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Illness/wellness continuum |
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Health and sickness are not separate concepts Optimal wellness > increase in wellness > neutral health > increase in illness > death |
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Positive state of physical, mental, and social wellbeing that varies over time along a continuum |
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Mind-body connection in health |
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Greek philosophers, middle ages and renaissance doctors: mind and body were believed to be separate entities 19th and 20th centuries: biomedical model |
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The idea that all illnesses are caused by physiological processes |
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Everyday patterns of behavior; includes risk factors for illness such as smoking; influences health |
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Some types may influence overall health; Type A is greatly linked to illness |
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A holistic approach to health; biological, mental, and social factors all tie into health |
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A tentative explanation of why and under what circumstances certain events occur Example: smoking is a major cause of lung cancer |
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A testable prediction used to guide further research Example: the more you smoke, the higher your chances of getting lung cancer |
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Research design characterized by random assignment, manipulation of a condition, measurement of changes from the manipulation, and controls for as many confounds as possible |
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When it's high - cause and effect inferences |
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When it's low - generalizability from lab to real world |
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Randomly sorting participants into groups |
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The group in an experiment that receives manipulation |
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What the experimenter manipulates in an experiment |
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A variable that is not controlled for that can cause an illusory correlation in an experiment |
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What the experimenter measures in an experiment |
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Improvement resulting from the mere expectation of improvement |
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Must lack either random assignment or manipulation of an IV Usually not conducted on humans Cannot infer cause-effect relationship |
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Research design that examines the extent to which two variables are associated The letter "r" is used to indicate a correlation; either +, -, or 0 and range from -1.0 to 1.0; the closer to 1 in either direction, the stronger the correlation Usually depicted through scatter plots |
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Quasi-experimental approach |
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Two groups of subjects that are not randomly assigned; groups of people that already exist (ex post facto study) Example: experimental group of people who already smoke/have heart disease/have HIV Retrospective or prospective approach |
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Look back at the history of both groups in a quasi-experimental model to determine correlation |
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Look forward into the life of subjects to determine correlation in a quasi-experimental model |
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A developmental approach using groups of subjects of different ages to look at changes that happen with age |
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A developmental approach using one group of subjects observed over many years |
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Comprised of nerves that enervate our bodies; autonomic and somatic 12 cranial nerves: originate in the brainstem and project to the face and neck muscles; includes vagus nerve which is involved in all abdominal organs and muscles 31 spinal nerves: help enervate the body; originate from the spinal cord |
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Controls self-regulated action of internal organs and glands |
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Controls voluntary movements of skeletal muscles |
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All higher functions of humanity reside here Reward, motivation, memory, personality Diencephalon: hypothalamus and thalamus Telencephalon: limbic system (hippocampus and amygdala), cerebrum |
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Very small; separates hindbrain from midbrain Contains sensory and motor neurons Involved in specific types of movement Superior colliculus Inferior colliculus Substantia nigra |
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Comprised of the medulla, pons, and cerebellum Medulla: vital life functions (breathing, heart rate, eating) Pons: relays sensory information Cerebellum: involved in coordination and movement |
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Independent of the brain, it can produce spinal reflexes; sensory (afferent), motor (efferent), and interneurons (relay neuron with short axon) are involved |
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Part of the midbrain; relay for visual information Involved in tracking eye movements and fixed gaze |
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Part of the midbrain; relay for audio information Involved in orienting to an auditory stimulus |
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Part of the midbrain; involved in movement Projects to basal ganglia Lack of dopamine here is associated with Parkinson's |
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Starts in the hindbrain and progresses through the midbrain and into the forebrain Plays a role in sleep, arousal, attention, eating Implicated in ADHD |
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Part of the diencephalon in the forebrain; maintains homeostasis; different regions are involved in various functions such as feeding, sex drive, temperature, circadian rhythm |
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Part of the diencephalon in the forebrain; processes sensory information and serves as a gateway to the cortex (excluding smell) |
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Part of the telencephalon in the forebrain involved in memory and emotion Hippocampus and amygdala |
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Part of the limbic system; means "seahorse" Involved in spatial memory Case - HM: took out temporal lobes to get rid of epilepsy; worked, but could not form new memories Morris water maze |
