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86 Cards in this Set

  • Front
  • Back
What is the most common psychiatric illness
Depression

1 out of have a lifetime risk
What percent of depressed people develop health problems
80%
Depression disables more than
other ailments
What are 8 risk factors for depression?
Lack of social support

Recent stressful life experience

Previous history of depression

Family history of depression

Lower socioeconomic status

Chronic Medical condition

Female sex

Advanced age
Depression worsens physical disease -
Morbidity and mortality
Older Americans with severe depression are nearly..
near as likely to die during a given period those without severe depression
depressed people have elevated levels of
Cortisol

This is problem for people with cushing's syndrom

Affects serotonin, norepinphrine and dopamine
Depression is associated with the consumption of what? and a decrease in
Alcohol and tobacco use

less physical activity and poorer sleep quality
Selective Serotonin reuptake inhibitors prevent the reuptake of...
serotonin, thereby increasing the level of active serotonin in the brain
Goal of cognitive psychology
Alleviate depressive symptoms and prevent their recurrence by helping patients
- identify, test and reshape negative conditions about themselves, the world and their future

- develop new and more flexible cognitive patterns or schema that are alternatives to depressogenic ways of viewing life

- rehearse new cognitive and behavioral responses
Hope/Optimism
Positive expectation for the future

a belief that something is obtainable
Hope vs. Denial
Hope: attend to and build upon the positives in the situation

Denial - Try not to pay attention to the negatives in the situation
Hope and optimism are
future related emotions
Agency
"I energetically persue my goals"

"I've been pretty successful in life"

"I meet the goals I set for myself"
Pathways
I can think of many ways to get out of a jam

There are lots of ways around my problems
Three deminsions of explanatory style
Permance - temporary vs. permanent

Pervasiveness - specific vs. global

Personalization - internal vs. external
Pessimistic people tend to attribute bad events to
Permanent, global and internal causes
Classic pessimist
William Stanley Jevons
Classic optimist
Norman Vincent Peale
OPtimists had faster recovery in
coronary by-pass surgery
Recovery from coronary by-pass
faster recovery for optimists, better physiological reactions to surgery, more likely to use active problem-solving
Optimism and health on college students
students with the optimistic explanatory style made fewer trips to the health center and reported fewer colds and flues over the course of an academic year
optimistic peopl have lower_____- after spinal cord injury
social and psychological impairment

pessimists has more difficuly in daily physical activties - walking climbing, lifting
optimism and aids
optimism was related to less distress, more positive attitudes, fewer aids-related concerns, more health benefits

lived an average of 9 months longer
Hope and physical health benefits
more knowledge about health facts

More health prevention behaviors

better coping with
arthritis, breast cancer, spinal cord injuries, fibromagia, traumatic accidents
Hope and physical health benefits #2
better adherence to medical regimens

better adherence to taking medication

greater pain tolerance

Use and profit more from support group

less unneeded physician visits

less doctor shopping
what accounts for the health differenes between optimists and pessimists
Pessimist are passive and have more bad life events

Pessimists take fewer preventive health actions - nothing I do matters attitude
Pessimists become depressed at a higher rate
the immune system of pessimists function less well
optimists are more stress-resilient
Placebos have a ....
real physical bias

seen with Naloxone instead of morpheme (which blocks the receptors for endorphins)
what are the brain chemicals that are released by expctations and block pain
Endorphins and enkephalins
What closes the gate
medication, heat or massage, positive emotions, relaxation, rest, mental conditions, distraction, involvement, interest
what opens the gate
extent of injury, activity levels, anxiety, tension, depression, mental conditions, focusing on pain, boredom
Optimism is related to more
helper t-cells, more cytotoxic T cells, and more natural killer cells
Dispositional optimism predicted
less perceived stress
Optimistic people experienced fewer symptons of depression following
9/11
Downside to optimism
Unrealistic opimism may lead to failure to engage in preventive health practices

dispositional optimism may fare worse in the face of presistent, uncontrollable stress
Most people are unrealistically optimistic about
their health - in one study, students believed they were less likely to develop 3/4 of the health problems
what is it that makes people do optimistic about health?
The belief that if they problem has not yet struck, one is exempt from future risk

the belief that the problm is preventable by individual action

the preception that the disease is infrequent

Lack of experience with the disease
what percent environmntal/genetic?
50/50
kids in optimistic groups...
had long lasting affects and were more positive
80% of young people felt very strongly that...
They need to be trusted

