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60 Cards in this Set
- Front
- Back
Fight-or-Flight response
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aggressive stance to stress or social withdrawal (etoh, drugs).
Walter Cannon |
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Selye's general adaptation syndrome
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alarm, resistance and exhaustion
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tend-and-befriend
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humans respond to stress with social affiliation and nurturant behavior toward offspring.
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primary appraisal
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whether events are positive, neutral or negative. Harm, threat.
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secondary appraisal
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whether coping abilities and resources are sufficient
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Sympathetic Activation
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cerebral cortex - hypothalamus - adrenal medulla - EP/NE
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HPA Activation
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hypothalamus - CRH - pituitary gland - ACTH - adrenal cortex - corticosteriods
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Reactivity
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degree of change in autonomic, neuroendocrine and immune responses from stress
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Allostatic load
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long term costs of chronic or repeated stress
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Stressful events
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negative events,
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chronic strain
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lead to symptoms of illness. As opposed to habituation
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aftereffects of stress
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decrease in performance and attention long after stressor is over
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acute stress paradigm
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laboratory study technique. short-term stress results in sympathetic activity and neuroendocrine responses
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stressful life events
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includes positive and negative events
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perceived stress
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better measure of stress than whether people have been exposed to particular events
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role conflict
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conflicting information about work tasks or standards from different individuals
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Stress moderators
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modify how stress is experienced and the effects it has
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coping
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thoughts and behaviors used to manage the internal and external demands of situations that are appraised as stressful
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negative affectivity
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pervasive negative mood
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psychological control
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belief that one can determine one's own behavior, influence one's environment and bring about desired outcomes. Self-efficacy
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control-enhancing interventions
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making use of information, relaxation and cognitive-behavioral techniques
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self-esteem
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more protective at low levels of stress
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ego strength
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personal qualities related to self-esteem - dependability, trust and lack of impulsively
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coping style
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general propensity to deal with stressful events in a particular way
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avoidant coping style
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better for short-term, puts off problems
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approach coping
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better for long-term
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problem-focused
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attempts to do something constructive about the stressful conditions that are harming, threatening, or challenging an individual
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emotion-focused: coping of two kinds
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efforts to regulate emotions experienced because of the stressful event. especially beneficial for women
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emotional-approach coping
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clarifying, focusing on and working through the emotions experienced in conjunction with a stressor
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Coping outcomes
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1.reduce arousal and its indicators: HR, BP, skin
2.return to prestress activities 3.no psychological distress |
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tangible assistance
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goods or services
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informational support
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help patient better understand the stressful event better
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emotional support
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reassuring the person is valuable and cared for
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invisible support
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help that is most likely to help recepient
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direct effects hypothesis
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social support helps in nonstressful and stressful times
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buffering hypothesis
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social support mostly beneficial during times of high stress
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stress inoculation
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preparing an individual to deal with stress: what stress is, monitor stressors (reactions), antecedents, negative self-talk, take-home assignments, new skills, new goals, positive self-talk and self-instruction
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time management
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set specific work goals, establish priorities, avoid time wasters, learn what to ignore altogether
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pain behaviors
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manifestation of chronic pain: distortions in gait, facial and audible expression of distress, avoidance of activity
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nociception
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pain receptors
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A-delta fibers
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myelinated nerve fibers that transmit sharp pain
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C-fibers
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unmyelinated nerve fibers that transmit dull pain
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endogenous opioid peptides
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drugs to help control pain
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acute pain
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short in duration - 6 months or less
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chronic benign pain
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unresponsive to treatment
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recurrent acute pain
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series of intermittent episodes
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chronic progressive pain
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increases in severity over time
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pain-prone personality
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constellation of personality traits more disposed to experiencing chronic pain
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pain control
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patient is in control of the pain, duh
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pharmacological control of pain
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Morphine most popular. Main concerns are addiction, side effects, undermedication
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surgical control of pain
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cutting pain fibers. reduce pain temporarily but effects short-lived. Also expensive and has risk
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sensory control of pain
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counterirritation - exercise
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biofeedback
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achieving control of bodily process. only modest evident that it is effective in reducing pain
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relaxation
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low arousal - deep breathing. meditation - does not seem to work
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hypnosis
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relaxation, distraction, think about pain differently
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acupuncture
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counterirritation, relaxation, pt believe it will work
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Distraction
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good for low levels of stress
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guided imagery
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conjure up a picture to induce relaxation; may also take a more aggressive stance
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pain management
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initial evaluation, individualized treatment, component of programs, involvement of family, relapse prevention, evaluation of programs
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placebo
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produces an effect on patient because of its therapeutic intent
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