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The illness/wellness continuum
Holds death at one end, and optimal wellness at the other
Health
A positive state of physical, mental, and social well-being (not simply the absence of injury or disease) that varies over time along a continuum
Dietary diseases
Result from malnutrition
Infectious diseases
Acute illnesses caused by harmful matter or microorganisms, such as bacteria or viruses, in the body
Chronic illnesses
The main health problems and causes of death in Canada
The mind/body problem
The question of the relationship between the mind and body
Biomedical model
Proposes that all diseases or physical disorders can be explained by disturbances in physiological processes, which result from injury, biochemical imbalances, or bacterial/viral infection
Risk factors
Characteristics or conditions that are associated with the development of a disease or injury
Risk factors for cancer
Smoking, high alcohol consumption, obesity
Risk factors for heart disease and stroke
Smoking, high blood pressure, high dietary cholesterol, obesity, lack of exercise
Risk factors for chronic obstructive pulmonary disease (COPD)
Smoking
Risk factors for accidents
Alcohol'/drug use, not wearing a seatbelt
Personality
A person’s cognitive, affective, or behavioral tendencies that are fairly stable across time and situations
Psychosomatic medicine
Studies conditions in which both the mind and body are involved
Behavioral medicine
Grew out of behaviorism and is interdisciplinary
Biopsychosocial model
Expands the biomedical view by adding to biological factors connections to psychological and social factors
System
A dynamic entity with components that are continuously interrelated
Sociocultural
Involving or relating to social and cultural factors
Ethnicity
People who identify with each other based on shared nation/household, society, language, history
Culture
The characteristics and knowledge of a particular group of people who share a similar context
Sex
The biological classification of individuals as male or female based on physical characteristics present at birth
Gender
The attitudes, feelings, and behaviors that a given culture associates with a person’s biological sex
Race
Socially constructed label or category based largely on physical characteristics such as skin color, though it can overlap with ethnicity
Religion
Organized system of beliefs, practices, rituals, and symbols
Socioeconomic status
Differences between people’s resources, prestige, and power within a society
Health disparities
Inequalities in health or healthcare between groups
Stigma
Negative feelings and attitudes about individuals based on specific qualities or characteristics they possess
Lifespan perspective
Characteristics of a person are considered with respect to their prior development, current level, and likely development in the future
Mortality
The occurrence of death, generally on a large scale
Morbidity
Illness, injury, or disability
Prevalence
Number of cases of a disease, illness, or disability
Incidence
Number of new cases of a disease, illness, or disability reported during a specific period of time
Epidemic
A situation in which the incidence, generally of an infectious disease, has increased rapidly
Pandemic
An epidemic that has increased to international of worldwide proportions
4 goals of health psychology
Identify the cause and diagnostic correlates of health, illness, and dysfunction
Promote and maintain health
Prevent and treat illness
Analyze and improve health care systems and health policy (going farther than the individual)
Health psychology began in (year)
1980s
Biggest change that must be made to healthcare
Asking about living conditions, and MAKING A DIFFERENCE to stop health issues from recurring
Left side of illness/wellness continuum
Health gets progressively worse
Right side of illness/wellness continuum
Health gets progressively better
Effect of medical treatment on illness/wellness continuum
Begins on left side, can bring a person back to neutral
Effect of healthy lifestyles on illness/wellness continuum
Can bring person back to neutral, or can bring them to far right
Early culture causes of disease
Sorcery, object intrusion, supernatural possession, losing one’s soul
Early culture treatment for disease
Magic rituals, trephination
Ancient greece and rome causes of disease
Humoral theory of illness
The 4 humours
Blood, black bile, yellow bile, phlegm
Ancient greece and rome treatment for disease
Eat well, avoid excesses, achieve humoral balance
Plato’s proposal
Body and mind distinction
New innovation by Galen
Dissecting animals, discovered illness can be localized
Middle ages cause of disease
Demons, God’s punishment for doing evil
Middle ages treatment for disease
Priests treated illness, often involved torturing body to drive out evil spirits
St Thomas Aquinas’ contribution
Rejected the mind/body problem, saw them as interrelated
The renaissance perspective
Body as a machine
Mind and body were separate but could communicate through pineal glands
