Term
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Definition
| applies behavioral science to the assessment, treatment, management, rehabilitation, and prevention of physical disease and realted behavioral reastions to the physical dysfunction |
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Term
| 4 functions behavior therapy serves in dealing with medical disorders |
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Definition
1) treating medical disorders
2) increasing adherence to medical treatments
3) helping patients cope w/ treatments and illness
4) preventing medical disorders |
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Term
| 3 ways behavior therapy can ass to existing medical treatments |
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Definition
1) behavior therapy can be combined w/ medical treatments
2) behavior therapy may be more desirable than medical treatments associated w/ risk
3)behavior therapy can play an especially important role in cases for which no viable medical treatments exist |
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Term
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Definition
leading cause of death
claims 1 million lives annually
affects 15% of the population |
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Term
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Definition
| chronic high blood pressure with no physical cause that can be treated directly |
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Term
| direct treatments of hypertension |
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Definition
1) medication
2) relaxation training
3) biofeedback |
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Term
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Definition
| father of relaxation training |
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Term
| 2 approaches to using relaxation training |
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Definition
1) prgressive relaxtion
2) differential relaxation |
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Term
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Definition
| set aside periods of the day for a relaxed state that will transfer to the pateints daily activities |
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Term
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Definition
| patient is taught to rapidly relax all nonessential muscles and to tense essential muscles only as much as needed to perform ongoing behaviors |
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Term
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Definition
| provides information about a physiological function to help the person modify that function |
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Term
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Definition
| the result of bodily trauma and dissappears when the injury heals |
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Term
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Definition
| occurs after an injury has healed or when no trauma exists, lasts for at least 6 months |
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Term
| Goals of behavioral treatment of chronic pain |
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Definition
1) to reduce the patient's subjective discomfort
2) to increase the patient's tolerance for pain through coping strategies that minimize life disruptions |
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Term
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Definition
| overt behaviors that generally indicate a person is experiencing pain |
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Term
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Definition
| overt behaviors that typically indicate that a person is not experiencing pain |
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Term
| Consequences of exhibiting pain behaviors |
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Definition
1) social reinforcers
2) avoidance of responsibility
3) financial compensation
4) receipt of pain medication |
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Term
| The prototype for changing the consequences maintaining patients pain behaviors was developed by: |
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Definition
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Term
| University of Washington Pain Clinic Program |
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Definition
| Wilbert Fordyce's program which begins in the hospital and later is extended to the patient's home environment |
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Term
| the most common reinforcer for pain behaviors is... |
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Definition
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Term
| ...are more effective in treating pain |
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Definition
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Term
| biofeedback and relaxation training are effective for... |
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Definition
| migraine and tension headaches |
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Term
| CB treatment packages are effective for managing pain for... |
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Definition
| rheumatic diseases and fibromyalgia |
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Term
| ...created stress inoculation treatment for pain which combines relaxation, breathing exercises, attention diversion, and emotive imagery |
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Definition
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Term
| after behavioral treatment of chronic pain patients experience a (reduction/complete remission) of their pain |
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Definition
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Term
| medically unexplained symptoms |
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Definition
| physical complaints for which a physiological cause cannot be found and that do not fit the criteria for a known psychological disorder |
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Term
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Definition
| disabling fatigue lasting more than 6 months and resulting in 50% reducation in daily activity |
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Term
| ...has been used to treat chronic fatigue syndrome |
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Definition
| cognitive behavioral interventions |
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Term
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Definition
| persistent chest pain without any identifiable cardiac etiology |
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Term
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Definition
| a musculoskeletal condition of diffuse pain of at least 3 months duration |
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Term
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Definition
| occurs 50% of the time in patients and 87% of the time in pediatric patients |
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Term
| ... are used to prompt patients to take medication |
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Definition
| stimulus control procedures |
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Term
| stimulus control procedures are supplemented with... |
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Definition
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Term
| adherence is more like to be maintained if... are added to stimulus control and reinforcement |
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Definition
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Term
| ...prompts have been shown to increase self-monitoring |
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Definition
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Term
| when low adherence is maintained by a skill deficit in the prescribed medical procedure....can increase adherence |
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Definition
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Term
| ...is the most effective strategy to get people to keep medical appointments |
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Definition
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Term
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Definition
1) improve patients cooperation before during and after surgery
2) reduce the amount of postoperative analgesic medication required
3) speed recovery and reduce time spent in hospital
4) reduce amount of time and support patients require from others during recovery |
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Term
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Definition
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Term
