Midterm 1 Flashcards
What is Health?
overall condition of a person’s body or mind and to the presence of absence of illness or injury. Determined by genes, age, health care system, etc.
What is Wellness?
optimal health and vitality → to living life to its fullest. Determined by decisions you make about how you live (eating, exercise).
What are the 12 determinants of health?
- Income and social status
- Education and literacy
- Social environments
- Personal health practices
- Biology and genetics
- Gender
- Social support networks
- Employment and working conditions
- Physical environments
- Healthy child development
- Health services
- Culture
What are risk factors?
condition that increases a persons chances of disease or injury.
What is health promotion?
process of enabling people to increase control over and improve their health.
Six dimensions of wellness
- Physical – absence of disease, fitness level, ability to care for yourself
- Emotional – ability to understand/deal with your feelings
- Intellectual – an active mind and continue trying to learn
- Interpersonal – ability to develop and maintain supportive relationships
- Spiritual – possess a set of guiding beliefs, principles, or values that give meaning and purpose to your life
- Environmental – livability of your surroundings
Infectious and chronic diseases?
Infectious Diseases – can pass from person to person (ex: pneumonia)
Chronic Diseases – disease that develops long term (ex: cancer)
More than ___% of drinking drivers involved in fatal car crashes are between the ages of 16-24.
30%
__% of Canadians are either overweight or obese.
59%
2 problems when talking about health issues for diverse populations
1) stereotyping
2) overgeneralizing
Difference between sex and gender
Sex – biological and physiological characteristics that define men and women.
Gender – Roles, behaviors, activities, and attributes that a given society considers appropriate for men and women.
More than ___% of Canadian men have not seen their doctor for a checkup in the past year.
70%
What people does tay-sachs disease usually affect?
Eastern European Jewish heritage and french-canadian heritage
___% of canadians are aboriginals
3.8%
what people does CF affect usually?
Northern european descent
heart rate disease of first nations and aboriginals compared to non aboriginal canadians?
1.5x higher
rate of type II diabetes of first nations and aboriginals compared to non aboriginal canadians?
3-5x higher
rate of infection from tuberculosis of first nations and aboriginals compared to non aboriginal canadians?
8-10x higher
are first nations more or less active living on the reserve?
less
important predictors for poor health
poverty and low education
how many people in canada have some level of disability?
1 in 7
how many canadians live in rural areas
1 in 5
__% of canadians ages 12 or older rate their health as either excellent/very good
60%
Factors that influence wellness(5)
1) Health habits – regular exercise can help prevent heart disease, high blood pressure, diabetes, osteoporosis, and depression.
2) Heredity and family history – knowing your family history can help you determine which conditions may be of special concern to you.
Genome: complete set of genetic material in an individuals cell
Gene: basic unit of heredity; a section of genetic material containing chemical instructions for making a particular protein.
5% of Canadians have been diagnosed with diabetes, but many more have it and don’t know it.
3) Environment – the air you breathe, water you drink, conditions in your home and at work all affect your wellness.
4) Access to health care – things like vaccinations prevent many dangerous infections
5) Behavior – you can make a difference in how great an impact heredity and environment will have on your health.
What is behaviour change?
a lifestyle management process that involves cultivating health behaviors and working to overcome unhealthy ones.
4 steps to getting serious about your health
1) Examine your current health habits
2) Choose a target behavior – an isolated behavior selected as the subject of a behavior change program
3) Learn about your target behavior – how is it affecting your health each day?
4) Find Help – Do you have a challenging target behavior?(ex: alcohol addiction) Help may be needed
2 steps to building motivation to change
5) Examine the pros and cons of change
6) Boost self efficacy – the belief in your ability to take action and perform a specific task
o Locus of control – the figurative place a persons designates as the source of responsibility for the events in his or her life.
o Visualization and self talk – visualize yourself engaging in a new, healthier behavior.
o Role models – social support can help boost self efficacy. Tell yourself “if they can do it, so can I”
o Identify and overcome barriers to change – don’t let past failures at behavior change discourage you; they can be a great source of information to boost your chances at future success.
6 steps to enhancing your readiness to change
7) Precontemplation – people in this stage believe they have more reasons not to change than they do to change
8) Contemplation – people in this stage wonder about possible courses of action but don’t know how to proceed.
