Presentation on theme: "0 = Never 1 = Almost Never 2 = Sometimes 3 = Fairly Often 4 = Very Often 1. In the last month, how often have you been upset because of something that."— Presentation transcript:
0 = Never 1 = Almost Never 2 = Sometimes 3 = Fairly Often 4 = Very Often 1. In the last month, how often have you been upset because of something that happened unexpectedly? 2. In the last month, how often have you felt that you were unable to control the important things in your life? 3. In the last month, how often have you felt nervous and “stressed”? 4. In the last month, how often have you felt confident about your ability to handle your personal problems? 5. In the last month, how often have you felt that things were going your way?
0 = Never 1 = Almost Never 2 = Sometimes 3 = Fairly Often 4 = Very Often 6. In the last month, how often have you found that you could not cope with all the things that you had to do? 7. In the last month, how often have you been able to control irritations in your life? 8. In the last month, how often have you felt that you were on top of things? 9. In the last month, how often have you been angered because of things that were outside of your control? 10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?
PSS scores are obtained by reversing responses (e.g., 0 = 4, 1 = 3, 2 = 2, 3 = 1 & 4 = 0) to the four positively stated items (items 4, 5, 7, & 8) and then summing across all scale items.
Health Psychology Does health fall within the realm of psychology? Health: “A state of complete physical, mental and social well-being” ▪ Holistic ▪ Includes spiritual Behavior& Lifestyle affect health ▪ Cancer: diet, smoking, sexual behavior, alcohol ▪ Health Psychology: techniques to change behavior/lifestyles that affect health
Some questions Health Psychology asks: Why do some people cope well with illness while others don’t? Why do some people smoke? Why engage in risky sexual behaviors?
Biopsychosocial Model A shift from the biomedical model ▪ No longer just physiological factors Mind (psychology) and body (biology) are central in understanding health ▪ Interplay of physiological, psychological & social factors ▪ Interactionist ▪ Ex. Feelings of anxiety hyperacidity, headache ▪ Can cure headache with meds but the cause of the stress?
Acquired Immunodeficiency Syndrome Destroys body’s immune system HIV Blood Sexual contact Sharing hypodermic needles Blood transfusions
1st case in Phils. 1984 Early cases were ▪ Sexual contact with foreigners ▪ Male homesexuals and foreigners ▪ Sex workers ▪ OCW’s Today Mostly through heterosexual sex ▪ Sex industry ▪ Failure to use condoms (particularly, paid sex) ▪ Increase in casual sex among the youth
Filipino Adolescent: Engaged in premarital sex before age 24 63% of males 30% of females Almost 20% of males of this age... Have paid for sex Only 40% of males who pay for sex use condoms Only 20% of survey respondents have used a condom
Instructions: Answer the following by True or False. 1. There is a right way and a wrong way to have sexual intercourse. 2. It is important for couples to have simultaneous orgasms. 3. Individuals should not have sexual intercourse at any time during pregnancy. 4. Once individuals are sterilized, their interest in sex diminishes. 5. You can tell the size of a man’s penis by the size of his hands and feet. 6. If you contract a sexually transmitted disease and treat it effectively, you can’t get it again. 7. You can tell immediately if you have a sexually transmitted disease. 8. Gonorrhea, syphilis, and AIDS can be contracted from toilet seats. 9. Masturbation can cause mental disorders. 10. Females rarely masturbate. 11. Only homosexual males and intravenous drug abusers are at risk for contracting AIDS. 12. Most sexual dysfunctions are due to physical problems. Most people mark one or more of the above items true. However, experts on human sexuality state that all the above statements are myths (Crooks & Bauer, 1999; Greenberg, Bruess, & Mullen, 1992; as cited in Santrock, 2003).
Stress as stimulus Situations that impose demands Stress as response Feeling or reaction Increased heart rate, worry, anxiety Stress as a process Interaction between a person & the environment Stimulus-response Stress: a consequence of a person’s appraisal process (interpretation of events) ▪ In the eyes of the beholder!
Interactionist model of stress (Lazarus) An individual ▪ Appraises whether an event is stressful (primary appraisal) ▪ Appraises whether he/she can cope with the event (secondary appraisal) Primary appraisal: Is this stressful? Is the stressor... a.Irrelevant? b.Benign and positive? c.Harmful or negative? Secondary appraisal: What can be done? ▪ Do I have the ability/resources to cope with this?
