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Health, Stress, and Coping
                          Reporters:
                      Paul Symon Alonzo
                     Joseph Hector Galang
                        Geanne Flores

                        February 26, 2013

 Main Reference: General Psychology for Filipino College Students
      Edited by Lota A. Teh and Ma. Elizabeth J. Macapagal
Overview:


Health and Psychology
  Health Psychology
  Biopsychosocial model of health
  Focus: AIDS in the Philippines
Stress and stressors.
  General Adaptation Syndrome
Coping with Stress
Health psychology
Health


As defined by the World Health Organization
(WHO), is “the state of complete
physical, mental, and social well-being.”
Health Psychology


The branch of psychology concerned with individual’s
behaviors and lifestyles affecting a person’s health
and illness.
Uses psychological processes to help improve the
physical outcomes of individuals.
In general, health psychology is concerned with the
role of cognitive, affective, behavior, and social
factors affecting health illness.
The shift to Biopsychosocial model of
                Health


   Central to linking the mind (realm of psychology) and
   the body (realm of biology) in understanding illness.
Focus: AIDS in the Philippines

                             Source: Philippine National AIDS Council
                       http://www.pnac.org.ph/uploads/documents/public
As of December 2012:          ations/NEC_HIV_Dec-AIDSreg2012.pdf
Focus: AIDS in the Philippines


Social factors:
  Thriving commercial sex industry
  Failure to use condoms especially in paid sex.
     Sexual cultural norms
     “Embarrassment, from a social psychological perspective
     (e.g., Dahl, Gorn& Weinberg, 1998), can occur when a situation
     poses a dilemma between a publicly observable behavior
     (e.g., buying condoms at a drugstore) and apprehension
     about negative social evaluation by
     others (e.g., disapproving judgments by others, like people in l
     ine at the counter or even imaginedothers not physically
     present like one’s parents). ”(Manalastas, 2009)
Focus: AIDS in the Philippines


 Increase in casual sex among the youth.
Methamphetamine use was strongly
associated with behavioral risk factors for HIV
infection. (US Center for Disease Control)
Stress and
Stressors
Stress

   Term used to describe the
    physical, emotional, cognitive, and
    behavioral responses to events that
    are appraised as threatening or
    challenging.
Stressors

 Stress-causing events
 May come from within a person or
  from an external source, and ranges
  from mild to severe.
Kinds of stressors

 Distress
 Eustress
External events that can cause
stress
   Catastrophes
       Acute Stress Disorder and Post-
        Traumatic Stress Disorder
 Major Life Changes
 Hassles
Measuring Stress
   Social Readjustment Rating Scale (SRRS)
Measuring Stress
   College Undergraduate Stress Scale
Psychological Factors

 Pressure
 Uncontrollability

 Frustration

 Conflict
Pressure

   Happens when…
       There are urgent demands for a
        person’s behavior coming from an
        outside source.
Uncontrollabillity

   Depends on the degree pf control a
    person has over a situation
       The lesser the control, the greater the
        stress.
Frustration

   Occurs when people are blocked or
    prevented from achieving a desired
    goal or fulfilling a perceived need.
     External Frustration
     Internal/Personal Frustration
Frustration

   Responses to frustration
       Persistence
         • Continuation of efforts to get around
           whatever is causing the frustration.
       Aggression
         • Actions meant to harm or destroy
            • Displaced aggression
Frustration

   Occurs when people are blocked or
    prevented from achieving a desired
    goal or fulfilling a perceived need.
     External Frustration
     Internal/Personal Frustration
Conflict

   Approach-Approach Conflict
       Involves choosing between two
        desirable goals. Also a “win-win”
        situation.
   Avoidance-Avoidance Conflict
       Involves choosing between two or
        more unpleasant goals.
Conflict

   Approach-Avoidance Conflict
       Involves only one goal or event, which
        may have both positive and negative
        aspects
   Multiple Approach-Avoidance Conflict
       Involves multiple goals that have both
        positive and negative elements.
General Adaptation Syndrome
What is the General Adaptation
          Syndrome?


