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GT Lecture Six
Coping with Chronic Illness
| Question | Answer |
|---|---|
| If stress is chronic it can be damaging to _________? | health |
| Stress is often conceptualized as "major life events" and put into rank order of....? | 1. Death or spouse, 2. Divorce, 3. Marital separation, 4. Jail term, 5. Death of a relative |
| Read over the Acute Stress Disorder criteria | :) |
| The Transactional Model of Stress suggests that stress is an ongoing process of transaction between the ____ and their ____. And that individuals make appraisals of the ________ (p____ appraisal) and how able they are to cope (s______appraisal) | individual, environment, primary, secondary |
| So what are the two appraisals within the Transactional model? | Primary and Secondary and now look over them and write them out :) |
| What are the thee main ways of coping effort? | Problem-focused, Emotion-focused and Meaning-focused |
| What is Problem-focused? | usually active and approach in nature |
| What is Emotion-focused? | often passive and avoidant in nature |
| What is Meaning-focused? | also passive butt approach --> growth ???? |
| Active Problem -focused efforts are said to be best when....? | personal control is high |
| Look up research paper for Park et al (2001) and write out method, results etc. | :) |
| Fatigue and Depression in RA: __% of patients experience fatigue and they describe it as overwhelming, uncontrollable and ignored by clinic. | 90% suffer from fatigue |
| Investigate the Arthritis Self-management programme and what effects it had on patients after on year? | Had no change on pain and disability but they were doing more exercise and relaxation, had decreased fatigue and were less depressed :) |
| What about individualized CBT as a way of coping? What does this involve? | Relaxation and attention diversion, goal setting and pacing, problem-solving and cognitive restructuring, assertiveness and communication |
| What were the outcomes of individualized CBT? | improved physical functioning and were less depressed after 6 months, had stable anxiety levels. And after 5 years - less(i think) in patient nights, physiotherapy referrals and injections and fewer healthcare resources needed. |
| And what were the outcomes for those that had the standard care? | Depressed mood and anxiety increased. :( |
| Read over "Medication or Therapy?" | :) |
| What do CB therapists do? And the look over it again | Help people become aware of their potentially problematic responses to situations in terms of thought, behaviours and emotions |
| Write out CBT for chronic illnesses | :) |
| Read over the conclusions about therapy | :) |
Created by:
alicemcc33
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