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the traditional view of western medicine, which defines health as the absence of disease |
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a disease causing organism |
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the approach to health that includes biological, psychological, and social influences. |
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designed to integrate medicine and the various behavioral sciences, especially psychology |
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the branch of psychology that concerns individual behaviors and lifestyles affecting a persons physical health |
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an inactive substance or condition that has the appearance of an active treatment and that may cause participants to improve or change because of their belief in the placebos efficacy |
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negative effect of a placebo |
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study where participants and experimenters are ignorant of who is getting the placebo and who is getting the treatment |
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study where only the participants do not know if they are receiving the active of inactive treatment |
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yield info about the degree of relationship between two variables |
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follow participants over an extended period |
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compares two or more separate groups of individuals, conducted only as one point in time |
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type of quasi experimental study, researchers choose a variable of interest and select participants who already differ on the variable |
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a positive or negative relationship between two variables |
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a variable chosen by a researcher to provide levels of comparison for groups of subjects |
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branch of medicine that investigates factors contributing to increased health or occurrence of a disease in a particular population |
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any characteristic or condition that occurs with greater frequency in people with a disease than without the disease |
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refers to the proportion of a population that has a particular disease or condition at a specific time |
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measures the frequency of new cases of a disease during a specific period |
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begin with a population of disease free participants and follow them over a period of time to determine whether a condition is related to another condition |
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begin with a group of people with a disease and look backwards for characteristics or conditions that mark them as being different from people without the disease |
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a retrospective study where people with a disease are compared to people without the disease |
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subjects are allowed to some degree to determine their own placement in either the control or experimental group |
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a research design that tests the effects of a new drug or medical treatment |
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statistical technique that allows researchers to evaluate many studies on the same topic |
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a persons chances of developing a disease or disorder independent of any risk other people may have for that disease or disorder |
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the ratio of the incidence of a disease in an exposed group to the incidence of that disease in the unexposed group |
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dose response relationship |
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a direct consistent association between an independent variable and a dependent variable |
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a set of related assumptions that allow scientists to use logical deductive reasoning to formulate testable hypotheses |
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a set of related principles or hypotheses constructed to explain significant relationships |
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the extent to which a test or other measuring instruments yield consistent results |
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the extent to which an instrument measures what it is designed to measure |
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the belief that one is capable of performing the behaviors that will produce desired outcomes |
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the belief that other people, not oneself, will experience negative events |
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consists of the activities people who experience symptoms but have not yet gotten a diagnosis |
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the term applied to the behavior or people after a diagnosis |
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based on the principles of operant conditioning proposed by Skinner, immediate reinforcement or any response that moves the organism toward the target behavior |
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a positively valued stimulus is added to the situation |
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removal of a negatively valued stimulus |
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removal of a positive stimulus or addition of a negative stimulus that can weaken a response |
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human action results from an interaction of behavior, environment, and person factors, suggested by Bandura |
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theory that assumes humans have some capacity to exercise limited control over their lives |
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assumes that people progress and regress through five stages |
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a persons ability and willingness to follow recommended health practices |
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tangible and intangible help that a person gets from family and friends |
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motivational interviewing |
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approach that attempts to change a persons motivation and prepares them to enact changes in behavior |
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nerve cells, in each neuron are ions that hold the potential for an electrical discharge |
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manufactured in the neurons and stored in vesicles at the ends of the neurons |
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the space between neurons |
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consists of brain and spinal cord |
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peripheral nervous system |
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the nerves that lie outside the brain and spinal cord |
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serves the skin and voluntary muscles |
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serves internal organs and is thus involved in responses to stress |
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sympathetic nervous system |
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"flight" mobilizes the body's resources in emergency, stressful, and emotional situations |
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parasympathetic nervous system |
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promotes relaxation and functions under normal, nonstressful conditions |
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acetylcholine & norepinephrine |
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neurotransmitters, activates neurons in the ANS |
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ductless glands throughout the body |
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the endocrine glands that are controlled by and interact with the nervous system |
