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VIRGINIA TECH / Psychology / PSYC 3014 / What factors predispose a person to stress?

What factors predispose a person to stress?

What factors predispose a person to stress?


School: Virginia Polytechnic Institute and State University
Department: Psychology
Course: Abnormal Psychology
Professor: John richey
Term: Fall 2016
Cost: 50
Name: PSYC 3014 Exam 2 Study Guide
Description: Study Guide for Exam 2 on 10/19/16
Uploaded: 10/16/2016
9 Pages 146 Views 2 Unlocks

Abnormal Psychology

What factors predispose a person to stress?

Fall 2016

Study Guide 2

Chapter 5

1. What is stress? How is it different from stressors?

a. Stress: an organism’s response

b. Stressor: external demand of the environment

2. What are coping strategies?

a. Efforts to deal with stress

3. What factors predispose a person to stress? That is, what factors increase or decrease a  person's vulnerability to stress?

a. Factors that Decrease: ability to cope (high level of optimism, greater psychological  control, increased self-esteem, better social support)

b. Factors that Increase: type of stress experienced early in life, genetics, history of  depression

4. What is a crisis?

What are the main biological interventions for stress-related physical disorders?

If you want to learn more check out What are the types of social mobility in the united states?

a. Refers to times when a stressful situation threatens to exceed or exceeds the adaptive  capacities of a person or a group Don't forget about the age old question of What are the types of skin?

5. What is resilience? Describe three factors that increase resilience and three factors that are  associated with reduced resilience.

a. Healthy physiological functioning after a potentially traumatic event  

b. Increase resilience: Being male, being older, and being well educated

c. Decrease resilience: being Latino, African American, lower social class

6. Explain the role cortisol and other hormones play in stress reaction and why extended  contact can be problematic over the longer term.

a. Cortisol prepares the body for fight or flight and inhibits the innate immune response, but  it is does not shut off it can damage the brain cells  

What is a trauma narrative?

7. How does stress and depression affect the immune system?

a. It can compromise immune function and people tend to get sick more often.

8. What risk factors are associated with coronary heart disease?

a. Depression, anxiety, social factors

9. What is Type A personality? What part of this personality type is most closely linked to  heart disease?

a. Characterized by excessive competitive behavior, workaholic, impatient, and hostile b. The hostility component is most closely linked to heart disease

10. What is Type D personality? Are people with this type of personality at risk for developing  any health problems?

a. Tendency to have negative emotions, feel insecure and anxious Don't forget about the age old question of What is the polar jet stream?

b. People with this personality are more susceptible to heart attacks  

11. What are the main biological interventions for stress-related physical disorders?  a. Antidepressants, lowering cholesterol

12. What are the main psychological interventions for stress-related physical disorders? a. Emotional disclosure, cognitive behavior therapy, biofeedback, relaxation and meditation

13. What is adjustment disorder, and what are the main diagnostic criteria? Name three stressors  that increase the risk of adjustment disorder.

a. Is a psychological response to a common stressor that results in clinically significant  behavioral or emotional symptoms; stressor can be single or multiple events, symptoms  must begin within 3 months of the onset of the stressor, person must experience more  distress than would expected

b. Divorce, death of a loved one, loss of job

14. What is PTSD? What key changes have been made to this diagnosis in the DSM-5? a. Post-Traumatic Stress Disorder

b. Broadening range of experiences; person’s response must invoke intense fear,  helplessness, horror; the event must also be experienced by the person

15. Why is PTSD no longer considered to be an anxiety disorder?

a. Because the symptoms prolong even after the danger is gone and the traumatic event has  passed  

16. Describe the four main categories of PTSD symptoms. Don't forget about the age old question of How the brain communicates with the body?

a. Intrusion-recurrent dreams, images, etc. of the event

b. Avoidance- efftorts to avoid thoughts, feelings of the trauma

c. Negative alterations in cognitions and mood- symptoms as feelings of detachment and  negative emotional states Don't forget about the age old question of What is george kennan's idea that was the basis of the strategy of the united states to fight the cold war?

d. Arousal and reactivity- excessive response, aggression, reckless behavior.  

