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Summary PSYC 412 Exam 2 Study Guide

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This is a comprehensive and detailed study guide on Exam 2 that covers key topics to concentrate on for Exam 2 in this course (Psyc 412). *For you, at a price that's fair enough!!

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  • September 4, 2024
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Study Guide – Exam 3
**Note: these are broad terms/categories. You will need to know terms/definitions that fall
within each category. If there is a conflict between the lecture notes and the book, defer to the lecture notes.

Chapter 11 and 12
 Prevalence of chronic illness
o 50% of the population has a chronic condition
o Management of chronic illness accounts for ¾ healthcare spending
o More than 1/3 of young adults have at least 1 chronic condition
o Majority of us will have at least 1 chronic illness
 Quality of life
 Self-concept and self-esteem
o Self-concept: stable set of beliefs about one’s personal qualities
o Self-esteem: evaluation of the self-concept; whether you feel good or bad about your personal
attributes
o Changes in self-concept resulting from chronic illness
 Body image: perception and evaluation of one’s physical functioning and appearance
 Poor body image raises the risk of depression and anxiety
 Influences a person’s adherence to treatment and willingness to adopt a
comanagement/active role
 Strategies for coping with chronic illness and what strategies work the best
o Social support/direct problem-solving
o Distancing
o Positive focus
o Cognitive escape/avoidance
o Behavioral escape/avoidance
o Strategies that work: active coping and flexible coping styles
 Beliefs about illness
o Nature of the illness: Patients adopt an inappropriate model for their disorder (acute vs chronic
model)
o Cause of the illness
 Patients blame stress, physical injury, disease-causing bacteria, and God’s will for their
illness
 Self-blame can lead to guilt, self-recrimination, or depression but can be adaptive in
some circumstances (give a sense of context)
 Blaming others is maladaptive
o Belief that you have a sense of control/self-efficacy about illness can result in better adjustment
 Individual differences in life expectancy
o Death in infancy
o Death in childhood
o Death in adolescence/young adulthood
o Death in middle aged adults
o Death in older adulthood
 Kübler-Ross’s five stage theory of grief
 Achieving an appropriate death
 Right to die issues
 Psychological management of terminal illness

Chapter 13
 Coronary Heart Disease (CHD)
o Illnesses caused by narrowing of coronary arteries (otherosclerosis)
o Manifestation of CHD
 Angina: insufficient supply

, 2
 Myocardial infarction: clot
 Ischemia: lack of blood flow
 Arrhythmia: irregular heartbeat
o Risk factors
 High cholesterol
 High blood pressure
 Lack of syndrome
 Elevated levels of inflammation
 Diabetes
 Cigarette smoking
 Obesity
o Metabolic syndrome
 Increases risk for heart attack
 Diagnosed when a person has:
o Obesity centered around the waist
o High blood pressure
o Low levels of HDL
o Difficulty metabolizing blood sugar
o High levels of triglycerides
o Biological reactivity to stress
 Plays role in the development of CHD
 Cumulative effects lead to damage of the endothelial cells
 Reflected in a prolonged recovery period
o Stress and CHD
 Chronic and acute stress in linked to CHD and adverse clinical events
 Interacts with genetic factors to increase likelihood of CHD
 associated with increased inflammatory activity
o Personality and CHD
 Negative emotions increase risk for metabolic syndrome and CHD
 Cynical hostility: suspiciousness, resentment, frequent anger, antagonism, distrust of
others
 Hostility can occur from:
 Insecure and negative feelings, bad family environment, bad child rearing
problems, genetic factors
o Depression and CHD
 Well-established-depression affects the development, progression, and mentality from
CHD
 Linked to risk factors for:
 Coronary heart disease
 Metabolic syndrome
 Inflammation and likelihood of a heart attack
 Heart failure among the elderly and mortality after coronary artery bypass graft
surgery
 Other psychosocial factors
 Vigilant coping
 Anxiety
 Vital exhaustion
 Hostility
 Social isolation
o Management of CHD
 Role of delay: one of the reasons for high rates of mortality and disability following heart
attacks
 Initial treatment
 Coronary artery bypass graft (CABG) surgery to treat blockage of major arteries

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