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Part of the limbic system involved in negative emotion Fear and aggression |
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Divided into the frontal, parietal, temporal, and occipital lobe |
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A thick fiber bundle that connects the left and right hemispheres of the cerebrum; made up of axons |
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Frontmost lobe of the cerebrum Involved in motor function, language, thinking, executive functions, and personality Associated with psychological disorders such as schizophrenia Phineas Gage: damage to prefrontal cortex; personality switch |
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Located in the cerebrum Involved in somatosensory information |
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Located in the cerebrum Houses the primary visual cortexes |
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Part of the cerebrum Houses auditory cortex Includes the hippocampus and amygdala |
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A set of glands that work in close association with the nervous system Communicates using hormones (epinephrine, norepinephrine, and cortisol) Hypothalamus signals the pituitary gland ("master gland") High levels of stress hormones are associated with a high risk for illness; can affect all bodily systems in a negative way |
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Part of the endocrine system that stimulate stress responses |
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Part of the endocrine system that communicate using testosterone and estrogen |
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Part of the endocrine system that releases hormones in times of growth; plays a part in weight gain |
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Part of the endocrine system that releases hormones that help us with regulating blood sugar |
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Hypothalamus-pituitary-adrenal axis |
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A stress cascade in the pituitary system Hypothalamus releases corticotropic-releasing hormone (CRH) into the bloodstream, which stimulates the anterior pituitary gland, which releases adrenocorticotropic hormone (ACTH), which stimulates the adrenal glands to produce glucocorticoids (stress hormones, which are called cortisol in humans) |
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Norepinephrine and epinephrine |
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Hormones released by the adrenal glands; adrenaline Main hormones released by the sympathetic nervous system |
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A pancreatic hormone that raises blood sugar |
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A pancreatic hormone that lowers blood sugar; takes sugar out of the blood and stores it in cells for use |
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Insulin deficiency; hyperglycemia; pancreas does not make enough insulin Buildup of sugar in the blood; can lead to death if not treated |
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Breaks down what we have ingested; converts food into chemicals that the body can use; excretes the excess waste Begins at the mouth, which mechanically breaks down food through chewing; saliva is released while we chew, which contains enzymes which further help break down food Esophagus uses peristalsis to move food into the stomach; stomach prepares by releasing gastric juices (hydrochloric acid and pepsin) The stomach churns the food for 3-4 hours and releases mucus to protect the stomach from the acid The stomach uses peristalsis to push food into the small intestine (duodenum), where the acidic mixture is made more alkaline; enzymes break down carbs, fat, and proteins further; absorption increases- membrane with capillaries allows nutrients (amino acids) to pass into the blood Leftover material passes into the large intestine, where remaining water is absorbed, and the leftover material is released from the rectum as waste |
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Caused by infection or excess gastric juices Exacerbated by stress Occur in the stomach and small intestine |
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Liver cells die and are permanently replaced by scar tissue Caused by alcoholism or hepatitis |
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Cancer that happens normally in people over 40 Screened for with a colonoscopy |
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All chemical reactions that occur in the body's cells After eating, energy heats the body and fuels activities |
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The amount of energy a food contains |
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Basal metabolic rate (BMR) |
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The amount of energy we burn at rest This is typically higher in men; also influenced by age, height, and weight |
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In charge of gas exchange in the body Supplies the body with oxygen and gets rid of CO2 Air enters through nose and mouth > larynx > trachea > bronchial tubes Chemoreceptors in the lungs detect levels of O2 and CO2; send signals to the brain > medulla and pons tell the body what to do Sneezing and coughing used to protect this system |
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Smaller branches of the bronchial tubes in the lungs |
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Tiny air sacs with thin membranes that are attached to bronchioles |
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Mucous in the respiratory system |
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Inherited disease of the respiratory system Thick secretions block airways and trap air in lungs |
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Bronchial airways narrow due to inflamation and excess mucous secretion Can be caused by allergies and infection, and worsened by stress |
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Supplies the cells of the body with nutrients Removes waste that metabolism produces Includes the heart (myocardium; circulates blood through the body), blood vessels (arteries, veins, capillaries) |
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A muscle composed of four chambers Blood enters the right atrium into the right ventricle > pulmonary artery brings blood and oxygen to the lungs > left atrium and left ventricle > aorta to circulate blood through the body |
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Force exerted by blood on the artery walls Diastolic: resting force in arteries between myocardial contractions Systolic: maximum force in the arteries when the heart contracts Hypertensive: > 140/90; prehypertensive: >= 120/80; optimal: <120/80 |
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Composed of formed elements- 45% of blood volume; red blood cells, hemoglobin; leukocytes (protective functions; kill bacteria); platelets (prevent blood loss); and plasma (55% of blood volume; made of water, proteins, and nutrients) |
