Health Psychology Psychology 320 Zaje Harrell, Ph.D. 134B Psychology Building 432-1811 office 353-5015 floor office harrellz@msu.edu Office Hours: Th 12:00-1:00 Fall 2010 Tu/Th 8:30-9:50 a.m. Holden Hall G008 Course Assistants: Ms. Katherine Cloutier clouti@msu.edu 65 Psychology Building Office Hours: W 1:00-2:00 Mr. Alexander Webb webbale1@msu.edu Course Overview Health psychology is the field of psychology focused on the biological, psychological, and social factors that interact in relationship to health and well being. Health psychologists examine a wide range of topics including stress and coping, chronic illness, health behaviors, and the promotion of well being. This course is a survey of topics in health psychology. The class is primarily in a lecture format with frequent time allotted for activities and evaluations. The text book provides a guide for the lectures. The lectures are a compliment to the assigned text and supplemental readings, thus, student attendance and participation are essential. Course Goals The goals of the course are to: Review the models of health, specifically contrasting the biomedical and biopsychosocial models Understand psychological processes which contribute to physical health such as: stress, individual differences and psychological quality of life Review health behaviors and related factors Analyze approaches to health promotion and intervention Explore factors affecting the patient/consumer utilization of medical services Explore factors affecting the patient/consumer and provider relationship Review factors related to coping with chronic and terminal illness Focus on social and structural factors affecting well being 1 Course Readings The required text for the course is a custom text book: Taylor, S. E. & Daniel, E. L. (2010). PSY 320 Health Psychology: Selected Material from Health Psychology 7th Edition with Additional Material. New York, NY: McGraw Hill. The text is available at the library’s reserve desk. Assignments & Grading Criteria Overview In Class Exams There will be four in-class exams during the course of the semester and a cumulative final. The lowest exam grade will be dropped. If a student is satisfied with their performance on the first four exams they may be excused from the final. There will be no make-up exams. If a student misses an in-class exam, that exam will be dropped. Critical Analysis Paper Each student is responsible for a critical analysis paper which provides a detailed comparison of three articles in a specific health related research area. The topics for the critical analysis paper must fit into one of the following domains: Health Behaviors – addictive behaviors, eating behaviors, exercise, sexual behaviors Stress and Coping – individual differences in coping, environmental stress Chronic Illness – heart disease, pain management Health Services – patient provider relationship, utilizing medical services Terminal Illness – caregivers, death and dying The critical analysis paper should be between three and five double spaced pages. The articles should be from peer reviewed journals, such as: Health Psychology, Annals of Behavioral Medicine, or Journal of Personality and Social Psychology. More detailed information about the critical analysis paper are posted on the course website on ANGEL. The critical analysis should be typewritten in 12-point font. A printed copy of the assignment must be handed in; electronic copies sent via email will not be graded. The critical analysis paper is due by November 16th. This assignment is due in class. Students may turn in the paper anytime before this date. The critical analysis paper will not be accepted after November 16th. In Class Activities There will be twelve in class activities during the course of the semester. These will be both announced and unannounced and are each worth 10 points. Two in class activity scores will be dropped. 