Psych 111 Exam 3 Deck 2 Flashcards
What percentage of men and women continue to smoke in the United States?
23% and 18%
What is the average life expectancy of a smoker in comparison to that of a non-smoker
13 to 14 years shorter
Smokers tend to underestimate the chance that negative experiences will happen to themselves. This is known as…
Optimism Bias
Another term for Second-Hand Smoke
Environmental Tobacco Smoke
What is the long-term success rate of quitting for smokers
25%
What is the comparison of mortality rates between men who are highly fit and those who are not very fit
Highly fit men have a 70% reduction in mortality
The Five Main Reasons good health can mean a longer life
- It can enhance cardiovascular fitness and can delay the onset of cardiovascular problems
- Exercise can reduce risk of obesity-related problems
- It can decrease chronic inflammation, which is thought to be linked to various diseases
- It can serve as a buffer to protect against the physical damage of stress
- One of the newest reasons is that it can help create new brain cells
Is alcohol always bad for health?
No; moderate drinking may provide protection against cardiovascular diseases, but overdrinking can produce serious health problems
AIDS
Acquired Immune Deficiency Syndrome, a syndrome in which the immune system is gradually weakened and then disabled by the human immunodeficiency virus (HIV). It is the final stage of HIV
What was the survival time of AIDS prior to 1997?
18-24 months
Highly Active Antiretroviral Therapy (HAART)
Treatment of AIDS with drug regimens has proven to promise substantially longer survival
How is HIV typically transmitted?
Person-to-person contact and exchange of bodily fluids, primarily semen and blood. It has typically been transmitted through relations between gay and bisexual men in the US, but rates of heterosexual transmission have been increasing. Male to female transmission is 8x more common than female to male transmission
Can HIV be transmitted through casual contact? Explain.
No; there is no evidence it can be transmitted through casual contact, sharing food, kissing, or hugging.
The study by MacKellar found that what percentage of men in the study diagnosed with HIV did not know they had it?
77%
What are the four main causes of health-impairing behavior?
- Health impairing habits creep up slowly. Drinking may slowly increase or exercise may slowly decrease over years
- The habits or activities involve activities that are pleasant at the time (smoking, eating)
- The risks and consequences may lie 10, 20, or 30 years down the road
- People have an optimism bias; that is, they tend to underestimate the harm that could be inflicted upon themselves when engaging in the same behaviors as others who they know face dangers
People what personality characteristics will be more likely to rush to the doctor in the presence of illness?
Anxiety and Neuroticism
What are five causes of procrastination in visiting the doctor?
- misinterpreting or downplaying the symptoms
- fear of looking silly if the problem is small
- worry about bothering the physician
- reluctance to disrupt plans
- waste time on trivial matters before going
What are 5 barriers to proper provider-patient communication?
- Economic realities that medical visits are brief, preventing a deep conversation
- Providers using too much medical jargon
- Patients who are worried, nervous, or sick may forget to report certain symptoms
- Patients may be evasive because they fear the real diagnosis
- Patients may be reluctant to challenge the doctor’s word or are too passive with their interactions
What are 5 methods to become a better patient?
- Arrive on time
- Have questions and concerns prepared in advance
- Be accurate and candid in responding to your doctor
- Don’t be embarrassed to ask for clarification
- Don’t be afraid to voice doubts
How often does nonadherence for short-term treatments occur?
30% of the time
How often does nonadherence for chronic treatments occur?
50% of the time
What are the 4 forms of nonadherence?
- Failing to begin treatment
- Stopping regimen early
- May reduce or increase the level of treatment prescribed
- Inconsistent or unreliable in following treatment procedures
How much does nonadherence cost the US health system annually?
$300 billion
How are personality traits linked to nonadherence of treatment
It is not, surprisingly, linked to nonadherence as assumed. However, social support is linked
How is social support linked to nonadherence?
Friends, coworkers, and family can remind the patient to continue to adhere to the prescribed treatment
What are 3 causes of nonadherence?
- The patient misunderstands the instructions given
- The patient finds the treatment aversive or difficult
- Negative attitudes towards the physician
This expert on patient behavior has analyzed why people fail to seek medical treatment as promptly as they should.
Robin DiMatteo
According to this theorist, catastrophic thinking causes, aggravates, and perpetuates emotional reactions to stress that are often unhealthy.
Albert Ellis
This psychologist’s broaden-and-build theory has shed light on how positive emotions can promote resilience in the face of stress.
Barbara Fredrickson
This research team is famous for describing the Type A personality and investigating its role in heart disease.
Friedman and Rosenman
This research team devised the Social Readjustment Rating Scale and studied life change as a form of stress.
