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wellness
The achievement of the highest level of health possible in each of the dimensions of health
health
The dynamic, ever-changing process of trying to achieve one's potential in the physical, emotional, social, intellectual, spiritual, occupational , financial and environmental dimensions
physical health
body size and functioning
social health
interpersonal network and successful interaction with others
intellectual health
ability to think clearly and make responsible decisions
emotional health
ability to express emotions and maintain a level of self-confidence
environmental health
appreciation of one's external environment
spiritual health
having a sense of meaning and purpose in one's life
occupational health
level of fulfillment gained through work
financial health
having a healthy relationship with money
incidence
new cases in a year in a population
prevalence
exisiting cases per year in a population
epidemic
unusual high number of new cases in a year in a population
endemic
present at expected prevalence rates
pandemic
global epidemic
quality of life indicators
income level, housing situation, crime rates, marriages, divorce, abuse, pollution, unhealthy days, limitation of activity
79 years
average total life expectancy in US?
66.9 years
average healthy life in US?
11.8 years
average impaired life in US?
heart disease, cancer, chronic lung disease
what are the three leading causes of death OVERALL?
unintentional injury, suicide, homicide
what are the three leading causes of death for ages 15-24?
determinants of health
biology, behavior, social environment, physical environment, policies and interventions, access to quality health care
biology
individual's genetics, ethnicity, ages, gender, drugs, illness, and injury
behaviors
individual's responses to internal and external conditions
social environment
culture/family, social support, education, income/social status
physical environment
built environment, geographic location, climate change, food safety, pollution
infectious
public health measures have helped lower ____________ conditions such as vaccines and medicines
chronic
lifestyle has increased risk for ________ conditions (diet, level of activity, obesity, tobacco, alcohol)
Healthy People 2020
provides a science based, 10 year national objectives for improving the health of all Americans (high-quality, longer lives, health equity, social and physical environments, quality of life)
health promotion
reduce negative behavior, promote/maintain positive health behaviors
risk behavior
increase susceptibility to illness/disease
health behavior
increase resiliency or increase protection
primary disease prevention
before illness, health promotion
secondary disease prevention
early detection and intervention
tertiary disease prevention
treatment and rehabilitation
transtheoretical model
Does everyone have the same interest level in changing behavior? No, strategies have to be individualistic
health belief model
perceptions of the individual (perceived threat v. perceived cost) cues to action, modifying variables
social cognitive model
behavior, social environment, and inner cognition are connected
stages of change model
precontemplation, contemplation, preparation, action, maintenance, termination
objective setting and shaping, visualization, modeling, countering/substitution
strategies to assist with change
SMART goals
daily or weekly progress toward sub-goals model
environment modification
setting controls in the environment to assist you
positive reinforcement
rewards
changing self-talk
thought stopping and self-instruction using rational positive statements
journaling
record your progress, note what works
social support
tell important others of your plans and ask for support
family, support system, community, self-efficacy, learned helplessness, learned optimism, personality, life span and maturity
factors that influence psychological health
defense mechanisms
projection, regression, repression, denial, displacement, rationalization
mental illness
disorders that disrupt thinking, feeling, moods, and behaviors, ****1 in 5 adults in US have mental disorders
1 in 25
who many people have a serious mental illness
treatment for disorders
talk therapy, drug therapy, prolonged depression --> ECT
major depression
sadness and despair, loss of motivation, difficulty concentrating, withdrawal
bipolar disorder
alternating media (euphoric feelings, high energy and depression)
seasonal affective disorder (SAD)
type of depression that occurs in winter months when there is less sunlight
generalized anxiety disorder
severe enough to interfere significantly with daily life
panic disorders
occurrence of panic attacks, a form of acute anxiety that brings on intense physical reaction
phobic disorders
persistent, irrational fear of a specific object, activity, or situation
schizophrenia
irrational behavior, hallucinations, alterations of the senses, altered sense of self
paranoid personality disorder
involves pervasive, unfounded suspicion and mistrust of people
narcissistic personality disorder
exaggerated sense of self-importance and a tendency to be absorbed with self rather than others
antisocial personality disorders
displays a long term pattern of manipulation and taking advantage of others
borderline personality disorder
characterized by impulsiveness and risky behaviors such as gambling sprees, unsafe sex, use of illicit drugs, and other reckless acts, such as daredevil driving
stress
physiological response to perceived threats or demands
influences to response to stress
characteristics of stressor, biological factors, past experiences, perceptions (ability to control and cope)
Type C
deny feelings, stoic, less assertive, conforming
Type D
excessive negative worry, irritability, gloom
toxic core
angry, hostile, bitter, cynical
hardy
commitment, challenge, control
learn to prevent stress, find a balance, make adjustments
what are the goals of stress management
8 hours
how many hours do adults need to function
65%
________ of Americans get inadequate sleep
signs of sleep deprivation
needing an alarm clock to wake up, falling asleep within 5 minutes, napping easily
12%
only around ______ of students report getting enough sleep
60%
over _____ of students report sleepiness during the day 3-6 days/wk
legal intoxication
one night of sleep deprivation is equal to _______ _________________
stages 1-4 and REM
5 stages of sleep
REM
rapid eye movement, memories and thoughts from the day are processed, dreaming occurs
insomnia
most common sleep disorder, young adults 68% report symptoms (difficulty falling asleep, difficulty staying asleep, waking up too early)
apnea
obstructive, air can't move through the airway, snore loudly, snort, gasp, choking sounds
aging, overweight, pain/illness, stress, medications
contributions to sleep disoders