Chapter 13: Stress, Coping, and Health

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Chapter 13 Stress, Coping, and Health
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The RelationshipBetween Stress and Disease

• Contagious diseases vs. chronic diseases
• Biopsychosocial model
• Health psychology
• Health promotion and maintenance
• Discovery of causation, prevention, and treatment

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Figure 13.1 Changing patterns of illness
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Stress An Everyday Event

• Major stressors vs. routine hassles
• Cumulative nature of stress
• Cognitive appraisals

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Major Types of Stress

• Frustration blocked goal
• Conflict incompatible motivations
• Approach-approach
• Approach-avoidance
• Avoidance-avoidance
• Change having to adapt
• Social Readjustment Rating Scale
• Life Change Units
• Pressure
• Perform/conform

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Figure 13.2 Types of conflict
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Responding to Stress Emotionally

• Emotional Responses
• Annoyance, anger, rage
• Apprehension, anxiety, fear
• Dejection, sadness, grief
• Positive emotions
• Emotional response and performance
• The inverted-U-hypothesis

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Figure 13.4 Overview of the stress process
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Figure 13.5 Arousal and performance
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Responding to Stress Physiologically

• Physiological Responses
• Fight-or-flight response
• Selyes General Adaptation Syndrome
• Alarm
• Resistance
• Exhaustion

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Responding to Stress Behaviorally

• Behavioral Responses
• Frustration-aggression hypothesis
• catharsis
• defense mechanisms
• Coping

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Effects of StressBehavioral and Psychological

• Impaired task performance
• Burnout
• Psychological problems and disorders
• Positive effects

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Figure 13.7 The antecedents, components, and
consequences of burnout
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Effects of Stress Physical

• Psychosomatic diseases
• Heart disease
• Type A behavior - 3 elements
• strong competitiveness
• impatience and time urgency
• anger and hostility
• Emotional reactions and depression
• Stress and immune functioning
• Reduced immune activity

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Figure 13.9 Anger and coronary risk
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Table 13.4 Health Problems that may be Linked to
Stress
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Figure 13.11 The stress-illness correlation
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Factors Moderating the Impact of Stress

• Social support
• Increased immune functioning
• Optimism
• More adaptive coping
• Pessimistic explanatory style
• Conscientiousness
• Fostering better health habits
• Autonomic reactivity
• Cardiovascular reactivity to stress

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Health-Impairing Behaviors

• Smoking
• Poor nutrition
• Lack of exercise
• Alcohol and drug use
• Risky sexual behavior
• Transmission, misconceptions, and prevention of
  AIDS

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Figure 13.12 The prevalence of smoking in the
United States
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Figure 13.13 Quitting smoking and cancer risk
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Reactions to Illness

• Seeking treatment
• Ignoring physical symptoms
• Communication with health care providers
• Barriers to effective communication
• Following medical advice
• Noncompliance

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Figure 13.16 Biopsychosocial factors in health