Module three - health psychology Flashcards
what is health psychology
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.
definition of health
the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition - WHO
the biopsychosocial model
includes physical, mental and social wellbeing (should address physiological pathology, mental processes and structural context)
Te Whare Tapa Wha
a model of health that incorporates spirituality (physical, mental and emotional, family/social, and spiritual based on our land and roots)
Meihana model
a maori model focused on a waka sailing towards wellbeing. in the middle are the elements of wellbeing and the person is on one side while their whanau is on the other
socioeconomic status can be operationalised as
education, income, transportation, neighbourhood amenities, property ownership or secure tenancy.
homelessness
without shelter, in temporary accomodation, sharing accomodation with a household or living in uninhabitable housing.
a housing first approach
focus on housing people to reduce some of the harm that already exists before working on other aspects of their mental wellbeing.
impacts of homelessness on health
creates a stressful environmental where other aspects of life can’t be worked on, health of finding food being warm etc. lack of access to needed medication, stigma can make progressing forward harder.
addiction
when someone’s behaviour is controlled by something (tolerance and withdrawal)
stages of change model
pre-contemplation, contemplation, preparation, action, maintenance.
model to explain addiction recovery
motivation is crucial, can be spurred by brief interventions.
can be modelled using the stages of change model.
Ko et al. study
investigated internet addiction among teens in Taiwan. found males to be more addicted than females. could be a case of a gambling disorder as many were playing computer game, this is different from internet addiction
who proposed diagnostic criteria for internet addiction
Ko et al, 2005
diagnostic criteria of addiction
greater use than intended, desire to reduce use, excessive time spent, craving, not fulfilling roles, continued use despite negative social, physical, or mental problems, tolerance, withdrawal, given up recreational activities, use in dangerous situations.
lapse vs. relapse.
relapse is going back to where you started whereas a lapse is a step in the wrong direction but not going right back to square one.
during a lapse it is encouraged people get their support in place to avoid going back to a full relapse.
Prochaska et al. study
randomised control trial testing the impact on people having a normal smoking assessment vs. a special and more in-depth one. many people managed to stop smoking regardless of the group but being part of the in-depth group had a more positive benefit (participants were white, american, middle aged, we don’t know long-term quit rates, or if they got support or nicotine therapy)
limitations and benefits of the stage model
no explanation for behaviour onset, assumed insight can/should be gained, treated as a linear process HOWEVER no assumption about readiness to change required, provides structure, can be applied to many health-related behaviours.
eating disorder stats
1.7% of people struggle, more common in females, all ethnicities and average age onset of 17 years.
binge eating disorder criteria
reoccurent episodes of binge eating, distress regarding binging, bringing at least one a week of three months or more, no regular use of inappropriate compensatory behaviours, no weight criteria
BMI
body mass index, limitations is that is can be inaccurate, treats obesity as a disease, no info on fat vs. muscle, stigma, and doesn’t take into account other factors that cause weight gain.
bulimia nervosa criteria
reoccurent episodes of binge eating, compensatory behaviour, at least once a week for three months or more, incorrect self-concept of body shape and weight.
anorexia nervous criteria
restriction of energy intake, insistence of low BMI, intense fear of gaining weight, disturbance in perception of body weight or shape, poor self-concept.
body dysmorphic disorder
preoccupation with perceived deficit, repetitive thoughts/behaviours, causes significant distress or impairment in life, no eating disorder or focus on defect other than weight if they do
eat disorder vs. body dysmorphic disorders
eating disorder is about food and body dysmorphic disorder is about a defect.
Grogan and Richards study
qualitative study about men’s body image that found: it is important to be lean, being tone = healthy,
drew on discourses of blame and ridicule for weight, exercise was to avoid becoming overweight, being a body builder was not ideal, exercising to change our body is not much effort.
physiological sex
determined by chromosomes and assigned at birth.