Introduction to Health Psychology The Changing Field of Health Patterns of disease and death – Infectious versus chronic disease Escalating costs of medical care What is health? World Health Organization Definition of Health (1948) “A complete state of physical, mental, and social well-being and not merely the absence of disease and infirmity.” Changing Models of Health The Biomedical Model Dominant paradigm of the medical profession Can be characterized as: – Reductionistic model – Single-factor model – Mechanistic model Evolving View of Diseases Anatomical pathology – Disease is localized in anatomy (16th to 18th Centuries) Tissue pathology – Specific tissues could become diseased while others remain healthy (Late 1800s) Cellular pathology – Life resides in cells and so cells must be the place to look for disease (19th century) Germ theory – Discovery that particles in the air that could not seen (e.g., bacteria) could cause disease The Biopsychosocial Model Favoured paradigm of health psychology Can be characterized as: – Multidimensional model – General systems model – Intuitive Biopsychosocial Model Psychological component: – Behaviour (adoption and maintenance) – Emotional (feelings) – Cognition (thoughts, beliefs, and attitudes) – Personality – characteristic ways of thinking and feeling The Biopsychosocial Model Clinical Implications of the Biopsychosocial Model Interdisciplinary team approach to assessment and diagnosis Prevention and treatment should consider all three factors An effective patient-practitioner relationship can improve treatment Health Psychology Study of social, behavioural, cognitive, and emotional factors that influence the: – Maintenance of health – Development of illness and disease – Course of illness or disease – Patient’s and family’s response to illness and disease Important Contributions of Psychology to Health Reliable and valid measures for assessing health-related factors. Techniques for changing behaviours that affect health and illness. Commitment to keeping people healthy rather than treating them when they become ill. Solid foundation of scientific methods for studying health-related behaviours. Health Psychology Research Examples of studies: – Immune function (Glaser et al.) – Psoriasis (Kabat-Zin et al.) – Breast cancer (Spiegle)