Module 4 - Health And Clinical Flashcards

1
Q

According to the World Health Organisation (WHO) health is more than just the absence of ____

A

Disease or infirmity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The distribution and causes (eitology) of disease in a population, based on an investigation of the physical and social environment is the field of what?

A

Health epidemiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Incidence is the number of ___ cases whereas, prevalence is the number of __ cases.

A

New; existing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A DALY is a what?

A

Disability adjusted life year. It equals one year of ‘healthy life’ lost due to a disease or injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is increasing at the fastest morbidity rate in Australia?

A

Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which group suffers the biggest inequalities in Australia?

A

Indigenous Australians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treating and managing an existing disease or health problem so as to lessen its impact on the individual is an example of which type of prevention?

A

Tertiary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the features of a good theory? (3)

A

Logical
Falsifiable
Consistent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Neurotransmitter dysfunction is an example of the __ perspective to psychopathology.

A

Biological?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hallucinations are the perceptions, and delusions are the ___. Both are inconsistent with reality.

A

Beliefs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Paranoid schizophrenia is induced by chronic treatment with amphetamine, a drug that releases ___.

A

Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the most common mental disorder?

A

Anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Anorexia is characterised by individuals ___ themselves.

A

Starving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which personality disorder is characterised by unstable interpersonal relationships, mood swings and self-harm?

A

Borderline personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the problems with the DSM-V?

A

Labelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

___ model of health has a reductionist view; ___ model has a holistic view.

A

Biomedical; biopsychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which model of health sees health as a continuum?

A

Biopsychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the levels of influence consistent with an ecological perspective? (3)

A

Individual or intrapersonal
Interpersonal
Community

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the features of the Health Belief model in the individual level? (6)

A
Perceived susceptibility (vulnerability)
Perceived severity
Perceived benefits
Perceived barriers
Cues to action 
Self-efficacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the features of the Stages of Change model in the individual level? (5)

A
Pre contemplation
Contemplation
Preparation 
Action 
Maintenance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the features of the Diffusion of Innovations theory in the community level? (5)

A

Innovation
Communication channel
Social system
Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the Precede-Proceed model in health psychology?

A

A planning model for identifying intervention strategies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is chronic illness?

A

Conditions that are prolonged and rarely cured.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does secondary prevention do?

A

Prevent or slow the process of a disease or health problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

To determine BMI, one should calculate a person’s what?

A

Weight in kilograms divided by the height in metres squared

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does a obesogenic environment refer to?

A

Built environment
Advertising
Technology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the difference between an acute and chronic disease?

A

Acute; beginning is rapid, usually one cause, short duration, diagnosis is commonly accurate

Chronic; beginning is gradual, usually many causes, indefinite duration, often uncertain diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are the impacts of chronic illness?

A

Emotional response; shock and denial, anxiety, depression, grief, blame, guilt, anger
Image, identity, relationships; body image, self-concept, sexuality, altered relationship roles
Experience of pain, stigma; drug dependence, sleep disturbance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The widespread use of childproof lids on medicine containers would be what type of prevention?

A

Primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the most commonly held theory of health psychology today?

A

Biopsychosocial model of health

31
Q

The single most preventable cause of illness, disability and premature death in Australia and much of the world is what?

A

Smoking

32
Q

Most antidepressants act by increasing the amount of serotonin and/or norepinephrine within the synapse. True or false?

A

True

33
Q

Which disorder is characterised by attacks of intense fear and feelings of doom or terror not justified by the situation and is often confused with the symptoms of a heart attack?

A

Panic disorder

34
Q

What is health psychology?

A

Study of social, behavioural, cognitive and emotional factors that influence the; maintenance of health, development of illness and disease, course of illness or disease, patient’s and family’s response to illness and disease.

35
Q

For the biopsychosocial model, give an example of a biological, psychological and social factor.

A

Bio - Genetic predisposition
Psych - Personality, cognition
Social - Culture, education

36
Q

What are the two measures of epidemiology?

A

Time; incidence and prevalence

Mortality rates

37
Q

What is health inequity? Give an example of a sub-group of Australians that experience health inequities.

A

Certain sub-groups of the Australian population experience ‘health’ differently; e.g. Aboriginal and Torres Strait Islander people, rural Australians, people with disability, prisoners, overseas born people

38
Q

What are some of the characteristics of a useful theory?

A

Logical, consistent with everyday observations, similar to those used in previous successful programs, supported by past research in the same area or related ideas.

39
Q

List some of the factors that contribute to health.

A

Age, sex and hereditary factors; individual lifestyle factors; social and community influences; living and working conditions; general socio-economic, cultural and environmental conditions

40
Q

How do you determine with Health theory fits best?

A

Use a planning model, such as Precede-Proceed; consult the research literature; pre-testing

41
Q

What are the 3 levels of prevention? Give an example of each.

A

Primary; preventing the occurrence of the disease or health problem
Secondary; preventing or slowing the progress of a disease or health problem
Tertiary; treating or managing an exisiting disease or health problem

42
Q

What is abnormality? What is abnormal psychology?

A

‘Away from’; study aimed at describing, explaining, predicting and modifying behaviours that are considered abnormal.

