PSYC 332 Lecture Notes - Lecture 14: Nuance Communications, Palliative Care, Disordered Eating
30 Jun 2018
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LECTURE 14 – June 28th
Understanding consequences of mental-physical comorbidity
Early-onset emotional disorders
Increase risk of physical disease
Through influence on health risks such as:
oTobacco use
oSedentary life style (depression, schizophrenia)
oUnhealthful dietary patterns
oAbuse of alcohol and drugs
Internalizing psychological disorders impair ability to change health behaviours
There is also a dysregulation of homeostatic processes in: cardiovascular, metabolic,
neuroendocrine, immune, and autonomic nervous systems.
Decrease management of key tasks:
oEngaging in activities that promote health, sustain and build physiologic reserve,
and prevent adverse sequelae (a condition as a result of previous disease)
oAdhering to medical regimens
oWorking with health care providers
Monitoring health care status and adapting to observed changes
Managing the impact of illness on one’s ability to function in key life roles
Especially linked to catastrophizing and fear-avoidance as seen with helplessness,
pessimistic outlook, avoidance, and symptom amplificiation
Depression and anxiety influence outcomes of chronic physical conditions including:
oGlycemic control
oBlood pressure
oCardiovascular disease events
find more resources at oneclass.com
find more resources at oneclass.com
Final Ideas – Health and Healthcare
When confronted with a choice between simple or complex solutions, we tend to favour
the complex.
In the USA, the vast majority of National Institutes of Health are devoted to
technological interventions.
oGenerally, for physical health
oECT – electro convulsive therapy (intractable depression, last resort)
Part of the problem is that we think that behaviour change is easy to achieve. Patient
advice or simple patient education rarely achieves its goal
o80% of lifestyle changes that are recommended by health practitioners are
ignored by patients. (Homeopath/Naturopath/Chinese & Western medicine)
Little attention to the study of cognitive and social outcomes in cancer survivors
Women live longer than men in most developed countries, women experience poorer
self-reported outcomes during the years they are alive.
Areas of ongoing controversy in Canada:
One-tier / two-tier healthcare delivery
oUniversal healthcare doesn’t cover dispensing fees for medication
oPrivate healthcare MRI costs $800-$1200, or you wait upwards of a year
Abortion – pro-life / pro-choice
oThere is now a further restraint (200ft) zone outside the family clinic in View
Royal that offers abortions. This is to prevent protestors.
Drugs & alcohol – legalization of marijuana (October 17th)
Gun control – 21 million guns in Canada
oNuance of indigenous vs. non-indigenous as indigenous individuals are more
likely to be the target of gun violence
Discrimination
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Through influence on health risks such as: tobacco use, sedentary life style (depression, schizophrenia, unhealthful dietary patterns, abuse of alcohol and drugs. Internalizing psychological disorders impair ability to change health behaviours. There is also a dysregulation of homeostatic processes in: cardiovascular, metabolic, neuroendocrine, immune, and autonomic nervous systems. Decrease management of key tasks: engaging in activities that promote health, sustain and build physiologic reserve, and prevent adverse sequelae (a condition as a result of previous disease, adhering to medical regimens, working with health care providers. Monitoring health care status and adapting to observed changes. Managing the impact of illness on one"s ability to function in key life roles. Especially linked to catastrophizing and fear-avoidance as seen with helplessness, pessimistic outlook, avoidance, and symptom amplificiation. Depression and anxiety influence outcomes of chronic physical conditions including: glycemic control, blood pressure, cardiovascular disease events. When confronted with a choice between simple or complex solutions, we tend to favour the complex.
