
Course Introduction
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Course Introduction
Psychosomatic Medicine explores the intricate connections between psychological processes and physical health. The course examines how emotional, mental, and social factors can influence the development, progression, and management of various medical conditions. Students will learn about the biological mechanisms underlying mind-body interactions, the role of stress and coping strategies in physical illness, and the importance of integrating psychological assessment and intervention into medical practice. Case studies and current research are used to illustrate concepts, with an emphasis on biopsychosocial models for comprehensive patient care.
Recommended Textbook Health Psychology 8th Edition by Shelley E. Taylor
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Sample Questions
Q1) Acute disorders are
A) short-term medical illnesses that are usually amenable to cure.
B) typically diseases that are co-managed by patients and their practitioners.
C) the major causes of death and illness in the United States.
D) serious disorders such as heart disease, cancer, and diabetes.
Answer: A
Q2) According to the humoral theory of the ancient Greeks,disease is the result of A) trephination.
B) evil spirits.
C) an imbalance of bodily fluids.
D) cellular disorders.
Answer: C
Q3) Explain how prospective and retrospective research remedies the problems of correlational research.
Answer: Answers will vary
Q4) The most important factor giving rise to health psychology has been the expansion of health care services.
A)True
B)False
Answer: False

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Q1) According to research investigating personality variables observed in chronic pain patients,
A) there is a pain-prone personality, which, like the disease-prone personality, is characterized by negative affectivity.
B) a significant proportion of the population appears to be predisposed to experience pain.
C) personality change is often a consequence of pain, but personality variables are seldom involved as causes.
D) different personality factors may be involved in different types of pain.
Answer: D
Q2) Compensation for pain resulting from an injury may _______________ the perceived severity of the pain.
A) increase
B) decrease
C) Both of these answers are correct.
D) Neither of these answers is correct.
Answer: A
Q3) Describe the design and implementation of pain management programs.
Answer: Answers will vary
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Q1) Family support of the chronically ill patient is especially important because they A) encourage the patient to be cheerful.
B) are the only ones available when friends cannot be counted on.
C) promote adherence to treatment.
D) family is not helpful.
Answer: C
Q2) James works with patients injured in motorcycle accidents.He helps them learn to use adaptive devices in order to perform tasks.He often uses heat and massage to relieve pain and improve muscle function.He is a
A) massage therapist.
B) occupational therapist.
C) physical therapist.
D) dietitian.
Answer: C
Q3) The Internet is a good source of information about skills for coping with common illness-related problems.
A)True
B)False
Answer: True
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Q1) The infant mortality rate in the United States
A) is higher than that in most western European countries.
B) is twice as high for black infants as for white infants.
C) may be associated with inequities in access to health care.
D) All of these.
Q2) There has been a great deal of interest in hospice and home care for the terminally ill.What are the advantages of each for patients and care providers (both family and medical staff)? What are the disadvantages?
Q3) Poor adjustment for parents of children who have died from SIDS is associated with A) maternal smoking.
B) self-blame.
C) socioeconomic status.
D) All of these.
Q4) A living will outlines
A) a patient's wishes to undergo euthanasia.
B) a patient's request that extraordinary life-sustaining procedures not be used.
C) the conditions under which a patient requests to remain alive.
D) the disposition of one's belongings after death.
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Q1) Males are at greater risk for hypertension B.
A) across the life span.
B) before 50 years of age.
C) after 50 years of age.
D) None of these.
Q2) The prevalence of hypertension among lower-income African Americans may be traced to
A) parental histories of hypertension.
B) racial differences in neuropeptide and cardiovascular response to stressors.
C) exposure to chronic environmental stressors.
D) All of these.
Q3) Research suggests that expressing anger is more reliably associated with cardiovascular reactivity than the state of anger.
A)True
B)False
Q4) The correlation between beliefs about level of blood pressure and actual blood pressure is
A) high.
B) moderate.
C) low.

