Managing Stress Flashcards

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0
Q

STRESS INOCULATION THERAPY

What does it involve?

A

It involves training the individual to recognise symptoms of stress and then teaching the individual’s certain skills to minimise their stress

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1
Q

STRESS INOCULATION THERAPY

Developed by who?

A

Developed by meichenbaum & is a cognitive-behavioural approach to managing stress

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2
Q

STRESS INOCULATION THERAPY

How does it work?

A

It has 3 stages:
Stage 1) CONCEPTUALIZATION
•the participant discusses past stressful events (in a group or individual setting). Then considers what circumstances cause them stress and assess how they’ve tried to cope in the past. ➡️ encourages thinking of their cognitive appraisal of stress

Stage 2) SKILLS ACQUISITION AND REHEARSAL
•therapist train the individual in a variety of coping strategies.
Generally include general skills (relaxation techniques) and specific ones that are catered to the individual… i.e. Mother finding it stressful coping with child would be taught parenting strategies aswell as general skills.
Participant then rehearses the strategies learnt under the supervision of therapist.

Stage 3) APPLICATION
•participants encouraged to test out their newly acquired skills in a variety of settings
•therapists introduce gradually, simulated stressors to test the participants ability to cope
•follow up sessions scheduled to monitor individuals progress

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3
Q

STRESS INOCULATION THERAPY

How it works? Apply to real life situation?

A

Exam stress
1⃣- fear of failing, letting parents down, having no control over questions, panic attacks in hall
2⃣- taught study skills (improving memory etc), communications skills (talking with parents) and general relaxation techniques
3⃣- rehearse in real life situations

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4
Q

Evaluation of SIT?

A
STRENGTHS- 
Combination of approach holistic
Behavioural elements provide practical application to real life
Benefits can last years as it is taught
Meichenbaum proved its effective 

WEAKNESSES-
Need participant to be willing
Expensive
Hard to pinpoint which factor is most effective as so many diff techniques involved in SIT

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5
Q

MEICHENBAUM

Aim?

A

Aim- to compare a group of anxious students receiving cognitive modification (s.i.t) with a group being treated by desensitisation and a control group who were waiting for therapy

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6
Q

MEICHENBAUM

Background?

A

S.i.t directly tackles negative thinking and replaced it with positive thinking and relaxation techniques

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7
Q

MEICHENBAUM

Sample?

A

Sample- 21 students (aged 17-25)

Responded to add in university newspaper for treatment of test anxiety

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8
Q

MEICHENBAUM

Method?

A

Field experiment -
•participants were assessed before and after treatment by self reports and grade averages
•blind design as assessors didn’t know what condition participant had been in

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9
Q

MEICHENBAUM

Design?

A

Design- matched pairs design
•random allocation to three groups
•gender was controlled to be equal in each group
•anxiety levels were also matched

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10
Q

MEICHENBAUM

Procedure?

A

All participants were:
•tested using a test anxiety questionaire
•then told they were doing a IQ test, and would be assessed using an anxiety adjective checklist
•after IQ were then given a baseline score and allocated to groups

SIT GROUP:
•received 8 sessions of therapy
•given the insight approach so could think about their thoughts prior to the test
•given some positive statements and relaxation techniques to use in test situations

SYSTEMATIC DESENSITISATION
•revived 8 therapy, using the progressive relaxation technique - encouraged to practice at home whilst imagining anxiety causing situations

CONTROL GROUP :
•told they were on the waiting list and would be receiving therapy in the future

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11
Q

MEICHENBAUM

Results?

A

Participants in the SIT group showed improvement in test results after therapy
Significant difference between groups who reviewed therapy and those that didn’t
Participants in the SIT group showed improvement in reported anxiety levels after the therapy
Overall improvement in anxiety levels between therapy groups and control group

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12
Q

BIOFEEDBACK

techniques used?

A

It uses both psychological and physical techniques.

  • PSYCHOLOGICAL- individual learns through operant conditioning to control adverse feedback
  • PHYSICAL- individual is connected up to a variety of biological measuring devices.
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13
Q

BIOFEEDBACK

What does miller argue?

A

Miller argues that the AUTONOMIC NERVOUS SYSTEM (ANS) can be bought under voluntary control through biofeedback

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14
Q

BIOFEEDBACK

HOW IT WORKS?

A

First the type of physical instrument used depends upon the individual and the specific problem.
Can be used for specific problems such as - migraines, tension headaches and generalised stress symptoms

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15
Q

BIOFEEDBACK

Instruments used?

A

1) ELECTROMYOGRAM (EMG)
Measures the electrical activity in the muscles. Is often connected to a time machine which produces a high pitched tone when the muscles contract and a low pitched tone when resting.
Is often connected to the forehead

2) THERMISTOR
Measures body temperature
During tension the body temperatures drops due to a reduction of blood away from the skin as goes towards vital organs

16
Q

BIOFEEDBACK

Procedure?

A

1)individual connected up to the EMG & THERMISTOR - registers using tone and digital readout
2) psychologists tell participant to focus their thoughts on deducting particular body tensions, given progressive relaxation techniques
3) tensions should gradually reduce- provides rewards as individuals observe the reduction of stress, and also reward as they can recognise stress symptoms And control and reduce their stress
4) conditioned response now so should be able to :
Recognise stress symptoms and be able to use their progressive relaxation techniques to reduce their stress without the use of a machine

17
Q

BIOFEEDBACK

Evaluation?

A

STRENGTHS
*children have been proved more receptive to biofeedback
*scientific
*can be used individually or as part of a combined method
WEAKNESSES
*expensive
* hard to use at home etc because if equipment
*time consuming

18
Q

BUDYZINSKI

AIM?