Believed animals and no souls and human souls leave their body at death
After the renaissance
Science and medicine grew rapidly, surgery became more popular (antiseptic techniques and anesthesia)
Importance of psychology in health
Health problems are now chronic rather than acute, so biomedical model is not as helpful. Biomedical model doesn’t factor in that people are unique
Elements of the biopsychosocial model
Where the person lives, their environment, their appraisals, their stressors, their community/family
Role of biological factors in health
Function and structure of physiology, complex systems operating together, genetic predispositions
Cognition
Mental activity that encompasses perceiving, learning, remembering, thinking, etc
Emotion
Subjective feelings that affect and are affected by our thoughts, behavior, and physiology
Motivation
Process that initiates someone to do something, its direction, and persistence
3 formally recognized indigenous groups in Canada
First Nations, Inuit, Metis
Intersex
General term for a variety of conditions in which people are born with reproductive or sexual anatomy that doesn’t fit the “typical” definitions of female or male
Sexual orientation
One’s sexual and emotional attraction to others based on their sex and/or gender
Gender identity
Person’s deeply felt sense of being female or male, man or woman, or neither
Minority status
Occurs any time a group of people is singles out to receive differential or unequal treatment by those who maintain the majority of power in a particular region or country
Theory
Tentative explanation of why and under what circumstances certain events occur
Qualities of a good theory
Clearly stated, brings together known facts, relates information that previously seemed unrelated, enables us to make predictions
Variable
Any measurable characteristic of people, objects, or events that may change
Independent variable
Studied for its potential or expected influence
Dependent variable
Assessed because its value is expected to “depend” on the independent variable
Experiment
Controlled study in which researchers manipulate an independent variable to study its effects on a dependent variable
Placebo
Inert or inactive substance or procedure
Double blind procedure
Occurs when both the experimenters and the participants are unaware of which group is which
Criteria for a cause-effect conclusion
Levels of indep and dep variables corresponded, cause preceded the effect, all other plausible causes have been ruled out
Correlation coefficient
Can range from +1.00 to -1.00, with + meaning the variables increase/decrease together, and - meaning the variables change in opposite directions
Correlational studies
Nonexperimental investigations of the degree and direction of statistical association between two variables
Quasi-experimental studies
Look like experiments because they have separate groups of subjects, but they are not because the subjects were not randomly assigned
Retrospective approach
Uses procedures that look back at the histories of the subjects
Prospective approach
Uses procedures that look forward in the lives of individualsC
Cross-sectional approach
Different individuals of different ages are observed at the same time
Longitudinal approach
Involves the repeated observation of the same individuals over a long period of time
Cohort effect
The influence of having been born and raised at a different time
Twin studies
Focused on differences in characteristics shown in monozygotic and dizygotic twins
Adoptions studies
Compare traits of adopted children with those of their natural parents and adoptive parents
Epigenetics
A process in which chemical structures with or around the DNA govern how, when, and how much a gene acts
Ecological momentary assessment
Uses devices to cue and collect data on individuals in their regular day-to-day living
Comorbidity
Having multiple conditions/illnesses/injuries at the same time
Research questions
Narrow/specific, appropriate, testable
Experimental group
The group of people who receive a treatmentT
Control group
The group of people who receive no treatment
3 types of non-experimental studies
Correlational, quasi-experimental, genetic
Positive association
Both variables are moving in the same direction
Negative association
Variables moving in opposite directions
Effect size
Magnitude of a correlation (the closer to 1 or -1, the stronger)
Conclusions from quasi-experimental studies
Correlational
Health behaviour
Activity people perform to maintain or improve their health
Well behaviour
Activity people undertake to maintain or improve current good health or avoid illness
Symptom-based behaviour
Activity people who are ill undertake to determine the problem and find a remedy
Sick-role behaviour
Activity people undertake to treat or adjust to a health problem after deciding that they are ill and what the illness is
Primary prevention
Actions taken to avoid disease or injury
Secondary prevention
Actions taken to identify and treat an illness or injury early with the aim of stopping or reverisng the problem