TEST 3 - TEST 3- CH 7, 13, 11, 12, 8(eating disorders only)...

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TEST 3- CH 7, 13, 11, 12, 8(eating disorders only) Psychological and Social Factors that Influence Physical Health Several overlapping areas here: o Physical health is influenced by and influences our psychological and social functioning i.e. lifestyle leading to disease and disease influencing our adjustment Such as diabetes o Behavioral medicine: interdisciplinary approach to applying behavioral science to the prevention, diagnosis, and treatment of medical problems… and adjustment to medical problems. o Health Psychology: adult or child/adolescent and Pediatric Psychology (child/adolescent/family) are similar terms. Psychological Factors influencing Medical Condition A. A general medical condition is present (axis III) o Note that this differs from malingering, factitious (one could be induced here), and somatoform disorders. B. Psychological factors adversely affect the general medical condition in one of the following ways: o Psychological factors influenced the course of the medical condition. o Interfere with treatment o Constitute addition health risks o Stress related psychological responses exacerbate the med condition Specifiers: Med condition affected by o Mental disorder (depression after heart attack) o Psychological symptoms (anxiety>asthma) o Personality traits or coping style (denial of surgery) o Maladaptive behaviors (overeat, no exercise, unsafe sex) o Stress related psychological responses (stress ulcer, headaches) A widely used term in this area is STRESS Stress is thought of in 2 ways: o 1. Something external that influences us. o 2. Our reactions to events in our lives There is utility to both views Hans Selye 1907-1982 General Adaptation Syndrome o 1. Alarm-Reaction (fight or flight syndrome) Person recognizes the stressor and the person’s body reacts to it. Bear in the woods or an attacker, cops, 3 tests in one day. Fight or flee
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o 2. Resistance: During this stage the person adapts and appears to be coping, but it takes its toll (prolonged exposure) o 3. Exhaustion: system breakdown, disease, and death. o In response to stress, our adrenal glands secrete cortisol, widely accepted as a stress hormone. o Prolonged excessive cortisol may kill cells in the hippocampus, which over time further decreases our ability to regulate stress. This brain damage may be associated with other cognitive deficits. o Other factors can simulate this, including prolonged depression and anxiety (pages 262-265 and other parts of chapter 7). Some Social Factors and Stress Sapolsky studied baboons. Those low in social dominance were badly bullied and had few privileges. o Dominant males had low resting cortisol, but when emergencies occurred, their levels rise quickly to meet challenge. o
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This note was uploaded on 01/17/2011 for the course PSYC 3230 taught by Professor Hoyt during the Fall '08 term at UGA.

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TEST 3 - TEST 3- CH 7, 13, 11, 12, 8(eating disorders only)...

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