Exam code: 7182
1/700Still learning
Know0
What is the aim of drug therapy for stress?
To alleviate the effects of stress on the body and mind rather than address the root cause, providing short-term relief.

Join for free to unlock a full flashcard set, track what you know,
and turn revision into real progress.
How do stress-management drugs work in general?
They target the body's neurochemical systems, reducing sympathetic nervous system activity or influencing neurotransmitters such as GABA or serotonin.
True or False?
Drug therapy for stress is slow-acting.
False.
It is fast-acting, often effective in acute situations, and can be prescribed alongside treatments such as CBT.
Was this flashcard helpful?
What is the aim of drug therapy for stress?
To alleviate the effects of stress on the body and mind rather than address the root cause, providing short-term relief.
How do stress-management drugs work in general?
They target the body's neurochemical systems, reducing sympathetic nervous system activity or influencing neurotransmitters such as GABA or serotonin.
True or False?
Drug therapy for stress is slow-acting.
False.
It is fast-acting, often effective in acute situations, and can be prescribed alongside treatments such as CBT.
Name two benzodiazepines.
Diazepam (Valium) and alprazolam (Xanax).
Define GABA.
GABA (gamma-aminobutyric acid) is the most important neurotransmitter for inhibiting the activity of neurons in most areas of the brain.
What happens when GABA binds to GABA-A receptors?
Channels open allowing chloride ions into the postsynaptic neuron, reducing its activity and making it less likely to pass on signals.
How do benzodiazepines enhance GABA's effect?
They bind to GABA receptors so the channels open more often, making the neuron more responsive to GABA's inhibition and less responsive to other neurotransmitters.
How do beta blockers reduce sympathetic arousal?
They block beta-adrenergic receptors in the cardiovascular system that adrenaline and noradrenaline normally bind to.
What effects do beta blockers have on the heart?
They slow heart rate, reduce blood pressure and make the heart pump less intensely, so it needs less oxygen.
Unlike benzodiazepines, beta blockers are less likely to cause .
Unlike benzodiazepines, beta blockers are less likely to cause dependence.
Give two side effects of beta blockers.
Any two of cold extremities, fatigue, nightmares and sleep disturbances.
What did Baldwin et al. (2013) conclude?
Benzodiazepines are generally more effective than placebo for acute anxiety, though some are more effective than others.
What did Kelly (1980) conclude about beta blockers?
They are effective for everyday anxieties such as public speaking and exam nerves, and useful in social anxiety disorder.
Why are drugs popular with patients?
They are easy, affordable and familiar, do not require changing how one thinks or behaves, and can be used with psychological methods.
What paradoxical reactions to benzodiazepines did Gaind and Jacoby (1978) report?
Criminal behaviour such as shoplifting, other impulsive behaviours and uncontrollable weeping.
True or False?
Beta blockers are suitable for everyone.
False.
They can reduce heart rate and blood pressure too much and are not suitable for people with diabetes or severe depression.
Why is drug therapy inappropriate for chronic stressors?
It treats the physiological response rather than the stressor, giving only short-term relief, and carries a dependency risk.
Drug therapy is biologically , focusing on chemical processes and overlooking psychological and social factors.
Drug therapy is biologically reductionist, focusing on chemical processes and overlooking psychological and social factors such as social support.
How does drug therapy undermine free will?
It assumes a biologically determined response to stress that can be 'fixed' by medication without addressing conscious choices.
Define stress inoculation therapy (SIT).
SIT (Meichenbaum & Cameron, 1973) is a cognitive behavioural approach that changes how we think about stress, like an injection preparing the body's defences with a small dose.
What happens in the conceptualisation phase of SIT?
Client and therapist identify and understand the client's stressors, with the client as the expert on their own stress experiences.
What happens in the skill acquisition and rehearsal phase of SIT?
The client learns tailored skills such as relaxation, social skills, communication and cognitive restructuring to think more optimistically.
What happens in the real-life application phase of SIT?
Skills are tried in safe environments using role play, visualisation, VR and apps, with gradual transfer to the real world.
True or False?
The three phases of SIT are completely distinct.
False.
They overlap, and the client may work backwards to an earlier phase to refresh before moving on.
Define biofeedback.
Biofeedback uses technology so an individual can see and hear their physiological stress reactions and learn to bring them under voluntary control.
Which three measures are used in biofeedback?
EMG (muscle tension), EEG (brain activity) and SCR (skin conductance).
How does biofeedback reinforce relaxation?
The client is set targets, such as reducing muscle tension, and instant audio-visual feedback on reaching them reinforces the behaviour.
What did Saunders et al.'s (1996) meta-analysis conclude?
SIT is effective for performance anxiety such as exams, works for extreme as well as moderate anxiety, and its effectiveness did not depend on therapist experience.
Lemaire et al. (2011) found 28 days of biofeedback reduced stress in compared to a control group.
Lemaire et al. (2011) found 28 days of biofeedback reduced stress in doctors compared to a control group.
Why is SIT described as future oriented?
Clients face minor stressors to build skills for greater ones and are encouraged to plan for potential failure, so it is not a 'quick fix'.
True or False?
SIT and biofeedback have addictive qualities.
False.
They are non-invasive with no negative side effects or addiction, an advantage over drug therapies.
Why is SIT demanding of clients?
It needs big commitments of time, effort and motivation, with lengthy training and self-reflection. The real-life phase is especially hard, so some drop out.
What is a limitation of biofeedback's cost?
