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【正文】 Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 9: Physical Disorders and Health Psychology ? Psychological and Behavioral Risk Factors for CHD ? Stress, anxiety, anger ? Poor coping skills, low social support ? Type A Behavior Pattern ? Anger and negative affect ? Impatience, accelerated speech and motor activity ? Psychological, Behavioral, and Social Factors Influence CHD Cardiovascular Diseases: Coronary Heart Disease (CHD) Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 9: Physical Disorders and Health Psychology Pain: Psychological and Social Influences ? Acute vs. Chronic Pain ? Acute – Disappears within 1 month ? Chronic – Does not decrease over time ? Severity of pain does not predict one’s reaction to it ? Some Clinical Distinctions ? Pain vs. pain behaviors ? Psychological and Social Factors in Chronic Pain ? Perceived control over pain and its consequences ? Negative emotion, poor coping skills ? Low social support, pensation ? Social reinforcement for pain behaviors ? Gate Control Theory ? Endogenous Opioids ? Gender Differences Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 9: Physical Disorders and Health Psychology Chronic Fatigue Syndrome: Psychological, Behavioral, and Social Influences ? Nature of Chronic Fatigue (CF) ? Lack of energy, marked fatigue, pain, and lowgrade fever ? Most mon in females ? Incidence increasing in Western countries ? Unrelated with viral infection, immune problems, depression ? Speculation About Causes ? CF seems related to a highachievement oriented lifestyle ? Fast paced lifestyle bines with stress and illness ? Psychological misinterpretation of after effects of illness ? Treatment ? Medications are ineffective ? Cognitivebehavioral interventions appear promising Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 9: Physical Disorders and Health Psychology Psychological Treatment of Physical Disorders ? Biofeedback: An Overview ? Patient learns to control bodily responses ? Used with chronic headache and hypertension ? Overview of Relaxation and Stress Management Procedures ? Progressive muscle relaxation ? Autogenic relaxation training ? Transcendental meditation (TM) ? Comprehensive Stress
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