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What is Stress?
Discrepancy between situational demands and individual's resources.
Adolescence
Puberty → ~18 years
Categories of risk behaviours
Substance use, physical risks, unsafe sexual activity, online risks, self-harm.
Frontal lobe / Prefrontal cortex (PFC)
Executive function, decision-making, impulse control
Hindbrain:
Medulla (vital functions), pons (bridge cerebellum/brain), cerebellum (motor coordination).
Forebrain:
Neocortex, thalamus, hypothalamus, basal ganglia (movement), limbic system
Limbic system:
Amygdala (fear/rage), hippocampus (memory), cingulate cortex
Define addiction.
Chronic, relapsing brain disorder; compulsive drug-seeking despite harm.
What is physical dependence?
Withdrawal symptoms and tolerance to a substance.
Name 4 processes leading to dependence.
Reinforcement, avoiding withdrawal, substance-related cues, expectancies
Which personality & emotional factors contribute to dependence?
Impulsivity, high-risk-taking, low self-regulation, ACEs.
Name 3 harmful chemicals in tobacco
Tar, formaldehyde, arsenic.
Legal BAC limit
less than 0.08%
Cloninger Type I →
Later onset, men & women, easy to treat
Cloninger Type II
Early onset, mostly men, hard to treat
WHO Activity Guidelines (5-17 yrs)
60 min/day moderate-vigorous activity; muscle/bone strengthening 3x/week.
WHO Activity Guidelines (18-64 yrs)
150-300 min/week moderate OR 75-150 min vigorous; muscle strengthening 2x/week.
WHO Activity Guidelines (65+ yrs)
Same as adults + balance training 3x/week.
percent of of US adults don't meet guidelines.
86%
Barriers to Exercise
No time, no place, stress, physical limits, low motivation, social beliefs.
Who Exercises More
young adults, men, white individuals, higher SES, educated, rural residents, off-reserve First Nations.
how many people in canada are obese
25% and peak 55-65
Isotonic Exercise
Muscle force + movement; builds strength & endurance (e.g., squats, weights).
Isometric Exercise
Force without movement; builds strength (e.g., planks, wall sits).
Isokinetic Exercise
Movement at constant speed; builds strength + endurance (machines, swimming).
Max Heart Rate Formula
208 - (0.7 × age)
VO₂ Max
Max oxygen use during intense exercise; measured ml/kg/min; predicts longevity.
Skeletal Muscle Role
Largest glucose sink; exercise ↑ mitochondria & oxidative capacity; releases myokines.
Adipose Tissue Role
Exercise → fat oxidation, ↓ inflammation, ↑ insulin sensitivity, ↓ abdominal fat.
Exercise & Mental Health
↑ neuroplasticity, ↑ BDNF, ↑ impulse control; ↓ anxiety, depression symptoms.
DSM-5 Depression Criteria
1 of: depressed mood OR anhedonia + 4 symptoms for 2 weeks (sleep, fatigue, weight change, etc.).
Depression Treatments
SSRIs, SNRIs, TCAs, MAOIs; CBT; ECT; TMS.
Exercise vs Medication
All reduce depression, but exercise has lowest relapse (9%) vs meds (33%).
Complications of anorexia?
low metabolism, bradycardia, hypotension, anemia, hypothermia.
Mortality rate in anorexia?
10-15%;
Relapse rate in anorexia?
35%.
Bulimia prevalence?
1-3% of women.
Bulimia complications?
Esophagus damage, dehydration, electrolyte imbalance.
What is pica?
Eating non-food items
What is rumination disorder?
repeated regurgitation of food
What is ARFID?
Avoiding foods due to sensory issues, fear of choking, or low appetite.
BMI ranges?
<18.5 underweight; 18.5-24.9 normal; 25-29.9 overweight; 30+ obese.
Canadians experience a mental health disorder
1 in 5
Major depression affects
5.4% of Canadians;
When do mental illness symptoms usually begin?
18 or under
% Canadian students cyberbullied
19% experienced cyberbullying in the past year.
SAS-SV
Validated Smartphone Addiction Scale - Short Version used to assess problematic smartphone use.
Predictors of cyberbullying involvement
Self-disclosure, social media addiction, many followers, low empathy, sadism, low self-esteem, depression, childhood trauma.
How many suicides per year in Canada?
4,500 deaths/year
What is a pathogen?
Disease-causing agent (virus, bacteria, fungus, parasite).
Three lines of immune defense?
Skin/mucous → innate immunity → adaptive immunity.
Gonorrhea pathogen?
Neisseria gonorrhoeae (bacteria)
Major complications of gonorrhea?
PID, infertility, ↑ HIV risk.
Chlamydia pathogen?
Chlamydia trachomatis (bacteria).
Key complications of chlamydia?
PID, infertility, eye inflammation/blindness.
What is PID?
Infection of female reproductive organs → infertility, ectopic pregnancy.
Trichomoniasis pathogen?
Trichomonas vaginalis (protozoan parasite).
Why is trichomoniasis important?
Often asymptomatic; ↑ HIV transmission risk.
Syphilis pathogen?
Treponema pallidum (bacteria).
Stages of syphilis?
Primary chancre → secondary rash → latent → tertiary (brain/heart damage).
What is HIV/AIDS?
Virus destroying immune system; spread by blood/semen; chronic.
What is HAART?
Highly active antiretroviral therapy
use at least 3 drugs for HIV
What is cervical dysplasia (CIN)?
Abnormal cervical cell growth (CIN-1 → CIN-3).
Herpes (HSV-1/HSV-2) main features?
Chronic, incurable; painful recurrent sores.
Hepatitis B transmission?
Blood + bodily fluids; vaccine available.