Psychobiology of Disease Flashcards

1
Q

What is the fight or flight response?

A

This is the physiological response to stress

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2
Q

What are the three stages of Selye’s general adaptation syndrome?

A

Stage 1: Alarm Reaction– shift to sympathetic dominance –increased arousal

Stage 2: Resistance – endocrine system produces ACTH to maintain the increased arousal

Stage 3: Exhaustion– adrenals lose their ability to function normally

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3
Q

Describe the psycho-psychological and behavioural pathways linking stress and disease.

A

Events cause stress

Stress leads to physiological changes e.g. increased cortisol levels and behavioural changes e.g. smoking and drinking

These lead to disease

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4
Q

Describe the findings of the Steptoe experiment on health behaviour and stress.

A

This observed the interaction between health behaviour and social support

Smoking: at baseline both groups were the same. During exam time: high social support smoked less, low social support smoked more

Drinking: at baseline high social support smoked more than low.
During exam time: low social support drank more, high social support drank less

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5
Q

What effect does stress have on the immune system?

A

Immunosuppression

Decreased wound healing

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6
Q

Describe Cohen’s experiment on stress and colds.

A

Exposed volunteers to a nasal wash containing cold virus and asked the volunteers to rate their level of stress

The more stressed people were, the more they became ill with the cold

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7
Q

What is Type A behaviour?

A
Time urgency  
Free-floating hostility  
Hyper-aggressiveness 
Focus on accomplishment 
Competitive and goal-driven
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8
Q

What is the link between Type A behaviour and cardiovascular disease?

What is the feature of type A behaviour that causes this?

A

Increased risk of coronary heart disease

Hostilty is the key factor that increases CVD risk

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9
Q

What is the placebo effect?

A

An inactive substance can sometimes improve a patient’s condition simply because the patient has the expectation that it will be helpful

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10
Q

Describe the relationship between social support/relationships and health.

A

Individuals with adequate social relationships have a 50% greater likelihood of survival compared to those with poor or insufficient social relationships

Social support exerts effects beyond the protective psychological role

High social support is associated with decreased mortality

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11
Q

State some examples of components of stress management.

A
Organisation  
Time management  
Recognising stress 
Appraisal review  
Relaxation techniques 
Social support  
Formal support
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12
Q

What is stress?

A

Stress can be a stimulus

Events that place strong demands on us are known as stressors

Stress can be a response

Physiological response to stress e.g. ‘Fight-Flight’ response

Also negative emotions such as feeling tense, difficulty concentrating and losing your temper easily

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13
Q

What is the definition of stress?

A

Combination of stimulus and response as a person-situation interaction

Stress can be defined as a pattern of cognitive appraisals, emotional reactions, physiological responses and behavioural tendencies that occur in response to a perceived imbalance between situational demands (primary appraisal) and the resources needed to cope with them (secondary appraisal).

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14
Q

What is the mechanism of stress induce immunosupression?

A

Production of Interleukin-1 declined by 68%

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15
Q

Whats the link between anxiety and heart disease?

A

anxiety is associated with a 52% increased risk of developing CHD

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16
Q

Explain the link between depression and CHD

A

Depression linked to 2-2.5 higher incidence of CHD

Due to Physiological changes e.g. Change in platelet activity and behavioural changes e.g. levels of physical activity

17
Q

What is the nocebo effect?

A

A negative effect that occurs after receiving treatment (therapy, medication), even when the treatment is inert/sham

18
Q

What are the implications of the nocebo effect?

A

Warnings about the possible side effects of a medicine makes it much more likely that the patient will report experiencing those effects

The effect of many interventions can be increased by the way they are presented – both in form and manner

19
Q

What is the effect of a stressor?

A

Activation of the SNS to release NA and adrenaline from the adrenal medualla

Activation of the Hypothalamic Pituitary Adrenocortical Axis to release cortisol from the adrenal cortex

Both lead to increased energy