The General Adaptation Syndrome (or GAS) describes
the body's short and long-term emotional and
physical effects of stress.
GAS: A Brief History


Introduced by Hans Selye in 1936. Hans Selye is
considered as the founding father of stress research.
He conducted a research involving rats in which he
injected various extracts from the glands of the body.
The rats exhibited the same symptoms.
He believed at first that he discovered a new
hormone.
GAS: A Brief History


However, after further tests using other substances
and methods such as injecting formaldehyde, cutting
the rats’ spinal cord, exposure to cold and forced
exercise, the results were still the same.
The predictable sequence he observed on the rats is
now what we call the General Adaptation Syndrome.
Three Stage
Reaction
• Alarm phase
• Stage of resistance
• Exhaustion stage.
The alarm phase of the general
    adaptation syndrome


In the alarm phase you enter a heightened
psychological and physiological arousal, known as the
fight or flight response.
Stress hormones are released into the bloodstream.
Adrenaline increases muscle tension, heart rate, and
causes a number of other physical effects of stress.
You are now immediately equipped with enough
energy to handle it.
You are more focused and alert!
The resistance phase of the general
       adaptation syndrome


  The mind and the body attempt to adapt to the cause
  of stress.
  Also known as the adaptation phase.
  Homeostasis begins restoring balance and a period of
  recovery for repair and renewal takes place.
  Body remains alert (at a lower level) but continues
  the normal functions.
  Stress hormone levels may return to normal but you
  may have reduced defenses and adaptive energy left.
The exhaustion phase of the general
       adaptation syndrome


  Exhaustion sets in.
  Stress has generally occurred for some time and at
  this point, resistance can drop off and the activity
  returns to the point before the emergency.
  Characterized by issues such as burnout and
  exhaustion.
  Body’s immune system that fights off disease and
  infection is weakened.
The exhaustion phase of the general
       adaptation syndrome


  Chronic stress can damage nerve cells in tissues and
  organs. Particularly vulnerable is the hippocampus
  section of the brain. Thinking and memory are likely
  to become impaired, with tendency toward anxiety
  and depression.
Coping
Coping

    “The process of managing external
and/or internal demands that are
appraised as taxing or exceeding the
resources of the person.” By Lazarus and Folkman (1984)
Basically…




 Coping is anything we
do to deal with stress!
Coping is divided into two basic types:



• Problem-focused Coping

• Emotion-focused Coping
Problem-Focused Coping

Problem-Focused strategies includes:
   Defining the problem.
   Generating the alternative solutions.
   Weighing those solutions.
   Implementing the selected alternative.
Emotion-Focused Coping

     - Means concentrating on alleviating
the emotions associated with the stressful
situatione.
     - Especially when the situation is
beyond one’s control.
This involves cognitive
strategies, some behavioral strategies to
cope with negative feelings are exercise, use
of alcohol, drugs, releasing anger and
seeking emotional support from
friends.(Atkinson et al., 1996)
Defense Mechanism
1.   Repression
2.   Rationalization
3.   Projection
4.   Intelectualization
5.   Denial
6.   Displacement
Positive Thinking
Religion
Stress Management Programs
Culture related to Stress and coping

     What people find stressful and how they
respond to stress is partly patterned by culture
(Western,1996)

      1. Cultural context shapes the types of
stressors we experience.
      2. Culture may affect how we appraise the
stressfulness of a given event.
      3. Culture affects our individual choice of
coping strategy.
      4. Culture provide different institutional
mechanisms for coping with stress.

