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Health Behavior Change Test 3: Social Support
N/A
53
Health Care
Undergraduate 3
03/26/2014

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Term
Social Support & Social Networks provide
Definition
concepts that provide information about the structure, process, and functions of social relationships
Term
Social networks and support have an effect on
Definition
Health/disease
Term
Social support is the functional content of
Definition
relationships
Term
Social support is the degree to which
Definition
a person’ social needs are met through interaction with other people
Perception that you can count on others for help
Resources that other people provide; tangible and intangible
Term
Distinguished From Other Relationships (Five)
Definition
-SS always intended to be helpful by sender
-Consciously provided by the sender
-May not always be perceived that way by receiver
-Given with respect to individual’s right to self-determination, given with caring and trust
-One does not have to always use their support to reap benefits…just knowing one has support allows for benefits to be gained.
Term
Four types of social support
Definition
Emotional
Instrumental
Informational
Appraisal
Term
Emotional
Definition
Affect, esteem, concern
Expression of empathy, love, trust, caring
Term
Instrumental
Definition
Tangible aid and service
Aid in labor, money, time
Term
Informational
Definition
Suggestions, advice, information
Term
Appraisal support
Definition
Feedback, affirmation
Information that is useful for self-evaluation
Term
Social network
Definition
An association of people drawn together by family, work or hobby
Term
Social network was first defined
Definition
The term was first coined by professor J. A. Barnes in the 1950s, who defined the size of a social network as a group of about 100 to 150 people.
Term
3 Network characteristics
Definition
-Reciprocity and Intensity
-Networks with few ties, high intensity, high density, close proximity
-Networks that are larger, more diffuse, with less intensive ties
Term
Reciprocity and Intensity
Definition
Linked to positive mental health
Term
Networks with few ties, high intensity, high density, close proximity
Definition
-Suited to maintain social identity
-Maintain affective support
Term
Networks that are larger, more diffuse, with less intensive ties
Definition
-May be more adaptive
-Better at facilitating outreach and
-Exchange of informational support
Term
Being Connected Improves Health
Definition
-Offers a psychological buffer against stress, anxiety and depression, which can protect you against developing an illness and cope better with medical problems.
-It may even increase your life span
Term
How Does Social Support Enhance Health? 4
Definition
-Overall positive feeling
-Sense of self-esteem,
-Stability and control over one’s environment.
-Acts as buffer against stress.
Term
3 Effects on Health
Definition
Mortality & Morbidity
Impact on behavior
Impact on biological processes
Term
4 impact on behavior
Definition
Diet
Exercise
Whether you smoke
Whether you drink
Term
3 impact on biological processes
Definition
Neuro-endocrine responses
Immune response
Changes in blood flow
Term
Directly or indirectly linked to
Definition
to stroke, CVD, cancer, infectious diseases, allergies, autoimmune disorders, etc…
Term
Swedish men born in 1914 showed that
Definition
good social supports and social networks decreased mortality from all causes.
Term
Males who did worst were those who
Definition
felt a lack of social and emotional support, those who were dissatisfied with their social lives, and those who lived alone.
Term
Japan study
Definition
-Smoke, high blood pressure, stress and crowding- all in Japan.
-High risk factors leading to heart diseases
-Japanese have lower heart disease rates than we do.
-Protected by unusually close ties to friends, family and community.
Term
Social support is necessary for health from day 1
Definition
Babies w/ emotional starvation develop failure to thrive when not responded to. Pituitary gland fails to produce sufficient growth hormone despite adequate nutrition as result of loneliness
Term
People who are socially isolated have _______ health and die ________.
Definition
poorer
earlier
Term
Those who have few ties, may die at rates ____-____ times higher than those with good social ties.
Definition
2-five
Term
Social Isolation - 4
Definition
-Contributes to depression
-Undermines your self-esteem and sense of purpose
-Leads to feelings of helplessness and hopelessness.
-Beware of support systems that are unhealthy, oppressive or rigid, or that demand conformity. These can be just as damaging as having no connections at all.
Term
Social obligation
Definition
may feel required, may give grudgingly
Term
Selfish reasons
Definition
want to be able to ask for assistance in future
Term
Egotistic
Definition
feel good
Term
Three reasons why people provide social support
Definition
-Feelings of social obligation
-Selfish- want to ask for assistance in future
-Egotistic motivation- make self feel good
Term
Negative social supports
Definition
Interpersonal conflict- recipient not ready to accept the provided support.
Term
If people in your social support system are continually stressed or ill
Definition
you may suffer along with them
Term
If friends place heavy demands on time and resources, or if you're unable to meet their needs
Definition
, you may end up more anxious and depressed.
Term
Remember: give and take
Definition
A social support system needs to feel healthy AND balanced to the individual.
Term
Some of the people you routinely interact with will be more
Definition
demanding than supportive
Term
Give yourself the flexibility to limit your interaction with those people to protect
Definition
your own psychological well-being
Term
Males
Definition
Wives # 1 support
Tend to rely exclusively on spouse
Term
Females
Definition
-Relied more heavily on other family members and friends than husbands.
-Women seem to get greatest health benefits from contact w/other women.
Term
Gender, instrumental support
Definition
Women used family, agencies, helpers more than men.
Term
Men and Women
Definition
-Both stated the quality of support rather than the quantity of support has significantly greater effects on well-being

-However, both the quantity AND quality of social support have a greater impact on the well-being of women compared to men.
Term
Support groups have been used extensively with:
Definition
Individual’s and families-long term illness
Supportive interventions can have an impact through encouraging...(6)
Term
Supportive interventions can have an impact through encouraging...(6)
Definition
-Mutual support
-Helping persons cope with body changes
-Reducing stress, realigning social support networks
-Enhancing family support
-Helping persons work through healthcare problems
-Enhancing quality of life
Term
David Spiegel
Definition
Breast cancer groups
Medical treatment only
Medical treatment and support groups
Treatment and support group = greater survival
Term
Fawzy at UCLA
Definition
Malignant melanoma
Therapy and no therapy groups
Support group had 60% reduction in death rates and one half the recurrences of melanoma
Term
David Spiegel
These are other guidelines for the support groups:
Definition
-Personalization
-Emotional Expression
-Supportive Interactions
-Facilitate active coping
Term
Personalization
Definition
Bring the issue into the room. Don't talk about how someone else is responding to your cancer, talk about your own feelings.
Term
Emotional expression
Definition
Follow the affect [expression of emotion], not the content.
Term
Supportive interaction
Definition
Give everyone a chance to talk.
Term
Facilitate Active Coping
Definition
Aid the members' real-world efforts to obtain better medical information or otherwise change their lives with, for example, meditation or self-hypnosis
Term
Characteristics of successful peer support interventions include (7):
Definition
-Being available at the right time for the patient concerned.
-Providing an open forum for sharing experiences and information.
-Being cooperative and collaborative.
-Being flexible in terms of availability.
-Being easily accessible.
-Being integrated into existing networks.
-Be structured to meet the needs of the target group.
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