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CHAPTER 3

Stress &
Health
Psychology
Lecture Overview

• Understanding Stress

• Stress & Illness

• Health Psychology in Action

• Health & Stress Management
Understanding Stress

     • What is stress?

     – Nonspecific response of the
       body to any demand made
       on it;
     – physical & mental arousal to
       situations or events that we
       perceive as threatening or
       challenging
Understanding Stress:
  Sources of Stress
Understanding Stress:
Sources of Stress (Continued)

              • Life Changes:
                life events that
                require some
                adjustment in
                behavior or
                lifestyle
Ch03
Understanding Stress:
    Sources of Stress (Continued)


• Cataclysmic Events:
  stressors that occur
  suddenly &
  generally affect
  many people
  simultaneously
Understanding Stress:
Sources of Stress (Continued)

              • Chronic Stress:
                state of ongoing
                arousal in which the
                parasympathetic
                system cannot
                activate the
                relaxation response
Understanding Stress:
Sources of Stress (Continued)
               • Job Stress: work
                 related stress,
                 including
                 unemployment,
                 keeping or
                 changing jobs, job
                 performance, etc.
Understanding Stress:
       Sources of Stress (Continued)

•   Job Stress
    – Burnout = state of
      psychological &
      physical exhaustion
      resulting from chronic
      exposure to high
      levels of stress & little
      personal control
Understanding Stress:
    Sources of Stress (Continued)

•   Hassles:
    small,
    everyday
    problems that
    accumulate to
    become a
    major source
    of stress
Pause & Reflect:
         Psychology
& Life
Understanding Stress:
Sources of Stress (Continued)


   Frustration:     unpleasant
   tension resulting from a
   blocked goal

   Conflict:
   forced choice between two or more
   incompatible goals or impulses
Understanding Stress:
    Sources of Stress (Continued)

 Three Types of Conflict
   • Approach-Approach: forced choice between
     two or more desirable alternatives
   • Avoidance-Avoidance: forced choice between
     two or more undesirable alternatives
   • Approach-Avoidance: forced choice between
     two or more alternatives both having desirable
     & undesirable results
Ch03
Pause &
          Reflect:

             Assessment
    Assuming this man is
    attracted to one of
    these women, is he
    experiencing an
    approach-approach,
    approach-avoidance, or
    avoidance-avoidance
    conflict?
Understanding Stress:
             Effects of Stress
• SAM System (Sympatho-
  Adreno-Medullary): initial, fast-
  acting stress response
• HPA Axis (Hypothalamic-
  Pituitary-Adrenocortical): Body’s
  delayed stress response, which
  helps restore body’s
  homeostasis. If extended may
  lead to impairment of the
  immune system & increased
  vulnerability to disease
Understanding Stress: Effects of Stress



  SAM
  System                        HPA Axis
Ch03
The General Adaptation
   Syndrome (GAS)
Understanding Stress:
Effects of Stress (Continued)
            • Psychoneuro-
              immunology:
              interdisciplinary field
              that studies the effects
              of psychological & other
              factors on the immune
              system
Stress & Illness
                          Posttraumatic
Cancer:         related   Stress Disorder
to genetic                (PTSD): anxiety
predisposition &          disorder following
environmental             extraordinary
factors                   stress

Cardiovascular            Gastric Ulcers:
Disorders: related to     caused by
stress hormones,          bacteria or
personality types, &      stress? Or both?
certain behaviors
The Immune System in Action
• Type A Personality:
  behavior characteristics
  that include intense
  ambition, competition,
  exaggerated time urgency,
  & a cynical, hostile outlook

• Type B Personality:
  behavior characteristics
  consistent with a calm,
  patient, relaxed attitude
Ch03
• Hardiness:
  resilient type of
  optimism that
  comes from three
  distinctive
  attitudes—
  commitment,
  control, &
  challenge
• Posttraumatic Stress
  Disorder (PTSD):
  anxiety disorder
  following exposure to a
  life-threatening or other
  extreme event that
  evoked great horror or
  helplessness;
  characterized by
  flashbacks, nightmares,
  & impaired functioning.
Stress & Illness: PTSD (Continued)
Stress & Illness: PTSD (Continued)
Pause & Reflect:
                    Critical
           Thinking
• Why do so many people believe
  gastric ulcers, painful lesions to the
  lining of the stomach &
  upper part of the small
  intestine, are caused by
  stress?
Pause &
         Reflect:

1. Briefly Assessment three stage
           describe Selye’s
   General Adaptation Syndrome
   (GAS).

2. _____ is an anxiety disorder
   following extraordinary stress.
Health Psychology in Action
• Health
  Psychology:
  studies how
  biological,              Biological
  psychological, &
  social factors
  affect health &     Social   Psychological
  illness (the
  biopsychosocial
  model)
Health Psychology in Action

