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60 Cards in this Set

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