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Health, stress, and coping

  • 1. Health, Stress, and Coping Reporters: Paul Symon Alonzo Joseph Hector Galang Geanne Flores February 26, 2013 Main Reference: General Psychology for Filipino College Students Edited by Lota A. Teh and Ma. Elizabeth J. Macapagal
  • 2. Overview: Health and Psychology Health Psychology Biopsychosocial model of health Focus: AIDS in the Philippines Stress and stressors. General Adaptation Syndrome Coping with Stress
  • 4. Health As defined by the World Health Organization (WHO), is “the state of complete physical, mental, and social well-being.”
  • 5. Health Psychology The branch of psychology concerned with individual’s behaviors and lifestyles affecting a person’s health and illness. Uses psychological processes to help improve the physical outcomes of individuals. In general, health psychology is concerned with the role of cognitive, affective, behavior, and social factors affecting health illness.
  • 6. The shift to Biopsychosocial model of Health Central to linking the mind (realm of psychology) and the body (realm of biology) in understanding illness.
  • 7. Focus: AIDS in the Philippines Source: Philippine National AIDS Council http://www.pnac.org.ph/uploads/documents/public As of December 2012: ations/NEC_HIV_Dec-AIDSreg2012.pdf
  • 8. Focus: AIDS in the Philippines Social factors: Thriving commercial sex industry Failure to use condoms especially in paid sex. Sexual cultural norms “Embarrassment, from a social psychological perspective (e.g., Dahl, Gorn& Weinberg, 1998), can occur when a situation poses a dilemma between a publicly observable behavior (e.g., buying condoms at a drugstore) and apprehension about negative social evaluation by others (e.g., disapproving judgments by others, like people in l ine at the counter or even imaginedothers not physically present like one’s parents). ”(Manalastas, 2009)
  • 9. Focus: AIDS in the Philippines Increase in casual sex among the youth. Methamphetamine use was strongly associated with behavioral risk factors for HIV infection. (US Center for Disease Control)
  • 11. Stress  Term used to describe the physical, emotional, cognitive, and behavioral responses to events that are appraised as threatening or challenging.
  • 12. Stressors  Stress-causing events  May come from within a person or from an external source, and ranges from mild to severe.
  • 13. Kinds of stressors  Distress  Eustress
  • 14. External events that can cause stress  Catastrophes  Acute Stress Disorder and Post- Traumatic Stress Disorder  Major Life Changes  Hassles
  • 15. Measuring Stress  Social Readjustment Rating Scale (SRRS)
  • 16.
  • 17.
  • 18. Measuring Stress  College Undergraduate Stress Scale
  • 19.
  • 20.
  • 21.
  • 22. Psychological Factors  Pressure  Uncontrollability  Frustration  Conflict
  • 23. Pressure  Happens when…  There are urgent demands for a person’s behavior coming from an outside source.
  • 24. Uncontrollabillity  Depends on the degree pf control a person has over a situation  The lesser the control, the greater the stress.
  • 25. Frustration  Occurs when people are blocked or prevented from achieving a desired goal or fulfilling a perceived need.  External Frustration  Internal/Personal Frustration
  • 26. Frustration  Responses to frustration  Persistence • Continuation of efforts to get around whatever is causing the frustration.  Aggression • Actions meant to harm or destroy • Displaced aggression
  • 27. Frustration  Occurs when people are blocked or prevented from achieving a desired goal or fulfilling a perceived need.  External Frustration  Internal/Personal Frustration
  • 28. Conflict  Approach-Approach Conflict  Involves choosing between two desirable goals. Also a “win-win” situation.  Avoidance-Avoidance Conflict  Involves choosing between two or more unpleasant goals.
  • 29. Conflict  Approach-Avoidance Conflict  Involves only one goal or event, which may have both positive and negative aspects  Multiple Approach-Avoidance Conflict  Involves multiple goals that have both positive and negative elements.
  • 31. What is the General Adaptation Syndrome? The General Adaptation Syndrome (or GAS) describes the body's short and long-term emotional and physical effects of stress.
  • 32. GAS: A Brief History Introduced by Hans Selye in 1936. Hans Selye is considered as the founding father of stress research. He conducted a research involving rats in which he injected various extracts from the glands of the body. The rats exhibited the same symptoms. He believed at first that he discovered a new hormone.
  • 33. GAS: A Brief History However, after further tests using other substances and methods such as injecting formaldehyde, cutting the rats’ spinal cord, exposure to cold and forced exercise, the results were still the same. The predictable sequence he observed on the rats is now what we call the General Adaptation Syndrome.
  • 34. Three Stage Reaction • Alarm phase • Stage of resistance • Exhaustion stage.
  • 35. The alarm phase of the general adaptation syndrome In the alarm phase you enter a heightened psychological and physiological arousal, known as the fight or flight response. Stress hormones are released into the bloodstream. Adrenaline increases muscle tension, heart rate, and causes a number of other physical effects of stress. You are now immediately equipped with enough energy to handle it. You are more focused and alert!
  • 36. The resistance phase of the general adaptation syndrome The mind and the body attempt to adapt to the cause of stress. Also known as the adaptation phase. Homeostasis begins restoring balance and a period of recovery for repair and renewal takes place. Body remains alert (at a lower level) but continues the normal functions. Stress hormone levels may return to normal but you may have reduced defenses and adaptive energy left.
  • 37. The exhaustion phase of the general adaptation syndrome Exhaustion sets in. Stress has generally occurred for some time and at this point, resistance can drop off and the activity returns to the point before the emergency. Characterized by issues such as burnout and exhaustion. Body’s immune system that fights off disease and infection is weakened.
  • 38. The exhaustion phase of the general adaptation syndrome Chronic stress can damage nerve cells in tissues and organs. Particularly vulnerable is the hippocampus section of the brain. Thinking and memory are likely to become impaired, with tendency toward anxiety and depression.
  • 40. Coping “The process of managing external and/or internal demands that are appraised as taxing or exceeding the resources of the person.” By Lazarus and Folkman (1984)
  • 41. Basically… Coping is anything we do to deal with stress!
  • 42. Coping is divided into two basic types: • Problem-focused Coping • Emotion-focused Coping
  • 43. Problem-Focused Coping Problem-Focused strategies includes: Defining the problem. Generating the alternative solutions. Weighing those solutions. Implementing the selected alternative.
  • 44. Emotion-Focused Coping - Means concentrating on alleviating the emotions associated with the stressful situatione. - Especially when the situation is beyond one’s control.
  • 45. This involves cognitive strategies, some behavioral strategies to cope with negative feelings are exercise, use of alcohol, drugs, releasing anger and seeking emotional support from friends.(Atkinson et al., 1996)
  • 46. Defense Mechanism 1. Repression 2. Rationalization 3. Projection 4. Intelectualization 5. Denial 6. Displacement
  • 50. Culture related to Stress and coping What people find stressful and how they respond to stress is partly patterned by culture (Western,1996) 1. Cultural context shapes the types of stressors we experience. 2. Culture may affect how we appraise the stressfulness of a given event. 3. Culture affects our individual choice of coping strategy. 4. Culture provide different institutional mechanisms for coping with stress.