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Accumulation of fatty patches in the arteries Increases blood pressure Can increase risk of myocardial infarction (heart attack) |
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Elasticity of arteries is reduced Can increase risk of myocardial infarction (heart attack) |
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Fights against foreign invaders and protects the body Composed of lymphatic organs-- bone marrow (lymphocytes are produced here), thymus, lymph nodes (found in armpits, neck, groin; home base for lymphocytes), lymphatic vessels (connect lymph nodes throughout the body; do not contain blood, but lymph), spleen (home base for lymphocytes, but contains blood) Acute stressors suppress nonspecific immunity (phagocytes) Chronic stressors suppress nonspecific and specific immune responses (phagocytes, T-cells, and B-cells); increase inflamation Caffeine and cannabinoids reduce inflamation in the brains of aged rats; microglia, which aid the brain when damaged or inflamed, will be less abundant with the treatment |
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A substance that can trigger an immune response Potentially harmful substances (bateria, fungus, viruses) Organ transplants: must find a genetically good match and use drugs to suppress the immune system Allergies: usually things we're allergic to aren't harmful, but just annoying to our immune systems |
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Type of immunity in which the lymphocytes respond to any kind of antigen |
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Type of immunity that operates specifically at the level of the cell |
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Antibody-mediated immunity |
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Type of immunity in which lymphocytes attack antigens still in bodily fluids |
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Macrophages and monocytes; involved in the non-specific immunity response Second line of defense against infection; consume invading substances and present foreign invaders to the lymphocytes; activate helper T-cells to stimulate B-cells to make antibodies |
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A type of white blood cell that is involved in fighting infections T-cells-- cell-mediated immunity B-cells-- antibody-mediated immunity |
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Type of white blood cell (lymphocyte) that attack cancerous cells, transplanted tissue, and cells invaded by antigens Third line of defense against infection |
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Type of white blood cell (lymphocyte) that remembers previous invaders to mount a response more quickly to repeat attacks |
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Type of white blood cell (lymphocyte) that stimulates production and maturation of lymphocytes |
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Type of white blood cell (lymphocyte) that slows down invaders, punctures membranes of invaders, and forms memory B cells |
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Skin and mucous membranes |
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First line of defense against invaders; very effective unless there's a cut |
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White blood cells in charge of slowing down the immune system once the threat of infection is over |
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When the immune system attacks the body |
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An autoimmune disease in which the immune system destroys the myelin coating axons Symptoms include muscle weakness, trembling, and eventually cognitive defects |
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Effects of stress on health |
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Significant stress increases chances of getting sick Stress as a response: strain; response to a stressor; can be studied by exposing animals to stressors or studying humans who have already experienced a stressor Stress as a process: includes stressors and strains; transactions- continuous interactions and adjustments between the person and the environment Primary appraisal: initial decision about whether an event is harmful Secondary appraisal: our assessment of the resources we have available for coping Factors relating to the person and the situation... Symptoms: depression, hopelessness, anxiety, anger, heart rate increase, blood pressure, corticosteroids |
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A substance used to induce sickness in lab animals |
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A substance that causes inflamation to aid in fighting off infection |
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Biological response to stress |
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Activation of the sympathetic nervous system- increased heart rate, increased blood flow, increased perspiration; stimulate adrenal glands; epinephrine and norepinephrine |
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Father of modern stress psychology Stress response has three steps: 1. alarm reaction (activation of SNS), 2. resistance , 3.exhaustion |
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Repeated wear and tear on body with fluctuations in stress hormones |
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Stress can cause regression and loss of dendritic spines in the hippocampus |
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Stress is linked to negative emotions such as fear and anxiety Phobias and anxiety disorders Amygdala is the main area of the brain for this |
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Social readjustment rating scale |
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List of major life events with certain stress ratings |
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Psychosocial modifiers of stress |
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Social support, personality factors, sense of personal control Influence how we react to stress and how stress can contribute to illness |
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Genetics, biological processes, and peri-natal insults predispose us for mental or physical disorder Coping skills, social support, etc. can decrease likelihood of developing a predisposed disorder |
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Stress can produce changes in the body's physiology Can affect health through a person's behavior; tend to eat less healthy, exercise less, engage in unhealthy lifestyle choices, be more prone to accidents |
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The study of the relationship between the nervous system, endocrine system, immune system, and behavior, and how psychosocial factors affect these relationships |
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Psychophysiological disorders of the digestive system |
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Physical illnesses that result from an interplay of physiological and psychological processes Ulcers and IBS Stress causes an increase in production of stomach acid |