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chemical substances released into the blood and having effects on other parts of the body |
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"master gland" produces hormones that affect other glands |
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adrenocorticotropic hormone (ACTH) |
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plays a role in the stress response, when stimulated by the hypothalamus the pituitary ACTH which acts on the adrenal glands |
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endocrine glands located on the top of the kidneys |
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occurs when ACTH from the pituitary stimulates the adrenal cortex to release glucocorticoids |
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occurs when the sympathetic nervous system activates the adrenal medulla which prompts the release of catecholamines |
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epinephrine and norepinephrine |
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general adaption syndrome (GAS) |
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the bodys generalized attempt to defend itself against noxious agents |
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first stage of GAS, bodys defenses against a stressor are mobilized through activation of the sympathetic nervous system |
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the second stage of GAS, the organism afapts to the stressor |
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third stage of GAS, the organisms ability to resist is depleted and a breakdown results |
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Lazarus and Folkman, ones initial appraisal of a potentially stressful event |
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Lazarus and Folkman, after initial appraisal people form an impression of their ability to control or cope with harm, threat, or challange |
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Lazarus and Folkman, constant reevaluation of stressful events |
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post traumatic stress disorder (PTSD) |
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an anxiety disorder caused by experience with a traumatic event and characterized by recurrent and intrusive re-experiencing of the event |
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strategies that individuals use to manage the distressing problems and emotions in their lives |
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a variety of material and emotional supports a person receives from others |
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the number and types of people with whom one associates |
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the absence of specific, meaningful, interpersonal relaitonships |
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peoples ability to cope with stressful life events, confidence they have some control over the events that shape their lives |
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aimed at changing the source of the stress |
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aimed toward managing the emotions that accompany the perception of stress |
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cognitive behavioral theory |
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a type of therapy that aims to develop beliefs, attitudes, thoughts, and skills to make positive changes in behavior |
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a therapeutic technique in which people express their strong emotions by talking or writing about negative events |
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system that transports lymph through the body |
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consists of the tissue components of blood other than red cells and platelets |
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type of white blood cells found in lymph |
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the attacking of foreign particles by cells of the immune system |
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contain granules filled with chemicals, they release their chemicals which attack invaders |
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perform many immune functions such as assist in the initiation of immune responses and secreting chemicals involved in breaking down cell membranes of invaders |
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works to restore tissues that have been damaged by invaders |
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foreign substances that provoke antibody manufacture |
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focuses on the interactions among behavior, the nervous system, the endocrine system, and the immune system |
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chemical messengers secreted by cells in the immune system |
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suggests that some individuals are vulnerable to stress related diseases because of genetic weakness or biochemical imbalance predisposes them to those diseases |
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physical disorders linked to stress |
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headaches, infectious disease, cardiovascular disease, ulcers, diabetes, premature delivery, asthma, and rheumatoid arthritis |
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psychological disorders related to stress |
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depression and anxiety disorders |
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conveys sensory information from the body to the brain |
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afferent (sensory) neurons |
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relay information from the sense organs toward the brain |
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result in the movement of muscles or the stimulation of organs or glands |
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connect sensory to motor neurons |
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receptors in the skin and organs, respond to various types of stimulation that may cause pain |
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covers neurons and allows them to conduct impulses faster than unmyelinated neurons, A fibers are myelinated and C fibers are not |
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receives information from afferent neurons in the spinal cord |
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opiate-like neurochemicals, one of brains mechanisms for modulating pain |
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structure in brain involved in pain perception |
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most crucial stage of pain, comes between acute and chronic pain stages, the person either overcomes the pain or develops to chronic pain |
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pain marked by alternating episodes of intense pain and no pain |
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theory of pain, the experience of pain is equal to the amount of tissue damage |
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theory of pain, structures in the spinal cord act as a gate for the sensory input that the brain interprets as pain |
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nerve impulses that descend from the brain and influence the gating mechanism |
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symptoms that occur together and characterize a condition |
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characterized by recurrent attacks of pain that vary widely in intensity, frequency, and duration |
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muscular in origin, accompanied by sustained contractions of the muscles of the neck, shoulders, scalp, and face |
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sever headache that occurs in daily or nearly daily clusters |
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autoimmune disorder of swelling and inflammation of the joints as well as the destruction of cartilage, bone, and tendons |
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progressive inflammation of joints that produces degeneration of cartilage and bone |
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chronic pain condition, tender points throughout the body |
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medical approaches to managing pain |