•   Major Health Risks:
     1. Tobacco
     2. Alcohol & Binge
        Drinking
     3. Chronic Pain
        (lasting over
                    6
        months)
Health Psychology in Action:
Tobacco


•  Why do people start smoking?
1. Peer pressure & imitation of role models
   (particularly important for young people)
2. Nicotine is addictive
3. Smokers learn to associate smoking with pleasant
   things (e.g., good food, friends, etc.), as well as
   with the “high” that nicotine gives them
Pause & Reflect:
                     Critical
            Thinking
• How have anti-
  smoking laws
  unintentionally
  made it more
  difficult to quit?
Pause & Reflect:
                    Psychology
           & Life
• Smokers often overestimate
  their risk of dying from
  homicide & traffic accidents,
  while greatly
  underestimating their risk
  from smoking. Studying
  Chapter 3 helps overcome
  these faulty beliefs.
Health Psychology in Action:
               Alcohol
•  Why does the American Medical Association
   consider alcohol to be the most dangerous &
   physically damaging of all drugs?
1. After tobacco, it’s the leading cause of
   premature death in America & most
   European countries.
2. It may cause serious brain damage.
3. It appears to increase aggression.
• Binge Drinking:
  occurs when a
  man consumes
  five or more
  drinks, or a
  woman
  consumes four
  or more drinks in
  about two hours.
Health Psychology in Action:
           Chronic Pain
•  How do health
   psychologists treat
   chronic pain?
1. Behavior
   modification
2. Biofeedback
3. Relaxation
   techniques
Health & Stress Management

•   Two initial steps in coping
    with stress: Primary Appraisal
    & then Secondary Appraisal

•    Two choices after secondary appraisal:
    1. Emotion-Focused (managing one’s
       emotional reaction to a stressful situation)
    2. Problem-Focused (dealing directly with a
       stressor to decrease or eliminate it)
Health & Stress
Management—
  Cognitive
 Appraisal &
   Coping
Pause & Reflect:
                    Critical
           Thinking
• Is this an
  example of
  emotion- or
  problem-
  focused
  coping?
Health & Stress Management
       •    Resources for Healthy Living
       1.   Health & Exercise
       2.   Positive Beliefs
       3.   Social Skills
       4.   Social Support
       5.   Material Resources
       6.   Control (Internal Locus of Control)
       7.   Relaxation
       8.   Sense of Humor
Pause & Reflect:
                 Critical
        Thinking

• Considering these eight resources for
  health & stress management, which
  resource do you most often use? Which
  one do you use least often? Why?
End of CHAPTER 3
Stress &
Stress &
Health
Health
Psychology
Psychology

