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13 Cards in this Set

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Allostatic Load

w/ examples
the price paid by the body for the ability to adjust to stress

the impact on the body of trying to cope with conflict

the cost of allostasis

Ex. glucocorticoids are adaptive in short term but damaging in long term (hypertension, DM type 2, atherosclerosis, damage to hippocampus)
Predisposing Factors
BPS
these are risk factors which increase the chance of developing illness

Bio - a certain form of a gene, elevated cholesterol, low birth weight

Psycho - high risk sexual behavior, smoking (behavior), alcohol (behavior), eating the wrong foods (behavior)

Social - being a victim of abuse, low social support
Precipitating Factors
BPS
these are events which are the direct cause of an illness

Bio - exposure to a pathogen

psycho - risk taking behavior, extreme sports, unprotected sex

social events - death of a spouse, loss of a job
Perpetuating Factors
BPS
these are factors which help to maintain the disease state

biol - bad diet, lack of exercise

psycho - eating bad diet (behavior), behavior problems!

social - lack of social support, being around the wrong crowd (drugs, alcohol)
Patterning Variables
BPS
factors which influence whether a treatment will work or not

bio - ppl with certain genes may not respond to certain meds

psycho - compliance, good coping skills

social - bad social environment decreases compliance, good support system
Attitude
a belief you have
something that you think
Behavior
what you do
Biological Factors
pathogens
genes
organ or organ system disfunction
organ or organ system response
natural response (autonomic, etc)
toxins
Psychological Factors - what are some types of psychological factors that influence illness?
THESE BELONG TO THE INDIVIDUAL
attitudes
behaviors
personality traits
coping skills
Social Factors - what are some types of social factors that influence illness?
family attitudes,
societal values
social pressure
system resources
economic factors
educational factors
what is stress?
a real or perceived threat to the physical or psychological well being on an indivudal
fibromyalgia
stress response is down regulated b/c of poor coping skills. stress response normally inhibits cytokines. cytokines increase causing generalized inflammation and aching
what happens to your neuroanatomy with chronic allostatic load?
short term (reversible)
- compromised neuronal excitablity (tired neurons)
-atrophy in hippocampus

long term (irrev)
-inhibits neurogenesis in dentate gyrus - impaired memory and cognition
-increased incidence of psychiatric illness, dementia, learning disabilities
-increased medical illness