Social

Question 1

Structure of a social essay

Answer 1

Intro (Rowntree and argument)
2 theories of social support and health 
Loving et al
Wedding et al
Stress - ACE

Mention patient experience

Question 2

When was the Rowntree Survey

Answer 2

1899

Question 3

What is the loving et al study

Answer 3

Loving et al. 2005
42 married couples, each come to hospital twice
1st: interact in socially supportive way
2nd: discuss a marital dispute
Lower hostility led to faster blister recovery
- fasted healing after socially supportive interaction compared to disagreement in same couples

Question 4

Describe Wedding et al

Answer 4

2006

Assessed the effects of availability of social support on the 2 year survival in recently diagnosed patients with AML

> 60% of patients with high levels of support were alive 2 years after being diagnosed

2 year survival rate was only 1.4% in patients with low social support

Question 5

What are the 2 theories of social support

What is the difference

Answer 5

Stress buffering : helps adapt in stressful situations

Main effect: always promotes good health

Question 6

3 reasons why social support may improve health

Answer 6

Compliance - help getting treatment etc
Health behaviour- better eating habits etc by pressure and just buying better food etc
Reducing stress- doing chores etc - leads on to ACE discussion

Question 7

Discuss ACE study

Answer 7

Stress increases cortisol levels, impairs immune system

Public Health Wales: ~2000 surveyed; up to 69 years those with more than 4 ACEs were 2x as likely to be diagnosed with a chronic illness than those with 0 ACEs

4x more likely to develop type 2 diabetes