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Chapter1HealthIntroducingHealthPsych1-7-20handout.pdf

1/6/2020

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Welcome

to

Health Psychology (PSYC 172)

Professor: Andrea Cook, Ph.D.

January 7, 2020

“Health is a state of complete physical, mental and social

well-being, and not merely the absence of disease or

infirmity.” World Health Organization (1948)

Meditation

• Why meditate before each class? – Growing popularity mental health and medical care

– Benefits

• Chronic stress in today’s world

• Using breath to manage stress

• Breathing and the autonomic nervous system

Sympathetic Nervous System

1. Adrenaline increased

2. Heart rate increased

3. Blood sugar increased

4. Digestion inhibited

5. Immune system suppressed

6. Reproduction inhibited

7. Memory inhibited

Fight, flight, or freeze

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Parasympathetic Nervous System

1. Immune system increased

2. Digestion increased

3. Reproduction increased

4. Memory increased

Rest & Digest or Feed & Breed

Power of Breath

• Both Autonomic and Central Nervous System

• Cues shift to parasympathetic nervous system

• Helps regulate impact of stress

• Practice throughout day

Deep Breathing

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Deep Breathing

Practice 4 by 4 Breathing

7

In-Class Exercise #1

Get into groups of four

Write your name on the form

Identify if you are on the waitlist

Answer the following questions:

• What interests you about Health Psychology?

• What are you hoping to learn about?

How do you define health?

• Usually we focus on defining illness not health

• More than just absence of disease

• Sometimes fitness

• Thrive, flourish, enjoy life

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Defining Health

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Changing Pattern of Disease and Death

• Leading cause of death in the 1900s

• Infectious diseases

– caused by organisms e.g., bacteria, viruses,

fungi or parasites

– examples: pneumonia, tuberculosis, diarrhea,

enteritis

• Leading cause of death in the 2000s

• Chronic diseases

– long lasting, or recurrent, disease

– examples: heart disease, cancer, stroke

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Causes of Death - 1900

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Causes of Death - 2013

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Drug Overdoses by Age Group (1999-2016)

13 https://www.cdc.gov/nchs/products/databriefs/db294.htm

Drug overdose death rates by opioid category

14

synthetic = fentanyl, tramadol

natural/semisynthetic = oxycodone, hydrocodone,

https://www.cdc.gov/nchs/products/databriefs/db294.htm

Opioid Epidemic

15Centers for Disease Control and Prevention (2015)

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Veterans and Opioids

• 50-60% veterans have chronic pain

• 2012 JAMA - vets mental health disorders and PTSD

were three times more likely to receive opioids for pain

• 2016 – 400% increase overdoses/suicidal behavior by

Iraq and Afghanistan war veterans

• polypharmacy 5+ psychotropic and opioid Rx

• 2016 VA study - highest dose opioid painkillers more

than twice as likely to die of suicide

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Changes in Life Expectancy

• In 1900, life expectancy was 47.3 years

• In 2016, life expectancy was 79 years

– #1 factor – decrease in infant mortality

– Other factors – disease prevention, vaccinations, safer

drinking water, better nutrition, healthier lifestyle, more

efficient disposal of sewage

• In 2019, life expectancy DECREASED last few

years

– "Tragically, this troubling trend is largely driven by

deaths from drug overdose and suicide.” (CDC Director

Robert Redfield, M.D.)

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What is Health?

• Traditional view of health is the

biomedical model – Views health as the absence of disease

– Focus on physical/biological aspects of disease

– Infectious disease model

– Disease results from exposure to a pathogen

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What is Health?

• Current view of health is the

biopsychosocial model – Chronic disease model

– Disease results from a combination of biological,

psychological, and social influences

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Health Psychology

• Health Psychology – Branch of psychology that concerns individual

behaviors and lifestyles affecting a person’s

physical health

– Recognized by the APA as a sub-field of

psychology in 1978

– APA Division 38 – Society for Health Psychology

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Behavioral Medicine

• A similar discipline to health

psychology is behavioral medicine • Concerned with the integration of biomedical

science with behavioral sciences

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The Profession of Health Psychology

• What training do health psychologists

receive? – Graduate training in psychology

– Special courses and training in health

– Internships in integrated settings

© 2018 Cengage

The Profession of Health Psychology

• What jobs can health psychologists do? – Health research, in university or government

agency settings

– Hospitals or clinics

– Veterans Administration (VA)

– Private practice

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After Class

• Email section change requests

• Quizzes Chs 1 & 2 due Tues (1/14)

• First Film Response Paper: Escape Fire

– Will review paper requirements Thurs (1/9)

– Paper due Thurs (1/16)

• In-Class Exercise – give to TAs

– Be sure identified if on waitlist