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Stress, Coping, and Health Chapter 13: The Relationship Between Stress and Disease Contagious diseases vs. chronic diseases Biopsychosocial model Health psychology Health promotion and maintenance Discovery of causation, prevention, and treatment Stress: An Everyday Event Major stressors vs. routine hassles Cumulative nature of stress Cognitive appraisals Major Types of Stress Frustration: blocked goal Conflict: incompatible motivations Change: having to adapt Approach-approach Approach-avoidance Avoidance-avoidance Social Readjustment Rating Scale Life Change Units Pressure Perform/conform Overview of the Stress Process Responding to Stress Emotionally Emotional Responses Annoyance, anger, rage Apprehension, anxiety, fear Dejection, sadness, grief Positive emotions Emotional response and performance The inverted-Uhypothesis Responding to Stress Physiologically Physiological Responses Fight-or-flight response Selye’s General Adaptation Syndrome Alarm Resistance Exhaustion Responding to Stress Behaviorally Behavioral Responses Frustration-aggression hypothesis catharsis defense mechanisms Coping Reappraisal Confronting problems Using humor Expressing emotions Managing hostility Effects of Stress: Behavioral and Psychological Impaired task performance Burnout Psychological problems and disorders Positive effects Effects of Stress: Physical Psychosomatic diseases Heart disease Type A behavior - 3 elements strong competitiveness impatience and time urgency anger and hostility Emotional reactions and depression Stress and immune functioning Reduced immune activity Factors Moderating the Impact of Stress Social support Optimism More adaptive coping Pessimistic explanatory style Conscientiousness Increased immune functioning Fostering better health habits Autonomic reactivity Cardiovascular reactivity to stress Health-Impairing Behaviors Smoking Poor nutrition Lack of exercise Alcohol and drug use Risky sexual behavior Transmission, misconceptions, and prevention of AIDS Figure 13.12 The prevalence of smoking in the United States Reactions to Illness Seeking treatment Communication with health care providers Ignoring physical symptoms Barriers to effective communication Following medical advice Noncompliance