they need to believe life is meaningful and has purpose

They needed to feel safe and secure

they need to understood and loved
Goal -
an imagined or envisioned state or condition towards which a person aspires and which drives voluntary activity
Characteristics of goals
Mental target

some possibility of reaching

can be short or long term
- concrete or abstract
Why are goals important?
People need meaning in their life

goals provide stucture and purpose

goals also provide a sense of identity

We cannot live without goals
The brain cannot support...
Purposeless living
Goal striving and attainment produce
Positive emotions
what are the goals that are related to poorer health
avoidant, conflicting and emotion regulation
Avoidant goals
goals that are stressed negatively - not get stressed, not gain weight
Conflicting goals
Incompatible goals where the attainment of one interferes with the attainment of another
Emotion regulation goals
feel better, stop worrying, be happier
Goals that are related to better health
Intimacy, Spiritual, generative
self-focused goals are
bad
Conflict
The simultaneous activation of two or more incompatible goals
In humans, goal conflict led to
long term neuroendocrine and cardiovascular changes
Smokers who relapsed had higher
Conflict and hindrance
Self-presentation goals
make myself physically attractive

impress others

be confident
People who focused more on self-presentation goals instead of acheivement goals...
reported more alcohol related problems
Resilient personality
they begin with the end in mind (purpose driven)

Have purpose outside of themselves

They feel empowered, sense of control

They have a sense of connectedness - vertical and horizontal
heartfelt positive emotions
Love, appreciation, compassion, joy, hop

There is a transfomative power to these positive emotions - physical, cognitive, psychosocial functions
The role of emotions in health
Positive emotions are associated with lower rates of morbidity and mortaily and with reports of less severe symptoms and pain
Why does happiness matter
Happy people are more successful in life

health and well-being improved

Career success and income levels

Relationship duration and sanctification
Happiness makes good things happen
Higher income

Larger social rewards

More activity and energy
Gratitude
An inner sense or attitude of appreciation for some benefit received

an affirmation of the goodnss in one's life and that recognition that the sources of this goodness lie at least partially outside the self
Relative to the hassle group, the gratitude group.......
showed psychological, hysical and interpersonal benefits
In hereditary and acquired neuromuscular diseases....
gratitude listing led to

significantly higher levels of positive emotions

no difference in nag emotions

Significant effects for life appraisal

more hours of sleep

no effect for exercise or pain
People who had gratitude visits
were happier 1-3 months later than control
How gratitude heals
grateful people may elicit more support

gratitude buffers people from destructive emotions

grateful people take better care of themselves

it contributes to resilience int times of stress

Direct link to cardiovasular functioning
Patients who exhibit higher levels of gratitude toward medical caregivers have
greater satisfaction with treatment after controlling for age, quality of medical information and locus of control
Cardiac patients who blamed their heart attack on others....
were more likely to have another
Perceived benefit from initial heart attack was related to
reduced risk for subsequent attack
Blood pressure reduced when people are
grateful
neurocardiology
communictes between the brain, heart and rest of body
The heart generates the body's most powerful
elctromagnetic field - a person's emotional state is communicated throughout the body by hearts electromagnetic field
Appreciation helps regulate
heart rhythm
Pain
both a sensory and emotional experience of discomfort,, usually associated with actual or threatened tissue damage

Poena - penalty
How to describe medical symptoms to your doctor
- health history
- reason for visit
- onset and timing
- pain worse/better
- describe pain
- Location
- Severity
- Setting
- Life situation
- Exams/tests
Pain has significance
Medical, survival and psychological and social components
Nociceptors -
specialized sensory receptors in bodily tissue
Neural gates open and close and
modulate pain

located in spinal chord
there is a modulation of pain signals, before they reach the brain
summation, delay
A-delta
Conduct fast, sharp, shooting pain
C-fibers
slow aching, full, pain, non-mylinated
They send information to the
spinal cord then to teh brain
What controls the opening and closing of the gate
the amount of activity in the pain fibers

The amount of activity in the peripheral fibers

messages that descend from the brain
Substance P
released by A and C fibers

intensifies the pain sensation

Srotonin and norepineohrine promote release of endorphines to reduce pain
Video games may
help relieve pain

those who played fighting games were able to tolerate pain for a longer period when compared the other game types
The restorative benefits of nature
Stress/anxiety reduction

Lowers blood pressure

Pain reduction

Lenght of hospital stay

post-surgical complications

enchanced immune function