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Health Psychology: An Introduction to © 2022, 2018, 2014 Cengage Learning, Inc.
Behavior and Health, Tenth Edition
WCN: 02-300
Linda Brannon, John A. Updegraff,
and Jess Feist Unless otherwise noted, all content is © Cengage
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Brief contents
Glossary 448
References 454
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contents
Preface xiii Research and the Placebo 24
IN SUMMARY 29
Real-World Profile of COVID-19 Pandemic 4
Patterns of Disease and Death 6 2-3 Research Methods in Epidemiology 29
Observational Methods 30
Would You BELIEVE...? College is Good for
Your Health 8 Randomized Controlled Trials 30
Escalating Cost of Medical Care 10 Meta-Analysis 32
What is Health? 10 An Example of Epidemiological Research:
The Alameda County Study 32
Would You BELIEVE...? It Takes More Than a
Virus to Give You a Cold 11 Becoming an Informed Reader of
Health-Related Research on the Internet 33
IN SUMMARY 12
IN SUMMARY 34
1-2 Psychology’s Relevance for Health 13
The Contribution of Psychosomatic Medicine 13 2-4 Determining Causation 34
The Emergence of Behavioral Medicine 14 The Risk Factor Approach 34
The Emergence of Health Psychology 15 Cigarettes and Disease: Is There a Causal
Relationship? 35
IN SUMMARY 16
IN SUMMARY 36
1-3 The Profession of Health Psychology 16
2-5 Research Tools 37
The Training of Health Psychologists 16
The Work of Health Psychologists 16 The Role of Theory in Research 37
The Role of Psychometrics in Research 38
Real-World Profile of Angela Bryan 17
IN SUMMARY 39
IN SUMMARY 18
Questions 39
Questions 18
Suggested Readings 40
Suggested Readings 19
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Real-World Profile of Lance Armstrong 45 IN SUMMARY 81
Illness Behavior 46 Stage Theories of Health Behavior 81
The Sick Role 51 IN SUMMARY 85
IN SUMMARY 52 4-4 The Intention–Behavior Gap 85
3-2 Seeking Medical Information from Behavioral Willingness 85
Nonmedical Sources 53 Implementational Intentions 86
The Internet 53 Would You BELIEVE...? Both Real and Online
Lay Referral Network 53 Social Networks Can Influence Health 86
Would You BELIEVE...? There is IN SUMMARY 87
Controversy about Childhood Vaccinations 54
4-5 Improving Adherence 88
3-3 Receiving Medical Care 55
IN SUMMARY 90
Limited Access to Medical Care 55
Choosing a Practitioner 56 BECOMING HEALTHIER 90
Being in the Hospital 58 Questions 91
Would You BELIEVE...? Hospitals May Suggested Readings 92
Be a Leading Cause of Death 59
IN SUMMARY 61
Questions 62 PART 2 Stress, Pain, and
Suggested Readings 63 Coping
4 Adhering to Healthy Behavior 65 5 Defining, Measuring, and
4-1 Issues in Adherence 65 Managing Stress 95
CHAPTER
CHAPTER
Check YOUR BELIEFS Regarding Adhering 5-1 The Nervous System and the
to Healthy Behavior 66 Physiology of Stress 95
What is Adherence? 66
Check HEALTH RISKS Life Events Scale for Students 96
How is Adherence Measured? 66
The Peripheral Nervous System 96
Real-World Profile of Rajiv Kumar 67
Real-World Profile of COVID-19
How Frequent is Nonadherence? 68
Pandemic 97
What are the Barriers to Adherence? 69
The Neuroendocrine System 98
IN SUMMARY 70 Physiology of the Stress Response 101
4-2 What Factors Predict Adherence? 70 IN SUMMARY 103
Disease Severity 70 5-2 Theories of Stress 103
Treatment Characteristics 70
Selye’s View 103
Personal Factors 71
Lazarus’s View 105
Environmental Factors 72
IN SUMMARY 106
Interaction of Factors 74
5-3 Sources of Stress 106
IN SUMMARY 75
Cataclysmic Events 106
4-3 Why and How Do People Adhere
