potentially traumatic events
Increase post-traumatic growth
Reduces the risk of harmful outcomes like PTSD and depression.
Enhances treatment

On gorillas: For most species, early life adversity compromises health throughout life, but this is not true of gorillas (Morrison et al., 2023)
High resilience in response to early life trauma
Explanation: gorillas increase their time around other gorillas, thus mitigating the trauma response not observed in other species

17
Q

social context to stress

What are the types of social support?

A

Most common: **Emotional and Esteem **support
Being there and listening, and being empathetic
positive regard make the other person feel good about themself (esteem)

Tangible and instrumental support
Helping out with chores, giving people rides to the doctor
receiving material aid, assistance from others, pragmatic

Informational support: getting advice & information from others

Companionship support: one’s overall evaluation of available support, availability of others to spend time with
Relies on global evaluation of one’s social network
The availability of other people to spend time with

Also consider: Invisible support: doing things without the other noticing (doing things for others without them knowing), less direct advice (talking about something rather than straight-up advice)
EX Spouse doing chores to support or help their spouse

Sense control not reduced
Seeing others constantly do things for you may feel like you need help, lack of autonomy and creating dependency

Which support is best?
Very subjective on the situation and person
*Across situations, emotional support is the most effective, taking the time to listen *

18
Q

social context of stress

Discuss the bad kinds of social support

A

Protective buffering: keeping information from someone to protect them; avoiding the potential for negative interaction.
Correlational research
Not necessarily will create problems in the individual, but the more protective buffering occurs, the worse it would be

Solicitousness: expressing concern; helping without request
Problematic for both people involved
Both reduce the sense of autonomy for the person receiving it
Could also just be annoying
Can feel patronizing and condescending
Can be difficult for the receiver because it may make it difficult to engage in periods of recovery
Stop thinking about the stressor—reminded when someone asks “how’s the situation”
Can feel like one person is parenting and the other is being coddled

Why problematic?:
Possibility of being seen as needing help, dependent on others
Disrupts the relationship, and reduces the sense of autonomy, why should someone else withhold information on you?
Back to the idea of sense of control

19
Q

Social context of stress

Quality vs. quantity
social support and network

A

QUALITY: Social Support – Functional content and quality of social relationships

QUANTITY: Social Networks – Number of social relationships; degree of social integration
Diverse types of social roles

Most research has found that quality matters more to health, but quantity DOES still matter
Quality over quantity

**Cohen et al. (1997) **examined the role of social network diversity (# of different types of relationships) in contracting a cold
Looking at their life event stress played a role
Study looked at a similar kind of life event stress
How many types of relationships they had (parent, friend)

People with low social network diversity had 4x more likelihood to catch a cold (4 types or less)
People with higher social network diversity had higher likelihood to resist cold (6 types or more)
Having people available helps resists poor health outcomes and disease

20
Q

What about social media and online social networks?

A

Social Media Networks:
Use of social media can make people feel lonely, frustrated and anger
Typically negative feelings
Increasing depression over time
Negative body image—more likely as a result of frequent visual use
Sharing photos and selfies
More for young women
Narcissism
Evidence of casual effect
Increasing social media use —> higher scores of self-report narcissism
Extreme effects
More depression, anxiety and psychological distress from using social media
FOMO— social comparisons make people feel like they’re being left out
Isolated and anxious

Many studies will use Facebook
But some will use Instagram, Twitter, Tiktok, etc.

Idea: Social Media is making us antisocial
Takes time away from real or physical relationships
Social media will polarize us
Social media might also make us feel smaller and overwhelmed—seeing other people with so many opinions and ideas
And then you might start withdrawing
Critical of the self-help section—but not an other help section
More emphasis on the indivdiual, rather than our relationships
Research
30-40% of participants report interacting less with family and friends
You also become less empathetic—you don’t need to see the emotional responses from people when you text
Limiting social media is also associated with decreased loneliness

21
Q

Health risk of loneliness/ aka the social context

Meta Analysis on Loneliness and Isolation

A

29% of premature death with moderate-high loneliness
Social isolation: 26%
Living alone; 32%
Loneliness and isolation becomes stressful
Social support can help buffer the stress on your health
Increased risk of other health problems
EX. Covid-19 and feelings of isolations
Especially for teens and young people
Because they were at a time where social relationships are important
Main point: we are quick to blame everything on the pandemic
But loneliness, sadness and depression were already on the rise before the pandemic happened
Ask ourselves “what is it that we’re doing wrong that populations around the world are displaying these behavior”

22
Q

Describe the importance of healthy relationships to social support and stress

A

The health benefits of committed relationships, relationship satisfaction and social connectedness have been well-documented in research (POSITIVE, net benefit)

EX Harvard Study on Adult Development
300 undergrads in 1990s
Still following them
Longest running study for a while
Our relationships and the quality of those relationships that matter more than anything else—exercise, diet, genes and health
Ability to maintain relationships is key

23
Q

interspecies support as social support

What is the Human-aminal interaction (HAI)

A

interacting with animals is associated with health benefits; specifically with friendly animals, and mostly with dogs, cats and horses

Physiological: reduced blood pressure; improved cardiovascular health; enhanced immune system functioning; improved pain management; lower cortisol output

Some people suggests that living with pets can contribute to a healthier microbiome in terms of bacteria
Looking at either pet owners, or observing and measuring from people in labs who interact with animals

Psychosocial: improved mood; reduced aggression; increased trustworthiness and trust of others; reduced impact of stress.
Other people trust you more and you to others, broader pro-social effect