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Ch03

  • 2. Lecture Overview • Understanding Stress • Stress & Illness • Health Psychology in Action • Health & Stress Management
  • 3. Understanding Stress • What is stress? – Nonspecific response of the body to any demand made on it; – physical & mental arousal to situations or events that we perceive as threatening or challenging
  • 4. Understanding Stress: Sources of Stress
  • 5. Understanding Stress: Sources of Stress (Continued) • Life Changes: life events that require some adjustment in behavior or lifestyle
  • 7. Understanding Stress: Sources of Stress (Continued) • Cataclysmic Events: stressors that occur suddenly & generally affect many people simultaneously
  • 8. Understanding Stress: Sources of Stress (Continued) • Chronic Stress: state of ongoing arousal in which the parasympathetic system cannot activate the relaxation response
  • 9. Understanding Stress: Sources of Stress (Continued) • Job Stress: work related stress, including unemployment, keeping or changing jobs, job performance, etc.
  • 10. Understanding Stress: Sources of Stress (Continued) • Job Stress – Burnout = state of psychological & physical exhaustion resulting from chronic exposure to high levels of stress & little personal control
  • 11. Understanding Stress: Sources of Stress (Continued) • Hassles: small, everyday problems that accumulate to become a major source of stress
  • 12. Pause & Reflect: Psychology & Life
  • 13. Understanding Stress: Sources of Stress (Continued) Frustration: unpleasant tension resulting from a blocked goal Conflict: forced choice between two or more incompatible goals or impulses
  • 14. Understanding Stress: Sources of Stress (Continued)  Three Types of Conflict • Approach-Approach: forced choice between two or more desirable alternatives • Avoidance-Avoidance: forced choice between two or more undesirable alternatives • Approach-Avoidance: forced choice between two or more alternatives both having desirable & undesirable results
  • 16. Pause & Reflect:  Assessment Assuming this man is attracted to one of these women, is he experiencing an approach-approach, approach-avoidance, or avoidance-avoidance conflict?
  • 17. Understanding Stress: Effects of Stress • SAM System (Sympatho- Adreno-Medullary): initial, fast- acting stress response • HPA Axis (Hypothalamic- Pituitary-Adrenocortical): Body’s delayed stress response, which helps restore body’s homeostasis. If extended may lead to impairment of the immune system & increased vulnerability to disease
  • 18. Understanding Stress: Effects of Stress SAM System HPA Axis
  • 20. The General Adaptation Syndrome (GAS)
  • 21. Understanding Stress: Effects of Stress (Continued) • Psychoneuro- immunology: interdisciplinary field that studies the effects of psychological & other factors on the immune system
  • 22. Stress & Illness Posttraumatic Cancer: related Stress Disorder to genetic (PTSD): anxiety predisposition & disorder following environmental extraordinary factors stress Cardiovascular Gastric Ulcers: Disorders: related to caused by stress hormones, bacteria or personality types, & stress? Or both? certain behaviors
  • 23. The Immune System in Action
  • 24. • Type A Personality: behavior characteristics that include intense ambition, competition, exaggerated time urgency, & a cynical, hostile outlook • Type B Personality: behavior characteristics consistent with a calm, patient, relaxed attitude
  • 26. • Hardiness: resilient type of optimism that comes from three distinctive attitudes— commitment, control, & challenge
  • 27. • Posttraumatic Stress Disorder (PTSD): anxiety disorder following exposure to a life-threatening or other extreme event that evoked great horror or helplessness; characterized by flashbacks, nightmares, & impaired functioning.
  • 28. Stress & Illness: PTSD (Continued)
  • 29. Stress & Illness: PTSD (Continued)
  • 30. Pause & Reflect: Critical Thinking • Why do so many people believe gastric ulcers, painful lesions to the lining of the stomach & upper part of the small intestine, are caused by stress?
  • 31. Pause & Reflect: 1. Briefly Assessment three stage describe Selye’s General Adaptation Syndrome (GAS). 2. _____ is an anxiety disorder following extraordinary stress.
  • 32. Health Psychology in Action • Health Psychology: studies how biological, Biological psychological, & social factors affect health & Social Psychological illness (the biopsychosocial model)
  • 33. Health Psychology in Action • Major Health Risks: 1. Tobacco 2. Alcohol & Binge Drinking 3. Chronic Pain (lasting over 6 months)
  • 34. Health Psychology in Action: Tobacco • Why do people start smoking? 1. Peer pressure & imitation of role models (particularly important for young people) 2. Nicotine is addictive 3. Smokers learn to associate smoking with pleasant things (e.g., good food, friends, etc.), as well as with the “high” that nicotine gives them
  • 35. Pause & Reflect: Critical Thinking • How have anti- smoking laws unintentionally made it more difficult to quit?
  • 36. Pause & Reflect: Psychology & Life • Smokers often overestimate their risk of dying from homicide & traffic accidents, while greatly underestimating their risk from smoking. Studying Chapter 3 helps overcome these faulty beliefs.
  • 37. Health Psychology in Action: Alcohol • Why does the American Medical Association consider alcohol to be the most dangerous & physically damaging of all drugs? 1. After tobacco, it’s the leading cause of premature death in America & most European countries. 2. It may cause serious brain damage. 3. It appears to increase aggression.
  • 38. • Binge Drinking: occurs when a man consumes five or more drinks, or a woman consumes four or more drinks in about two hours.
  • 39. Health Psychology in Action: Chronic Pain • How do health psychologists treat chronic pain? 1. Behavior modification 2. Biofeedback 3. Relaxation techniques
  • 40. Health & Stress Management • Two initial steps in coping with stress: Primary Appraisal & then Secondary Appraisal • Two choices after secondary appraisal: 1. Emotion-Focused (managing one’s emotional reaction to a stressful situation) 2. Problem-Focused (dealing directly with a stressor to decrease or eliminate it)
  • 41. Health & Stress Management— Cognitive Appraisal & Coping
  • 42. Pause & Reflect: Critical Thinking • Is this an example of emotion- or problem- focused coping?
  • 43. Health & Stress Management • Resources for Healthy Living 1. Health & Exercise 2. Positive Beliefs 3. Social Skills 4. Social Support 5. Material Resources 6. Control (Internal Locus of Control) 7. Relaxation 8. Sense of Humor
  • 44. Pause & Reflect: Critical Thinking • Considering these eight resources for health & stress management, which resource do you most often use? Which one do you use least often? Why?
  • 45. End of CHAPTER 3 Stress & Stress & Health Health Psychology Psychology