Life Events 108
to Healthy Behaviors? 75
Daily Hassles 108
Continuum Theories of Health Behavior 76
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Would You BELIEVE...? Vacations Relieve 6-3 Does Stress Cause Disease? 140
Work Stress . . . But Not for Long 111 The Diathesis–Stress Model 140
IN SUMMARY 112 Stress and Disease 141
5-4 Measurement of Stress 112 Would You BELIEVE...? Being a
Methods of Measurement 112 Sports Fan May Be a Danger to Your Health 145
Stress and Psychological Disorders 148
IN SUMMARY 114
In Summary 151
5-5 Coping with Stress 114
Personal Resources That Influence Coping 114 BECOMING HEALTHIER 152
IN SUMMARY 162
6-1 Physiology of the Immune System 129 7-2 The Meaning of Pain 162
Real-World Profile of Big City Taxi The Definition of Pain 163
Drivers 130 The Experience of Pain 163
Organs of the Immune System 130
7-3 Theories of Pain 166
Function of the Immune System 131
Immune System Disorders 133 IN SUMMARY 169
7-4 Pain Syndromes 169
In Summary 136
Headache Pain 170
6-2 Psychoneuroimmunology 136
Arthritis Pain 171
History of Psychoneuroimmunology 136
Cancer Pain 172
Research in Psychoneuroimmunology 137
Phantom Limb Pain 172
Would You BELIEVE...? Pictures
of Disease are Enough to Activate the IN SUMMARY 173
Immune System 137 7-5 The Measurement of Pain 174
Physical Mechanisms of Influence 139 Self-Reports 174
In Summary 140 Behavioral Assessments 176
Physiological Measures 176
vi
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IN SUMMARY 177 Alternative Treatments for Pain 206
7-6 Managing Pain 177 Would You BELIEVE...? Humans are Not the
Medical Approaches to Managing Pain 177 Only Ones Who Benefit from Acupuncture 209
Behavioral Techniques for Managing Pain 180 Alternative Treatments for Other Conditions 210
Limitations of Alternative Therapies 215
IN SUMMARY 183
Integrative Medicine 216
Questions 184
IN SUMMARY 217
Suggested Readings 185
Questions 218
8 Considering Alternative Suggested Readings 219
Approaches 187
CHAPTER
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9-4 Reducing Cardiovascular Risks 243 IN SUMMARY 271
Before Diagnosis: Preventing First Heart Questions 272
Attacks 243 Suggested Readings 272
After Diagnosis: Rehabilitating Cardiac Patients 246
BECOMING HEALTHIER 247
11 Living with Chronic Illness 275
11-1 The Impact of Chronic Disease 275
CHAPTER
IN SUMMARY 248
Real-World Profile of Nick Jonas 276
Questions 248
Impact on the Patient 276
Suggested Readings 249 Impact on the Family 278
10 Behavioral Factors in Cancer 251 IN SUMMARY 279
10-1 What is Cancer? 251 11-2 Living with Alzheimer’s Disease 279
CHAPTER
Check Your Health Risks Regarding Cancer 252 Would You BELIEVE...? Using Your Mind May
Help Prevent Losing Your Mind 281
Real-World Profile of Steve Jobs 253
Helping the Patient 282
10-2 The Changing Rates of Cancer Deaths 253
Helping the Family 283
Cancers with Decreasing Death Rates 254
IN SUMMARY 284
Cancers with Increasing Incidence and Mortality
Rates 255 11-3 Adjusting to Diabetes 284
IN SUMMARY 256
The Physiology of Diabetes 284
The Impact of Diabetes 286
10-3 Cancer Risk Factors Beyond
Health Psychology’s Involvement with Diabetes 287
Personal Control 257
Inherent Risk Factors for Cancer 257 IN SUMMARY 288
Environmental Risk Factors for Cancer 258 11-4 The Impact of Asthma 289
IN SUMMARY 259 The Disease of Asthma 289
Managing Asthma 290
10-4 Behavioral Risk Factors for Cancer 259
Smoking 260 IN SUMMARY 291
Diet 262 11-5 Dealing with HIV and AIDS 292
Alcohol 264 Incidence and Mortality Rates for HIV/AIDS 292