Animals tend to evoke more positive emotions—thus it can also affect our relationships better
Helps also with PTSD, expressing emotions and relating emotionally
Can help overcome some of that emotional illness

24
Q

HAI vs. human interaction

A

People who were pet owners but were alone responded better than a person who was with another person
The presence of the pet reduced the stress for than the presence of the spouse

Discussion: What support do animals provide?
Unconditional love
Also tangible and instrumental support—like service dogs who help retrieve objects
Oxytocin and dopamine

25
Discuss the mechanisms of HAI
Beetz et al. (2012) proposed that activation of the oxytocin system plays a key role in the health benefits of HAI Studies have found that HAI leads to higher oxytocin output; the effects of HAI are similar to oxytocin Oxytocin is released in both humans and animals in response to touch/petting and mutual gaze (gaze especially in female dogs) examples of robo pets, aquariums and general research not included
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# Health Benefits of Nature What are the Health benefits of greenspaces?
Exposure to green space 143 study meta analysis on greenspace When we’re looking at physical benefits there’s lower cortisol, blood pressure, and heart rate Diabetes, cardiovascular mortality and all-cause mortality Discussion: Opportunities to destress, the color green or blue itself (the visual cortex and its processing of colors), fresh air, sunlight Green space is good because: We are more active in greenspace People interact more in it Exposure to sunlight In healthier environments, we spend less time in unhealthier environments Like noise and pollution You may have more opportunity to reduce your level of stress too Old Friends Hypothesis: exposure to greenaps e in childhood is important—playing in natural environments will help you develop a stronger immune system increased exposure to a range of micro-organisms which may be important for the development of the immune system and the regulation of inflammatory responses
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# Health Benefits of Nature What are the Mental Health Benefits of nature?
Mental health benefits Lower risk of mental illness Lower rumination and reduced depression Recent meta-analyses have suggested a more significant impact on positive affect (happiness) and a small but significant impact on negative affect Tree cover & stress recovery Jiang et al. (2016) examined self-reported recovery from stress in a stress induction experiment as a function of tree exposure. DID NOT EXPOSE PEOPLE TO REAL TREES Following stress induction, participants watched 1 of 10 3-D videos of street scenes that varied in tree cover. Found a positive, linear association (dose-response) between density of urban street trees and self-reported stress recovery, controlling for gender, age, and baseline stress Blue Space: People who live close to the ocean has less stress than green space Colour does seem to matter, but people who live near the ocean for more active on average Highly controlled factors from economic status and rates of crime in the neighbourhood
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# Reasons, benefits of blue and green spaces but also animals What is the biophilia hypothesis?
Edward O Wilson The idea that human beings are drawn to other life and natural systems We have a desire to connect with other life and environments The brain was involved in natural systems (the environment) We function optimally when in a state of life with other systems The term biophilia was introduced 20 years earlier by psychoanalyst Erich Fromm to describe a psychological orientation in which individuals are attracted to that which is alive and vital in the world Supported by evidence of health benefits of HAI and nature Because our brains evolved with nature
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# Meditation and Mindfulness What is Meditation and Mindfulness?
**Meditation **refers broadly to various practices and behaviours that induce a calm, peaceful, or relaxed state Suggested to increase a person’s ability to create a “relaxation response” as an alternative to the stress response Practicing meditation appears to alleviate stress, reduce blood pressure, and enhance immune function **Mindfulness **is the intentionally focused awareness of one’s immediate inner and outer experiences; commonly integrated into meditation (“mindfulness-based meditation”) Moment-by-moment attention to thoughts, emotions, sensations, and surroundings Lack of judgemental simple observation Combined successfully with CBT Doesn’t involve any spiritual or mystical approach—mantras, and no attachment to a specific set of beliefs Small subset of the population that doesn;t respond well to repression in phrases and words (causing more anxiety than calm) Notion of mindfulness, brooding as the focus on the moment Being aware of the moment without any judgment—any positive or negative judgment The goal is to let any negative or positive thoughts go, to roll of your back Focusing on the taste of food, external elements and senses Good for people who ruminate more often—helps you stop dwelling on negative thoughts
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# Meditation and Mindfulness Discuss the findings of Mindfulness & Health
Khoury et al. (2013): Meta-analysis of mindfulness-based therapy; 209 studies enrolling 12,145 participants with a variety of disorders (esp. depression, anxiety, stress-related). MBT is moderately effective in pre and post-comparisons to wait-list control groups. Also effective when compared to other treatments; but not significantly different from CBT or behavioural techniques Khoury et al. (2015): Meta-analysis of mindfulness-based stress reduction for *healthy* individuals (non-clinical populations); 29 studies enrolling 2,668 participants MBSR is moderately effective in reducing stress, depression, anxiety and distress and in improving quality of life. More research is needed to identify the most effective elements Health benefits: Meta Analysis: mindfulness based therapy Helped participants with a variety of disorders Generally, it’s as effective as other approaches to therapy Seen to be effective when combined with CBT It also involves teaching clients to be more aware of their thoughts Benefits in healthy populations as well: Reducing and managing stress over time Improvements to stress, depression and quality of life Personality traits: People become less neurotic, more cooperative and agreeable, and more open to new experiences
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# Meditation and Mindfulness What is Shinrin-Yoku?
Forest-bathing—intersection of green space and mindfulness 1980s in Japan Spending a considerable amount of time in nature, and immersing yourself with all of your senses Findings in 2017 with better immune functioning May have with exposure to microorganisms and essential oils released in trees Still learning about the specific benefits