MOD3 Flashcards

1
Q

What is health psychology

A

Contributions of the discipline of psychology to the promotion and maintenance of health, the prevention and treatment of illness, and the identification of etiologic and diagnostic correlates of health, illness, and related dysfunction.

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2
Q

Define health

A

Health is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity.

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3
Q

The Biopsychosocial Model

A

Health includes:
Physical well-being (bio-)
Mental well-being (-psycho-)
Social well-being (-social)

Healthcare should address:
Physiological pathology (bio-)
Mental processes (-psycho-)
Structural context (-social)

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4
Q

Te Whare Tapa Whā or hauora

A

A model of health that incorporates spirituality: (house with 4 sides)

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4
Q

Te Whare Tapa Whā or hauora

A

A model of health that incorporates spirituality: (house with 4 sides)

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5
Q

Te taha tinana

A

Physical

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6
Q

Te taha hinengaro

A

psychological

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7
Q

Te taha whānau

A

Family - social

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8
Q

Te taha wairua

A

Spirituality

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9
Q

Waka

A

Hourua (double-hulled canoe) identifies the importance of the client/whānau relationship and its relevance to the presenting issue(s) and future treatment plans.

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10
Q

tinana

A

physical

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11
Q

hinengaro

A

psychological/emotional

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12
Q

ratonga hauora

A

Access to quality health care

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13
Q

wairua

A

Connectedness

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14
Q

taiao

A

physical environment

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15
Q

four winds of Tawhirimātea

A

Ngā Hau e Whāi identifies components that reflect both the historical and current societal influences on Māori as the indigenous peoples of Aotearoa/New Zealand. The four influential and interrelated winds are: colonization, racism, migration and marginalization.

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16
Q

the four ocean currents

A

Ngā Roma Moana (representing the four ocean currents) identities specific components from Te Ao Māori (Māori world view) that may influence a client/whānau in different contexts.

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17
Q

āhua

A

personal indicators

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18
Q

Tikanga

A

maori cultural principles

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19
Q

whānau

A

relationships, role and responsibilities of the patient within Te Ao Māori including whānau, hapu, iwi and other organisations

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20
Q

whenua

A

specific genealogical or spiritual connection between client and/or whānau and land

21
Q

What is addiction

A

When someone’s behavior is controlled by something
Need for dose escalation (tolerance)
On cessation - withdrawal

22
Q

4 main criteria for Substance use disorder

A

Overuse
Impairment
Danger
Addiction

23
Q

The five stages of change

A

Pre contemplation: not aware or not concerned
Contemplation: vaguely considering change
Preparation: intention formed, starting to plan
Action: starting to make a change
Maintenance: keeping up the change

24
Q

limitations of states of change model

A

No explanation for onset of behaviors
Assumes insight can (and should) be gained
Usually treated as a linear process ending in maintenance

25
Q

Benefits of states of change model

A

No assumption about an individual’s readiness to change
Provides a structure for interventions and monitoring
Can be applied to many health-related behaviors in addition to psychotherapy for addictions etc.

26
Q

Mechanism of meth

A

dopamine release

27
Q

Binge eating disorder

A

Recurrent episodes of binge eating (amount + loss of control)
No regular use of inappropriate compensatory behaviors

28
Q

BMI what is it and limitations

A

Calculated as the ratio of weight to height squared
BMI = categories = inaccurate
Treats obesity as if a disease in itself
No information on body fat versus muscle
Being overweight = stigmatised
Biopsychosocial contributors to weight:
Some neuroendocrinological disorders (biological)
‘Obesogenic’ environment (psychological and social)
Over-eating or binge eating (psychological not social)

29
Q

Bulimia Nervosa Criteria

A

Restriction of energy intake = insistence on remaining underweight for height (i.e., low BMI) by starvation or purging or exercising
Intense fear of gaining weight, even though underweight
Any of the following:
Denial of seriousness of current low body weight
Disturbance in perception of body weight or shape
Undue influence of body weight or shape on self-concept

30
Q

Body Dysmorphic Disorder Criteria

A

Preoccupation with a perceived ‘defect’ in physical appearance (either imagined or appears ‘slight’ to others)
Repetitive thoughts or behaviors (e.g., mirror checking)…
Preoccupation causes clinically significant distress or impairment in social life, work etc. = functional impairment
No eating disorder or focus on ‘defect’ other than weight if they do

31
Q

Congenital adrenal hyperplasia

A

XX appearing male at birth

32
Q

Androgen insensitivity syndrome

A

XY appearing female at birth

33
Q

How long do men and women take to get to hospital after heart attack

A

m - 1 hour
f - 20 mins longer

34
Q

Compliance

A

Taking medications exactly as prescribed

35
Q

Adherence

A

Choosing to take medications as prescribed

36
Q

“Poor Adherence” in the DSM

A

Defined by the APA (2013) under: Psychological Factors Affecting Other Medical Conditions
Criteria:
Having a medical condition (not a mental disorder)
“Psychological or behavioral factors adversely affect the medical condition” including “poor adherence”
Not better explained by a mental disorder
Not enforced by a “compulsory treatment order”

37
Q

Cost

A

concern that medications are generally overused

38
Q

benefit

A

belief medications have specific necessity

39
Q

how to improve adherence

A

Reduce concerns about general overuse of medications
Increase belief that medications have specific necessity
Provide help for younger patients

40
Q

Somatic Symptom Disorder Criteria

A

One or more somatic symptoms causing distress or disruption of daily life = functional impairment
Not: Intentional or feigned = factitious disorder
Not: Fearing an illness = illness anxiety disorder

41
Q

Beliefs about the causes of lupus focus on

A

Stress
Pregnancy
Running in the family
Or a combination of the above

42
Q

I.T. C.C.C (illness beliefs summary)

A

identity: symptoms and labels
Timeline: acute or cyclical
Causes: genetic, behavioral or environmental
Consequences: self and beyond
Control: personal or treatment

43
Q

Dalbeth et al , 2020

A

Looked at gout. Presented participants with either gout or urate crystal athritis with an identical description of each disease and gout relative to crystals cause was identified as more diet based rather than age and the most important treatment would be life style changes, reducing alcohol.

44
Q

Treharne et al. (2010)

A

Looked at the the effect of presenting causal information for HIV and RA.

45
Q

McGavock & Treharne (2011)

A

Explored what type of information respondents draw on when completing illness belief questionnaires. Results were that aging causes arthritis, you are going to die if you have HIV, most reference to personal experience and are less confident about new ideas in the causal information. They also use empathy and media and reference the role of doctors.

46
Q

Acute Stress Disorder

A

Anxiety following a traumatic stressor (e.g., earthquake)

47
Q

The Transactional Model

A

life events cause chronic daily hassles = minor unpleasant events
Modeled stress as an ongoing process of transaction between the individual and their environment
the individual makes primary and secondary appraisals

48
Q

Primary appraisals

A

the situation -
Harm: The negative outcomes experienced so far
Threat: Potential negative outcomes
Challenge: Potential positive outcomes

49
Q

Secondary appraisals

A

How they are able to cope (coping ability)
Self: Can I cope?
Help: Who can help me cope?

50
Q

Three main types of coping effort

A
  1. Problem-focused (usually active and approach in nature)
  2. Emotion-focused (often passive and avoidant in nature)
  3. Meaning-focused (also passive but approach → growth)
51
Q

CBT for Chronic Illness

A

Not just making people think positively – helping people understand how thoughts and behaviors are linked