17. How is acute stress disorder different from PTSD?

a. The symptoms last less than a month

18. Summarize the approaches that have been used to treat PTSD.

a. There are telephone hotlines, crisis interventions, psychological debriefing,  medications, and cognitive behavior treatments.  

19. What is a trauma narrative?

a. Talking about a traumatic experience to help organize and memories and feelings into a  more understandable story.

Chapter 6

1. Distinguish between fear and anxiety.

a. Anxiety: general feeling of apprehension about possible future danger b. Fear: an alarm reaction that occurs in response to immediate danger

2. What are the three components or response systems of fear and panic? a. Cognitive

b. Physiological

c. Behavioral  

3. What is a panic attack?

a. When the fear response occurs in the absence of external danger

4. Why is OCD no longer considered to be an anxiety disorder?

a. Anxiety is not generally used as an indicator of OCD severity  Don't forget about the age old question of What is the difference between minority and majority?

5. What are the key features of:

a. Specific phobia (know the 5 subtypes)?

i. Marked fear of anxiety about a specific object or situation

1. Animal- ex. Fear of dogs

2. Situational- ex. Flying, riding in a car, tunnels bridges

3. Natural environment- ex. Fear of storms

4. Blood injection injury- seeing blood or an injury

5. Other- choking, vomiting, space phobia

b. Panic disorder?

i. Recurrent unexpected panic attacks with intense fear or discomfort  

c. Agoraphobia?

i. Marked fear about two or more of the following, typically lasting more  than 6 months

1. Using public transportation

2. Being in open spaces

3. Being in enclosed spaces

4. Standing in line

5. Being outside of the home alone

d. Generalized anxiety disorder?

i. Excessive worry and anxiety occurring more than not and lasting at least 6  months; has three or more of the following symptoms

1. Restlessness  

2. Easily fatigued

3. Difficulty concentrating

4. Irritability  

5. Muscle tension

6. Sleep disturbance

e. Social anxiety disorder?

i. Fear or anxiety about one or more social situations which the person is  exposed to possible scrutiny by others

f. Obsessive-compulsive disorder?

i. Presence of obsessions, compulsion, or both: obsessions are defined by  recurrent and persistent thoughts that are unwanted and they attempt to  

ignore or suppress these thoughts, urges, or images

ii. Compulsions are

1. Repetitive behaviors- ex. Hand washing, ordering

2. Aimed are reducing the anxiety/stress

g. Body dysmorphic disorder?

i. Preoccupation with one or more perceived defects or flaws in physical  appearance that are not observable or appear slight to others

h. Hoarding disorder?

i. Fail to discard possessions that are useless or have limited value their  living spaces are extremely cluttered

i. Trichotillomania?

i. Compulsive hair pulling from anywhere on the body resulting in  

noticeable hair loss. The hair pulling is creates gratification or relief.  

6. What behavioral principle is key in maintaining anxiety symptoms?

a. Prolonged exposure to feared situations

7. Why do panic disorder and agoraphobia often occur together?

a. People with panic disorder will avoid the places that they’ve had a panic attack in  before  

b. What is the most important component across effective psychosocial treatments  for the anxiety disorders?

i. They all use cognitive behavioral therapy.

8. What is an obsession? What is a compulsion?

a. Obsession- recurrent and persistent thoughts, urges, or images that are unwanted  and intrusive; individual attempts to ignore or suppress such thoughts  

b. Compulsion- repetitive behaviors like hand washing, praying, counting, etc., that  the person feels they must do; the behaviors are aimed to prevent anxiety/stress  but the behaviors are connected in a realistic way  

9. What is the primary treatment for OCD?

a. The primary treatment for OCD is exposure and response preventions.