A

AIM-to see if previous research on biofeedback as a method of reducing tension headaches was due to the placebo effect or whether biofeedback was an effective method of reducing tension headaches

19
Q

BUDZYNSKI

Methodology?

A
Lab experiment
Data was collected by:
•muscle tension measured by the EMG feedback machine, the electrodes placed on the muscles produced a graph of muscle tension
•psychometric test of depression (MMA)
•questionnaire on headaches
20
Q

BUDZYNSKI

Participants?

A

18 participants

  • 16 females and *2 males
  • replied to as in local Colorado newspaper
  • initially screened by telephone then underwent psychiatric and medical examinations to rule Out other reasons for their headaches.
21
Q

BUDZYNSKI

Design?

A

Independent measures design
Random allocation to 3 groups
3 IV’s
GROUP A - 6 participants- received biofeedback sessions, relaxation training and EMG feedback
GROUP B - 6 participants- received relaxation training but only pseudo feedback (actual biofeedback session but another individuals so not related to participant)
GROUP C - 6 participants - Control group, told they were on waiting list still came to lab to keep them
In the study and to control for the attentions the others were getting

22
Q

BUDZYNSKI

Procedure?

A

Procedure-
All participants asked to kept record of headaches rating them on scale of 0(mild) to 5(severe) every hour.
Completed the MMPI ( psychometric test of depression)

GROUPS A AND B:
•had 16 sessions, 2 per week for 8 weeks

GROUP A
•taught relaxation techniques and told varying clicks from biofeedback machine meant muscle tension - therefor less clicks the lower the tension

GROUP B
•told to focus on the varying clicks

Both groups told to practice their relaxation techniques at home, 2 times for 20-30 min sessions

GROUP C:
•given no training told would start after 2 months

ALL had to kept record of headache activity

After 3 months GROUPS A AND B:
Had an EMG TEST
completed the MMPI
completed a questionnaire

23
Q

BUDZYNSKI

Results?

A

GROUP A - muscle tension was significantly lower than group B by the end of training
•even after 3 months was still lower
•reported headaches dropped significantly from their baseline (other groups didn’t)
•reported headaches lower compared
To other groups

GENERAL:
Start of study MMPI showed -
* high levels of hypochondria, depression and hysteria
By the end
* all has reduced in all groups - GROUP A was significantly lower

FOLLOW UP:
* GROUP A symptoms had reduced compared to B - apathy, fast heart rate and insomnia
Also drug usage for group A had reduced

24
Q

BUDZYNSKI

Conclusion?

A

That biofeedback was an effective method of managing stress and reducing tension headaches

25
Q

SOCIAL SUPPORT

4 types? List them?

A

1⃣ ESTEEMED SUPPORT:
Times of stress can lead individuals to have low self esteem and self doubt , this can make it hard for the individual to cope, so love care and attention from family and friends can help the individual to cope more effectively

2⃣INFORMATIONAL SUPPORT:
Useful information is provided to the individual by others , it can help the individuals as they can reflect on the stressors and their coping strategies
For example info can be given by someone who has experienced a similar situation.

3⃣ INSTRUMENTAL SUPPORT:
Practical assistance is offered to the individual who is finding it hard to cope,
For example housework, baby sitting, gardening or a loan or a gift or money can all help to make life easier prompting the individual to better cope

4⃣ SOCIAL COMPANIONSHIP
Spending time with others for example - going to the cinema or for a coffee
*stops the individual dwelling on problems
* provides opportunity for enjoyment
*poss better frame of mind

HOWEVER
Being surrounded by family and friends can be stressful for some individuals as feels intrusive and interfering.
So the key to social support it PERCEIVED SOCIAL SUPPORT

26
Q

SOCIAL SUPPORT

Evaluation?

A

Strengths-
Large body of research shown that social support is effective
⬇️Fleming et al
Also shown that high levels of social support can :
*speedy recovery
*reduce the likelihood illness
*decrease the risk of death by illness

WEAKNESSES:
Can have negative side as there has to be a match in the individual needs and the support provided by those in the social circle... 
For example study into cancer patients 
ESTEEMED SUPPORT from family
INFORMATIONAL - doctors and nurses
27
Q

WAXLER MORRISON

AIM?

A

AIM- to see how a woman’s social relationships influence her response to breast cancer and survival

28
Q

WAXLER MORRISON

Methodology?

A

Quasi- experiment as naturally fitted into categories based on their existing social networks,
Data was collected through questionnaires, 18 interviews and examination of medical records

29
Q

WAXLER MORRISON

Sample?

A

133 women

  • pre menopausal (55 under)
  • referred to clinic in Vancouver with confirmed diagnosis of breast cancer
30
Q

WAXLER MORRISON

Design?

A

Independent measures design as

Based on different levels of pre existing and ongoing levels of social networks

31
Q

WAXLER MORRISON

Procedure?

A
Procedure-
1) all patients recieve da self administered questionnaire which gathered info on their demographic and existing social networks 
Questions included 
•educational level
•perception of support from other 
•contact with family and friends
•psychometric test of social network

2)the details of their diagnosis were from medical records between 1980-1981 , survival and reoccurrence rates took 1985

32
Q

WAXLER MORRISON

Findings?

A
1) six aspects of social networks that were significantly linked to survival-
•martial status ,
•contact with friends
•support from friends and
•employment etc

2) qualitative data from interviews showed that concrete aspects of support was practical help- cleaning cooking and child are
3) married women who survived tended to have more supportive relationships wort their spouses
4) employment was important even if it wasn’t needed as it provided information

33
Q

WAXLER MORRISON

Evaluation?

A

STRENGTHS
Social network significantly linked to survival like relationship with spouses as the assumption is that the stress has been reduced
Longitudinal study

WEAKNESSES
the main factor influencing survival is still the state of the cancer at the time of diagnosis and treatment had