Sedentary Lifestyle 264 Symptoms of HIV and AIDS 294
Ultraviolet Light Exposure 264 The Transmission of HIV 295
Would You BELIEVE...? Cancer Prevention Psychologists’ Role in the HIV Epidemic 296
Prevents More Than Cancer 266 BECOMING HEALTHIER 299
Sexual Behavior 266
IN SUMMARY 299
Psychosocial Risk Factors in Cancer 267
11-6 Facing Death 300
IN SUMMARY 267
Adjusting to Terminal Illness 300
10-5 Living with Cancer 268
Grieving 301
Problems with Medical Treatments for Cancer 268
IN SUMMARY 302
Adjusting to a Diagnosis of Cancer 269
Social Support for Cancer Patients 270 Questions 302
Psychological Interventions for Cancer Patients 270 Suggested Readings 303
viii
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PART 4 Behavioral Health 13 Using Alcohol and Other Drugs 335
Alcohol Consumption—Yesterday
CHAPTER
and Today 335
Cigar and Pipe Smoking 321 13-7 Changing Problem Drinking 352
E-cigarettes 321 Change Without Therapy 353
Passive Smoking 322 Treatments Oriented Toward Abstinence 353
Smokeless Tobacco 323 Controlled Drinking 354
The Problem of Relapse 355
IN SUMMARY 323
12-5 Interventions for Reducing IN SUMMARY 355
Smoking Rates 324 13-8 Other Drugs 356
Deterring Smoking 324 Health Effects 356
Quitting Smoking 324 Would You BELIEVE...?
Who Quits and Who Does Not? 326 Brain Damage is Not a Common Risk
Relapse Prevention 327 of Drug Use 357
IN SUMMARY 328 BECOMING HEALTHIER 360
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14 Eating and Weight 367 IN SUMMARY 403
15-3 Physical Activity and
14-1 The Digestive System 367
CHAPTER
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PART 5 Looking Toward the 16-3 Making Health Psychology Personal 442
Understanding Your Risks 442
Future
What Can You Do to Cultivate a Healthy
16 Future Challenges 427 Lifestyle? 445
xi
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Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface
H
ealth is a far different phenomenon today than What’s New?
it was just a century ago. Most serious diseases
The tenth edition reorganizes several chapters to bet-
and disorders now result from people’s behavior.
ter emphasize the theoretical underpinnings of health
People smoke, eat unhealthily, do not exercise, or cope
behavior. For example, Chapter 4 focuses on adherence
ineffectively with the stresses of modern life. As you will
to healthy behavior and presents both classic and con-
learn in this book, psychology—the science of behav-
temporary theories of health behavior, including recent
ior—is increasingly relevant to understanding phys-
research on the “intention–behavior gap.” Readers of
ical health. Health psychology is the scientific study of
the tenth edition will benefit from the most up-to-date
behaviors relating to health enhancement, disease pre-
review of health behavior theories—and their applica-
vention, safety, and rehabilitation.
tions—on the market. They will also be able to hone in
The first edition of this book, published in the
on key concepts and topics highlighted in the Learning
1980s, was one of the first undergraduate texts to cover
Objectives placed at the beginning of each chapter.
the then-emerging field of health psychology. Now, in
The tenth edition also features new boxes on
this tenth edition, Health Psychology: An Introduction to
important and timely topics such as
Behavior and Health remains a preeminent undergradu-
ate textbook in health psychology. • The Covid-19 Pandemic
• Why is there a controversy about childhood
vaccinations?
The Tenth Edition • Do online social networks influence your health?
