1. Chapter 12:
Stress, Coping & Health

2. Basics
Biopsychosocial Model – all tied together – mental health does not exist alone – how is environment ? How is physical health ?
Historically – contagious dz – less important today
Chronic dz – issue for today – heart (CAD), DM
Health psychology – advise, ed, counsel

3. Stress Cumulative Types
1. frustration 2. conflict change 4. pressure
Frustration – not getting what you want
Conflict – classic area of study > Lewin, Miller
-clash between 2 or more incompatible desires, beh

4. Stress Conflict 3 varieties
Approach-approach > want both, need choose
Avoidance-avoidance > must choose, do not want either
Approach-avoidance > want something, but it has negative consequences

5. Stress Change – issue is readjustment
Pressure – disturbance because of expectations, demands – most comes from individuals themselves
Any of these stress types can be self-generated
Where are the answers, then ??

6. Stress & Bodily Reactions
Selye – 1930s – found that body reacts to various kinds of stress in non-specific ways – all stressors act on us in the same way
> heart & BP incr
> feeling nervous
General adaptation syndrome (GAS) – alarm > resistance > exhaustion
GAS ~ flight-or-fight

7. Stress & Bodily Reactions
Brain
1. hypothalamus activates sympathetic NS (ANS)
> tells adrenal glands to send catecholamines (hormone) to get ready for flight/fight
2. hypothalamus > pituitary gland > pit produces ACTH > tells adrenals to produce corticosteroids (anti-inflammatory)

8. Stress & Bodily Reactions
Stress, depression – inhibit neurogenesis
Stress – anx and/or depression > inflammation > CAD, RA, DM, cancer
Immune system

9. Stress: What Helps 1. social support 2. optimism – naturally positive
Stress > helps us grow, be resilient