Edition
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SOLUTIONS
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MANUAL
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Edward Sarafino
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Timothy Smith
David King
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Anita DeLongis
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Comprehensive Solutions Manual for
Instructors and Students
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© Edward Sarafino, Timothy Smith, David King & Anita DeLongis. All rights reserved.
Reproduction or distribution without permission is prohibited.
©MedConnoisseur
, Solutions Manual for
Health Psychology, 1st
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Canadian Edition 1e
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Edward Sarafino,
Timothy Smith, David
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King, Anita DeLongis
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(All Chapters)
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RO
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, INSTRUCTOR’S MANUAL
CHAPTER 1
AN OVERVIEW OF PSYCHOLOGY AND HEALTH
CHAPTER OUTLINE
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I. What is Health?
A. Section Introduction
1. Common definitions of health focus on lack of:
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a. objective signs of illness - e.g., high blood pressure
b. subjective symptoms of illness - e.g., pain or nausea
B. An Illness/Wellness Continuum
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1. The concepts of health and sickness overlap
2. Antonovsky proposes an illness/wellness continuum with polar ends of
death/illness/disability v. optimal wellness
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a. need to change focus from what makes people sick to what
keeps people well
3. Health = the positive state of physical, mental and social well-being that
varies over time along a continuum
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C. Illness Today and in the Past
1. In industrialized nations, people live longer than in past and suffer from
different patterns of illnesses
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2. Until this century, people in North America died from mainly dietary and
infectious diseases
a. dietary illnesses: illnesses resulting from malnutrition such as
beriberi (lack of vitamin B1)
b. infectious diseases: acute illnesses caused by harmful matter or
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microorganisms (bacteria or viruses); main cause of death in
most of world today; especially lower income developing
countries
3. History of diseases in Canada
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a. 18th & 19th centuries: epidemics of smallpox, cholera, diphtheria,
measles and influenza killed thousands, esp. children
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, Sarafino, Health Psychology, Biopsychosocial Interactions, Canadian Edition © 2015 John Wiley & Sons Canada, Ltd
i. such diseases were introduced to America by European
settlers
1) Aboriginals died at high rates due to lack of
previous exposure and natural immunity; lack of
immunity probably due to low degree of genetic
variation
2) exposure to infectious diseases resulted in famine,
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social unrest, and population depletion in
aboriginal communities
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b. 19 century: infectious diseases were still the greatest threat to
early settlers and new diseases were emerging (e.g.,
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tuberculosis)
i. Smallpox epidemic in Montreal led to the formation of a
board of health in Quebec
ii.Tuberculosis was the greatest cause of death in Canada in
1867; death rate declined sharply towards the end of the
century with the introduction of vaccines
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iii. cause of decline in death rates for all infectious diseases
can be attributed to preventive measures including:
1) improved personal hygiene
2) better nutrition resulting in greater resistance to
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disease
3) public health innovation (e.g., water purification and
sewage treatment facilities)
4) increased personal concern about health and
following advice of health reformers
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5) appointment of medical office to oversee health in
Aboriginal communities
c. 20th century: death rate due to infectious disease declined and
average life expectancy increased
i. increase in life expectancy at birth from 59 years to 80
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years for men and 61 years to 84 years for women
1) life expectancy varies according to region and
ethnicity; lower for some Aboriginal groups
ii. chronic disease leading cause of health problems and half
of all deaths in developed countries
1) definition = degenerative illnesses that develop or
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persist over long period of time
2) examples = heart disease, cancer, stroke
3) reasons = increase in industrialization increases
stress and exposure to harmful chemicals; longer
life span places people at higher risk for chronic
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disease
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