Chapter 7

1) What are the key features of:

a. Major depressive episode?

a. Person is markedly depressed or loses interest in formerly pleasurable  activities for at least 2 weeks. They can also have other symptoms like  

changes in sleep or appetite, or feelings of worthlessness

b. Manic episode?

a. Person shows elevated, euphoric, or expansive mood, often interrupted by  outburst of intense irritability or violence especially if others don’t go along  with their wishes

c. Hypomanic episode?

a. A person experiences abnormally elevated, expansive, or irritable mood for at  least 4 days and must have 3 other symptoms but to a lesser extent

i. Other symptoms include: inflated self-esteem, decreased need for  

sleep, flights of ideas, pressured speech

d. Major depressive disorder?

a. Require a person must be in a major depressive episode and never have had a  manic, hypomanic, or mixed people

i. 5 or more of the following symptoms have been present during the  

same 2-week period and represent change from previous functioning

1. depressed mood most the day almost everyday

2. diminished interest or pleasure in almost all activities

3. significant weight loss when not dieting  

4. insomnia or hypersomnia nearly every day

5. fatigue or loss of energy nearly everyday

6. psychomotor agitation or retardation nearly every day

7. diminished ability to think or concentrate

8. recurrent thoughts of death

e. Dysthymic disorder (persistent depressive disorder)?

a. Disorder characterized by persistently depressed mood most of the day, for  more days, than not for at least 2 years. They also must have at least 2 of the 6  additional symptoms

1. Poor appetite or overeating

2. Insomnia or hypersomnia

3. Low energy or fatigue

4. Low self-esteem

5. Poor concentration or difficulty making decisions

6. Feelings of hopelessness

f. Bipolar disorder?

a. Two types I and II

g. Cyclothymic disorder?

a. Repeated experience of hypomanic symptoms for a period of at least 2 years i. Less serious than bipolar because it lacks the extreme behavior  


2) What is the main difference between unipolar depressive disorders and bipolar depressive  disorders?

a) Bipolar disorders have manic or hypomanic episodes which are preceded by long periods  of depression

3) Describe how dysthymia (persistent depressive disorder) differs from major depressive  disorder.

a) Dysthymia last long than major depressive disorder  

4) Be able to recognize the criteria for diagnosing major depressive disorder and the subtypes. 5) What is the difference between bipolar I disorder and bipolar II disorder? (a) Type I- person has full blown mania and experiences episodes of mania and  periods of depression even if the periods don’t reach the threshold for a major  depressive setback

ii) Type II- experiences periods of hypomania, but his or her symptoms are below the  threshold for full blown mania. They also experience periods of depressed mood that  meet the criteria for major depression

6) What are the key features of interpersonal psychotherapy for depression? Behavioral  activation? Cognitive-behavioral therapy?

a) It focuses on the client and their relationships with other people, it’s based on the idea  that personal relationships are the center of psychological problems

b) Behavioral Activation- treatment approach focuses on getting clients to be more active  and engaged with their environment and with their interpersonal relationships; key is that  it focuses mainly on changing behavior

c) Cognitive Behavioral Therapy- brief treatment of 10 to 20 sessions, it teaches the client  to evaluate their dysfunctional beliefs and negative automatic thoughts  

7) What is Beck’s cognitive theory of depression? What is the negative cognitive triad? a) Depression is caused by the person’s view of themselves  

b) Irrational and pessimistic view of the three keys elements of a person’s belief system  present  

i) Negative views about the world->negative views about the future-> negative views  about oneself

8) Identify the most effective treatment package for bipolar disorders.

a) Combination of medication and psychotherapy

9) What is bright light therapy, and what does it treat

a) Use of using a light to help treat depression, was originally used to treat seasonal  depression.

10) What is the prevalence rates of suicide among people with mood disorders? a) 90-95% of those who die by suicide have had at least one psychological disorder

11) Describe who is likely to attempt suicide and who is likely to complete suicide. a) For every 25 attempts there is one completion

12) Be able to name two myths related to suicide.

a) Depression causes all suicides

b) Suicides always happen in an impulsive moment

13) What role does ambivalence play in thoughts of suicide?

a) Some people don’t take it seriously enough and think that the person is just saying things  when really they aren’t joking and are serious about the way they feel

14) Identify prevention and treatment methods for suicide.

a) Treating the underlying mental disorders, referral to inpatient or outpatient mental health  facilities.  