• How much of your risk for stroke is due to
This tenth edition retains the core aspects that have behavior? (Answer: nearly all)
kept this book a leader throughout the decades: (1) a • Does drug use cause brain damage?
balance between the science and applications of the • Can sleep deprivation lead to obesity?
field of health psychology and (2) a clear and engaging • Can exercise help you learn?
review of classic and cutting-edge research on behavior
Other new or reorganized topics within the
and health.
chapters include:
The tenth edition of Health Psychology: An Intro-
duction to Behavior and Health has five parts. Part • Several Real-World Profiles, including the
1, which includes the first four chapters, lays a solid COVID-19 pandemic, pain patients, T. R. Reid,
foundation in research and theory for understanding Emilia Clarke, and Nick Jonas.
subsequent chapters and approaches the field by con- • Illustration of the evolving nature of health research
sidering the overarching issues involved in seeking in Chapter 2, through examples of studies on the
medical care and adhering to health care regimens. link between diet and colon cancer.
Part 2 deals with stress, pain, and managing these • New research on the role of stigma in influencing
conditions through conventional and alternative people’s decision to seek medical care, in Chapter 3.
medicine. Part 3 discusses heart disease, cancer, and • The role of optimism and positive mood in coping
other chronic diseases. Part 4 includes chapters on with stress, in Chapter 5.
tobacco use, alcohol, eating and weight, and physi- • Mindfulness as a useful technique for managing
cal activity. Part 5 looks toward future challenges in stress (Chapter 5), managing pain (Chapter 7), and
health psychology and addresses how to apply health as a promising therapy for binge eating disorder
knowledge to one’s life to become healthier. (Chapter 14).
xiii
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Another Random Document on
Scribd Without Any Related Topics
The cry was now taken up by other unfortunate gentlemen in the
stalls, who were placed in like situations but who had not had the
courage to begin the battle. The din, indeed, soon gained such a
degree of dynamic force that not one word of what was being said
on the stage, not one note of the music, could be distinguished.
Gesticulating figures stood up in every part of the theatre, shrieking
and frantically waving canes. The compère advanced to the
footlights and appeared to be addressing us, much in the manner of
an actor attempting to stem a fire stampede in a playhouse, but, of
course, he was inaudible. As he stepped back, a sudden lull
succeeded to the tumult. Peter took advantage of this happy quiet to
interject: Comme Mélisande, je ne suis pas heureux ici!
The spectators roared and screamed; the house rocked with their
mirth. Even the mimes were amused. Now, escorted by two of his
secretaries in elaborate coats decorated with much gold braid, the
manager of the theatre appeared, paraded solemnly down the aisle
to our seats and, with a bow, offered us a box, which we accepted
at once and in which we received homage for the remainder of the
evening. At last we could see the stage and enjoy the blond Idette
Bremonval, the brunette Jane Merville, the comic pranks of Vilbert
and Prince, and the Festival of the Déesse Raison.
The performance concluded, the pretty lady who had not removed
her hat, commissioned her reluctant escort to inquire if we would
not step out for a drink with them. The escort was not ungracious
but, obviously, he lacked enthusiasm. The lady, just as obviously,
had taken a great fancy to Peter. We went to the Rat Mort, where
we sat on the terrasse, the lady gazing steadily at her new hero and
laughing immoderately at his every sally. Peter, however, quickly
showed that he was restless and presently he rose, eager to seek
new diversions. We hailed a passing fiacre and jumped in, while the
lady waved us pathetic adieux. Her companion seemed distinctly
relieved by our departure. Peter was now in the highest animal
spirits. All traces of fatigue had fled from his face. The horse which
drew our fiacre was a poor, worn-out brute, like so many others in
Paris, and the cocher, unlike so many others in Paris, was kind-
hearted and made no effort to hasten his pace. We were crawling
down the hill.
I will race you! cried Peter, leaping out (he told me afterwards that
he had once undertaken a similar exploit with a Bavarian railway
train).
Meet me at the Olympia Bar! he cried, dashing on ahead.
The cocher grunted, shook his head, mumbled a few unintelligible
words to the horse, and we drove on more slowly than before. Peter,
indeed, was soon out of sight.
Ten minutes later, as we entered the café under the Olympia Music
Hall, we noted with some surprise that the stools in front of the bar,
on which the cocottes usually sat with their feet on the rungs, their
trains dragging the floor, were empty. The crowd had gathered at
the other end of the long hall and the centre of the crowd was Peter.
He was holding a reception, a reception of cocottes!
