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Uitwerkingen lectures health psychology

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Elaborations of health psychology lectures for the Master in Health Sciences at the Vrije Universiteit Amsterdam 2022/2023

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Inhoudsopgave

Introduction lecture 05-09-2022 ..................................................................................................................... 2

Lecture 1: Hospitalization and stressful medical procedures ........................................................................... 3
What does it mean to be ill? .............................................................................................................................. 3
Is illness a crisis?................................................................................................................................................. 4
What are the effects of hospitalization? ............................................................................................................ 4

Lecture 2: Coping............................................................................................................................................ 5
What is coping?.................................................................................................................................................. 5
What are the goals of coping with disease? ...................................................................................................... 5
What are different coping styles? ...................................................................................................................... 5
Coping mindmap ................................................................................................................................................ 6

Lecture 3: Self-management ........................................................................................................................... 8
What is self-regulation? ..................................................................................................................................... 8
What is self-management? .............................................................................................................................. 10
Difference between self-concepts in theories and action planning? à Workgroup ........................................ 10

Lecture 4: Adherence ................................................................................................................................... 12
What is (non)-adherence? ................................................................................................................................ 12
What different types of adherence are there? ................................................................................................. 12
How do you measure adherence? .................................................................................................................... 13
What are determinants of adherence? à Workgroup .................................................................................... 13

Lecture 5: Communication............................................................................................................................ 14
Changed relationship and types of relationship ............................................................................................... 14
Common mistakes and difficulties in communication ...................................................................................... 14
Examples of interventions to improve communication .................................................................................... 15

Lecture 6: Health literacy.............................................................................................................................. 17
What is health literacy? (Gezondheidsvaardigheden) ..................................................................................... 17
What are different types of health literacy? .................................................................................................... 17
How do we score on health literacy? ............................................................................................................... 18
Some guidelines for communication ................................................................................................................ 18

Lecture 7: Relapse prevention ...................................................................................................................... 20
What is relapse? ............................................................................................................................................... 20
The process of relapse: triggers and high-risk situations ................................................................................. 20
Interventions .................................................................................................................................................... 22

,Introduction lecture 05-09-2022
What kinds of psychology do you know?
Personality = about the 5 big personality and how that affects people life, individual
differences in people
Cognitive = internal mental process how you process visual views
Clinical = when people are depressed or other mental problems.
Work psychology
Educational = how can we have the best learning way

Health psychology = coping strategies; why people make decision about health such like
smoking; application of health theories; influence of environment
Depression or any other mental problems are not health psychology but clinical psychology

Social factors; between two people
Behavioral; what people do
Cognitive; what people think
Emotional; what people feel

Improve the health care system: Patient oriented instead of doctor oriented

Sort of prevention:
- Primary prevention: to prevent illness and disease in the first place, to promote a
healthy lifestyle. People are healthy and you want them to be healthy.
- Secondary prevention: early detection of disease, for example cancer screening.
- Tertiary prevention: coping with illness, coping with disease or adherence. People are
already having a disease and you want to prevent them for side effects or that the
disease is getting worse.

What is health psychology?
Study of social, behavioral, cognitive, and emotional
factors that contribute to:
- Promote and maintain health: Go for 2 fruits and 5
veggies.
- Prevent and manage illness: high blood pressure,
help your child gain control over asthma.
- Identify psychological factors that add to physical
illness: stress, burnout, and coping; differences
between woman with coronary heart disease and
healthy matched women.
- Improve the health care system: make the most of
your medical appointment and promoting a
consumer orientation to health care and health
promotion.
à Psychological processes that contribute to health and illness

, Lecture 1: Hospitalization and stressful medical procedures
What does it mean to be ill?
- Definition of disease: biomedically defined pathology within the human system which
may or may not be apparent to the individual.
- Definition of illness: a person’s subjective experience of their symptoms.
A disease usually causes illness. But a disease without illness is also possible. Bijv. een
persoon met kanker in zijn lichaam, ervaart nog geen klachten of weet nog niet dat hij ziek
is. Of mensen voelen zich ziek maar er kan geen ziekte worden gevonden, bijv. chronisch
vermoeidheid.

Delay between experiences symptoms and seeking help.
Acceptability; the attitude from the patient toward the
healthcare professionals. Does the patient think that the
healthcare professional can help him?
Outcome expectations: expectations of can the treatment
cure the disease?

Most delay door: patient factors, e.g., notice symptoms,
interpret symptoms, and react in the right way.




Illness cognitions = how patient thinks about their illness. A patients own common sense
beliefs about their illness.

5 dimensions:
1. Identity: diagnosis (a cold) and symptoms (runny nose, fever)
2. Perceived cause of illness: stress, a virus, unhealthy lifestyle. Will influence the cope
of the illness
3. Timeline: acute or chronic
4. Consequences: what consequences does the disease have; physical (pain, mobility
problems) and emotional (lack of social contact, anxiety)
5. Cure and control: what are your beliefs about the cure and control of the disease; by
taking medication or getting plenty of rest

Example tiffany:
1. Identity: sickle cell disease in the most severe form.
2. Perceived cause of illness: not so much about in the video. She has it her whole life
à hereditary disease
3. Timeline: chronic, entire life
4. Consequences: pain in any location of the body
5. Cure and control: people can live healthy lives with sickle cell disease; not smoking,
healthy eating, fluid intake important, taking medications to prevent admissions.

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