stress and coping Flashcards
health
mental/social/physical
not just the absence of illness
health inequality
socio-economic status split
genes/care/lifestyle
medical model
somatic dysfunction
diagnosis and treatment through med-science
issues with the medical model
reductionistic
mind-body duality
individual diff ignored
71% type As CHD
175/257 heart attacks were type As
Rosenman 1976
TYPE A and TYPE B personalities
friedman 1959
type B
laid back / low urgency
type A
competitive / anger / goal orientated
stress appraisals
primary - stressful?
secondary - personal resources sufficient?
stress occurs when event exceeds resources
commitment challenge control all linked to low stress
kobasa 1970
fight or flight
threat percieved , physiological arousal, motive to attack or flee
chronic stress side effects
chronic pain obesity diabetes depression/anxiety 80%
resilience
psychological ability to bounce back
optimism
expect good things low levels of avoidance
hardiness
tendency to approach experiences openly and cope well
cardiac stress management / anxiety training / visuo-motor behavioural group lower CHD repeat episodes than control
Suinn 1990
cancer patients
info seekers PFC - good adjustment
wishful thinking EFC - bad adjustment.
revenson 1984
women failed IVF
escapism/PFC/EFC
EFC best adjustment
terry and hynes 1998
social support
tangeable / informational / emotional / companionship
invisible support
more beneficial than asked for
problem focused coping
direct action to reduce demands and increase resources to cope
two types of coping
problem focused // emotion focused
emotion focused coping
managing negative emotions. can be detrimental. low optimism/hardiness/external loc
