Summary: Health And Medical Psychology
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1 Week 1, explaining health behavior
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1.1 The Essence of health and medical psychology
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Where do health psychologist work?
Health care:
•Primary health care (adults, children)
•Private practice
•Organizational health/burn-out prevention
•Secondary health care:- Mental health organizations
-Pain clinics and rehabilitation centers •Medical
psychology department hospital:
•Pain management
•Oncology and hematology
•Endocrinology
•Cardiology etc. -
1.1.1 What is health and medical psychology?
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What is Lay perceptions of health (Blaxter, 1990)?
what do people think as health:
-Health as not ill: no symptoms, no visits to doctor
-Health as reserve/resources: strong family, recover quickly
-Health as behavior: look after myself
-Health as physical fitness and vitality: energetic
-Health as psychological well-being: in harmony, balance, proud, enjoyment
-Health as function: to do what I want/have to do -
What is the WHO definition of health (1948)?
“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”
not had been amended since 1948, criticism is that we might never feel complete health. -
What also predicts health (next to biomedical model)?
• Health behaviors (physical activity, nutrition, sleep, etc.)
• Stress/emotions
• Social relations (support, conflict) -
What are the three forms of prevention?
Primary prevention :prevention of problem, illness or casualty
•Target group = healthy peopleSecondary prevention :
tracing illness in an early phase, for early treatment or forprevention of more seriouscomplaints
•Target group = (healthy) people with an increased risk for diseaseTertiary prevention :prevention ofcomplications and worsening of symptoms through optimal care (includingself-regulation interventions )
•Target group = ill people -
1.1.2 what is healthy living?
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What does matarazzo (1984) distincts as behaviors?
Behavioral pathogens (health risk behaviors): smoking, alcohol and drug abuse, sharing needles, multiple sex partners, unsafe seks, drink driving, no ear protection, etc.
Behavioral immunogens (health protective behaviors): physical activity, healthy nutrition (e.g., low in fat, sugar and salt, vegetables and fruit), sun protection, bicycle helmet, vaccinations, medication, etc. -
1.1.3 why encourage a healthy lifestyle?
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Why influence health behavior?
1: Health behavior is related to morbidity and mortality.
2: socio-demographical differences in health behavior increase socio-economic differences.
3: The prevalence of risk behaviors is high.
4: health behavior is not always an informed choice. -
What are the adverse affect of influencing
• Intervention generated inequalities: make sure that its equally available.
• Hardening: don't trust them and I wont follow their rules --> think about covid
• Stigmatizing: we want to impower people, don't want to say to blame. -
1.2 How can we explain/understand health behavior?
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What is the Health Belief Model (Becker, 1974)?
Zie model -
What is the Social Cognitive Theory (Bandura, 1977, 1989)?
Zie model
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