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Ch4HealthStressCoping.pptx

Chapter 4 Health, Stress, & Coping

Quick note

Just letting you know that I titled this lecture chapter 4, but it’s not the same chapter 4 as in your recommended textbook

These materials are taken from a different text that had a chapter on health and stress

I’m not sure why the Baumeister & Bushman text doesn’t have a chapter on this; many social texts do

Today’s Outline

Define Stress

Discuss some common Causes of stress

Discuss Effects of Stress

Discuss Reducing/Preventing/Coping with stress

Stress

We talk a lot about it...

But what is it?

And is it necessarily a bad thing?

Stress

Stress: mental and physical condition that occurs when a person must adjust or adapt to the environment

Both unpleasant events (work pressures, relationship troubles) and pleasant events (a new job, travel)

&

Eustress: good stress

getting married, playing sports, going on a date, vacations, etc.

Stress Reaction

The Stress reaction is the same whether it's good stress or bad stress

The Autonomic Nervous System reacts the same to good stress or bad stress

The sympathetic nervous system kicks in to ramp us up

Thus, in some ways, its our PERCEPTION of stress that matters

Is what we're doing a fun challenge, e.g. an intense game of basketball or an unpleasant, intimidating task, e.g. taking a test.

As far as the body goes, pleasant thrills and stressful tasks are the same

Explains how some people hate and some people love roller coasters

Stress

However, one note to make here:

Short-term stress, whether good stress or bad stress, doesn't result in any damage

But long-term stress is another matter

What causes Stress?

Behavioral causes

Innate causes

Situational causes

Behaviors that can lead to stress

Any behaviors that cause people to be unhealthy can result in stress

Alcohol abuse

Could result in failing grades, being stressed about school, or strained relationships if you're a 'mad drunk'

Other risk factors:

Inactive life style, unhealthy diet, smoking, drugs, risky/unprotected sex

The actual issue and the stress from the issue

Cyclical: obesity --> difficulty exercising --> health problems --> stress --> eating more --> discouraged --> more stress, etc.

'Innate' levels of stress

Personality Types (validated)

Type A personality

key features: anger, hostility, & mistrust

ambitious, competitive, achievement oriented

believe enough effort can overcome any obstacle

push themselves accordingly

time urgency (think Rabbit from Alice in Wonderland)

at twice the risk for heart attack :(

aka cardiac personality

Situational Causes

Unpredictability

Whether it's at work, home, etc.

We're all kind of control freaks

We don't like curve balls

E.g. boss asks you to work late and help on an important project that's due the next day

E.g. if I gave you a pop quiz right now, that counted for 5% of your grade, wouldn't you be stressed/pissed?

Work, workload, & deadlines

any position of leadership comes with more stress

Situational Causes

Life Events

Let's see how you're doing!

Read through the list on the next two slides. Check any that apply.

Add up your Life Change Units score

Then we'll see how stressed we all are

Life Events and Life Change units

Life Event Life Change Units
Death of parent 100
Unplanned pregnancy/abortion 100
Getting married 95
Divorce of parents 90
Acquiring a visible deformity 80
Fathering a child 70
Jail sentence of parent for over one year 70
Marital separation of parents 69
Death of a brother or sister 68
Change in acceptance by peers 67
Unplanned pregnancy of sister 64
Discovery of being an adopted child 63
Marriage of parent to stepparent 63
Death of a close friend 63
Having a visible congenital deformity 62
Serious illness requiring hospitalization 58
Failure of a grade in school 56
Not making an extracurricular activity 55
Hospitalization of a parent 55
Jail sentence of parent for over 30 days 53

Life Events and Life Change units

Breaking up with boyfriend or girlfriend 53
Beginning to date 51
Suspension from school 50
Becoming involved with drugs or alcohol 50
Birth of a brother or sister 50
Increase in arguments between parents 47
Loss of job by parent 46
Outstanding personal achievement 46
Change in parent's financial status 45
Accepted at college of choice 43
Being a senior in high school 42
Hospitalization of a sibling 41
Increased absence of parent from home 38
Brother or sister leaving home 37
Addition of third adult to family 34
Becoming a full fledged member of a church 31
Decrease in arguments between parents 27
Decrease in arguments with parents 26
Mother or father beginning work 26

Life change scale results

Above 300 = very stressed, 80% chance of getting sick in the near future

150-299 = moderately stressed, 50% more likely to get sick in the near future

Less than 150 = low stress, 30% more likely to get sick

I scored here

0 stress, very little stress! Hurray!

