Rahe, Mahan and Arthur Flashcards

1
Q

Name of research

A

Prediction of near-future health-change from subjects’ preceding life changes

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2
Q

Date of research

A

1970

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3
Q

Aims

A
  • To limit the methological flaws in their research and so use a prospective test
  • To investigate if their is a relationship between the pre-deployment life events score (SRE) in Naval personnel and the number of illnesses during deployment
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4
Q

Context (names + dates only)

A
  1. Selye (1930s)
  2. Hawkins et al (1957)
  3. Holmes + Rahe (1967)
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5
Q

Selye 1930s (context)

A
  • suggested casual link between stress + physical illness
  • whatever stressor rats = exposed to led to the same response
  • leading to eventual exhaustion of the immune system
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6
Q

Hawkins et al. 1957 (context)

A
  • TB patients + sanaatorium workers
  • matched for age, sex, race and income
  • TB patients had more ‘disturbing occurrences’ in the 2 years prior to admission than the others
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7
Q

Holmes and Rahe SRE 1967

A
  • past = retrospective research
  • patients = already ill
  • info recall can result in memory distortion + perception of illness = subjective
  • needed to study before illness happened
  • SRE = filled in + evaluated stress in life events before became ill
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8
Q

Sample (procedures)

A

Opportunity sample

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9
Q

Mean age (procedures)

A

22.3

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10
Q

Number of ppts (procedures)

A

2664

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11
Q

Gender of ppts (procedures)

A

Male

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12
Q

Profession of ppts (procedures)

A

Naval + marine personnel

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13
Q

Variety (procedures)

A

In rank, education + experience

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14
Q

% lost (procedures)

A

10% lost due to transfer

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15
Q

Where = study (procedures)

A

Aboard 3 Us navy cruisers

  • 2 = Vietnam
  • 1 = Mediterranean
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16
Q

Technique (procedures)

A

Double-blind

17
Q

At beginning of each mission… (procedures)

A

…all ppts completed SRE

18
Q

As each ship returned… (procedures)

A

…a research physician reviewed the health records

- used to calculate the SRE

19
Q

2 benefits of procedures

A
  • All men exposed to the same conditions at sea

- Researchers had acces to detailed medical records

20
Q

Relationship between pre-cruise TLCUs + cruise period illness? (Findings)

A

No significant relationship

21
Q

Correlation between LCU totals for 6 months prior to deployment + illness (Findings)

A

+ 0.118 (significant)

22
Q

Sailors in decile 1 + 2 = (Findings)

A

Low illness group

23
Q

Sailors in decile 9 + 10 = (Findings)

A

High illness group

24
Q

Significant difference between decile… (Findings)

A

1 + 2

25
Q

Decile 1 = (Findings)

A

10% of ship’s crew w/ lowest TLCU scroes

26
Q

Decile 1 = mean illness number = (Findings)

A

1.434

27
Q

Decile 10 = mean illness number = (Findings)

A

2.049

28
Q

Married men = (Findings)

A

More likely to get ill than single young sailors

29
Q

Conclusions (x3)

A
  1. Results support linear relationship between ppt’s TLCUs + illness rate
  2. Th illneses were generally minor + pre-deployment life changes were often few + of low significance so positive relationship = even more impressive
  3. Cruiser 2 = worst cruise + least rel. between TLCU and illness suggesting environmental factors can increase illness + overwhelm the effect of life events on illness
30
Q

Alternative Evidence (names + dates only)

A
  1. Selye (1930s)
  2. Hawkins et al. (1957)
  3. De Longis et al (1988)
31
Q

Selye (Alt Ev.)

A

SUPPORTS

  • proves stress causes illness
  • LIMITED: extrapolation
32
Q

Hawkins et al. (Alt Ev.)

A

SUPPORTS

  • proves life events effect health
  • people w/ disturbing life occurrences –> TB
  • DIFFER: Rahe = over 6 months Hawkins = over 2 years
33
Q

De Longis et al. (Alt Ev.)

A

-Studied stress in 75 married couples
-Life events questionnaire + hassle + uplifts scale
-Found no rel. between life events + health
=Pos. correlation w/ hassles + next day health problems
GOES AGAINST:
- not major life events
- Rahe = 6 months De Longis = long term
-Married couples and sailors = v. different groups