2 Relief Article– Students have the opportunity to make-up one in class activity by bringing in an article related to health psychology from the popular press. The article must be clearly referenced if printed from an internet source. The original text of a magazine or newspaper clipping is also acceptable. This is not an opportunity for extra credit. This relief is meant to supplement an in-class activity; students will not receive credit for more than 10 in-class activities. These articles will be collected on a date near the end of the semester which will be announced during lecture. I reserve the right to reject any relief article. Assignment Exams (4) 100 points each Critical Analysis Paper In Class Activities (12, two dropped) Announced and Unannounced at 10 points each) Total Maximum Points 400 100 100 Percentage Each exam is worth 15% 20% 20% 100% To calculate your grade you need to properly weight each category. Formula: (Exam 1 Grade * .15) + (Exam 2 Grade * .15) + (Exam 3 Grade * .15) + (Exam 4 Grade * .15) + (Critical Analysis Paper * .20) + (In Class Activities * .20) = Final Grade Grading Scale The grades will be based on the following scale after the total grades are calculated for all students. 95% of the average score of the top 2% of students = 4.0 For example, if the top two percent of students have grades of 96%, 95% and 94% the average score will be 95%; this score will be used to determine the grading scale. Thus, using this example, the percentage range for a 4.0 will be 96%-90%. The gradations of the scale will be determined in five point intervals; a 3.5 would range from 89%-84%. Course grades are based on performance, not effort. Policies Academic Integrity Each student is responsible for reviewing the scholastic dishonesty policy of Michigan State University. 3 Academic dishonesty will not be tolerated; this includes giving or receiving aid on exams, as well as plagiarism from print and electronic sources. Any student who is found to be guilty of plagiarism, giving or receiving aid on exams or any other form of academic dishonesty will fail the course. All exams are “closed-book”. Classroom Environment Respect is a critical part of facilitating a positive and productive learning environment. This means that students should arrive to the classroom focused and prepared to learn. Questions and discussion are also an important part of the learning process. Even though this is a large class, all students should feel welcome to participate and offer their insights on course materials. Cell phones, other electronic communication devices, music players/ headphones and newspapers are not allowed in class. Please turn off all cell phones and other electronic communication devices before class. Email Communication Electronic communication is considered a form of classroom communication and fits within the same guidelines. The main purpose of email should be brief inquires regarding course content not addressed in the syllabus or information otherwise not available to students. When a student needs to discuss a particular set of personal circumstances regarding their course performance a meeting with the professor is the appropriate venue. Any correspondence for this course should be addressed to the course assistants and originate from a Michigan State University account. If necessary, the course assistants will forward the message to Dr. Harrell or copy her on the response. The following types of email will not receive a response: Inquiries about information which is provided in the syllabus or otherwise accessible (i.e., library policies). Rude or disrespectful correspondence Correspondence from an account not issued by Michigan State University Absences There are no make-up exams or in-class assignments. Exam Promptness Students should arrive no later than 8:30 for in-class exams. No one will be allowed to sit for an exam after the first completed exam has been turned in. Commercialized Lecture Notes Commercialization of lecture notes and university-provided course materials is not permitted in this course. 4 Unit 1: Introduction and Stress and Coping September 2: Introductory Session September 7: History, Methodology, and Physiology Chapter 1 Introduction (pp. 2-15) Chapter 2 Systems of the Body (pp. 17-30) September 9: Physiology and Stress Chapter 2 Systems of the Body (pp. 31-42) Chapter 6 Stress (pp. 146-159) September 14: Studying the Stress Process Chapter 6 Stress (pp. 159-172) Stone, A. A., Schwartz, J. E., Neale, J. M., Shiffman, S., Marco, C. A., Hickox, M., Paty, J., Porter, L. S., & Cruise, L. J. (1998). A comparison of coping assessed by ecological momentary assessment and retrospective recall. Journal of Personality and Social Psychology, 74, 1670-1680. September 16: Coping with Stress Chapter 7 Moderators of the Stress Experience (pp. 173-187) Stambor, Z. (2006). Stressed out nation. In Annual Editions: Health 09/10, pp. 29-30. September 21: Social Support and Stress Management Chapter 7 Moderators of the Stress Experience (pp. 187-197) Harrell, Z. A. T., & Jackson, B. (2008). Think fat and feeing blue: eating behaviors, ruminative coping, and depressive symptoms in college women. Sex Roles, 58, 658-666. September 23: Exam Review Chapters 1, 2, 6, 7 and readings September 28 First Exam Unit 2: Health Behaviors September 30: Attitudes and Risks Chapter 3 Health Behaviors (pp. 44-59) Garcia, A. (2006). Is health promotion relevant across cultures and the socioeconomic spectrum? In Annual Editions: Health 09/10, pp. 5-9. 