Chapter 8

1. What are the key features of:

Somatic symptom disorder?

a. Bodily symptoms that cause significant psychological distress and  


b. Excessive thoughts or feelings related to the behavior related to the  

behaviors or health concerns of one or more of the following

i. Disproportioned thoughts about the symptoms

ii. High level of anxiety about the symptoms

iii. Excessive time and energy worrying about the symptoms

Conversion disorder?

a. one or more symptoms of altered voluntary motor or sensory function b. no compatibility between the symptom and neurological or medical condition c. symptom is not better explained by another disorder

d. the symptom causes significant distress or impairment in social, work or other  functioning

Illness anxiety disorder?

a. preoccupation with getting a serious illness  

b. somatic symptoms are not present or mild

c. high level of anxiety about health  

d. illness preoccupation has been present for 6 months

e. preoccupation is not better explained by another mental disorder

Factitious disorder?

a. faking physical or psychological signs or symptoms of injury or disease b. individual tells others they are ill or injured

c. behavior is evident  

d. behavior not better explained by another disorder


a. Intentionally producing or exaggerating physical symptoms and is motivated by external  incentives, like avoiding work, etc.  

Factitious disorder imposed on another?

a. Deliberately causing a medical condition in someone else that they are usually caring for

2. Describe how somatic symptom disorders differ from physical conditions. a. People with actual physical conditions will have a or had a medical condition that caused  them, but somatic symptoms usually don’t have a cause.

3. What is the difference between a factitious disorder and malingering? a. The person does not receive external incentives in factitious disorder

4. Compare and contrast the treatments for somatic symptom disorders. What is known  regarding their effectiveness as compared to no treatment at all?

a. Cognitive behavior treatments are used a lot to help prevent anxiety and depression and  to teach them to cope by teaching relaxation techniques, etc. They also use antidepressant  medications. These treatments are more effective than no treatments at all.  

5. What are the key features of:

a. Depersonalization/derealization disorder?

a. Depersonalization- One’s sense of own self and own reality is lost

b. Derealization- one’s sense of the reality of the outside world is temporarily lost

b. Dissociative amnesia?

a. Failure to recall previously stored personal information when the failure can’t  be accounted for by ordinary forgetfulness

c. Dissociative fugue?

a. Person is only amnesic for some or all aspects of his or her past but also  departs from home surroundings, which is accompanied by confusion of  

identity or the assumption of a new identity.

d. Dissociative identity disorder?

a. (AKA multiple personality disorder) Disruption of identity characterized by  two or more distinct personality states

6. What are the causal factors that contribute to dissociative disorders?  

a. Early childhood trauma, stress of war or natural disasters

7. What do we know about the relationship between childhood trauma and dissociative identity  disorder?

a. Dissociation is a form of defensive pattern in kids that can persist into adulthood

8. What are the main controversies related to dissociative identity disorder? a. Is DID a real disorder or is it faked?

b. How does DID develop? (like childhood abuse or some kind of social issue) c. Are the memories of child abuse real or false?

d. Did the abuse play a causal role or was something else correlated with the abuse actually  the cause?

9. Why has the term "multiple personality disorder" been replaced with "dissociative identity  disorder"?

a. Because it had misleading connotations which suggested that the person had fully

organized, coherent different personalities

10. Why is the prevalence of dissociative identity disorder increasing?

a. Its increasing because of the increased ability to recognize the disorder

11. How does the posttraumatic theory of dissociative identity disorder differ from the  sociocognitive theory?

a. Posttraumatic theory- DID starts from the child’s attempt to cope with an overwhelming  sense of hopelessness and powerlessness

b. Sociocognitive Theory- DID develops when a highly suggestible person learns to adopt  and enact roles or multiple identities  

12. Are recovered memories always accurate?

a. No they are not.

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