| methods to cope with painful medical procedures |
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Definition
1) progressive relaxation
2) breathing exercises
3) emotive/distracting imagery
4) positive statements |
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Term
| ...are approachs to reducing MRI anxiety |
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Definition
1) administering a pleasant fragrance
2) dispensing token reinforcers |
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Term
| behavioral momentum compliance training |
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Definition
| used to get a client to comply with a low-probability request by preceding it with a series of high-probability requests |
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Term
| parents who are... are better able to help their children |
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Definition
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Term
| stress inoculation training |
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Definition
1) exposure toa modeling film that provided information and examples of coping behaviors
2) instruction in using coping-oriented self-statements to counter catastrophic self-statements
3) relaxation training |
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Term
| stress inoculation training |
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Definition
1) exposure toa modeling film that provided information and examples of coping behaviors
2) instruction in using coping-oriented self-statements to counter catastrophic self-statements
3) relaxation training |
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Term
| ...may be helpful with dental phobia |
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Definition
| systematic desensitization |
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Term
| psychological distress in adults who learn they are infected with HIV.. |
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Definition
| is assocaited with a more rapid progression of AIDS |
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Term
| Aims of behavioral prevention programs |
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Definition
1) educate people about the controllable factors that cause and exacerbate illnesses and factors that reduce the risk of developing illnesses
2) motivate people to engage in preventive behaviors |
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Term
| Stanford Three Community Study |
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Definition
| a multifaceted program for preventing cardiovascular disease that causes serious medical problems |
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Term
| behavior therapy components of the stanford three community study |
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Definition
1) behavioral assessment of each persons health related behaviors
2) modeling of new healthful behaviors
3) guided behavior rehearsal of the new behaviors
4) reinforcement for performing the new behaviors
5) procedures to maintain the new behaviors |
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Term
| behavior therapy components of the stanford three community study |
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Definition
1) behavioral assessment of each persons health related behaviors
2) modeling of new healthful behaviors
3) guided behavior rehearsal of the new behaviors
4) reinforcement for performing the new behaviors
5) procedures to maintain the new behaviors |
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Term
| behavior therapy components of the stanford three community study |
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Definition
1) behavioral assessment of each persons health related behaviors
2) modeling of new healthful behaviors
3) guided behavior rehearsal of the new behaviors
4) reinforcement for performing the new behaviors
5) procedures to maintain the new behaviors |
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Term
| hypertension can lead to.. |
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Definition
| complications in pregnancy |
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Term
| women who were taught relaxation procedures had: |
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Definition
1) significantly lower blood pressure throughout pregnancy
2) fewer hospital admissions for problems related to pregnancy
3) substantially shorter stays in the hospital |
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Term
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Definition
more than 36 million ppl are estimated to be living with it
responsible for the deatg of 3 milion ppl |
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Term
| treatment packages for AIDS were developed by... |
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Definition
| Jeffrey Kelly and Janet St. Lawrence |
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Term
| Kelly and St. Lawrence's AIDS program basic components |
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Definition
1) HIV risk education
2) Cognitive-behavioral self-management
3) Assertion training
4) Social skills |
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Term
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Definition
| the inability of ppl beyond the age of 5 to voluntarily control urination when no known physical cause is involved |
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Term
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Definition
bedwetting
15-20% of all 5 year olds, more prevelant in boys than in girls |
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Term
| 2 behavior therapy procedures for nocturnal enuresis |
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Definition
1) the urine alarm
2) dry-bed training |
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Term
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Definition
| a device that sounds an alarm to wake the child when the child begins to urinate |
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Term
| dry-bed training was developed by |
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Definition
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Term
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Definition
| a comprehensive treatment package that employs shaping and overcorrection to teach children the beahviors required to keep the bed dry throughout the night |
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Term
| retention control training |
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Definition
| during the day the child practices retaining urine in the bladder |
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Term
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Definition
| daytime version of dry-bed training |
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Term
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Definition
| eg. neck jerking,sholder twitching,facial grimicing |
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Term
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Definition
| a recurring, sudden, rapid movement or vocalization |
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Term
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Definition
| throat clearing, snorting, grunting |
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Term
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Definition
| most frequently used behavioral technique for tics, client has deliberately perform the tic as rapidly as possible |
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Term
| other treatments for tics |
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Definition
| changing maintaining consequences, relaxation training, self-monitoring |
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Term
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Definition
| most effective treatment package for tics, developed by azrin and colleagues |
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Term
| 4 components of habit reversal: |
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Definition
1) awareness
2) competing response training
3) relaxation training
4) reinfrocement |
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Term
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Definition
| includes self-monitoring, invovles extensive self-assessment to ensure that the client is aware of the frequency and severity of the tics, their environmental antecedents, and the individual responses that make up the tic |
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Term
| competing response training |
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Definition
| clients practice performing a response that competes with the tic |
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Term