Ah! Good evening, Mademoiselle Rolandine de Maupreaux, he was
saying as he extended his hand, I am delighted to greet you here
tonight. And if this isn't dear little Mademoiselle Célestine Sainte-
Résistance and her charming friend, Mademoiselle Edmée Donnez-
Moi! And Camille! Camille la Grande! Quelle chance de vous voir! Et
Madame, votre mère, elle va bien? Et Gisèle la Belle! Mais vous avez
oublié de m'écrire! Do not, I pray you, neglect me again. And the
charming Hortense des Halles et de chez Maxim, and the particularly
adorable Abélardine de Belleville et de la Place d'Italie. Votre sœur
va mieux, j'espère. Then, drawing us in, Permettez-moi,
mesdemoiselles, de vous presenter mes amis, le Duc de Rochester
et le Comte de Cedar Rapids. Spécialement, mesdemoiselles,
permettez-moi de vous recommander le Comte de Cedar Rapids.
He had never, of course, seen any of them before, but they liked it.
Richards grumbled, It's bloody silly, but he was laughing harder than
I was.
I heard one of the girls say, Le jeune Américain est fou!
And the antiphony followed, Mais il est charmant.
Later, another remarked, Je crois que je vais lui demander de me
faire une politesse!
Overhearing which, Peter rejoined, Avec plaisir, Mademoiselle. Quel
genre?
It was all gay, irresponsible and meaningless, perhaps, but gay. We
sat at tables and drank and smoked and spun more fantasies and
quaint conceits until a late hour, and that night I learned that even
French cocottes will occasionally waste their time, provided they are
sufficiently diverted. Towards four o'clock in the morning, however, I
began to note a change in Peter's deportment and demeanour.
There were moments when he sat silent, a little aloof, seemingly the
prey of a melancholy regret, too well aware, perhaps, that the
atmosphere he had himself created would suck him into its merry
hurricane. I caught the lengthening shadows under his eyes and the
premonitory hollows in his cheeks. And this time, therefore, it was I
who suggested departure. Peter acceded, but with an air of
wistfulness as if even the effort of moving from an uncomfortable
situation were painful to him. Rising, we kissed our hands to the
band of sirens, who all pressed forward like the flower maidens of
Parsifal and with equal success. Three of the pretty ladies
accompanied us upstairs to the sidewalk and every one of the three
kissed Peter on the mouth, but not one of them offered to kiss
Richards or me.
We engaged another fiacre and drove up the Champs-Elysées. Now,
it was Richards and I who had become vibrant. Peter was silent and
old and apart. The dawn, the beautiful indigo dawn of Paris was
upon us. The cool trees were our only companions in the deserted
streets until, near the great grey arch, we began to encounter the
wagons laden with vegetables, bound for the Halles, wagons on
which carrots, parsnips, turnips, onions, radishes, and heads of
lettuce were stacked in orderly and intricate patterns. The horses,
the reins drooping loosely over their backs, familiar with the route,
marched slowly down the wide avenue, while the drivers in their
blue smocks, perched high on the fronts of their carts, slept. We
drove past them up the Avenue du Bois-de-Boulogne into the
broadening daylight. On Peter Whiffle's countenance were painted
the harsh grey lines of misery and despair.
FOOTNOTES:
[1] Since absinthe has come under the ban in Paris, I am
informed that the correct form of approach is to ask not for a
pernod, but for un distingué.
Chapter V
Notwithstanding that Peter occupied an undue share of my waking
thoughts for the next few days, perhaps a week went by before I
found it convenient to seek him out again. One afternoon, I shook
myself free from other entertainments and made my way in a taxi-
auto to the apartment in the street near the Rue Blanche. The
concierge, who was knitting at a little window adjacent to the door,
informed me that to the best of her belief Monsieur Whiffle was at
home. Venturing to operate the ascenseur alone, I was somewhat
proud of my success in reaching the fourth floor without accident.
Standing before Peter's door, I could hear the sound of a woman's
voice, singing Manon's farewell to her little table:
Adieu, notre petite table,
Qui nous réunit si souvent!
Adieu, notre petite table,
Si grande pour nous cependant.