43
Q

Humanism refers to the organic explanation for abnormal behaviour. True or false?

A

False; biological. Humanism refers to people who are sick, not possessed

44
Q

What are some of the ‘myths of abnormal behaviour’?

A

Easily recognised as deviant; disorder due solely to inheritance; incurable; weak willed; never contribute to society; always dangerous

45
Q

What are the 4 D’s?

A

Distress; deviance; dysfunction; danger

46
Q

Define psychiatric epidemiology.

A

The study of the prevalence of mental illness in a society.

47
Q

Define lifetime prevalence.

A

The % of people who have had the disorder at one time during their lives.

48
Q

Provide an overview of the biological viewpoint in abnormal psychology.

A

Saw mental disorders as disorders of the brain; electro-convulsive theory used and abused as treatment method for those institutionalised

49
Q

Provide an overview of the psychological viewpoint in abnormal psychology.

A

Viewed mental disorders as a product of the mind; mental disorders caused by unconscious factors (Freud)

50
Q

Provide an overview of the deinstitutionalisation movement in abnormal psychology.

A

Belief that drugs will cure mental illness; brought about the movement towards emptying mental hospitals

51
Q

What are some of the ways that psychologists can determine abnormality?

A

Using DSM

52
Q

How does the DSM define abnormality?

A

A behavioural or psychological syndrome or pattern that reflects an underlying psychobiological dysfunction, is associated with distress or disability, and is not merely an expectable response to common stressors or losses.

53
Q

What are some of the new disorders mentioned in the DSM-V?

A

caffeine withdrawal; cannabis withdrawal; premenstrual dysphoric disorder; hoarding disorder; restless less syndrome

54
Q

What two disorders have been eliminated from the DSM-V?

A

Sexual Aversion disorder; polysubstance-related disorder

55
Q

List the limitations of the DSM-V.

A

Definitions quite broad; when is a syndrome significant enough to have meaning; is it possible to have a mental disorder without any signs of distress or discomfort?; what criteria are to be used in assessing symptoms?; is it possible that a given behaviour is a reaction to stressor rather than common stressor?

56
Q

What is clinical significance?

A

The extent to which a given behaviour is abnormal in terms of assessment by the 4 D’s; The behaviour involves measurable degrees of impairment; distress; risk to self or others; behaviour not socially expectable

57
Q

What are some cultural considerations of abnormal psychology?

A

Cultural universality; assumption that origins, processes and manifestations of mental disorders are the same across cultures.
Cultural relativism; belief that lifestyles, cultural values, and worldview affect expression and determination of abnormal behaviour

58
Q

What are cognitive-behavioural approaches and cognitive-behavioural therapy?

A

Rational emotive behavioural therapy; people typically think that an event causes them to behave a certain way but beliefs matter; A (acting event) -> B (belief) -> C (consequence).

Focus on addressing problems that patient wishes to solve; often clients are assigned homework

59
Q

What is ECT?

A

Electro-convulsive therapy; tried electrical current passed through the brain causing a convulsive seizure.

60
Q

Define anxiolytic medications.

A

Drugs to control autonomic arousal

61
Q

Define Schizophrenia.

A

Psychotic disorder involving disturbance of though, emotion and behaviour.

62
Q

What does the term positive symptoms mean in relation to schizophrenia?

A

Involves excesses or distortions; hallucinations and delusions

63
Q

What does the term negative symptoms mean in relation to schizophrenia?

A

absence of behaviours; avolition - lack of energy; alogia - reduction in speech; anhedonia - inability to experience pleasure; asociality - impairment in social relationships

64
Q

What are the DSM-V categories of schizophrenia?

A

Disorganised; speech and flat affect
Catatonic; motor inability
Paranoid; delusions

65
Q

What is the etiology of schizophrenia?

A

Genetic studies using twin, family and adoption techniques to reveal that a predisposition for schizophrenia is transmitted genetically.

66
Q

What are some alternative views of schizophrenia?

A

Humanistic explanation; escape to real self

67
Q

What therapies are available for schizophrenia patients?

A

Psychosurgery.
Drug therapies; antipsychotic medications that block dopamine receptors, reduce agitation, violent behaviour and other emotional and behavioural excesses

68
Q

Melanie has devised an app that promotes healthy eating and active lifestyles as an attempt to reduce the number of people that are developing obesity. Melanie’s idea is an example of which type of prevention?

A

Primary prevention

69
Q

Finding ways to care for cancer patients is an example of a ___ tertiary intervention.

A

Tertiary

70
Q

Prevalence can be defined as?

A

The % of people who have had the disorder at one time during their lives.

71
Q

Risk factors are?

A

Any factors that increase the likelihood of negative outcomes.

72
Q

Late maturation of the ____ maps well with slow maturation of ____ or goal-directed behaviour.

A

Frontal lobes; executive functions

73
Q

There is very large variability in developmental patterns…

A

Across different brain areas, across different areas of functioning (e.g. cognitive, social, emotional), between different individuals

74
Q

The developmental psychopathology framework emphasises what?

A

There are multiple pathways of development.