■ Economic - finances, belongings ■ Psychosocial ■ Psycho ○ Not feeling safe ○ Ex: not staying on airplane with someone who's Muslim ○ Sense of trust and safety is gone ○ Self-mastery of knowing you will be ok? Security is gone ■ Social ○ Social supports ○ The greater, the better ○ Perceiving is most effective ○ Outcome: ■ Distress (depression, PTSD (28-35% risk); anxiety ■ Risky behavior, use of health services, interventions for prevention ■ Risky Behavior - fatalistic (YOLO), addictions, etc. ■ Use of health services ■ Interventions for prevention ■ Post traumatic growth (PTG) ■ a. How their philosophy, meaning, attitudes, beliefs have positively grown ■ b. They take what happened to them and put meaning to it ■ c. They grow from experience ■ d. Take on a role of advocacy sometimes ■ e. Want to do really good things for people involved in same type of situation ■ f. Social support is important in context ○ "Outcome variable" ○ Ex: reading "Lessons of physical therapy ■ Tucson shooting -- bullet to the head ■ talks about how she won't sit back and give up on life in rehab ■ **used health services ** ■ Read and see what her personal growth was -- became an advocate
October 13, 2016 ● Work and Unemployment as Contextual Stressors ○ What situations present themselves as stressors? ○ What conditions make them more vulnerable? ○ Having work affect family dynamics ○ Unemployment can cause stress ○ Major changes (context in larger picture): ■ Increase in service jobs ■ Women in the labor force ● Conditions of work that influence health and mental health outcome (DCP): ○ (these are minor conditions compared to everything) ○ If you have these three conditions on your job, that mediates the stress you'll have ○ Direction ■ You have some say ○ Control ■ Getting people to do what you want them to do ■ When you feel like you can control the way your job gets done as well ■ Have some say ■ Direction and control go together there ○ Planning ■ You're involved in a task force ● Mediators/resources: mastery and control ○ Self-esteem ■ When you have some control, it helps with your self-esteem and sense of mastery ■ "I can do it" ○ Element of control is very important ■ Control helps you with coping resources (mastery) ■ Strongest form of resources to help with your mental health. ○ Andy Germek ■ Talks about distress issues, substance abuse, what conditions we might have at work that helps us prevent these problems ■ How can employers start to build a healthy culture in the work-place? ■ Commute ■ Holding meetings while standing/walking (encouraging more movement in the office) ● Unemployed stressor, along w/ loss wages, is LOSS IDENTITY.