Thinking about the Life Change Scale

The Life Change Units we just discussed invoke a definition of stress that is really just based on CHANGE

This make sense given the definition of stress: 'adaptation to the environment.’

To adapt we must change

It's interesting because most people probably wouldn't think that: for example outstanding personal achievement, less arguing from parents, and marriage were all on that list

Deaths and divorce were at the top

Situational Causes

Frustration

Blockage of a goal: worst when the goal is important or there's time urgency

Often based on social situations

frustrated with spouse, coworkers, kids, etc.

The reaction to the frustration can worsen the stress: aggression (or displaced aggression), inflexible persistence, giving up on a goal, etc.

Aka the frustration-aggression hypothesis

Situational Causes

Acculturative Stress, aka culture shock

E.g. me moving to Miami 9 years ago

"Why are people I don't know greeting me with a kiss on the cheek, my Grandma and my Mom don't even do that!“

I’m kidding though, that obviously wasn’t stressful

High-stress reactions:

1. Marginalization (rejecting old culture, but also being rejected by new culture)

2. Separation: avoiding contact with new culture even though you're in a new place

Low-stress reactions

3. Integration: maintaining old cultural identify & new one

4. Assimilation: totally meshing into new culture

Effects of stress

General Adaptation Syndrome

Occurs from long-term stress (Work, a serious illness, etc.)

3 Stages

1. Alarm Reaction

Sympathetic nervous system at work. More adrenaline, high heart rate, less digestion, etc.

Some results of that: headache, sore muscles, stomach aches

General Adaptation Syndrome Cont'd

2. Resistance

Body comes into balance, those symptoms disappear. Superficial symptoms gone

Outwards body seems ok, but psychosomatic effects begin

Psychosomatic Effects are real

Skin rashes, hives, migraines, blood pressure, asthma, indigestion, sexual problems, ulcers, etc.

Not to be confused with a hypochondriac

General Adaptation Syndrome Cont'd

Some physical examples from my colleagues and me during Qualifying Exams:

hives

insomnia

me: really tense muscles

3. Exhaustion, usually not collapsing, instead:

1. Emotional (anxiety, apathy, irritability, mental fatigue)

2. Behavioral Signs (avoidance of social, work, or health- related behaviors)

3. Physical Signs: tiredness, illness, excessive worry about health

More Effects of Stress

Continuing off the idea of vulnerability to illness during periods of exhaustion...

Psychoneuroimmunology:

Times of stress = weakened immune system

E.g. many more colds during and after Final Exam times

Stress & Depression

Depression:

Students:

Depressed students score half a grade lower, on average

Occurs due to:

Work issues, trying to get high grades and struggling to meet idealized expectations of themselves, isolation, loneliness, breakups of romantic relationships, etc.

Results in:

Sad, empty, or some anxious feelings. Also feeling guilty, worthless, helpless, & pessimistic

Difficulty concentrating, lack of interest in usual fun activities

Effects of Stress Cont'd

Learned Helplessness

Any time an animal or person initially learns that to escape something harmful or stressful is very difficult. But later, even if they can easily escape, they don't.

E.g. someone who grew up with an abusive parent (hard to escape)

May not engage in behaviors to reduce or remove stress later in life, e.g. studying hard for exams

Responses and reduction of Stress

3 main concepts:

1. Preventative Behaviors

2. Problem-focused Coping

3. Emotion-focused Coping

Preventative behaviors against stress

Wellness

BE SOCIAL!!!! friends, family, etc.

Have fun for at least some time every day (balance)

Staying clean & organized

Promoting general physical health

avoiding hypertension with a good diet

lower in: salt, red meat, and dairy

higher in veggies, fruits, & fish

30 minutes of cardio 5x a week

positive outlook: hope, optimism

Comedy - humor relieves stress:

May I suggest...Arrested Development

Reducing Stress via Problem-focused Coping

My opinion:

Problem focused-coping works better for me than emotion-focused coping

The theory: instead of coping with the problem, just remove the problem in the first place

Problem focused-coping works best when you have control of the stressor

E.g. finishing a project/paper/studying

Reducing Stress via Problem-focused Coping

Appraising the Stressors

1. Primary Appraisal

Is the situation positive or threatening, relevant or irrelevant?

