problem areas Flashcards
Mental wellbeing
State of wellbeing in which an individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her own community
mental health problem
a mental health concern that interferes with functioning but is mild and temporary
mental disorder
involves a combination of thoughts, feelings and behaviours which are associated with significant personal distress and impair ability to function effectively in daily life
SEWB framework
framework that includes all elements of being, and therefore wellbeing, for Aboriginal and Torres Strait islander people
Domains:
- Connection to body and behaviours
- Connection to mind and emotions
- Connection to family and kinships
- Connection to community
- Connection to culture
- Connection to country
- Connection to spirit, spirituality and ancestors
Connection to body
connecting to the physical body and health in order to participate fully in all aspects of life
Connection to mind and emotions
the individuals personal experience of their mental wellbeing (or mental ill health) and their ability to manage thoughts and feelings
Connection to family and kinships
recognises that family and kinship systems have always been central to the functioning of traditional and contemporary Aboriginal and Torres Strait islander peoples lives
Connection to community
emphasises a connection to a communal space that can take many forms and provides opportunities for individuals and families to connect with each other
Connection to culture
refers to one’s secure sense of cultural identity and cultural values through connection to Aboriginal and Torres Strait Islander heritage
Connection to Country
being on and caring for Country has positive physical and mental health outcomes for Aboriginal and Torres Strait Islander people
Connection to spirituality and ancestors
recognises the sacred and inter-connective relationship between Country, human and non-human beings, as well as past, present and future. Includes knowledge and belief systems and the Dreaming.
Social determinants
education, employment, income and housing which contribute to an individuals health and wellbeing status
Political determinants
government policies such as legislation that has affected wellbeing by restricting the rights of self-determination and sovereignty
Historical determinants
the impact of past government policies and the oppression and cultural displacement experienced since colonisation
Cultural determinants
originate from and promote a strength based perspective, acknowledging that stronger connection to culture and Country build stronger individual and collective identities, a sense of self esteem and resilience. Includes cultural continuity and self-determination
Cultural continuity
involves intergenerational maintenance and transmission of cultural knowledge and practices, ensures maintenance of cultural connection
Self determination
the right to freely determine or control their political status and freely pursue their cultural, social and economic development
stress
psychobiological process, a state of mental, emotional and physiological tension in response to a stressor that challenges our ability to cope
anxiety
an emotion akin to worrying and uneasiness that something is wrong or something bad is going to happen
phobia
a persistent, intense, irrational fear of a specific object or event
phobia v fear
phobia is excessive, unreasonable and impairs daily functioning
GABA dysfunction
failure to produce, release or receive the correct amount of GABA needed to regulate neuronal transmission in the brain. Low levels of GABA = heightened stress response = more fight-flight-freeze
precipitation by cc
- Prior to conditioning the NS did not produce any response consistent with a phobia.
- The UCR was elicited by the UCS
- During conditioning, the NS was being paired with the UCS
- After conditioning, the NS became the CS
- The CS produced the CR of a phobia
- Thus classical conditioning precipitates a phobia, as without conditioning, the phobia would not occur
Perpetuation by operant conditioning
- When (person) encounters the phobic stimulus, it acts as the antecedent
- (Person) then displays the behaviour of avoiding the phobic stimuli
- This creates the consequence of feeling calm
- Thus operant conditioning perpetuates a phobia through negative reinforcement, increasing avoidant behaviours through removing a negative stimulus
benzodiazepines
drugs that increase GABA’s inhibitory activity, GABA agonist. Lower anxiety and reduce stress symptoms
breathing retraining
teaching correct breathing habits. Control of breathing is control of phobia. Inhaling slowly and deeply through the nose and exhaling slowly through the mouth
EEG, EMG, EOG
Electroencephalograph (EEG): A device that detect, amplifies and records general patterns of electrical activity of the BRAIN over time
Electromyograph (EMG): A device that detects, amplifies and records electrical activity of muscles
Electro-oculargraph (EOG): A device that measures eye movements or eye positions by detecting, amplifying and recording electrical activity in eyes muscles that control eye movements
NREM 1
- Relatively light sleep
- Physiological responses begin to slow down (brain activity, heart rate, temperature)