Sources of Stress Catastrophes ▪ Phils. suffers more natural catastrophes than any other country ▪ 19 typhoons/year ▪ PTSD... Nightmares, flashbacks, depression, anxiety
Sources of Stress FOCUS:Violence against women & children (VAWC) ▪ Rape (including marital rape) ▪ Spousal battery ▪ Abuse of female children ▪ Sexual harassment ▪ Forced prostitution ▪ Phils.: ▪ 1 woman or child is raped every 1.4 hrs ▪ 1 child battered every 3 hrs
Sources of Stress Significant Life Changes ▪ Ex. Marriage, death, pregnancy, Christmas Daily hassles ▪ Ex. Traffic, tight schedules, physical appearance ▪ Can result in ▪ OVERLOAD – stimuli so intense, can no longer cope ▪ BURNOUT – mental, physical, emotional exhaustion Hopelessness, chronic fatigue, low energy
Sources of Stress COLLEGE LIFE STRESS INVENTORY ▪ Being raped100 ▪ Death of a close friend97 ▪ Concerns about being pregnant91 ▪ Finals week90 ▪ Failing a class89 ▪ Ending a steady dating relationship85 ▪ Financial difficulties84 ▪ Difficulties with parents73 ▪ Starting a new semester58 ▪ Going on a first date57
Sources of Stress FOCUS: Poverty in the Phils. ▪ Over 30% of all households (12 million people) ▪ Lack of housing ▪ Dangerous neighborhoods Crime & violence ▪ Over 3000 Filipinos leave the country every day in search for livelihood abroad ▪ Many are women Domestic service Prostitution ▪ 5 million children are unable to go to school ▪ Work the streets
Reactions to Stress Biological ▪ Fight or flight response ▪ Inherited from our ancestors. ▪ involves rapid blood circulation, muscular tension, and increased respiration ▪ survive physical threats ▪ Selye’s General Adaptation Syndrome ▪ Alarm stage – body is ready for action (heart rate, breathing increase) ▪ Resistance stage – body tries to cope with stressor, directly confronts (resorts to reserve resources to combat stress) ▪ Exhaustion stage – body’s resources depleted (runs out of adrenaline &sugar; muscles ache form tension and fatigue)
Reactions to Stress Emotional ▪ Apprehension, fear & terror ▪ Annoyance, anger & rage ▪ Aggression ▪ Frustration ▪ Pensiveness, sadness & grief ▪ May feel powerless ▪ Learned helplessness (ex. Women in abusive relationships)
Mediators (coping ability/style) Personality ▪ Locus of control ▪ Hardiness ▪ View threats as challenges ▪ Committed to their involvement ▪ Feel they have control ▪ Resistant to stress ▪ Optimism ▪ Pessimists feel they have no control over their lives ▪ Type A personality ▪ highly anxious, aggressive ▪ The “tagasalo” ▪ One in every family (Carandang) ▪ Takes care of the needs of others; takes charge to relieve the stress
Mediators (coping ability/style) External Support ▪ Material support ▪ Money affords legal, medical, other types of assistance ▪ Social support ▪ Parents ▪ Children ▪ Lovers ▪ Barkada ▪ Relatives ▪ Church group
Coping Problem-focused coping ▪ Trying to solve the problem Emotion-focused coping ▪ Focus is on alleviating emotions ▪ May involve the defense mechanisms ▪ Repression, rationalization, projection, denial etc. Positive thinking ▪ Cognitive restructuring ▪ Self-talk – must monitor what we tell ourselves ▪ Change negative self-talk (ex. “I’ll never love again!) Religion Stress management programs ▪ meditation
Instructions: For each item, answer True or False. _________1. In uncertain times, I usually expect the best. _________2. It’s easy for me to relax. _________3. If something can go wrong for me, it will. _________4. I always look at the bright side of things. _________5. I’m always optimistic about my future. _________6. I enjoy my friends a lot. _________7. It’s important for me to keep busy. _________8. I hardly ever expect things to go my way. _________9. Things never work out the way I want them to. _________10. I don’t get upset too easily. _________11. I’m a believer in the idea that “every cloud has a silver lining.” _________12. I rarely count on good things happening to me. Items 2, 6, 7, and 10 are filler items (or are not assumed to measure optimism). An answer of True to items 1, 4, 5, and 11 and an answer of False to items 3, 8, 9, and 12 reflect an optimistic disposition. Total your score and see how optimistic you are. Highest score is 8.
Culture Shapes the type of stressors we experience May affect how we appraise the stressfulness of the event Affects choice of coping strategy Ex. Premarital sex ▪ Egypt – justification for killing daughter ▪ Sweden – normal part of adolescence ▪ Philippines?
Culture Ex. Coping style ▪ Americans – express grief in private ▪ Philippines – allow public expression of grief ▪ Is this true?
Regular exercise Improves self-concept Reduces anxiety & depression Proper nutrition Those who don’t have breakfast are less alert and more fatigued by late morning Not smoking Begins in early adolescence Common among those who get low grades, feel less competent Sound sexual decision-making