5 Schroeder, S. A. (2007). We can do better—Improving the health of the American people. In Annual Editions: Health 09/10, pp. 10-16. October 5: Models for Changing Health Behaviors Chapter 3 Health Behaviors (pp. 59-80) Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102 1114. October 7: Health Promotion and Targeted Interventions Chapter 4 Health-Enhancing Behaviors (pp. 81-97) Kummer, C. (2007). Fat city. In Annual Editions: Health 09/10, pp. 44-46. October 12: Eating Behaviors Chapter 4 Health-Enhancing Behaviors (pp. 97-118) Okie, S. (2005). Fat chance. In Annual Editions: Health 09/10, pp. 71-74. October 14: Alcohol Use and Abuse Chapter 5 Health-Compromising Behaviors (pp. 119-130) Weschler, H., Nelson, T. F., Lee, J. E., Seibring, M., Lewis, C., & Keeling, R. P. (2003). Perception and reality: A national evaluation of social norms marketing and interventions to reduce college students’ heavy alcohol use. Journal of Studies on Alcohol, 64, 484-494. Harrell, Z. A. T., Slane, J., & Klump, K. (2009). Predictors of alcohol problems in college women: The role of depressive symptoms, disordered eating, and family history of alcoholism. Addictive Behaviors, 34, 252-257. October 19: Smoking Chapter 5 Health-Compromising Behaviors (pp. 130-144) Seo, D. C., Torabi, M. R., & Weaver, A. E. (2008). Factors influencing openness to future smoking among nonsmoking adolescents. Journal of School Health, 78, 328-336. October 21 Mid-Semester Mark: Exam Review Chapters 3, 4, 5 and readings October 26 Second Exam Unit 3: Health Services and Utilization 6 October 28: Recognizing Symptoms and Using Health Services Chapter 8 Using Health Services (pp. 200-213) Callahan, D. (2008). Curbing medical costs. In Annual Editions: Health 09/10, pp. 136138. November 2: Health Consumers & Improving Communication and Adherence Chapter 9 Patient-Provider Relations (pp. 214-242) Winterfeld, A. (2007). On the road to wellness. In Annual Editions: Health 09/10, pp. 2325. Marcus, E. N. (2006). The silent epidemic—the health effects of illiteracy. In Annual Editions: Health 09/10, pp. 141-143. November 4: Pain Management Chapter 10 Pain and Its Management (pp. 243-268) November 9: Exam Review Chapters 8, 9, 10 and readings November 11 Third Exam Unit 4: Illness & Future Directions November 16: Chronic Illness Chapter 13 Heart Disease, Hypertension, Stroke, and Diabetes (pp. 325-360) Brody, J. E. (2005). “Diabesity” a crisis in an expanding country. In Annual Editions: Health 09/10, pp.116-117. CRITICAL ANALYSIS PAPER DUE IN CLASS November 18: Immune Related Disorders Chapter 14 Psychoneuroimmunology, AIDS, Cancer and Arthritis (pp. 361-396) Epstein, S. S. (2005). Why we are still losing the winnable cancer war. In Annual Editions: Health 09/10, pp. 123-129. Jefferson, D. (2006). How AIDS changed America. In Annual Editions: Health 09/10 pp.120-122. Recommended Reading: Moore, J. (2004). The puzzling origins of AIDS. November 23: Chronic Illness Chapter 11 Management of Chronic Illness (pp. 270-298) 7 Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good: benefit finding among women with breast cancer. Health Psychology, 23, 16-23. THANKSGIVING BREAK NOVEMBER 25-26 November 30: Exam Review Chapters 11, 13, 14, and readings December 2 Fourth Exam December 7: Illness and Issues in Death and Dying and Future Directions Chapter 12 Psychological Issues in Advancing and Terminal Illness (pp. 299-324) Smith, T. W., Orleans, C. T., & Jenkins, C. D. (2004). Prevention and health promotion: decades of progress, new challenges, and an emerging agenda. Health Psychology, 23, 126-131. Epstein, H. (2003). Enough to make you sick? In Annual Editions, pp.19-26. December 9 Cumulative Final Review Friday December 17: CUMULATIVE FINAL EXAM 7:45 – 9:45 a.m. 8