It needs expensive specialist equipment and supervision, and success may be due to the relaxation techniques alone, making the expense unnecessary.
How do non-drug therapies support free will?
Individuals actively learn and apply coping strategies rather than being passive recipients of medication.
Non-drug therapies take a approach, treating the person as a whole rather than just biological symptoms.
Non-drug therapies take a holistic approach, treating the person as a whole rather than just biological symptoms.
Why did Taylor et al. (2000) argue fight or flight does not fit females?
Most research used males, and evolutionarily, fighting or fleeing a predator would make it hard for a female to protect her offspring.
Define tend and befriend.
Tend and befriend is a biological stress response, especially in females, involving tending (nurturing offspring) and befriending (seeking social support, especially from other women).
What role does oxytocin play in the stress response?
It promotes goodwill and affiliation, helps form the mother-infant bond, and helps the body recover more quickly from stress.
What did Taylor et al. (2002) find about oxytocin?
Higher oxytocin was linked to lower cortisol and quicker HPA recovery. Oestrogen enhances oxytocin while androgens reduce it, so effects are stronger in women.
A social learning explanation is that females are to take care of family and friends when there is risk.
A social learning explanation is that females are socialised to take care of family and friends when there is risk.
Which coping style do females favour for chronic stress?
Emotion-focused coping, managing their emotional response through social support, relaxation, distraction, reframing or mindfulness.
Which coping style do males favour?
Problem-focused coping, taking direct action to remove the stressor through practical solutions, control, plans or seeking information.
True or False?
The distinction between problem- and emotion-focused coping was first made by Taylor et al.
False.
It was first made by Lazarus and Folkman (1984).
How do males and females differ in the social support they prefer?
Females prefer an empathetic listener, while males prefer practical assistance and information.
What did Matud (2004) find?
Women reported more family stressors, perceived them as more negative and less controllable, and coped more emotion-focused. This may reflect different stressors rather than gender itself.
What did Tamres et al.'s (2002) meta-analysis find?
Women were significantly more likely than men to seek social support, a central part of the befriending response.
What did Feldman et al. (2007) find?
Women with the highest oxytocin during and after pregnancy formed stronger bonds with their newborns.
Luckow et al. (1998) found women were more likely to use social support in of 26 studies.
Luckow et al. (1998) found women were more likely to use social support in 25 of 26 studies, suggesting women strongly favour befriending.
What did Porter and Stone (1995) find?
Once the different stressors men and women faced were accounted for, there were no gender differences in coping methods.
How does De Ridder (2000) challenge gender differences in coping?
Women reported more emotion-focused coping only when recalling retrospectively. The difference vanished with ecological momentary assessment.
Define androcentrism.
Androcentrism is treating the male response as the norm, e.g. fight-or-flight failing to reflect female stress responses.
True or False?
All women prefer emotional support and all men prefer problem-focused coping.
False.
Nomothetic research overlooks individual differences, so combining it with idiographic insight helps personalise interventions.
What is the practical value of understanding gender differences in coping?
It allows the efficacy of each approach to be investigated and the best strategies from each to be selected, e.g. control and social networks.
Who identified three distinct forms of social support?
Schaefer et al. (1981). Social support helps people cope by acting as a defence against stressors.
Define instrumental support.
Instrumental support is practical and tangible help, such as giving someone a lift to hospital, lending money or providing information.
Define emotional support.
Emotional support is expressions of warmth, concern, affection, empathy and love intended to make the person feel better rather than offer practical help.
Define esteem support.
Esteem support is when friends and family show high esteem for the person, strengthening their self-worth and feeling that they can cope.
True or False?
A larger social network always provides more support.
False.
A small network can give a great deal of support, while a large, widespread network may give little.
How can social support be given without meeting face-to-face?
Emotional and esteem support through social networks online, and instrumental support such as a cheque sent by post.
What did Orth-Gomer et al. (1993) find?
In 700 middle-aged Swedish men, smoking and lack of social support were the two leading risk factors for coronary heart disease.
What did Fawzy et al. (1993) find?
Melanoma patients given a six-week support group had better NK cell functioning and were more likely to be alive and cancer-free six years later.
Describe Cohen et al.'s (2015) method.
404 healthy adults were phoned nightly for 14 days to count hugs and report support and conflict, then exposed to a cold virus and monitored.
Cohen et al. (2015) found hugs accounted for around a of the protective effect of social support.
Cohen et al. (2015) found hugs accounted for around a third of the protective effect of social support, which acts as a buffer against stress.
Why is social support described as flexible?
Different types help in different situations, e.g. emotional support is more helpful after a relationship breakdown.
What did Luckow et al. (1998) suggest about network size?
It is not the crucial factor. Women are more likely to seek out, use and provide social support in times of stress.
True or False?
Social support is universally beneficial.
False.
It depends on who provides it and what type. Support that is imposed rather than sought can increase anxiety.
From whom is instrumental support most valued?
Information is more valued from medical professionals, whereas emotional support is welcomed from friends and relatives.
Why is it hard to assess which type of support helps most?
It is difficult to isolate and test the separate types of social support.
What did Taylor et al. (2004) find about culture and social support?
Asian-Americans were much less likely to seek social support, to avoid disrupting community harmony, so effectiveness is culturally influenced.
Research on social support is mostly , and would benefit from combining with idiographic approaches.
Research on social support is mostly nomothetic, and would benefit from combining with idiographic approaches to how support is experienced.
By signing up you agree to our Terms and Privacy Policy