Holmes and Rahe
This individual showed that everyday hassles can be an important form of stress.
Lazarus
This theorist coined the term stress and described the general adaptation syndrome.
Selye
Catastrophic Thinking
unrealistically pessimistic appraisals of stress that exaggerate the magnitude of one’s problems
Ellis’s view on the causes of emotional distress
Events themselves do not cause distress, rather it is caused by the way in which people think about negative events
How can you reduce unrealistic appraisals of stress?
You must learn to detect catastrophic thinking and dispute the irrational assumptions that cause it
What percentage of study subjects used humor as a coping mechanism
40%
What are three hypothesis regarding humor’s effectiveness as a coping mechanism?
- It puts a less threatening appraisal on events
- It increases the experience of positive emotions
- High-humor people do not take themselves as seriously as low-humor people do
The Medical Model
Proposes that it is useful to think of abnormal behavior as a disease
Pathology
Refers to manifestations of disease
Why do some critics argue that the Medical Model has outlived its usefulness?
They argue that the Medical Model pins a social stigma against those with abnormal behavior. They are viewed as erratic, dangerous, incompetent, and inferior.
Has stigma regarding mental disorders decreased, increased, or stayed the same?
It has largely stayed the same and may even have increased
Thomas Szasz
He is a critic of the medical model. He asserts that disease or illness can only affect the body, hence there can be no mental illness. He argues that abnormal behavior requires deviance from social norms, and so the medical model’s disease analogy converts moral and social questions into medical ones.
Diagnosis
Distinguishing one illness from another
Etiology
The apparent causation and developmental history of the illness
Prognosis
A forecast about the probable course of the illness
The three main criteria of abnormal behavior
- Deviance
- Maladaptive behavior
- Personal Distress
Deviance as a criteria of abnormal behavior
Their behavior deviates from what society considers acceptable. This varies from culture to culture
Maladaptive Behavior as a criteria of abnormal behavior
Proper are judged to have a psychological disorder if their everyday adaptive skills are impaired
The key criterion of abnormal behavior in the diagnosis of drug or substance disorders
Maladaptive behavior: when the use of drugs begins to interfere with everyday life.
Personal distress as a criteria for psychological disorders
A person’s individual report of their own great personal distress, especially for anxiety and depression
Value Judgement
An assessment of good or bad depending on one’s priorities
The Diagnostic and Statistical Manual of Mental Disorders
The DSM is a multiaxial system of classification of mental disorders
On the DSM, which axis contains the most types of disorders?
Axis I
What is Axis II on the DSM used for?
Listing long-running mental disorders and mental retardation
On which two DSM Axes are mental disorders mainly listed and patients diagnosed?
Axes I and II
What is Axis III of the DSM used for?
General Medical Conditions: physical disorders
What is DSM Axis IV used for?
Psychosocial and Environmental Problems: the clinician makes notations regarding the patient’s stress experienced in the past year
What is DSM Axis V used for?
Global Assessment Functioning: Estimates are made of the individual’s current level of adaptive functioning (in social and occupational behavior as a whole) and of the individual’s highest level of functioning in the previous year.
What is one of the biggest issues regarding the DSM?
Should it reduce commitment to the categorical approach?
Comorbidity
The coexistence of two or more disorders. There are concerns that widespread comorbidity may not be indicative of separate diagnoses, but may be symptoms or variations of the same disorder
The dimensional vs. categorical approach in DSM
The categorical approach places people with mental disorders into distinct discontinuous categories. The dimensional approach views the degree to which people exhibit certain characteristics and measures their scores on a limited number of continuous dimensions.
The problem with switching to a dimensional approach from a categorical one in DSM
It is a highly formidable task and there is little agreement
Epidemiology
The study of the distribution of mental or physical disorders in a population
Prevalence in Epidemiology
Refers to the the percentage of a population that exhibit a disorder during a specified time period
Lifetime Prevalence in Epidemiology
The percentage of people who endure a specific disorder at any time in their lives
In the 1980s and 1990s what portion of the population was found to have a psychological disorder?
1/3
The most recent large-scale epidemiological study estimated the lifetime risk of a psychiatric disorder to be ___%
51
The Three most common psychological disorders
- Substance abuse (most)
- Anxiety disorders
- Mood disorders
Anxiety Disorders
A class of disorders marked by feelings of excessive apprehension and anxiety
Generalized Anxiety Disorder
Marked by a chronic, high level of anxiety that is not tied to any specific threat
What is the lifetime prevalence of GAD?
Generalized Anxiety Disorder has a lifetime prevalence of 5%-6% and is more frequently seen in females