Notas do Editor

  1. Ages ranged from 2 to 81 years old (median 28 years). The 20-29 year old age group had the most (58%) number of cases for 2012.
  2. FILIPINO MEN’S EFFICACYBELIEFS ABOUTACQUIRING CONDOMS http://www.academia.edu/229740/Filipino_mens_efficacy_beliefs_about_acquiring_condomsEric Julian Manalastas
  3. HIV/AIDS among Asians and Pacific Islandershttp://www.cdc.gov/hiv/resources/factsheets/api.htmmethamphetamine use was strongly associated with behavioral risk factors for HIV infection, including infrequent condom use, commercial sex activity, and low rates of HIV testing
  4. http://www.stress-management-for-peak-performance.com/general-adaptation-syndrome.html
  5. http://www.essenceofstressrelief.com/general-adaptation-syndrome.htmlhttp://alevelpsychology.co.uk/as-psychology-aqa-a/biological-psychology/stress/the-general-adaptation-syndrome.html
  6. http://www.stress-management-for-peak-performance.com/general-adaptation-syndrome.html
  7. http://www.stress-management-for-peak-performance.com/general-adaptation-syndrome.htmlhttp://www.essenceofstressrelief.com/general-adaptation-syndrome.html
  8. http://www.essenceofstressrelief.com/general-adaptation-syndrome.html
  9. http://www.stress-management-for-peak-performance.com/general-adaptation-syndrome.html
  10. http://www.essenceofstressrelief.com/general-adaptation-syndrome.html