chapter 13 health, stress, and coping. copyright © 1999 by the mcgraw-hill companies, inc. 2...

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Chapter 13 Health, Stress, and Coping

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 3 Relating Psychology and Health: Current Approaches Psychoneuroimmunology –explores the connections among psychological factors (such as attitudes and emotions), the nervous system, and the immune system

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Page 1: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Chapter 13

Health, Stress, and Coping

Page 2: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 2

Relating Psychology and Health:Current Approaches

• Health psychology– a multidimensional approach that emphasizes

psychological factors, lifestyle, and the nature of the health-care delivery system

• Behavioral medicine– attempts to combine medical and behavioral

knowledge to reduce illness and promote health

Page 3: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 3

Relating Psychology and Health:Current Approaches

• Psychoneuroimmunology– explores the connections among psychological

factors (such as attitudes and emotions), the nervous system, and the immune system

Page 4: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 4

Promoting Health: Regular exercise

• Regular exercise– 30 minutes or more of moderate-intensity

physical activity on most, preferably all, days of the week

– Aerobic exercise• sustained exercise (jogging, swimming, or cycling,

etc.) that stimulates heart and lung activity

Page 5: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 5

Promoting Health:Proper nutrition

• Obesity• set point

– the weight maintained when no effort is made to gain or lose weight

• basal metabolism rate (BMR)– the minimal amount of energy an individual

uses in a resting state

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 6

Promoting Health:Proper nutrition

• Anorexia nervosa– involves the relentless pursuit of thinness

through starvation• Bulimia

– individual consistently follows a binge-and-purge eating pattern

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 7

Promoting Health: FreedomFrom Smoking

• Methods of abandoning a smoking habit– nicotine substitutes– stimulus control– aversive conditioning– going “cold turkey”

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 8

Promoting Health: Sound SexualDecision-Making

• Sexually transmitted diseases (STDs)– Gonorrhea– Syphilis– Chlamydia– Genital herpes– AIDS

Page 9: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 9

Understanding Stress

• Stress– the response of individuals to the circumstances

and events, called stressors, that threaten them and tax their coping abilities

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 10

Page 11: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 11

Understanding Stress

• Biological factors– the nervous system– general adaptation syndrome– eustress

• the positive features of stress

Page 12: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 12

Understanding Stress

Page 13: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 13

Understanding Stress

• Cognitive factors– cognitive appraisal

• individuals’ interpretation of events in their lives as harmful, threatening, or challenging

• the determination of whether individual has the resources to effectively cope with the event

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 14

Understanding Stress

• Personality factors– Type A behavior pattern

• a cluster of characteristics thought to be related to the incidence of heart disease

• excessively competitive, hard-driven, impatient, and hostile

– Hardiness• a personality style characterized by commitment,

control, and a perception of problems as challenges

Page 15: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 15

Understanding Stress

• Environmental factors– overload

• the occurrence of stimuli so intense that the person cannot cope with them

– burnout• a hopeless, helpless feeling brought about by

relentless work-related stress

Page 16: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 16

Understanding Stress

• Environmental factors– approach/approach conflict– avoidance/avoidance conflict– approach/avoidance conflict– frustration

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Understanding Stress

• Sociocultural factors– acculturation

• acculturative stress– assimilation– integration– separation

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 18

Understanding Stress

• Sociocultural factors– Marginalization– Socioeconomic status– Gender

• feminization of poverty

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Copyright © 1999 by The McGraw-Hill Companies, Inc. 19

Coping Strategies

• Coping– managing taxing circumstances, expending

effort to solve life’s problems, and seeking to master or reduce stress

Page 20: Chapter 13 Health, Stress, and Coping. Copyright © 1999 by The McGraw-Hill Companies, Inc. 2 Relating…

Copyright © 1999 by The McGraw-Hill Companies, Inc. 20

Coping Strategies

• Problem-focused coping• Emotion-focused coping• Avoidance strategies• Optimism and positive thinking• Social support• Assertive behavior

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Coping Strategies

• Stress management– stress management programs– mediation– transcendental meditation (TM)– relaxation– biofeedback