9) Preparation – People at this stage plan to take action within a month or may already have begun to make small change in their behavior
10) Action – people outwardly modify their behavior and their environment
11) Maintenance – people have maintained their new, healthier lifestyle for at least 6 months. Lapses may have occurred.
12) Termination – people at this stage have a new self-image and total self-efficacy with regard to their target behavior
__% of canadians have stopped smoking?
27%
steps to dealing with relapse(3)
1) Forgive yourself
2) Give yourself credit for the progress you have already made
3) Move on
5 steps to creating a personalized plan
1) Monitor your behavior and gather data – keep a record of your target behavior and the circumstances surrounding it and your behavior
2) Analyze the data and identify patterns
3) Be SMART about setting goals – Specific, Measureable, Attainable, Realistic, Timely
4) Devise a plan of action – develop a strategy that will support your efforts to change
5) Make a personal contract – this can help prevent procrastination by specifying important dates and can also serve as a reminder of your personal commitment to change
__% of canadians ages 12 and older, and ___% ages 20 and older engage in physical activity at the level needed for health gains
52%, and 48%
More than __% of cases of type II diabetes and __% of cases of coronary heart disease could be avoided or postponed with food nutrition, regular physical activity, the elimination of smoking and effective stress management
90%, and 80%
5 ways to make sure you stay with your goal
- Social Influences – look at the reactions of the people youre counting on, and see if theyre really supporting you
- Levels of Motivation and Commitment
- Choice of Techniques and Level of Effort – make changes where you’re having the most trouble
- Stress barrier – If you hit a wall, look at the sources of stress in your life and find healthy ways to manage it
- Procrastination, Rationalizing, and Blaming – be alert, and stop procrastinating, rationalizing(making excuses), and blaming (I couldn’t lift because maggie took all the weights)
What is psychological health?
our capacity to think, feel, and behave in ways that contribute to our ability to enjoy life and manage challenges.
What qualities do self-actualized people have?
• Realism – they are realistic
• Acceptance – accept themselves as they are
o Self esteem – satisfaction and confidence in yourself; the valuing of yourself as a person
o Self concept- the ideas, feelings, and perceptions people have about themselves; also called self image.
• Autonomy – Independence; the sense of being self-directed.
o Inner-directed: guided in behavior by an inner set of rules
o Other-directed: guided in behavior by the values and expectations of others
• Authenticity – genuineness
• Capacity for intimacy – healthy people can be physically and emotionally intimate.
• Creativity – continually look at the world with renewed appreciation.
__% of all people who intend to commit suicide hint or make a comment to someone, usually a friend.
80%
Nearly __% of Canadians report their mental health as excellent or very good.
70%
Whats an identity crisis?
Internal confusion about who you are(developed by erikson)
What are values?
criteria for judging what is good and bad, which underlie a person’s moral decisions.
Living according to values means doing what 3 things?
o Considering your options carefully before making a choice
o Choosing between options without succumbing to outside pressures that oppose your values
o Making a choice and acting on it rather than doing nothing
What is integration/integrated self concept?
integrated self concept is one that you have made for yourself – not someone else’s image of you or a mask that doesn’t quite fit.
What is stability?
depends on the integration of the self and its freedom from contradictions.
3 ways to fight demoralization(a negative self-concept)
• Notice your patterns of thinking - Recognize and test the negative thoughts and assumptions you may have about yourself and others. Try to note when an unpleasant emotion occurs or gets worse.
• Avoid focusing on the negative – don’t jump to conclusions or blame anyone else and don’t personalize the situation in a way that would hurt you
o Cognitive distortions – a pattern of negative thinking that makes events seem worse than they are
• Develop realistic self talk – self talk is the statements a person makes to himself or herself. Look at chart on page 41
What is a defense mechanism?
a mental device for coping with conflict or anxiety. Look at chart on page 41
Why can defines mechanisms be hard to identify on yourself?
because they can become habits.
What did Martin Seligmann say? (related to optimism)
we are more used to refuting(prove to be wrong) negative statements, such as “the problem is going to last forever and ruin everything and its all my fault”, when they come from others rather than from our own mind.
__% of Canadian children and youth are affected by mental illness at any given time.
15%
What is assertiveness?
Expression that is forceful but not hostile.