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Tension headaches- due to stress in the neck; dull, aching pain Migraine headaches- sharp pain caused by dilation of blood vessels in the brain Exacerbated by stress |
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Stress and the cardiovascular system |
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Stress can increase cardiovascular reactivity Highly correlated with hypertension, coronary heart disease, and stroke; stress increases platelets, inflamation of blood vessels, blood pressure, and cholesterol |
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High blood pressure; >140 systolic, 90 diastolic Major risk factor for cardiovascular disease |
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Damage to the heart due to the complete or partial blockage of the arteries that provide oxygen to the heart Leading cause of death: 1 in 2.5 deaths Caused by cholesterol buildup in arteries (atherosclerosis) |
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The process by which people try to manage the perceived discrepancy between the demands and resources they appraise in a stressful situation |
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A type of coping aimed at reducing the demands of the stressful situation or increasing available resources |
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A type of coping aimed at controlling the emotional response to the stressful situation Used when it feels like the situation is out of your control Happens after situations such as a death in the family Can be behavioral (drinking alcohol or taking drugs, distracting self, seeing friends; trying to feel better) or cognitive (looking on the bright side, reasoning your way into a positive state of mind, denial, Freudian defense mechanisms; typically don't last very long so long as the stressor persists) |
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Reducing potential for stress |
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Social support Increasing personal control Getting organized, managing time; using short-term goals to achieve long-term goals; make a to-do list and prioritize Preparing for stressful events Exercise; negative correlation between amount of stress and amount of exercise |
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Anti-anxiety drugs that enhance GABA activity (depress the nervous system) |
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Anti-anxiety drugs that reduce norepinephrine and epinephrine levels released into the peripheral nervous system during stress |
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Progressive muscle relaxation |
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An anxiety-reducing technique focused on attention to specific muscle groups, alternating between tightening and relaxing the muscles |
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Systematic desensitization |
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An anxiety-reducing technique focused on reducing fear and anxiety by counterconditioning and stimulus hierarchy Ex: US - pain; UR - fear; CS - dentist; CR - fear in response to dentist Train patient to be calm in presence of dentist |
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Step 1: build a hierarchy of anxiety-inducing stimuli including degree of fear experienced from 5 to 100 |
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A method of anxiety reduction via use of a machine that monitors the status of a person's physiological response and reports that information back to the individual Works through operant conditioning |
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A method of anxiety reduction; stress-provoking thoughts are replaced with constructive or realistic ones |
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The false belief that self worth lies in the opinions of others |
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Inferring that a fairly generic situation is one's own fault Ex: husband comes home from work angry; wife believes it is her fault |
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The exaggerated belief that a stressful situation is much worse than it appears Ex: it is the end of the world if I don't pass this test! |
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Leading causes of death in the US |
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Any activity that people perform to maintain or improve health Can engage in this even when ill or if the behavior is not helping Well behavior: affected by perceived risk (i.e. alcoholism in the family) Symptom-based behavior: when a disease or illness is first starting; includes whining about symptoms, going to the doctor, or avoiding treatment Sick-role behavior: after illness has been established; includes taking a sick day, using medication, and going to rehab |
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A type of illness prevention; actions taken to avoid disease or injury Only happens before disease occurs Includes eating a healthy diet, brushing teeth, getting vaccinations, wearing a seatbelt, and engaging in exercise |
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A type of illness prevention; actions taken to identify and treat and illness early with the aim of stopping or reversing the problem Includes yearly physicals, mammograms, OBGYN exams, prostate exams, weight watchers |
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A type of illness prevention; actions to contain damage, prevent disability or recurrence, and rehabilitate the patient Includes physical therapy, cancer treatment, and rehab |
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Problems in promoting wellness |
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Factors within the individual: motivation, habits, reward Interpersonal factors: influence from loved ones, family schedules Factors within the community: health care, fast food availability, organic food prices |
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An influence in health behavior May influence likelihood of addiction (abnormal A1 allele; inactive dopamine receptors) |
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Consequences of a behavior shape future performance Uses positive and negative reinforcement |
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A method of learning where we learn by observing others |
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Forming habits and antecedents |
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A negative learned behavior that is reinforced by positive effects |
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Stimuli that precede a behavior that set up the situation for it i.e. automatically wanting a cigarette at mealtime or with a drink |
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Thoughts that can increase or decrease likelihood of seeking medical help |
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Activated during stress response Hypothalamus > pituitary > adrenal Homeostasis / main gland of endocrine system which activates adrenal glands / releases cortisol |
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