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health psychology
is concerned with understanding how biological, psychological, environmental and cultural factors are involved in physical health and illness
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stress response
emotional state depends on our appraisal and perception of the situation
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daily hassles
- small, everyday problems that accumulate to become a source of stress
- micro-stressors: bad or rude drivers, cannot find keys or cell phone
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Social Readjustment Rating Scale
- assigns life change units to various events that can occur in one's life
- does not apply equally to all cultures or populations
- high scores on the srrs are related to health problems
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The Tend and Befriend Response
- some theorists argue that the fight or flight response may be a largely male response, and suggest that evolution may have selected a "tend and befriend" response to cope with stress in females
- regardless of the mechanism, in general females are more likely to have extensive and well-maintained social networks than are males
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emotional responses to stress
- in addition to bodily arousal, stress triggers emotions and changes mood
- the greater the amount of stress, the more negative the emotions associated with stress: anxiety, fear, anger, depression
- as stressors subside, mood becomes more positive
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cognitive responses to stress
- appraisal is key in ability to handle stressful situations
- richard lazarus: cognitive-mediational theory of emotion
- primary appraisal: appraisal of stressor (how big a stressor it is)
- secondary appraisal: appraisal of resources and one's ability to deal with stressor
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Perceived control
- learned helplessness
- predicability
- if you perceive you can control the stress, you will feel less stress
- ex. old people given more control over their lives more likely to alive later
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autonomic reactivity and stress
- difference in intensity of autonomic nervous system (ANS) reaction
- example - individuals consistently displayed either high or low cardiovascular activity in response to stress
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social support and stress
- more social support seems to correlate with less stress
- support may increase self-confidence in dealing with stressors
- social feedback may alter one's perception of stressor
- presence of others reduces bodily arousal and negative emotions
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hardy
- personality and stress
- stress-resistant personalities: welcome challenges, take control, view stressors as growth oppotunities
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coping
- cognitive and behavioural strategies to manage stress
- lashing out: psychological or physical
- self-defence: defensive, avoidant behaviours to protect oneself from stress
- self-indulgence: alcohol, drugs, overeating
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constructive coping strategies
- problem-focused coping: efforts aimed at a stressor
- emotion-focused coping: changing feelings about the stressor
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Stress and Health
- strong relationship between stress and health
- psychosomatic or psychophysiological
- interaction between psychological and biological factors:
- -coronary heart diseas
- -psychological (e.G. Type A) and biological (e.g obesity)
- Life change and illness:
- - life stressors (srrs) linked to physical illness
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Type A personality and Hostility
linked to coronary heart diseases
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Behavioural changes in response to stress
- can affect the immune system
- anxiety and/or depression may trigger other behavrious
- examples: smoking, alcohol or drug use, sleep deprivation
- these behaviours result in slowed immune system
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Hostility
- a personality trait characterized by mistrust, an expectation of harm ad provocation by others, and a cynical attitude
- - associated with heart disease
- -gender differences
- - anger management programs
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Problem focused coping straegies
- active coping
- planning
- instrumental social support
- suppression of competing activities
- restraint coping
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Emotion focused coping strategies
- emotional social support
- venting emotions
- positive reinterpretation
- behavioural disengagement
- mental disengagement
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effects of mind-body intervention
- research results
- improved mood and immune response
- improved control of pain
- decreased stress and emotional distress
- fewer subsequent heart problems
- placebo effects as mind-body interventions
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When is stress a good thing
- Eustress: optimal stress level
- promotes physical and psychological health
- inoculation: dealing with small levels of stress to improve functioning in increasingly stressful situations
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