Passively processing the situation/stressor, initial opinion

2. Secondary Appraisal

This is where people who don't feel much stress react differently than those who get really stressed

Perceive the stressor as a challenge/opportunity rather than a threat. A plan is developed for how to overcome

What are you telling yourself about it? can you beat this problem?

Control!!! Focusing on the control you have over it

Problem-Focused Prevention of Stress

Working ahead of time

It prevents the aspect of stress we call 'pressure'

I can vouch for this being effective

Reactive vs. proactive work

Reactive:

Project is becoming due, better work on it

E.g. me in college! But not during grad school

Proactive:

Doing a certain/set amount of work during allotted time

You'll find you get ahead pretty fast

Avoid distractors!! No Facebook! No Youtube! No other forms of “multi-tasking” or listening to music. Just focus!

Reducing Stress via Emotion-focused Coping

Works best when you don't have control or only have moderate control over the stressor

E.g. coping with a death

First we'll cover defense mechanisms, then other emotion-focused coping techniques

Defensive Mechanisms

Defense mechanisms are adaptive: maintain self-esteem

If we took full blame for every time we messed up,

we would not be happy

Happy people actually have more positive illusions and beliefs, as we’ve learned

Depressed people gauge their abilities more accurately/realistically...but...that's not as adaptive as being a little naively optimistic

But too much use of Defense Mechanisms can be maladaptive

Defense Mechanisms: Examples

Denial: protecting oneself from an unpleasant reality by refusing to perceive it

E.g. maybe the test will be canceled

Repression: unconsciously preventing painful or dangerous thoughts from entering awareness

Reaction formation: preventing dangerous impulses from being expressed in behavior by exaggerating opposite behavior

‘Pretending' to love working out even if you hate it

Defense Mechanisms: Examples (cont’d)

Regression: retreating to an earlier level of development or to earlier, less demanding habits or situations

Projection: attributing one’s own feelings, shortcomings, or unacceptable impulses to others

E.g. you feel guilty about being selfish, "I don't want to go out tonight", project that on to friend who wants to go out, "Don't be selfish, I want to stay in"

Defense Mechanisms: Examples (cont’d)

Rationalization: justifying one’s behavior by giving reasonable and “rational,” but false, reasons for it

E.g. I can't turn in the paper because my printer broke

May be true. But the paper shouldn't have been done last minute.

Isolation: separating contradictory thoughts or feelings into mental compartments so that they do not come into conflict

Stats are a part of Psych. I love Psych but I hate stats!

Defense Mechanisms: Examples (cont’d)

Compensation: counteracting a real or imagined weakness by emphasizing desirable traits or seeking to excel in the area of weakness or in other areas

E.g. If I failed something, think of something you usually succeed at

Defense Mechanisms: Examples (cont’d)

Identification: taking on some of the characteristics of an admired person, usually as a way of compensating for perceived personal weaknesses or faults

E.g. I've seen it in grad students, if put on defensive, they may name-drop more. "Well, when I work with so and so, we..."

Intellectualization: separating emotion from a threatening or anxiety-provoking situation by talking or thinking about it in impersonal “intellectual” terms

E.g. GRE is just a measure of ability to do high school math

Emotion-Focused Strategies to reduce stress

Meditation

Any calming activity that interrupts upsetting thoughts

Reading, watching a comedy, chatting with a friend

Progressive Muscle Relaxation

Tensing and releasing each muscle in the body

Makes a nice-feeling contrast

Guided Imagery

Going on a mental vacation. Getting in that mindset

Can add to traditional meditation

Emotion-Focused Strategies to reduce stress

Slowing down

Our behaviors, thoughts, etc.

“Goal is distance not speed"

Replacing negative statements with positive ones

"I'm gonna bomb this test"

Replaced: "I've passed 100 tests before this"

Again, being Social. Interacting with our support networks of family and friends

Isolating is the wrong choice