| regulated breathing exercises |
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Definition
| most common competing response for stuttering, consists of relaxing, slowly inhaling deeply through the nose, and slowly exhaling through the mouth |
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Term
| ...are the most common treatment for adult insomnia |
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Definition
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Term
| treatments for preventing infant sleep problems |
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Definition
extinction
changing setting events |
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Term
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Definition
| a more complex modification that involves either gradually increasing the time the parent ignores the child's bedtime cryingor atending to the child |
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Term
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Definition
| episodes of a child's awakening screaming with diffuse fear and agitation |
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Term
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Definition
| an effective behavioral intervention for sleep terrors, parents are instructed to wake the child every 30 mins. b4 the anticipated sleep terror episode |
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Term
| 3 antecedent conditions that maintain adult insomnia |
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Definition
1) inappropraite setting events
2) excessive muscle tension
3) excessive worry |
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Term
| procedures for adjusting setting events to treat insomnia was developed by... |
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Definition
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Term
| 5 rules for trating insomnia |
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Definition
1) get into bed only when sleepy
2) use bed only for sleeping (except for fucking)
3) if you cannot fall asleep w/i 15 minutes,go into another room, return when u are sleeping
4) get up at the same time every morning
5) do not take naps |
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Term
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Definition
| provides clients w/ information about behaviors that facilitate sleep and behaviors that interfere with sleep |
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Term
| the effectiveness of relaxation training for insomnia can be enhanced by: |
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Definition
1) greater individualization of treatment
2) a larger number of treatment sessions
3) increased practice in relaxation exercises b/t therapy sessions |
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Term
| cognitive restructuring for insomnia involves 3 steps: |
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Definition
1) identifying unrealistic, maladaptive sleep-related cognitions
2) challenging the validity of these cognitions
3) replacing unrealistic, maladaptive cognitions with realistic, adaptive ones |
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Term
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Definition
| limiting the time spent in bed to the actual time a client usually sleeps |
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Term
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Definition
| included such information as bedtime,arising time, dayimte naps, frequency of night awakenings, sleep quality, and medication intake |
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Term
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Definition
a serious eating disorder characterized by binge eating and purging
affects 1 to 3% of women, primarily in industrialized countries, begins in late adolesence or early adulthood |
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Term
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Definition
| consuming large quantities of foos ina brief period |
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Term
| treatment for bulimia is generally... |
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Definition
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Term
| 8 therapy procedures for bulimia: |
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Definition
1) self-monitoring
2) changing setting events
3) activity scheduling
4) cognitive restructuring
5) collaborative empiricism
6) problem solving
7) flooding w. response prevention
8) relapse prevention |
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Term
| the most common addictive behaviors treated by behavior therapy: |
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Definition
| alcohol abuse, cigarette smoking, and the use of illicit drugs |
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Term
| behavior therapies for addictive behaviors: |
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Definition
aversion therapy
cue exposure
consequential therapies |
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Term
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Definition
| an aversion therapy that requires clients 1) smoke at the rate of one puff every 6 secs 2) to inhale normally 3) continue to smoke rapidly until they cannot tolerate it anymore |
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Term
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Definition
| the client is exposed to cues associated w/ the addictive behavior but is prevented from engaging in actual addictive behavior which is similar to response prevention |
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Term
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Definition
| a single, isolated violation of abstinence |
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Term
| ____developed an approach to preventing the recurrence of addictive behaviors after the behaviors have been eliminiated sucessfully |
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Definition
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Term
| 4 components Marlatt's model of relapse: |
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Definition
1) identifying high-risk situations
2) learning coping skills
3) practicing coping skills
4) creating a lifestyle balance |
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Term
| relapses of addictive behaviors are associated with: |
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Definition
1) negative emotional states
2) social pressure
3) interpersonal conflicts |
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Term
| the cognitive-behavioral coping skills that clients are taught: |
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Definition
1) assertive behaviors
2) relaxation and stress management
3) social and communication skills
4) problem-solving skills
5) cognitive restructuring |
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Term
| 4 types of cognitions most often associated w/ addictive behaviors: |
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Definition
1) anticipatory beliefs
2) relief-oriented beliefs
3) facilitating beliefs
4) automatic thoughts |
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Term
| Aims of behavioral rehearsal for coping skills: |
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Definition
1) to learn to recognize high-risk situations
2) to "automatically: engage in well-rehearsed coping skills rather than "automatically" reverting to habitual addictive behaviors |
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Term
| 5 strenghts of behavior therapy |
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Definition
1) precision in specifying goals, target behaviors and procedures
2) effectiveness and accountability
3) efficiency
4) breadth and complexity of applications
5) ethical practices |
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Term
| 6 challenges of behavior therapy: |
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Definition
1) enhancing durability of change
2) preventing psychological disorders and problems
3) treating culturally diverse clients
4) providing behavior therapy for elderly clients
5) employing technology in behavior therapy
6) promoting widespread use of empiricaly supported behavior therapies |
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Term
| 3 controversial deelopments |
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Definition
1) behavior therapy is becoming less pure as it incorporates therapy procedures from other types of psychotherapy
2) some relatively new therapies have been accepted as mainstream behavior therapies w/o adequate empirical validation
3) behavior therapy research is shifting from the study of therapy from how we treat diorders to the study of the nature of psychological disorders |
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