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HTH 451 E2 Stress and Coping
Health Behavior Change
55
Health Care
Undergraduate 4
03/21/2013

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Term
Life events or life change events
Definition
Discrete, observable, and objectively reportable events that require some social and/or psychological adjustment on the part of the individual
Term
When would life change events occur and create stress
Definition
Within past 1 year
Term
Remote life change events
Definition
Childhood events such as physical abuse, sexual abuse, neglect
Term
Chronic stressors
Definition
Events encountered in everyday life, more prevalent
Term
Persistant life difficulty
Definition
Life events lasting more than 6 months (e.g., long-term disability)
Term
Role strains
Definition
From performing specific roles (parenting, working, being in a relationship, etc.) or multiplicity of roles at the same time
Term
Chronic strains
Definition
Response of one social group to another (e.g., overt or covert, intentional or unintentional discriminatory behavior due to race, ethnicity, etc.)
Term
Community wide strains
Definition
Stressors at an ecological level (e.g., living in a high-crime neighborhood)
Term
Daily hassels
Definition
Everyday problems (e.g., standing in a queue, getting stuck in traffic)
Term
Nonevents
Definition
Desired or anticipated events that do not occur
(e.g., wanting to graduate, not having enough credits)

Desirable events that do not occur even though their occurrence is normative for people of a certain group
(e.g., having significant other during college)

Not having anything to do (e.g., getting bored)
Term
Response-based model
Definition
“fight or flight” response
Term
Who came up with “fight or flight” response
Definition
Walter Cannon 1932
Term
General adaptation syndrome stages
Definition
Alarm reaction
Stage of resistance
Stage of exhaustion
Term
Eustress
Definition
good stress
Term
Distress
Definition
bad stress
Term
Event based model
Definition
Social Readjustment Rating Scale (SRRS)
Term
Holmes and Rahe (1967) constructed the
Definition
Social Readjustment Rating Scale (SRRS)
Term
Social Readjustment Rating Scale (SRRS)
Definition
43 events
Calculated a life change unit (LCU) score
Term
If your SRRS score is 300+
Definition
statistically you stand an almost 80% chance of getting sick in the near future
Term
If your SRRS score is 150 to 299, the chances of you getting sick are about
Definition
50%
Term
If your SRRS score is less than 150, the chances of you getting sick are about
Definition
30%
Term
This scale seems to suggest that change in one’s life requires an effort to _____ and then an effort to _____ ______.
Definition
adapt, regain stability
Term
Cope
Definition
Dealing with and attempting to overcome problems and difficulties
Term
Latin meaning of cope
Definition
“to alter”
Term
“Coping” was officially used by Psychological Abstracts only in
Definition
1967
Term
Sigmund Freud (1856–1939)
Definition
Mechanisms of defense: devices that the mind uses in altering one’s perception of situations disturbing the internal milieu or mental balance
Term
Alfred Adler (1930s)
Definition
Defense mechanisms as protective against external threats or challenges
Term
Anna Freud (1950s)
Definition
Defense mechanisms as being protective for both internal and external threats
Term
Norma Hann (1970s)
Definition
Coping is purposive and involves choices; defense mechanisms are rigid and set. Coping focuses on present; defense mechanisms focus on past
Term
Richard Lazarus (1980s)
Definition
Transactional model—primary appraisal, secondary appraisal, coping reappraisal
Term
Transactional Model
Definition
4 Stage assessment known as Appraisal
Term
Primary appraisal
Definition
Am I OK or am I in trouble?
Judgment based on past; knowledge about oneself, about event; influence on others
Term
Secondary appraisal
Definition
How much control do I have over the threat?
Term
Coping
Definition
Application of means identified
Term
Reappraisal
Definition
Determining whether the original stressor has been negated
Term
Problem focused coping
Definition
Based on one’s capability to think and alter the environmental event or situation
Term
Emotional focused coping
Definition
Based on focusing inward on altering the way one thinks or feels about a situation or an event
Term
Two levels of coping
Definition
thought process level, behavioral or action
Term
Suzanne Kobasa (1977)
Definition
Personality hardness
Term
Control
Definition
ability to influence the events of one’s experience
Term
Commitment
Definition
to life activities or feeling of deep involvement
Term
Challenge
Definition
to further development or anticipation of change
Term
Personality hardness
Definition
8 year study of job loss investigated characteristics of highly stressed people who remained healthy and those who did not manifest any illness following stressful times
Term
Sense of coherence
Definition
Antonovsky has proposed that people who possess a higher sense of coherence tend to cope better in life
Term
Comprehensible
Definition
means that the person believes that the world around him or her is making some sense, there is some set structure, and there is some level of predictability
Term
Manageable
Definition
implies the faith that one has in his or her ability to meet the various demands in life either one way or the other
Term
Meaningfulness
Definition
implies the belief that whatever one does, it has a purpose in life
Term
Optimism
Definition
Tendency to look at the brighter side of things and to expect positive outcomes from one’s actions
Term
Carver and his colleagues studied the effects of
Definition
optimism in breast cancer patients, heart rehabilitation patients, and people in other stressful situations
Term
Carver and colleagues found
Definition
the beneficial effect of being optimistic on coping
Term
Person with alternate view on optimism vs. coping
Definition
Barbara Ehrenreich
Term
American cardiologists Meyer Friedman and Ray Rosenman in their observations of heart disease patients have described
Definition
two types of personalities
Term
Type A
Definition
people are characterized by time urgency, impatience, competitiveness, and hostility
Term
Type B
Definition
personalities are the opposites of Type A, as exemplified by having no time urgency, being cooperative, and having patient dispositions
Term
Type A personalities have been found to demonstrate _______ coping styles in terms of showing more negative
Definition
negative, physiological and psychological outcomes
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