chpter 7.ppt

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    Moderators of the Stress

    Experience

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    Outline s

    Introduction.

    Stress & Illness.

    Coping with Stress.

    Social Support.

    Coping Outcomes.

    Management of Stress.

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    Introduction

    Los Angeles earthquake ( Jan. 1994).

    [ The response of 4 different families].

    Stress is moderated by individual andcircumstantial factors.

    Stress Moderators: are the factors that modify;

    1. The way of stress experience, and2. The effects of stress.

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    Stress & Illness

    Stress has effects on at least 4 systems of the body: To the extent that

    stress affects these

    pathways, illness may result.(4) The Neuro-

    peptide

    system

    (3) The pituitary-

    adrenocortical

    system

    (2) The Immunesystem

    (1)The sympathetic-

    adrenomedullary

    system

    STRESS

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    Stress & Illness-cont.

    Factors influencing illness development:

    (1) Initial Vulnerability.

    (2) Health Behavior.

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    Coping with Stress

    People respond very differently to stress.

    Coping is influenced by:

    (1) Primary Appraisal: is the event harmful,threatening, or challenging?

    (2) Secondary Appraisal: what are my copingresources and how adequate are they?.

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    Coping with Stress-cont.

    Coping: is the process of managingdemands that are appraised as taxing or

    exceeding the resources of the person.

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    Coping with Stress-cont.

    Selection of coping efforts is guided by;

    1) Internal Resources:

    [A] personality factors, and[B] preferred coping style.

    2) External Resources:including time, money,social support,etc.

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    (1)Internal Resources

    [A] Personality & Coping:

    Personalities that exacerbate stress & its relation to

    illness:

    (1) Negative Affectivity.

    (2) Pessimistic Explanatory Style.

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    (1)Internal Resources

    [A] Personality & Coping-cont. :

    Personalities that enhance the ability to cope with

    stress effectively:

    (1) Hardiness.

    (2) Optimism.

    (3) Psychological Control

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    (1)Internal Resources

    [B] Preferred Coping Style:

    Consists of predisposition to cope with stressful

    situations in a particular way.

    Coping Styles are more specific than Personality

    Traits.

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    (1)Internal Resources

    [B] Preferred Coping Style-cont. :

    (1) Avoidant Vs. Confrontation Style:

    Neither style is more effective in managing stress.

    Avoidant Style Confrontation Style

    Effective for short-term

    threats, e.g. a visit to the

    dentist.

    Effective for long-term

    threats, e.g. a job stress.

    Mostly in people with ext.

    resources.

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    (1)Internal Resources

    [B] Preferred Coping Style-cont. :

    (2)Disclosure Style:

    Examples of Disclosure:

    (1) Talking with others about the stressful event.

    (2) Writing about the stressful event.

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    (1)Internal Resources

    [B] Preferred Coping Style-cont. :

    In the absence of Disclosure:

    Traumatic EventInhibition of thoughts,

    emotions, behaviors

    Physiological Activity.

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    (1)Internal Resources

    [B] Preferred Coping Style-cont. :

    Disclosure;

    (1) Allows to gain information about the event,

    (2) Elicits +ve reinforcement, and

    (3) Elicits emotional support from others.

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    Coping and External Resources

    1.Time, 4.Children, 7.Standard of living,

    2.Money, 5.Family & Friends,8.Presence of

    +ve life events,

    3.Decent job, 6.Education,9.Absence of

    other life stressors.

    External Resources include:

    Individuals with greater resources cope with stressful events

    better.

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    Social Support

    Definition: information from others that one is

    loved and cared for, esteemed and valued, and

    part of a network of communication & mutual

    obligations from community contacts.

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    Social Support-cont.

    Takes several forms:

    (1) Appraisal Support,

    (2) Tangible Assistance,

    (3) Informational Support,

    (4) Emotional Support.

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    Social Support-cont.

    Effects of Social Support:

    (1) Reduces the Psychological Distress,

    (2) Reduces Physiological & Neuro-endocrineresponses,

    (3) Lowers the likelihood of illness.

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    Coping Outcomes

    Coping efforts center on 5 main tasks;

    (1) Reducing harmful environmental conditions,

    (2) Enhancing the adjustment process,(3) Tolerating & adjusting tove events,

    (4) Maintaining a +ve self-image,

    (5) Maintaining a +ve emotional equilibrium &continuing satisfying relations with others.

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    Coping Outcomes-cont.

    Properties of a successful coping:

    (1) Reducing physiological indicators of arousal,

    (2) Enable the person to return to pre-stressactivities, and

    (3) Free the individual from psychological distress.

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    Management of Stress

    For those who need aid in developing their

    coping skills.

    i.e. for people who suffer from or are at risk for

    illness that are aggravated by stress.

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    Management of Stress-cont.

    Basic techniques of Stress Management:

    (1)Identify sources of stress in life,

    (2)Develop coping skills to deal with stressors,

    (3)Practice employing stress management skills &monitor their effectiveness.