Conducting Health Research Health Psychology I. Scientific Foundations of Health Psych • Psychology • Epidemiology II. Psychology’s 5 Contributions • Techniques for _________________ • Focus on health • Developed _______________________ health/illness behaviors • Created theoretical models to explain & predict behaviors • Scientific method to study behaviors Research Methods in Psych • _________________ – DFN: detailed in-depth study of ONE person – e.g., 80 yr old Latino man with diabetes and lung cancer – Pro: Lots of info, great for rare/special cases – Con: Can’t generalize (magnifies sampling error) • Correlational studies – DFN: degree of relationship between two variables – e.g., # stressful life events & heart attack – Correlation coefficient: -1.00 to +1.00 – Pro: Shows direction of influence (positive/negative) – Con: Can’t determine ______________ ___________________ • Cross-Sectional studies – DFN: compares groups at _________________ – e.g., anxiety of Psych majors vs. non-majors on 1st day of this class – Pro: Shows differences between grps – Con: Can’t see trends over time • ______________________ studies – DFN: compares groups over time – e.g., anxiety of Psych majors vs. non-majors this class over the semester – Pro: Shows developing trends & changes – Con: Expensive, takes long time • Experimental Designs – DFN: manipulates independent variable & observes its effect on dependent variable – e.g., look at heart disease in low fat diet (tx grp) and regular diet (control grp) – Con: Can be too fake/artificial – Pro: Shows causation, can control placebo & nocebo effects DFNs • Placebo = positive effects based on positive expectation (e.g., sugar pill) • Hawthorne effect = improvement due to _______________ (e.g., of doctor) • Nocebo = negative effects (e.g., voodoo death) • Ex Post Facto Designs – DFN: contrasts groups with a ______________ subject variable (no manipulation of independent variable) – e.g., look at heart disease in nondrinkers, light drinkers, moderate drinkers, & heavy drinkers – Pro: Uses real life differences – Con: Can’t determine causation (similar to correlational studies) III. Contributions of Epidemiology • DFNs: • Epidemiology = studies factors contributing to disease in a _____________ • Mortality = # deaths due to particular cause • Morbidity = # cases of a disease – Prevalence = proportion of population with a disease at a certain time (# existing cases) – Incidence = # of new cases of a disease during a certain time (a year) 3 Purposes of Epidemiological Studies • Determine __________ of specific diseases • Test if hypotheses are consistent with data • Evaluate prevention procedures Research Methods in Epidemiology • Observational Methods – Retrospective (Case-control studies) – Prospective • DFN: Retrospective = Looking back – Compare people who already have disease to people who don’t • DFN: _____________ = Following forward – Longitudinal, compares cohort over time • DFN: cohort = group starting an experience together • Natural Experiments – DFN: contrasts groups with naturally occurring differences (no manipulation of independent variable) – e.g., radioactive spill – Pro: Uses ______________ differences – Con: Can’t determine causation • Experimental Investigations – DFN: manipulates independent variable (IV) & observes its effect on dependent variable (DV) – RARE in Epidem – e.g., clinical trials, community trials – DFN: Double-blind = experimenter & __________________ don’t know who receives placebo or independent variable (IV) IV. Comparing Psych & Epidem • • • • • • Case Correlational Cross-Sectional Longitudinal Ex Post Facto Experimental • • • • • • -Observational Retrospective ______________ Natural Experimental Epidem Example: John Snow • 1848: Cholera epidemic in London • Homes along certain _______________ had higher rates • Shut off those ________________