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Physical Disorders and Health
Psychology
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Psychological and Social Factors that Influence Health • Psychological, Behavioral, and Social Factors – Are major contributors to medical illness and disease – Examples include AIDS, cancer, cardiovascular diseases – Recognize that psychological factors can affect medical conditions • Psychological Approaches to Health and Disease – Behavioral medicine – Prevention, diagnosis, treatment of medical illness – Health psychology – Psychological factors involved in the promotion of health Docsity.com Overview of Stress and the Stress Response • Nature of Stress – Stress – Physiological response of an individual to a stressor – Stress responses vary from person to person • The Stress Response and the General Adaptation Syndrome – Phase 1 – Alarm response (sympathetic nervous system arousal) – Phase 2 – State of resistance (mobilized coping and action) – Phase 3 – State of exhaustion (chronic stress, permanent damage) Docsity.com Physiology of Stress • The Biology of Stress – Stress activates the sympathetic branch of the ANS – Stress activates the HPA axis, producing cortisol – The relation between the hippocampus and HPA activation • The Function of the Hippocampus in HPA-Stress Response Cycle – Hippocampus – Part of the limbic system and highly responsive to cortisol – Hippocampus helps to turn off the HPA cycle – Chronic stress may damage cells in the hippocampus – Damage to hippocampal cells interferes with stopping the HPA loop Docsity.com Psychological and Social Factors: Their Relation to Stress Physiology Primate Research: High and Low Social Status High cortisol is associated with low social status Low social status is associated with fewer lymphocytes and immune suppression Dominant males benefit from predictability and controllability Vulnerabilities Operative in Mental Illness Contribute to Physical Illness Stress, perceived uncontrollability, low social support, negative affect Interpretation of Physiological Response and Situation Seems Critical Docsity.com Acquired Immunodeficiency Virus (AIDS) • Nature of AIDS – Course from HIV to full blown AIDS is variable – Median time from initial infection to full-blown AIDS is 7.3 to 10 years or more – Stress of getting an AIDS diagnosis can be devastating • Role of Stress Reduction Programs – Higher stress and low social support speed progression of disease – Reduce stress of diagnosis, improve immune system functioning • AIDS is Influenced by Psychological, Behavioral, and Social Factors Docsity.com Cancer: Psychological and Social Influences • Field of Psychoncology – Study of psychological factors and their relation to cancer • Psychological and Behavioral Contributions to Cancer – Perceived lack of control – Inadequate or inappropriate coping responses (e.g., denial) – Overwhelming stressful life events – Life-style risk behaviors – Psychological factors also are involved in chemotherapy • Cancer is Influenced by Psychological, Behavioral, and Social Factors Docsity.com Cardiovascular Problems: Hypertension • Hypertension – High Blood Pressure – Major risk factor for stroke, heart disease, and kidney disease – Causes wear and tear of the blood vessels – Essential hypertension is the most common form • Contributing Factors and Associated Features of Hypertension – Affects 20% of all adults between the ages of 25 and 74 – African Americans are most likely to develop hypertension relative to Caucasians – Salt, fluid volume, sympathetic arousal, stress, and lifestyle are contributors – Core psychological contributors include anger and hostility • Hypertension Is Influenced by Psychological, Behavioral, and Social Factors Docsity.com Chronic Fatigue Syndrome: Psychological, Behavioral, and Social Influences • Nature of Chronic Fatigue (CF) – Symptoms include lack of energy, marked fatigue, and pain – Most common in females, with incidence increasing in Western countries – No evidence to support link with viral infection, immune problems, depression – CF seems related to a high-achievement oriented lifestyle – Fast paced lifestyle combines with stress and illness – Psychological misinterpretation of after effects of illness • Treatment – Medications are ineffective – Cognitive-behavioral interventions appear promising Docsity.com
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Psychosocial Treatment of Physical Disorders • Biofeedback: An Overview – Patient learns to control bodily responses – Used with chronic headache and hypertension • Relaxation and Meditation – Progressive muscle relaxation – Transcendental meditation (TM) • Comprehensive Stress Reduction and Pain Management Programs – More effective and durable than individual interventions alone Docsity.com