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Stress, Health, and Human Flourishing

Chapter 11

EXPLORING PSYCHOLOGY

DAVID G. MYERS | C. NATHAN DEWALL

Chapter Overview

Stress and Illness

Health and Happiness

Stress and Illness (part 1)

Stress: Some basic concepts

Process of appraising and responding to a threatening or challenging event

Stressor

Stress reaction

Positive effects

Short-lived or perceived as challenge

Immune system mobilization; motivation; resilience

Negative effects

Extreme or prolonged stress

Risky decision making and unhealthy behaviors

Stress and Illness (part 2)

Stress appraisal: Events of our lives flow through a psychological filter. How we appraise an event influences how much stress we experience and how effectively we respond to that stress.

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Stress and Illness (part 3)

Stressors

Catastrophes

Large-scale disasters

Acculturative stress

Significant life changes

Life transitions

Cluster of crises

Daily hassles

Compounded by prejudice and life circumstances

Psychological and physical consequences

Stress and Illness (part 4)

Stress response system

Cannon

Stress response is part of a unified mind–body system

Fight-or-flight adaptive response

Selye

General adaptation syndrome (GAS)

Phase 1: Alarm reaction

Phase 2: Resistance

Phase 3: Exhaustion

Human body copes well with temporary stress but may be damaged by prolonged stress

Stress and Illness (part 5)

Due to the ongoing conflict, Syria’s White Helmets (volunteer rescuers) are perpetually in “alarm reaction” mode, rushing to pull victims from the rubble after each fresh attack. As their resistance is depleted, they risk exhaustion.

Gender differences in coping strategies

Earlier death

Tend-and-befriend response

Withdrawal

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Selye’s General Adaptation Syndrome

Stress and Illness (part 6)

Stress and vulnerability to disease

Health psychology: Subfield of psychology that provides psychology’s contribution to behavioral medicine

Psychoneuroimmunology: Study of how psychological, neural, and endocrine processes together affect the immune system and resulting health

Stress and Illness (part 7)

Psychological states have physiological effects

Stress can reduce the ability to fight disease

Trigger immune suppression

Delay surgical wound healing

Increase vulnerability to colds

Hasten disease course

Stress does not cause illness, but it does alter immune functioning that reduces the ability to resist infection

Stress and Health

Stress and Illness (part 8)

Cancer

Stress does not create cancer cells

Heart disease

Coronary heart disease

Type A personality

Type B personality

Inflammation

Blood vessel inflammation

A Harvard School of Public Health team found pessimistic men had a doubled risk of developing heart disease over a 10-year period. (Data from Kubzansky et al., 2001.)

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Does Stress Cause Illness?

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Stress and Illness (part 9)

Anger management

Individualist cultures

Venting rage

Catharsis (emotional release)

Fails to cleanse rage

Can magnify anger (behavior feedback research)

Backfire potential

Anger management strategies

Wait

Find healthy distraction or support

Distance yourself

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Health and Happiness (part 1)

Coping with stress

Coping: Alleviating stress using emotional, cognitive, or behavioral methods

Problem-focused coping: Attempting to alleviate stress directly—by changing the stressor or the way we interact with that stressor

Emotion-focused coping: Attempting to alleviate stress by avoiding or ignoring a stressor and by attending to emotional needs related to our stress reaction

Health and Happiness (part 2)

Coping with stress

Perceived loss of control

Losing personal control provokes stress hormone output

Rising stress hormone levels related to blood pressure increase and immune response decreases

Learned helplessness

Learned helplessness: When animals and people experience no control over repeated bad events, they often learn helplessness.

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Health and Happiness (part 3)

Coping with stress

External locus of control

Chance or outside forces control fate

Posttraumatic stress symptoms

Internal locus of control

People control their own fate

Free will, willpower, and self-control

Health and Happiness (part 4)

Building self-control

Self-control

Ability to control impulses and delay short-term gratification for longer-term rewards

Predicts good health, higher income, and better school performance

Strengthening self-control: Practice in overcoming unwanted urges

Depleting self-control: Depletion effect

Health and Happiness (part 5)

Explanatory style: Optimism versus pessimism

Optimists

Expect to have more control, to cope better with stressful events, and to enjoy better health

Optimism tends to run in families

Optimistic students

Tend to get better grades

Respond to setbacks with more productive strategies

Health and Happiness (part 6)

