OUTLINE FOR LECTURE NOTES IN PSYC 405

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Chapter 7

I. Chapter 7: Physical Disorders and Health Psychology

...A. Introduction

.........1. Psychological factors affecting biological processes

.........2. Psychological factors affecting life style exposure to illness

....B. Symptoms: Psychological factors affecting a medical condition

....C. Characteristics (differs from text somewhat)

.........1. Factors affecting Stress

..............a. The stressors (some not in text)

...................1. Meaning, duration, number of stressors, intensity, personality

...................2. Decompensation (regression under stress)

..............b. The Mediators (some not in text)

...................1. Self-Efficacy

...................2. Psychological Hardiness: Commitment, challenge, control

...................3. Vaillant's study of Positive Defense Mechanisms

.......................a. Suppression, humor, altruism, sublimation

.......................b. Kaui Study: Resilience (health, social skills, hope)

........2. Physiology of Stress: a "feedback loop"

..............a. Part I = Brain: The HPA Axis

..................1. Hypothalamus responds to perceived threat by releasing CRF neurohormones to pituitary

..................2. Pituitary activates the adrenal gland to release cortisol (and other stress hormones)

..................3. Cortisol activates the sympathetic nervous system to mobilized state for fight/flight

..............b. Part II = Shutting Down the systems

...................1. Hippocampus is part of the limbic system and responds to neurohormones like cortisol

...................2. Cortisol also eventually makes it to the hippomcampus

...................3. Enough cortisol and Hippocampus shuts down the HPA system

..............c. Part III = Prolonged Stress

...................1. Damage to Hippocampus

...................2. Can result in chronic stress

.........3.Psycho/Social/Cultural Dimension of Stress

....D. Diseases

.........1. Immuno Disorders

..............a. Evidence

..............b. Types

...................1. AIDS

...................2. Rheumatoid Arthritis

...................3. Cancer

.........2. Cardiovascular Problems

..............a. Hypertension

..............b. Coronary Disease

.........3. Chronic Pain

.........4. Headaches

.........5. Chronic Fatigue Syndrome/Fibromyalgia

....E. Causes: General Adaptation Syndrome Model of Stress

.........1.Three Stages and possible mechanisms linking the mind and body.

.........2. Click here for an integrated view of the relationship between stress and illness.

....F. General Treatment/Prevention

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