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PSY Week 11: Health Psych (QoL Tests (Types of QoL (Generic measures -…

- - - - 308 questions, good demographics, prognostic data, generic (can be applied to any illness)
      - assesses age, edu, marital status, domestic, social networks, friends, eating, alcohol, drugs, life perceptions, needs satisfaction
    - - pax w stroke, 49 items includes tiredness, dep, burden, x interest in food, can compare across stroke groups
      - has 12 domains in 3 categories - physiological (energy, extreme function, vision), cog/psych (pers, mood. lang, thinking), soc/activities (self-care, soc & fam roles, productivity)
- - - - Simple, direct way to measure, good for assessing current funtion & ch over time, helps see patterns
      - Rating Scales include - Visual Analogue scales, category scales
      - Pain questionnaires - McGill Pain Questionnaire (gives total pain score and evaluates sensory, affective & evaluative pain dimensions, attempted to standardize pain lvls), Psycho-social Pain Inventory
      - Pain diaries (why pax in pain, incl time, circumstances, neds etc)
    - - pax behav can make pain worse (bordem increases pain), ev day activities are imp to help pax get around pain
      - UAB Pain Behav scale - used by nurses to assess pain behav (grimacing, rubbing area corr w pain), notice when pax in pain & behav in everyday activities can indicate pain
    - - EMG (electromyogprhy) reflects muscle tension, EEG (electroencepalogram) meas brain activity (pain shown as peaks that vary in intensity)
      - meas of autonomic activity - HR, skin conductance ect
      - fMRI - show areas of brain assoc w pain, can predict how much pain pax in, techniques continuously improving
- - - - most obvious way includes polygrphic (BP, HR, respiration, galvanic skin response)
      - hormonal secretion - corticosteriods (cortisol), catcholamines, epinephrine, noreadrenaline
      - note phys arousal doesnt always relate to lvl of stress pax feel bc of perceptions
    - - assesing life events & experiences (past & present)
      - e.g. Social Readjustment Rating Scale (list of events rated & degree of stress caused), List of Recent Experiences (kinds of life events that cause stress)
      - good bc give representation of stressful events & quick/easy to use, however have weak links between stress & illness & pax may interpret events differently
    - - from annoyances to major difficulties, most stress stems from daily hassels, use Hassels Scale (somewhat to server, 117 items)
      - look at life events associated w health (uplifting, brings peace, satisfaction & joy), use Uplifts Scale (135 items)
      - more hassels associated with lower health but uplifts unrelated
    - - use State-trait anx Inventory - meas state-trait anx, however distinction bet anx & stress, stress is complex & involves social, psych & phys components