Hoorcollege aantekeningen Health and Medical Psychology 2023
An Introduction to Health Psychology (Morrison V. & Bennet P.)
Summary Chapter 13 Health Psychology, for Theme 9
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Universiteit Leiden (UL)
Psychologie
Health and Medical Psychology (6463PS003Y)
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Health & Medical Psychology HC 1
Always important to ask the client what they nd wat health is to them.
WHO (World Health Organization) de nition of health; health is a state of
complete physical, mental and social well-being and not merely the absence
of disease or in rmity
Di erent models
1. Biomedical model; you could only become ill if some some sort of
bodily process is a ected
- exposure to contagious “agents” (like bacteria)
- insu cient immune response
> what else predicts health and illness?
- Health behaviors (physical activity etc.)
- Stress/emotions
- Social relations
2. Biopsychological model;
3 circles:
1. Social context; social supports, education, cultural traditions etc.
2. Biology; gender, physical illness, disability, stress reactivity etc.
3. Psychology; learning/memory, personality, past trauma, emotions etc.
Prevention
1. Primary prevention; prevent illness (before early symptoms).
> target group= healthy people
2. Secondary prevention; to stop early symptoms (reversible) going to later
symptoms (irreversible) > screening, early treatment;
> target group= (healthy) people with an increased risk for disease
3. Tertiary prevention; stop later symptoms going to illness > revalidation
> target group= ill people
Cohort studies; Alameda 7 - seven health factors for longevity
Types of health behaviors (Matarazzo, 1984)
1. Behavioral pathogens (health risk behaviors); smoking, alcohol and drug
abuse, multiple sex partners etc.
2. Behavioral immunogens (health protective behaviors); physical activity,
health nutrition, sun protection etc.
ff ffi fi ff fi fi
, With an health intervention adverse e ects may occur;
- Intervention generated inequalities (increase inequalities between low SES
and high SES)
- Hardening (people don’t trust the government; intervering a lot with own
life)
- stigmatizing (people who have smoked are stigmatized as smokers)
3 Theories of getting motivated
1. Health belief model (Becker, 1979)
What determines perceived threat: Is it bad? & Am I likely to get it?
2. Social Cognitive/Learning Theory (Bandura, 1977, 1989)
- our own con dence is also important
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