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Health and Medical Psychology college notes 2023

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Lecture notes from the Department of Health and Medical Psychology. These are notes from the most recent lectures (2023).

Last document update: 1 year ago

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  • January 11, 2023
  • April 25, 2023
  • 46
  • 2022/2023
  • Class notes
  • Coördinatoren: l.m van vliet, l van gestel
  • All classes

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By: koornmarieke • 1 year ago

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Health and Medical Psychology Hoorcolleges

College 1 – Explaining Health Behavior

What is health psychology?
- Give advice about coping and changing behavior
- Health care
- Primary prevention, policy and training
- For example, Lifestyle advice & prevent obese
- Research
- Body and mind interaction
- Health promotion
- Self-management

Perceptions of health (Blaxter, 1990)
- Health as function = you are able to do what you want to do
- Global aspects: health is personal (you choose for yourself what is important for your
own health), and health has many dimensions (physic and mental)

Definition World Health Organization:
- “Health is a state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity”

Biomedical model
- Underlying pathology, neural or biochemical activity
- For example, Poor immune system

Predictors health and illness:
- Your health behavior
- Stress
- Social environment

Biopsychosocial model
- Interaction!
- Overlap: Health
- Body and mind interaction

,Prevention
- Primary prevention: focus on healthy people who do not yet have health complaints
 Promote a healthy lifestyle, for example: Quit smoking, stimulate healthy food and
sports
- Secondary prevention: focus on early, reversible symptoms or people who are at
high risk for a certain illness  screening, (healthy) people
- Tertiary prevention: prevention of worsening of the symptoms, this prevention is
about ill people




Cohort studies
- Framingham heart study: 5000 participants, people gave information about their
health every 2 – 6 years  results: high blood pressure and unhealthy eating
patterns & health are related to health problems and hart problems
- Alameda study: there are 7 factors for longlivity: exercising, drinking less than 5
drinks in 1 sitting, sleep 7-8 hours at night, no smoking, a normal weight, avoid snacks
and eat breakfast

Types of health behaviors
- Health risk behaviors = behavior pathogens: drinking, smoking, sex without
protection
- Health protective behaviors = behavioral immunogens: good nutrition, enough
sunlight, activity, vaccinations etc.

Why encourage a healthy lifestyle?
1. Health and health behavior is related to life expectancy, morbidity and mortality
2. Socio-demographical differences: low SES live shorter than high SES (on average 6
years). Some interventions do not work for low SES people  the differences
become greater
3. The prevalence of risk behaviors: many people drink too much alcohol; a lot of
people smoke  there is enough to be done!
4. Health behavior is not always an informed choice  our behavior is influenced by
our environment (for example: When your parents smoke, you are more likely to
smoke too when you are older)  changing environments may change health
behaviors

Reduction in mortality due to vaccinations, better nutrition and antibiotics
Main causes of death in USA
- First infections, now hearth disease and cancer
- This is related to lifestyle!

,Adverse effects
- Interventions may generate inequalities and make the gap bigger between low and
high SES
- Hardening: don’t trust the government about the health advice they give
- Stigmatizing: we don’t want people with unhealthy lungs or obese to be stigmatized

Getting motivated (HBM, SCT, ToPB)
- You need to be informed about the consequences of a certain behavior
- It is related to how important something is to you
- Are you able to do it?

Health belief model
- Central: perceived threat, based on the perceptions of the perceived susceptibility
(am I likely to get it?) and severity (of a negative outcome, how bad is it?)
- Behavior evaluation: what will happen if you do something, what are the benefits of
performing the behavior?
- General health motivation: how important do you find your health in general?
- All these factors influence the action




Social cognitive theory – self-efficacy!
- Learning theory
- Outcome expectations: for example, reduce stress, feel better
- Most important in this model: self-efficacy = am I able and motivated to perform the
behavior at a level of the desired outcome? (one of the most predictive things of
health behavior), our own confidence in our own behavior
- 4 underlying aspects of self-efficacy expectation: 1. mastery experiences (= what did
you do in the past? (Previous success gives motivation) 2. Vicarious experiences (=
feel that you are able to perform a certain behavior if you see that other people in
your environment are also capable of it) 3. Verbal persuasion (= other people (or
yourself) can convince that you can do it) 4. Emotional arousal (= how you feel about
a certain behavior, can be a source of self-efficacy)

, Theory of planned behavior / theory of reasoned action / reasoned action approach
- In the picture reasoned action approach
- Behavior is the product of our intentions, our intentions are predicted by our
attitudes (overall evaluation), instrumental (= positive and negative consequences)
and experiential attitudes (= how you think you will experience the outcome)
- Perceived norms = beliefs, influences of the social environment, what do other
people expect me to do?
- Injunctive norms (= what other people think we have to do, for example: ‘you should
get vaccinated’) and descriptive norms (= description of what other people around
you are doing, who are important to you  the influence is stronger when you
identify more with this people)
- Related to self-efficacy  what are my abilities? Do I have control over the behavior?
Can I make a change?
- Intentions (BUT: good intentions are not per se a good predictor of health behavior!)




Self-determination theory
- Focusses on the source of motivation
- Attitudes, norms, deals with the level of motivation
- Does not deal with the content of the motivation
- 3 basic needs: feel connected, feel confident, feel autonomous – related to
motivation
- More intrinsic motivation: people are more likely to stick with their behavior

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