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relieve pain without losing consciousness, two groups: opiates and nonnarcotic (ex: advil) |
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behavioral techniques for managing pain |
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relaxation training and behavioral therapy |
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type of behavioral therapy, the process of shaping behavior through the application of operant conditioning principles |
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cognitive behavioral therapy |
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type of behavioral therapy, aims to develop beliefs, attitudes, thoughts, and skills to make positive changes in behavior |
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Most people in the U.S. die of chronic diseases. True or False? |
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The placebo has treatment benefits but can be troublesome. True or false? |
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Correlational studies yield information about causation. True or false? |
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Experimental studies yield information about causation. True or false? |
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Retrospective studies begin with a group of people who already have a disease or disorder. True or false? |
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What system conveys info from the body to the spinal cord to the brain? |
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What are sensory neurons also called? |
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What helps speed neural transmission? |
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I have dull, deep pain in my back-- what type of fiber is responsible for that transmission of pain? |
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I cut my finger--what type of fiber is responsible for that transmission of pain? |
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A delta fibers (myelinated) |
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What part of the brain is considered the "relay center" for sensory information? |
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Sensory information is mapped in the brain, what area is done more precisely, the skin or the internal organs? |
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How is a heart attack and pain in the upper arm connected? |
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intense stimulation of internal organs results in spread of neural stimulation to pathways serving skin senses |
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How is emotional pain sent to the brain? |
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the anterior cingulate cortex and the right ventral prefrontal cortex are activated |
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What forms the basis for neural transmission and plays a role in pain perception? |
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What common neurochemical produced by the brain is similar to an opiate? |
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Do some neurotransmitters exacerbate pain? |
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yes, glutamate and substance P |
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Proinflammatroy cytokines create what type of pain? |
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What area of the brain must be stimulated for pain relief to occur? |
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extends to health issues, impact of optimism on health and life expectancy |
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indicate the degree of relationship between two variables |
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conducted at one point in time and compare people at different ages |
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follow participants over an extended period of time |
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consistent results, can be established through test retest or inter-rater methods |
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measuring instruments can be reliable(consistent) and lack validity(accuracy) |
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-general adaption syndrome -the potential for trauma or illness exists at all three stages: alarm, resistance, and exhaustion |
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Lazarus-transactional view |
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primary appraisal, secondary appraisal, and reappraisal |
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external locus of control |
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people who believe luck, fate,or the acts of others determine their lives |
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internal locus of control |
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people who believe they have control over their lives |
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involves taking steps to avoid an anticipated stressor |
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-perceived susceptibility to disease or disability -perceived severity of the disease or disability -perceived benefits of health enhancing behaviors -perceived barriers to health enhancing behaviors |
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people are most likely to seek medical care when: |
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1. symptoms are visible to themselves and others 2. symptoms seem severe 3. symptoms interfere with usual lifestyle 4. symptoms recur or persist |
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neurotransmitters in the ANS is conducted mainly by two chemicals: |
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epinephrine and norepinephrine |
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The first stage of the general adaption syndrome is alarm. T or F? |
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According to Lazarus, peoples perception of their ability to cope with a stressful event can diminish their feelings of stress. T or F? |
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Life events and everyday hassles are two terms for similar sources of stress. T or F? |
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Whenever preston faces a major source of conflict he "drowns" his problems by drinking. Such a tactic is called problem focused coping. T or F? |
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psychoneuroimmunology is a field that focuses on the interactions among behavior, the nervous system, the endocrine system, and the immune system. T or F? |
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Evidence from research by Cohen demonstrated that stress does not relate to the common cold. T or F? |
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Compared with people who have little reaction to stress, those who react with strong emotion are more likely to have cardiovascular disease. T or F? |
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Laughter can strengthen the immune system. T or F? |
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The fight or flight model is appropriate for both men and women in all situations. T or F? |
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false women=tend and befriend |
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Cortisol is secreted by the adrenal glands. T or F? |
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The theory of planned behavior includes the concept of behavioral control, but the theory or reasoned action does not. T or F? |
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Optimistic bias is a stage in the precaution adoption process model. T or F? |
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Peoples belief that they can control their environment is called self efficacy. T or F? |
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The first stage of the transtheoretical model is called the precontemplation stage. T or F? |
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Health related theories should generate research, explain observations, and help people predict behavior change. T or F? |
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Educational approaches and behavioral approaches are about equally successful in improving compliance. T or F? |
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What is the key word to always remember when working with patients in regards to behavior change? |
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