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Abnormal Psychology
Chapter 5 - Stress, Psychological Factors, and Health
55
Psychology
Undergraduate 3
03/02/2009

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Term
Health Psychologist
Definition
a psychologist who studies the role of psychological factors in physical illness. They study the interrelationships between psychological factors and physical health
Term
Rene Decartes
Definition
Influenced modern thinking with his belief in dualism(separateness) between the mind and body
Term
Stress
Definition
pressure or demand that is placed on an organism to adapt or adjust
Term
Stressor
Definition
source of stress
Term
Adjustment disorders (5-20% outpatient diagnosed)
Definition
A maladaptive reaction to an identified stressor, characterized by impaired functioning or emotional distress that exceeds what would normally be expected. the mildest of psychological disorders

have significant impairment in social, occupational, or academic functioning
Term
psychoneuroimmunology
Definition
studies the relationship between psychological factors, esp. stress, and the workings of the endocrine system, the immune system, and the nervous system
Term
endocrine system
Definition
the system of ductless glands that secrete hormones directly into the bloodstream
Term
hormones
Definition
substances secreted by endocrine glands that regulate body functions and promote growth and development
Term
Immune system
Definition
the body's system of defense against disease
Term
General Adaptation System (GAS)
Definition
the body's three-stage response to states of prolonged or intense stress (Hans Salye 1976)
suggests that our bodies under stress are like alarm clocks that don't turn off ontil their energy is perilously depleted
Term
3 stages of GAS
Definition
1) alarm 2) resistance 3) exhaustion
Term
Alarm Reaction
Definition
triggered by perception of an immediate stressor (ex car coming at you in the road)
-this mobilizes your body to prepare for the stress or challenge, its the bodies first line of defense
-complex, integrated response that involves both the CNS and endocrine system
Term
fight-or-flight reaction
Definition
the inborn tendency to respond to a threat by either fighting or fleeing
Term
Resistance stage
Definition
aka adaptation stage, the body's attempt to withstand prolonged stress and preserve resources (endocrine and sympathetic system responses remain at high levels, but not as high as during the alarm stage
-the body tries to renew spent energy and repair damage
Term
Exhaustion stage
Definition
when stressors continue or new ones enter the picture we enter the 3rd stage of GAS, characterized by dominance of the parasympathetic branch of the ANS
-heart and respiration rate decelerate
-if stressor persist, we could develop "diseases of adaptation"
Term
corticol steriods
Definition
they help body cope with stress but suppress activity in the immune system
-continous secretion weakens the immune system by disrupting production of antibodies
Term
acculturative stress
Definition

the stress resulting from the process of adaptation by which immigrants, native groups, and ethnic minority groups adjust to the new culture or majority culture through making behavioral and attitudinal changes

-pressure resulting from the demands placed on the immigrant to adjust to life in the mainstream culture

Term
emotion-focused coping
Definition

a coping style that attempts to minimize emotional responsiveness rather than deal with the stressor directly, does not help remove the stressor or help individual manage it (bad for LT)

example: denial, withdrawal

Term
problem-focused coping
Definition

-a coping style that attempts to confront the stressor directly

-people examine the stressor and do what they can to change them or modify their own reactions to rendor stressors less harmful

Term
denial of illness
Definition

-fail to recognize seriousness of illness

-minimize the emotional stress the illness causes

-missattribute symptoms to other causes

-ignoring threatening information about the illness

Term
self-efficacy expectancies
Definition

-beliefs in one's ability to accomplish particular tasks

-our expectations regarding our abilities to cope with the challenges we face, to perform certain behaviors skillfully, and to produce positive changes in our lives

-effects how we cope with stress

Term
psychological hardiness
Definition
a cluster of stress-buffering traits characterized by commitment, challenge and control
Term
levels of psych. hardiness
Definition

commitment: involve themselves fully, believe in what they are doing

challenge: believe change was the normal state of things, not sameness for the sake of stability

control over lives: act as if they are effective in controlling the rewards and punishments of life (internal locus of control)

Term
optimism
Definition
seeing the glass half full, associated with better physical and psychological health, less emotional distress, lower levels of reported pain, and higher birth weights in babies
Term
positive psychology
Definition
a growing contemporary movement within psychology that focuses on the positive attributes of human behavior (optimism, love, hope)
Term
social support system
Definition
having a strong social support system can act as a buffer to stress, helps protect the body's immune system
Term
psychosomatic disorders
Definition

pertaining to a physical disorder in which psychological factors play a causal or contributing role

(examples: asthma & headaches)

Term
biofeedback training (BFT)
Definition
helps people gain control over various bodily functions, such as muscle tension and brain waves, by giving them information about these functions in the form of auditory signals or visual displays
Term
electromyographic (EMG) biofeedback
Definition
a form of BFT that involves relaying information about muscle tension in the forehead, heightens awareness of muscle tension in this region and provides cues that people can use to learn to reduce it
Term
cardiovascular disease
Definition

-disease or disorder of the CVS (ex. coronary heart disease or hypertension)

