Introduction to Psychology
Download
Report
Transcript Introduction to Psychology
Health Psychology
What Do Health
Psychologists Do?
Teachers, research scientists, clinicians
Applied health psychologists: licensed
practitioners who focus on health-promoting
interventions and helping people cope with
illnesses
Goals in Health Psych
• Pinpoint Psychological, Behavioral, and Social
Factors in Disease and Health
• Promote and Maintain Health
• Prevent and Treat Illness
• Improve the Health Care System and Health
Care Policy
Where Do Health
Psychologists Work?
Training to become a
Health Psychologist
General psychology training at the
undergraduate level
Special training at the doctoral (Ph.D.) level
Four- to six-year program
65 Ph.D. programs in health psychology in the
United States
Issues
Issues and historical trends that have
shaped the development of Health
Psychology
I. Increased Life
Expectancy
Average life expectancy —
Increased by more than 30 years since 1900
In the U.S. in 21st century
• Women: around 80
• Men: around 75
• Why is this increase important?
II. Changes over the last 100
years
The 10 Leading Causes of
Death in The U.S. in
1900
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Pneumonia
Tuberculosis
Diarrhea and enteritis
Heart disease
Stroke
Liver disease
Injuries
Cancer
Senility
Diphtheria
Source: Centers for Disease Control and Prevention
Leading causes of death
(today)
1.
2.
3.
4.
Heart disease
Cancer
Stroke
Lung disease
(COPD)
5. Accidents
6. Diabetes
These top six account for
80% of deaths
They are mostly lifestyle
diseases with preventable
causes
They are mostly chronic
disorders (rather than acute
disorders)
Source: U.S. National Center for Health Statistics
Behavior and health
Actual Causes of Death in the U.S.
1.
Tobacco
2.
Diet /activity patterns
3.
Alcohol
4.
Microbial agents
5.
Toxic agents
6.
Firearms
7.
Sexual behavior
8.
Motor vehicles
9.
Illicit use of drugs
Source: Journal of the American Medical Association
III.
Rising Health Care Costs
IV.
Trends in how illness has been viewed
Western view (traditional)
Biomedical model — illness is caused by
physical phenomena (e.g., germs, cell
abnormalities) -- reductionistic
Biopsychosocial
Perspective
The view that health is determined by the
interaction of biological mechanisms,
psychological processes, and social influences
Biological mechanisms: genes, evolutionary history,
anatomical/biological makeup, nutrition
Psychological processes: coping mechanisms, attitudes
toward treatment, personality/outlook on life
Social context: SES, social network, societal and cultural
norms (e.g., pervasive consumption of soda)
A Biopsychosocial Model
of Depression
The Biopsychosocial Model
in practice
Somatic presentations of psychological
dysfunction
Chest pain in panic attack
Hypochondriasis
Psychological conditions secondary to
illness
Post M.I. Depression
Psychological sequelae of stroke
Stress disorders associated with traumatic injuries
The Biopsychosocial Model
in practice
Physical symptoms responsive to
behavioral interventions
anticipatory nausea
enuresis
tension & migraine headache
early labor (clip from “The New Medicine”)
The Biopsychosocial Model
in practice
Psychological presentations of organic
problems
hypothyroidism presenting as depression
steroid-induced psychosis
Somatic complications associated with
behavioral factors
mismanagement of diabetes
noncompliance to medications
The Biopsychosocial Model
in practice
Behavioral risk factors for disease or
disability
smoking
excessive weight
risk taking
sedentary lifestyle
Problems of health care providers and
health care systems
Physician-patient relationships
Lack of access to health care
The Biopsychosocial Model
in practice (case studies)
Small group exercise – using the BPS
(then discuss assessment targets using
the BPS – next slide)
Biological Review
current status of illness / background of
illness (usually found in the medical
history chart)
medications
pain
family history
lifestyle habits (e.g., nutrition and
exercise)
Psychological Review
Affective/emotional
Cognitive (e.g., thinking, beliefs, memory,
attention, learning, interpreting, problemsolving)
Motivation
Social Review
Patient’s interaction with health care staff
Family / friends support
Socioeconomic status (SES)
Environment to which patient will return
(job?)
Cultural factors