Social support

Feeling liked and encouraged by intimate friends and family

Promotes happiness and health

Social isolation

Leads to higher loneliness and risk of death equivalent to smoking

Health and Happiness (part 7)

Research-based findings about the health benefits of social support

Calms and reduces blood pressure and stress hormones

Fosters stronger immune functioning

Provides an opportunity to confide painful feelings

Health and Happiness (part 8)

Reducing stress

Aerobic exercise: Sustained, oxygen-consuming exertion that increases heart and lung fitness

Benefits of exercise

Adds to quality of life (moderate)

Helps fight heart disease and reduce heart attack risk

Predictor of life satisfaction

Reduces depression and anxiety

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Health and Happiness (part 9)

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Health and Happiness (part 10)

Reducing stress

Biofeedback

Recording, amplifying, and feeding back information about subtle physiological responses (many of which are controlled by the autonomic nervous system)

Works best on tension headaches

Relaxation

Helps alleviate headaches, hypertension, anxiety, and insomnia

Lowers stress

Promotes better wound healing

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Health and Happiness (part 11)

Recurrent Heart Attacks and Lifestyle Modification

The San Francisco Recurrent Coronary Prevention Project offered counseling from a cardiologist to survivors of heart attacks. Those who were also guided in modifying their Type A lifestyle suffered fewer repeat heart attacks. (Data from Friedman & Ulmer, 1984.)

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Health and Happiness (part 12)

Reducing stress

Meditation

Reduces suffering

Improves awareness, insight, and compassion

Mindfulness meditation

Relaxation and silent attendance to inner space; monitored breathing

Linked with lessened anxiety and depression, as well as improved sleep, interpersonal relationships, and immune system functioning

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Health and Happiness (part 13)

What happens in the brain as mindfulness is practiced?

Correlational and experimental studies offer three explanations

Mindfulness strengthens connections among regions in our brain

Mindfulness activates brain regions associated with more reflective awareness

Mindfulness calms brain activation in emotional situations

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Health and Happiness (part 14)

Faith communities and health

Faith factor

Religiously active people tend to live longer than inactive people

Women are more religiously active than men and outlive them

One 28-year study followed 5286 Alameda, California, adults (Oman et al., 2002; Strawbridge, 1999; Strawbridge et al., 1997). Controlling for age and education, the researchers found that not smoking, regular exercise, and religious attendance all predicted a lowered risk of death in any given year. Women attending weekly religious services, for example, were only 54 percent as likely to die in a typical study year as were nonattenders.

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Health and Happiness (part 15)

Possible explanations for the correlation between religious involvement and health/longevity.

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Happiness (part 1)

Positive psychology (Seligman)

Feel-good, do-good phenomenon

Subjective well-being

Core features

Good life that engages one’s skills; meaningful life that extends beyond self

Positive traits that focus on exploring and enhancing a wide range of behaviors

Positive groups, communities, and cultures

“Positive psychology,” Seligman and colleagues (2005) have said, “is an umbrella term for the study of positive emotions, positive character traits, and enabling institutions.”

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Happiness (part 2)

What affects well-being?

Emotional ups and downs of days and within-days rebound

Rebounding from worse events takes longer; even tragedy is not permanently depressing

Duration of emotions is overestimated; resiliency is underestimated

Happiness (part 3)

Wealth and well-being

People in rich countries are happier than people in poorer countries

The power to increase happiness is strongest at lower incomes

Once enough money for comfort and security is attained, accruing more money matters less

Economic growth in affluent countries has provided no apparent boost to people’s morale or social well-being

Happiness (part 4)

Happiness is relative: Adaptation and comparison

Happiness is relative to our own experience

Adaptation-level phenomenon

Happiness is relative to the success of others

Relative deprivation

Happiness (part 5)

Researchers Have Found That Happy People Tend to However, Happiness Seems Not Much Related to Other Factors, Such as
Have high self-esteem (in individualist countries). Age.
Be optimistic, outgoing, and agreeable. Gender (women are more often depressed, but also more often joyful).
Have close, positive, and lasting relationships. Physical attractiveness.
Have work and leisure that engage their skills.
Have an active religious faith (especially in more religious cultures).
Sleep well and exercise.

Happiness (part 6)

Which suggestions can you provide for a happier life? What did the text suggest?