- Amounts to 4 or 5% of total sleep time
- People are easily awakened
NREM 2
- Light sleep, sometimes described as moderate sleep because it gradually gets deeper
- Continued slowing of heart rate, breathing, muscle activity and body movements
- Body temperature continues to fall and eye movements stop
- N2 has higher arousal threshold than N1
NREM 3
- Deep sleep
- Heart rate and breathing slow to their lowest levels, muscles are completely relaxed and we barely move
- Largest and slowest brain waves (delta waves are prominent)
- Highest arousal threshold
- A person may spend 20-40min in N3 (age dependent)
- Makes up 10-15% of total sleep time
REM
defined by spontaneous bursts of rapid eye movement
- 20-25% of total sleep time
- Also called paradoxical sleep - internally brain and body are active while external the body appears calm and inactive
dreaming
most dreaming occurs during REM sleep
- Dreams that occur in NREM sleep stages are generally shorter, less frequent, less structured, less likely to be recalled and less vivid than REM dreams
- REM dreams typically have a narrative structure and consist of storylines that range from realistic to complete fantasy
circadian rhythm
Biological processes in all animals that coordinate the timing of activity of body systems over a 24hr period (sleep wake cycle)
ultradian rhythm
biological process that coordinate the timing of activity of body systems over periods of less than 24 hours (heart rate, pulse, appetite)
suprachiasmatic nucleus
Master body clock in the hypothalamus that regulates body activities to a daily schedule of sleep and wakefulness
zeitgebers
External environmental cues such as light, temperature and eating patterns that can synchronise and regulate the body’s circadian rhythm
melatonin
Hormone that is involved in the initiation of sleep and in the regulation of the sleep-wake cycle (induces drowsiness and decreases cell activity)
trends across the lifespan
- Total amount of sleep decreases
- Proportion of REM sleep decreases significantly from birth until 2 yrs old
- Amount of N3 sleep decreases, replaced mostly by N2 sleep
- Circadian phase delay occurs during adolescence (preference for going to sleep later)
- After adolescence a shift to a circadian phase advance occurs (preference for going to sleep earlier)
- Awakenings during sleep increase from adulthood to old age
- Sleep efficiency (percentage of time in bed spent asleep) reduces
newborns and infants
- No established circadian rhythm,
- In the first 2 weeks of life, 50% of infants sleep is REM sleep
- By 12 months, 14-15 hrs total sleep time, mostly occurring in a single episode at night
children
- Total sleep time continues decreasing as the child gets older, from about 13 to 11hrs between 2 to 4 yrs of age
- Proportion of REM sleep continues to decrease (20%) and the amount of NREM sleep increase, with a greater percentage of sleep time spent in stages 2 and 3
adolescents
- Total time spent sleep decreases as does REM sleep (20%)
- By mid adolescence, sleep episode resembles that of young adults
- Adolescents tend to get less sleep then they need to function at their best (partly due to sleep-wake cycle shift)
adults
- Average of 8hrs of sleep per night, 20-25% REM
- Overall pattern of sleep shows a progressive decline in duration of a typical sleep episode and in the proportions of time spent in REM and NREM
- Gradual loss of NREM stage 3 sleep
- As the individual ages (between 20-60), deep sleep declines at a rate of about 2% per decade. By age 60 or so, a severe reduction is evident
older adults
- Less NREM3 sleep
- Eventually stage 3 disappears altogether
- REM (18-20%)
- Sleep becomes fragmented with more night time awakenings (due to less N3 sleep)
- 7-8hrs sleep each day
- Some have 30min naps
- Sleepier in early evening, wake earlier in the morning
partial sleep deprivation
involves having less sleep (either quantity or quality) than what is normally required
total sleep deprivation
involves not having any sleep at all over a short term or long term period
sleep deprivation: affective functioning
Emotions and mood
- Trouble regulating or controlling your emotions
- Amplified emotional responses/unwarranted emotional outbursts
- Mood swings
- Be more irritable or cry for no apparent reason
sleep deprivation: behavioural functioning
Refers to a persons observable actions
- Sleep inter: temporary period of reduced alertness and performance impairment that occurs immediately after awakening
- Excessive sleepiness
- Fatigue
- Slower reaction time
- Increase in risk taking behaviour
sleep deprivation: cognitive functioning
Refers to a persons mental processing
- Trouble with memory
- Decreased alertness
- Poor concentration
- Impaired problem solving, decision making
- Poor judgement
- Lack of motivation
circadian rhythm sleep disorders
A category of sleep disorders characterised by a persistent pattern of sleep disruption due to a misalignment between the circadian rhythm and sleep-wake schedule required by a person
DSPS
Circadian rhythm sleep disorder characterised by a delay in the timing of sleep onset and awakening, compared with timing that is desired of conventionally accepted