Recent studies have shown that hostile people seem to be at (higher or lower) risk for heart attacks?
higher
What is intermittent explosive disorder?
people whose anger is explosive or misdirected
2 ways to manage your anger
o First, try to reframe what you’re thinking at that moment.
o Second, try to distract yourself. Leave the situation until your anger has subsided.
__% of Canadians will experiences an anxiety disorder during their lifetime.
12%
What is anxiety?
a feeling of fear that is not directed toward any definite threat
What is a simple/specific phobia?
a persistent and excessive fear of a specific object, activity, or situation. Nearly 8% of Canadians have a specific phobia. Ex: spiders
What is a social phobia?
an excessive fear of being observed in public; speaking in public is the most common example.
What is a panic disorder?
a syndrome of severe anxiety attacks accompanied by physical symptoms.
___% of canadians experience a panic disorder OR generalized anxiety disorder(GAD)
1%
Generalized anxiety disorder(GAD)?
an anxiety disorder characterized by excessive, uncontrollable worry about all kinds of things and anxiety in many situations.
Obsessive Compulsive Disorder(OCD)
An anxiety disorder characterized by uncontrollable, recurring thoughts and the performing of irrational rituals.
__% of Canadians have OCD
2%
What are obsessions and compulsions?
obsessions - recurrent, unwanted, irrational thoughts or impulses. Unlike GAD, they are not ordinary concerns, but improbable fears(having been contaminated by germs).
Compulsions – an irrational, repetitive, forced action, usually associated with an obsession(handwashing, or whether a door has been locked).
Behavioral addictions
an activity or a behavior that is maladaptive and persistent despite the negative consequences. (ex: gambling, shopping, or sexual activity). It may have negative consequences, but the subject keeps returning to them.
Post-traumatic stress disorder(PTSD)
an anxiety disorder characterized by reliving traumatic events through dreams, flashbacks, and hallucinations.
Approx how many new yorkers developed PTSD after 9/11
150,000
For panic disorders, OCD, and GAD, would you use a cognitive behavioural thearpy, or drug treatment?
both are effective
What are mood disorders?
an emotional disturbance that is intense and persistent enough to affect normal function
What are 2 types of mood disorders
depression and bipolar disorder
What is depression?
a mood disorder characterized by loss of interest, sadness, hopelessness, loss of appetite, disturbed sleep, and other physical symptoms.
__% of Canadians during their lifetime experience depression
8%
__% of Inuit have experienced a major depressive episode
3%
__% of first nations people have experiences major depression.
16%
What is dysthymic disorder?
people who experience persistent symptoms of mild or moderate depression for two years or longer.
What are some warning signs of suicide?
o Expression of the wish to be dead
o Increasing social withdrawal and isolation
o A sudden lightening of mood(this could mean they’ve decided to commit suicide)
In Canada, men between the ages of ___ have the highest suicide rate
45-49
Do men or women have higher suicide rates?
men
canadian aboriginal youth have __x higher suicide rates than the national average
2-6x
Women attempt suicide 3x as often as men, yet men succeed at more than 4x the rate of women. true or false?
true
More than __% of Canadians with depression respond very well to treatment
80%
What percent of Canadians seek treatment for depression?
10%
How do antidepressants work?
by affecting key neurotransmitters in the brain, including serotonin.
What does the herbal supplement St. John’s wort do?
affects serotonin levels. used for depression(?)
What is electroconvulsive therapy and what does it treat?
the use of electric shock on the head to induce brief, generalized seizures; used in the treatment of selected psychological disorders. Mainly depression
What is seasonal affective disorder?(SAD)
a mood disorder characterized by season depression, usually occurring in the winter, when there is less daylight.
How is seasonal affective disorder treated?
Its treated by having people sit with their eyes open in front of a bright light every morning
__% of Canadians experience winter blues, and __% experiences symptoms of SAD.
15%, 2-3%
What is mania?
a mood disorder characterized by excessive elation, irritability, talkativeness, inflated self esteem, and expansiveness.
What is bipolar disorder?
a mood disorder characterized by alternating periods of depression and mania
What can be used to treat manic episodes?
tranquilizers - salt lithium carbonate
What is schizophrenia
a psychological disorder that involves a disturbance in thinking and in perceiving reality.
How many canadians have a schizophrenic episode in their lifetime?
1/100
Is schizophrenia genetic?
yes, children born to a parent with schizophrenia have a higher risk