-leading cause of death in US

-

Term
arteriosclerosis
Definition

a condition in which artery walls become thicker, harder, and les elastic, making it more difficult for blood to flow freely

-underlying cause is atherosclerosis, a process involving the buildup of fatty deposits along artery walls that leads to the formation of artery-clogging plaque

Term
heart attack
Definition

-myocardial infarcation

-a life-threatening event in which heart tissue dies due to a lack of oxygen-rich blood

 

Term
stroke
Definition

-when a blood clot blocks the supply of blood in ana rtery serving the brain, leading to death of brain tissue that can result in loss of function controlled by that part of the brain

-coma or even death can occur

Term
Type A behavior patter (TABP)
Definition

-a behavior pattern characterized by a sense of time urgency, competitiveness, and hostility

-people who are hard-driving, ambitious, impatient, and highly competitive

-increases risks of heart disease and other negative health outcomes

-have "short fuses" and are prone to get angry easily

Term
Negative emotions
Definition

-frequent emotional distress in the form of anger, anxiety, and depression can have damaging efects on the cardiovascular system

-chronic anger can effect the heart*

-

Term
how anger effects the heart
Definition

-constant anger and anxiety trigger the release of these stress hormones by the adrenal glands, they increase HR, breathing rate, and BP.   This leads to pumping more oxygen-rich blood to the muscles to enable them to prepare for defense (flight or fight)

-repeating this over and over can eventually damage the heart and blood vessels

Term
social environmental stress
Definition

appears to heighten the risk of coronary heart disease

-such this as overtime at work, assembly-line labor, and exposure to conflicting demands

-depends on how you cope with stress/workload, doesn't HAVE to be a negative effect

Term
asthma (14 mill adults, 5 mill children)
Definition

-a respiratory disorder in which the main tubes of the windpipe (bronchi) constrict and become inflamed and large amounts of mucus are secreted

-in intense cases bronchial system is weakened and attacks may be lethal

-psychosomatic disorder

Term
cancer
Definition

aberrant, or mutant, cells that form growths that spread to healthy tissue (can go to the blood, bones, lungs, digestive tract, reproductive organs)

-when not contained early cancer will metastasize (establish colonies throughout the body) leading to death

Term
psych causes of cancer
Definition

weakened immune system (stress) increases susceptibilty to cancer (inconclusive)

-support programs can improve psychological adjustment (relaxation, stress management, coping thoughts)

 

Term
AIDS
Definition

-often times leads to severe psychological problems when adjusting

-said to be the worst news to ever find out

 

-acquired immunodeficiency syndrome caused by human immunodeficiency virus (HIV) which attacks the immune system leaving it helpless to fend off diseases it normally would hold in check

Term
Adjustments for HIV & AIDS
Definition

-anxiety & depression most common

-coping skills and cognitive behavioral therapy may help

-antidepressants

-stress management, self-relaxation and positive mental imagery

Term
what is an adjustment disorder?
Definition
maladaptive reactions to identified stressors
Term
what are features of adjustment disorders?
Definition

characterized by emotional reactions that are greater than normally expected given the circumstances or by evidence of significant impairment in functioning

-impairment usually takes the form of problems at work or school, or in social relationships or activities

Term
how is stress linked to physical illness?
Definition

weakened immune system functioning which can be caused by stress can increase vulnerability to physical illness

-evidence is correlational

Term
what is GAS?
Definition

-general adaptation syndrome

-name given by Hans Selye to the pattern of response of the body to persistent or enduring stress, the alarm reaction, resistance stage, and exhaustion stage

Term
how are life changes related to physical health problems?
Definition

-evidence shows that people who experience more life stress in the form of life changes and daily hassles are at an increased risk of developing physical health problems

-links are correlational*

Term
what psychological factors buffer the effects of stress
Definition
-a good social support system, coping styles, self-efficacy expectancies, and psychological hardiness
Term
what roles do psychological factors play in the onset of headaches and their treatment?
Definition

-the most common headache which is muscle-tension is often stress related

-behavioral methods of relaxation training and biofeedback are of help in treating various types of headaches

Term
what behavioral or lifestyle factors increase the risk of coronary heart disease?
Definition
-psychological factors that increase the risk of coronary heart disease include patterns of consumption, leading a sedentary lifestyle and persistent negative emotions
Term
what role do psychological factors play in asthma?
Definition
psych. factors such as stress, anxiety, and depression may trigger asthma attacks in susceptible individuals
Term
what role do psychological factors play in development of cancer and its treatment?
Definition

(results remain under study)

-dietary practices (high fat intake), heavy alcohol use, smoking, and excessive sun exposure

-psychological interventions help cancer patients cope better with the symptoms of the disease and its treatment

Term
what roles do psychologists play in the prevention of HIV/AIDS and treatment of people with HIV?
Definition

-our behavior patterns influence our risk for contracting HIV

-psychologists have become involved in the prevention and treatment of AIDS b/c AIDS can have a devastating psychological effect on victims, their families and friends, and society as a whole

-AIDS CAN BE prevented by reducing risky behavior (unprotected sex & unsafe needle usage)

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