Health Psych - Test 3 Study Guide

Chapter 9

What is secondary prevention?
Recent changes in the provision of health services
    specialization of practitioners
    more outpatient care
    change in access
          managed care
               health management organizations (HMOs)
                preferred provider organizations (PPOs)
perceiving and interpreting symptoms
    accuracy?
    role of sensitivity
       sensitizers vs repressors
    commonsense models of illness
    lay referral network
who uses health services
why people don't seek health services
applying the Health Belief Model to seekinbg health services
why people delay seeking health services
       stages of delay models
          Safet et al
          Anderson et al
patient-practitioner relationship
          importance of good communication
          doctor-centered vs patient-centered styles
          patient characteristics influencing the relationship
          patient-doctor match
integrative medicine or holistic medicine
adherence to medical advice
factors associated with nonadherence
interventions a health psychologist might suggest to improve adherence

Chapter 11 The Nature of Pain

What is pain?
Ways of classifying pain
What physically initiates pain signals?
    algogenic substances  
    nociceptors
    A- delta and C fibers
Examples of pain without detectable tissue damage
Gate Control Theory of Pain Percpetion
    things that can close gate
    things that can open gate
pain behaviors
personality differences (MMPI) seen in pain sufferers
ways of assessing pain
    interviews
    brief unidimensional scales
    multidimensional questinnaires
    Pain behavior ratings
    psychophysiological measures

Chapter 12 - Pain Management

What is clinical pain?
Types of pain medications
Undermedication for pain
Other medical/phsical approaches to pain control
Psychological approaches to pain management
    placebo pain relief
    biofeedback
    relaxation training of various types
    meditation strategies
    yoga
    hypnosis
complementary and alternative medicine (CAM)
integrative medicine
impact of reinforcement of pain behaviors
operant procedures to decrease bpain behaviors and increase non-pain behaviors
cognitive strategies in pain management
Ramachandran's mirror box for phantom limb pain