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Health psychology
study of how psychology effect our psychological and physical well being
Biopsychosocial model
wellbeing is effected by a combination of biological, psychological and social factors
Long Term cosequnces of stress
Burnout and PTSD
Burnout
Longterm exhausion and loss of motivation caused by chronic stresss
PTSD
disnosable disorder characterized by flashbacks, nightmares, social withdrawal, anxiety, and insomnia after a traumatic event
Stress
Physiological response to an event that is appraised (judged) as taxing or exceeding one’s abolity to adapt and is magified by soical context
Stress appraisal theory
The cause of the stress reaction is one’s interpretaion of an event
Primary appraisal
evaluation of situation demands: challenging? threatening?
Secondary apprasial
Evaluation of available resources: do we have enough to deal with the threat/challenge? (insufficient resource —> stress response)
Siuations toat lead to stress reponse
Psychological uncertainty / Time pressure / Goal conflict
Psychological uncertainty
Inability to predict what will happen next or what outcome an action will have
Time pressure
Having to make complex decisions under time pressure or with insufficient information
Goal conflict
Stuck betwene two goals
Approach Approch
Wanting 2 opposite desireable things
Avoidanec Avoidance
choosing between 2 bad things :(
Approach Avoidence
A single goal that has both good and bad
Stress response
a set of physocialogial reposnes to stress (Two pathways - SAM, HPA axis)
SAM axis(sympathetic-adreno-medullary axis)
fast reaction beginning in the hypothalammus, activates symathetic system through the adrenal gland, releases catecholamines (Epinerphine and norephephrine)
Epinephrine/ Adrenaline
secreated by adremal gland, avtivates sypathetic system, pump more blood, sweat more, prime your body. MAIN EFFECTS ON BODY
Norepinephrine
secreated by adremal gland, avtivates sypathetic system, hypertension, hyperfocus. MAIN EFFECTS ON BRAIN
What do catecholamines do
ACTIVATE FIGHTOR FLIGHT
HPA axis
Slow reaction, beginnign at hypothalamus —> ACTH —> adrenal gland —> glucocorticoids
Cotisol
Stress hormone released through the HPA, secreted by the adrenal gland
Cortisol fucntions
Regulate energy use by increasing glucose, impvoes brain fuction and speeds up healing also suppresses the immune digenstn, sex and stuff the r less imroatnt
slow but sticks around longer
General Adaptation Syndrome (GAS):
3-stage response to stress
Alarm phase
Activates sympathitic system and ge ready to cope with stroor
Resistance phase
inresponse to prolonged threath, cortisol is gogo (other stuff is gone alread) ongoing
Exhaustion phase
can no longer deal wigh stressors susceptible to long term consiqunes
social component of stress
social context can help enhence or slow down stress res[once
amplification
other ppl give u more stress
coping
other ppl help you cope with stressor
environmental effect on stress
good predictor for long term stress
how does this shit help (the chemicals in ur brain)
attention up, encoding memmory up, conserve Enregy
Good stress/Eustress
short term stress good for you, sometimes importna t for survival. (enjoy? kinky:)
Bad stress / disrtess
chonic, prolonged (beyond alarm, exhausted, TIRED AF)
STRESS
we did this to ourselves as a society
biopsycosocial
health is a combo of bio, psyco, and social facotrs
biological model of disease
health is a consequence of biological factor
biological effects
can be inhibited or magnified by social and psycho factors
biopsycosocial model doesn’t claim
failing to get better = ur fault
diseases are caused by bad thinking
positive thinking can cure ur depresed ass
psychocosial factors can predict
health issues
poison ivy study
touch them skin with ivy (ppl who thought was harmless hurt less)
marrow transplant
ppl who cope better experience less surgery pain (yeouch)
health benefits of stress
increase resilience
chronic stress has negative health outcomes
altered brain'
CVD
Immune dysfunction
shitting issue
Aging
PFC
part of the brain that does impulse control (smaller if stressed)
inflammation
release of sytokines to fight bad bitches
stress=
cytokines dysregulation=more INFLAMMATION (make many things worse)
CHD
heart blood supply blocked, predictable by stress, lead to Heart Attack
cortisol
reduce liver function
prolonged blood pressure
damage heart
stressin heart
many heart attack
acute stress
increase HRs
stress mask
oncoming Heart Attack
baboon TB finding
alpha baboon (aggressive) die easy
type A personality
ambitious driven, controlling and aggressive
IBD
pain, damage to intestine, chronic fatigue (loop, cause stress and increase IBD)
Peptic Ulcer
lesion in stomach, cause by bacteria
telomere
prevent chromosome from fraying
telomorase
rebuild telomere
less telomere
= faster aging
chronic stress=
less telomerase
telomersase
Rebuilds telemores and slows aging
Avoidnce coping
Minimise stress by distancing (can backfire)
Avoidence backfire, leading to
substance use, stress eating, lack of coping practive
lack of coping practive
avoidence coping dosnet allow us to discormore and pracice coping strageties
Learned hlplessness
Becomes convicned they ahve no control, failing to change evne when given opprotunity
test with hard qustions first
(leanred helpessness) students do more poorly
Nurisng home stuy
seniors in low-quality nursing homes rarely engage with novel activities, but increase exploration if they are introduced under the frame of “you have influence over your lives here” (sense of agency)
dESPRESSION
some depressive sumtoms are tied to learned hlpnesses in reposne to eprsistent trouma
Three stages of rembering
Acquision/encoding, Consolidation, Recall
acute tresscan
Boost encoding and consodation slectively
flashbulb memries
vivd and specifc memories tied to intence and negative ebents
actute and long term sttress tress canaslo
reduce a bility to recall, escpecialy not realted to the stressor, reduce shrit termememeory
EF ececitove fumctoin
Skills involved in gaol directed problem solving including working memory, inhibitory control, and set-shifting/flexibility; highly related to PFC function
Higher EF
Assosciated with more adaptive stress coping statagies, reduce netagive helpoutcomes, reduce agressions
Long term stres imparcs
Ability to multitask and inhibit impulse occur through noreprineprinemodulating PFC
Burnout
State of exhoustion xynicism, detatchment has 3 elemenst: exhaustion, cynicism, reuced efficuicy
Exhaustion
Energy depletion
Cynicism
Loss of belif in value of work
Reduced efficay
reduced ability to work and increased betlif in inadequcy
Recuurent stressors
A casue of burnotut, ill defined tasks of role ambiguity
Avoidence coping
We become more cynical as a method of devensively reducing stress of our work
Emotional and physcail Strain,
especailly moving past the alram phsae into the resistenc ephase
cycle
If nothing breaks us out of the loop, we move into exsuation phase
predicttors of burnout
Lock of control, lack of reward, lack fo social support
Burnout coonqieunces
Job dissatisfaction, low organization commitment, absenteeism, intention to leave hte job, and turnover, home life, health, depressison
high stress occupations
Law enformcent, Nursing,teahcing
Burnout in students
high rates, higher for males, smaller and fragile social support, loniness is large predictor of burnout, avoidence opebing make owrse
PTSD
Diagnoable disorder, recurring and intrusive memories , social withdrawl, anciety, insomnia,
PTD changes brain
Hyperactive amigdata, highertened emitonal arousal, PErforntal cortext, alot of norepineithinr, hippocampus (long term mmeory) shrinks
PTSD cycle
memoires trigger stress, sneding chimical with no external tirgger, imapris everyady fuction, reexpencea and send stress hormon through body, Genetic risk factro
Coping with stress
Distencing outselve, chage primary appraisal, change secondy appraisal
Contructive coping,
deal direcrly with stressor, find solution or cange how react
Problem focued