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Q1) Intense,short-term stressors
A) recruit cells that may help defend against wounds and infection.
B) upregulate immune functioning in ways likely to ward off threats posed by pathogens.
C) affect most measures of immune functioning adversely.
D) All of these.
Q2) The time between progression from HIV+ status to a diagnosis of AIDS is most strongly influenced by
A) individual differences.
B) socioeconomic factors.
C) sexual orientation.
D) ethnicity.
Q3) Perceptions of self-efficacy have been related to A) frequency of condom use.
B) number of sexual partners.
C) number of anonymous sexual partners.
D) All of these.
Q4) One of the most common symptoms for women with AIDS is a gynecologic infection.
A)True
B)False
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Q1) The current trend toward cost containment pushes health psychology in the direction of research questions designed to
A) develop interventions that are time-limited, symptom-focused, and offered as outpatient services.
B) keep patients out of the health care system.
C) lower the costs of providing health care services.
D) All of these.
Q2) Choose one of the health-related behaviors that was covered in the text (e.g.,smoking,alcohol consumption).Using this behavior as your example,explain how research in health psychology can make a contribution to health promotion in the United States and abroad.
Q3) The demographics of people with AIDS are shifting to ethnic minorities,women,and the poor.
A)True
B)False
Q4) Some research suggests that because men and women differ in their biochemistry,smoking may be only half as hazardous for women as for men.
A)True
B)False
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Q1) _______________ is a chronic,nonprogressive disorder of the nervous system that is marked by lack of muscle control.
A) Epilepsy
B) Parkinson's disease
C) Myasthenia gravis
D) Cerebral palsy
Q2) Which of the following is a function of the hypothalamus?
A) control of cardiac functioning, blood pressure, and respiration
B) regulation of the endocrine system
C) regulation of hunger, thirst, and sexual arousal
D) All of these.
Q3) The _______________ is responsible for the coordination of visual and auditory reflexes.
A) forebrain
B) hindbrain
C) midbrain
D) diencephalons
Q4) The structures of the limbic system play an important role in emotion.
A)True
B)False
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Q1) Relapse prevention techniques often adopt cue exposure techniques,which may A) extinguish the craving typically evoked by a cue, such as an alcoholic beverage.
B) increase feelings of self-efficacy.
C) reduce positive expectations associated with the addictive behavior.
D) All of these.
Q2) How have patterns of disease in the United States changed since the turn of the twentieth century? Considering these trends,explain the importance of efforts to modify health behaviors and lifestyle rebalancing.
Q3) Evaluations of the efficacy of mass media health appeals suggest that
A) messages are often too concrete and specific, and thus it is difficult to glean useful information from mass media appeals.
B) including specific recommendations about health-related behaviors diminishes individual perceptions of self-efficacy.
C) mass media messages are unrelated to shifts in cultural climate.
D) media appeals are often important sources of information for alerting the public to unknown health risks.
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Q1) The single greatest cause of accidental death is
A) motorcycle and automobile accidents.
B) accidental poisoning or falls.
C) occupational accidents.
D) household accidents.
Q2) Evidence suggests that each individual has an ideal biological weight that is resistant to modification.This ideal biological weight is one's
A) metabolic rate.
B) set point.
C) internal point.
D) cultural ideal.
Q3) _______________ cancer is the second highest cause of cancerous deaths in Western countries.
A) Breast
B) Testicular
C) Colorectal
D) Skin
Q4) The higher your BMI,the healthier you are.
A)True
B)False
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Q1) Social influence intervention programs often use the principle of behavioral inoculation.According to this principle,exposing individuals to a
A) strong persuasive message ensures that they will internalize the message.
B) boring, repetitive persuasive message ensures that they will become desensitized to the message.
C) one-sided message ensures that uncommitted individuals will more likely be persuaded by the message.
D) weak version of a persuasive message ensures that they will develop counterarguments to resist a stronger version of the message.
Q2) Restricting smoking to a particular place is an example of social engineering.
A)True
B)False
Q3) Alcoholics Anonymous
A) is a broad-spectrum treatment program.
B) is a self-help group.
C) has demonstrated lower dropout and relapse rates than inpatient programs.
D) All of these.
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Q1) Chronic strain is strongly related to depression.
A)True
B)False
Q2) According to Lazarus's model,the subjective experience of stress is a result of
A) the general adaptation syndrome.
B) primary appraisal.
C) secondary appraisal.
D) the balance between primary and secondary appraisal.
Q3) The _______________ paradigm takes people into the laboratory,exposes them to short-term stressful events,and then observes the impact of that stress on their physiological,neuroendocrine,and psychological responses.
A) acute stress
B) induced disease
C) SRRS
D) hassles
Q4) A high waist-to-hip ratio is an indication of a
A) high pendicular load.
B) low pendicular load.
C) high allostatic load.
D) low allostatic load
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Q1) An important variable in understanding the mechanism by which stress is moderated by social support appears to be the manner in which social support is assessed.When social support has been measured in terms of social integration,_______________ have been found.When subjective levels of social support have been assessed,however,_______________ have been found.
A) direct effects; few effects
B) buffering effects; few effects
C) buffering effects; direct effects
D) direct effects; buffering effects
Q2) Sarah is taking a stress management class.Her instructor provides a variety of ways Sarah can combat her stress.Sarah is instructed to try several of these techniques in order to discover the skills that work best for her.The instructor is using _______________ training.
A) positive self-talk
B) relaxation
C) time management
D) stress inoculation
Q3) Explain how individual differences in personality are related to coping.
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Q1) Premenstrual symptoms have
A) a physiological basis only.
B) a psychological basis only.
C) both a physiological and a psychological basis.
D) are so rare that studying them is impossible.
Q2) Kimberly has a mole on her stomach that throbs and hurts so bad she can't sleep.Kathy has a mole on her stomach that has been there for ten years and in the last few months seems to have grown larger.Who is most likely to see her physician tomorrow?
A) Kimberly
B) Kathy
C) Both are equally likely to see their physicians.
D) Neither is likely to see her physician.
Q3) Admissions to university health services sometimes double or triple prior to midterm and final exams.This may occur because
A) illness is an excellent excuse for failing to meet one's obligations.
B) symptoms of stress are misidentified as illness.
C) students are run down from efforts at studying, and, thus, are more vulnerable to common disorders.
D) All of these.

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Q1) Patients ______________ show little distortion of the information given by the health care provider.
A) for whom the illness is new
B) who have had the illness before
C) who have little prior information about the illness
D) who believe the illness is serious
Q2) For children,adverse reactions to hospitalization are entirely due to separation anxiety.
A)True
B)False
Q3) A colleague orientation is most likely to develop
A) when providers include their patients as active partners in their health and medical care.
B) among providers affiliated with a prepaid health care plan.
C) among private providers who are paid directly for fee-for-service care.
D) among providers who are committed to providing a high quality of technical care.
Q4) Malpractice litigation has become more common as medicine becomes more complex.
A)True
B)False
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