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86 Cards in this Set
- Front
- Back
What is the most common psychiatric illness
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Depression
1 out of have a lifetime risk |
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What percent of depressed people develop health problems
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80%
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Depression disables more than
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other ailments
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What are 8 risk factors for depression?
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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 |
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Depression worsens physical disease -
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Morbidity and mortality
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Older Americans with severe depression are nearly..
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near as likely to die during a given period those without severe depression
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depressed people have elevated levels of
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Cortisol
This is problem for people with cushing's syndrom Affects serotonin, norepinphrine and dopamine |
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Depression is associated with the consumption of what? and a decrease in
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Alcohol and tobacco use
less physical activity and poorer sleep quality |
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Selective Serotonin reuptake inhibitors prevent the reuptake of...
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serotonin, thereby increasing the level of active serotonin in the brain
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Goal of cognitive psychology
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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 |
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Hope/Optimism
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Positive expectation for the future
a belief that something is obtainable |
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Hope vs. Denial
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Hope: attend to and build upon the positives in the situation
Denial - Try not to pay attention to the negatives in the situation |
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Hope and optimism are
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future related emotions
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Agency
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"I energetically persue my goals"
"I've been pretty successful in life" "I meet the goals I set for myself" |
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Pathways
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I can think of many ways to get out of a jam
There are lots of ways around my problems |
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Three deminsions of explanatory style
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Permance - temporary vs. permanent
Pervasiveness - specific vs. global Personalization - internal vs. external |
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Pessimistic people tend to attribute bad events to
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Permanent, global and internal causes
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Classic pessimist
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William Stanley Jevons
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Classic optimist
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Norman Vincent Peale
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OPtimists had faster recovery in
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coronary by-pass surgery
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Recovery from coronary by-pass
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faster recovery for optimists, better physiological reactions to surgery, more likely to use active problem-solving
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Optimism and health on college students
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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
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optimistic peopl have lower_____- after spinal cord injury
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social and psychological impairment
pessimists has more difficuly in daily physical activties - walking climbing, lifting |
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optimism and aids
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optimism was related to less distress, more positive attitudes, fewer aids-related concerns, more health benefits
lived an average of 9 months longer |
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Hope and physical health benefits
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more knowledge about health facts
More health prevention behaviors better coping with arthritis, breast cancer, spinal cord injuries, fibromagia, traumatic accidents |
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Hope and physical health benefits #2
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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 |
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what accounts for the health differenes between optimists and pessimists
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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 |
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Placebos have a ....
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real physical bias
seen with Naloxone instead of morpheme (which blocks the receptors for endorphins) |
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what are the brain chemicals that are released by expctations and block pain
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Endorphins and enkephalins
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What closes the gate
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medication, heat or massage, positive emotions, relaxation, rest, mental conditions, distraction, involvement, interest
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what opens the gate
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extent of injury, activity levels, anxiety, tension, depression, mental conditions, focusing on pain, boredom
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Optimism is related to more
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helper t-cells, more cytotoxic T cells, and more natural killer cells
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Dispositional optimism predicted
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less perceived stress
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Optimistic people experienced fewer symptons of depression following
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9/11
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Downside to optimism
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Unrealistic opimism may lead to failure to engage in preventive health practices
dispositional optimism may fare worse in the face of presistent, uncontrollable stress |
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Most people are unrealistically optimistic about
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their health - in one study, students believed they were less likely to develop 3/4 of the health problems
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what is it that makes people do optimistic about health?
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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 |
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what percent environmntal/genetic?
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50/50
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kids in optimistic groups...
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had long lasting affects and were more positive
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80% of young people felt very strongly that...
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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 |
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Goal -
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an imagined or envisioned state or condition towards which a person aspires and which drives voluntary activity
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Characteristics of goals
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Mental target
some possibility of reaching can be short or long term - concrete or abstract |
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Why are goals important?
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People need meaning in their life
goals provide stucture and purpose goals also provide a sense of identity We cannot live without goals |
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The brain cannot support...
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Purposeless living
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Goal striving and attainment produce
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Positive emotions
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what are the goals that are related to poorer health
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avoidant, conflicting and emotion regulation
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Avoidant goals
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goals that are stressed negatively - not get stressed, not gain weight
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Conflicting goals
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Incompatible goals where the attainment of one interferes with the attainment of another
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Emotion regulation goals
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feel better, stop worrying, be happier
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Goals that are related to better health
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Intimacy, Spiritual, generative
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self-focused goals are
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bad
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Conflict
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The simultaneous activation of two or more incompatible goals
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In humans, goal conflict led to
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long term neuroendocrine and cardiovascular changes
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Smokers who relapsed had higher
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Conflict and hindrance
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Self-presentation goals
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make myself physically attractive
impress others be confident |
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People who focused more on self-presentation goals instead of acheivement goals...
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reported more alcohol related problems
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Resilient personality
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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 |
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heartfelt positive emotions
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Love, appreciation, compassion, joy, hop
There is a transfomative power to these positive emotions - physical, cognitive, psychosocial functions |
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The role of emotions in health
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Positive emotions are associated with lower rates of morbidity and mortaily and with reports of less severe symptoms and pain
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Why does happiness matter
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Happy people are more successful in life
health and well-being improved Career success and income levels Relationship duration and sanctification |
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Happiness makes good things happen
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Higher income
Larger social rewards More activity and energy |
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Gratitude
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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 |
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Relative to the hassle group, the gratitude group.......
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showed psychological, hysical and interpersonal benefits
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In hereditary and acquired neuromuscular diseases....
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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 |
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People who had gratitude visits
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were happier 1-3 months later than control
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How gratitude heals
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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 |
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Patients who exhibit higher levels of gratitude toward medical caregivers have
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greater satisfaction with treatment after controlling for age, quality of medical information and locus of control
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Cardiac patients who blamed their heart attack on others....
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were more likely to have another
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Perceived benefit from initial heart attack was related to
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reduced risk for subsequent attack
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Blood pressure reduced when people are
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grateful
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neurocardiology
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communictes between the brain, heart and rest of body
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The heart generates the body's most powerful
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elctromagnetic field - a person's emotional state is communicated throughout the body by hearts electromagnetic field
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Appreciation helps regulate
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heart rhythm
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Pain
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both a sensory and emotional experience of discomfort,, usually associated with actual or threatened tissue damage
Poena - penalty |
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How to describe medical symptoms to your doctor
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- health history
- reason for visit - onset and timing - pain worse/better - describe pain - Location - Severity - Setting - Life situation - Exams/tests |
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Pain has significance
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Medical, survival and psychological and social components
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Nociceptors -
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specialized sensory receptors in bodily tissue
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Neural gates open and close and
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modulate pain
located in spinal chord |
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there is a modulation of pain signals, before they reach the brain
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summation, delay
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A-delta
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Conduct fast, sharp, shooting pain
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C-fibers
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slow aching, full, pain, non-mylinated
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They send information to the
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spinal cord then to teh brain
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What controls the opening and closing of the gate
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the amount of activity in the pain fibers
The amount of activity in the peripheral fibers messages that descend from the brain |
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Substance P
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released by A and C fibers
intensifies the pain sensation Srotonin and norepineohrine promote release of endorphines to reduce pain |
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Video games may
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help relieve pain
those who played fighting games were able to tolerate pain for a longer period when compared the other game types |
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The restorative benefits of nature
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Stress/anxiety reduction
Lowers blood pressure Pain reduction Lenght of hospital stay post-surgical complications enchanced immune function |