Stress Inoculation Therapy
This is a psychological method which prepares individuals for future stressors and increases hardiness. It has three stages:
1.
Conceptualisation - Encourage individuals to analyse pervious stressful situations.
2.
Skills Training and Practice - Teach individuals strategies to cope with stress.
3.
Real-Life Application
Research
Saunders et al (1997)
- Meta-analysis on 37 studies representing 1837 participants.
- SIT was effective for reducing performance anxiety, reducing state anxiety and enhancing performance under stress.
Meichenbaum (1985)
- More effective than desensitisation treatment.
Langer, Janis, Wolfer (1975)
- Children undergoing surgery, some parents received SIT. Those who received it = less anxiety.
• Effective against public speaking and divorce.
• Requires time, money and commitment.
• Participants must be motivated.
• It is difficult to change lifetime habits.
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Hardiness Training
- To increase confidence and sense of control to deal more successfully to change.
Stage 1: Focusing
- Therapist encourages client to focus on the physiological symptoms associated with stressful situations. This helps a clients to:
- Identify sources of stress
- Gain strategies and skills to help cope with stress
Stage 2: Reconstructing stressful situations
- The client is encouraged to think about how stressful situations, and in particular how they might have turned out for better and for worse.
- This is a cognitive strategy designed to encourage a realistic appraisal of stressful situations - seeing that things could have been worse should help them feel more positive and optimistic.
Stage 3: Self-improvement
- Improves the client's sense of self-efficacy.
- Therapist suggests taking on manageable sources of stress and the experience of coping with these shows the client that they can be optimistic about dealing with them.
Research
Maddi et al (1987, 2002)
- Showed that hardiness training has been successful in improving health and performance in working adults and students.
Evaluation
+ Targets the appraisal of source and resources available for dealing with them - so it reduces the gap between demands and coping resources.
+ Provides client with increased sense of self-efficacy.
- Involves time, commitment and money.
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Drugs
Benzodiazepines
- Enhance the action of Gamma Aminobutyric Acid, (GABA) which slows down neurones.
Evaluation
- Adverse side-effects like addiction.
- Withdrawal symptoms.
- Tolerance.
- Need fully informed consent.
+Relatively safe in overdose.
Main points
- Acts in brain.
- Increases action of GABA,
- Binds to sites on the GABA receptor of the neuron, allowing more chloride ions to enter.
- Inhibits neurons so the output of the excitatory neurotransmitters is reduced and the person feels calm.
Hidalgo (2001) found that BZs were more effective than other drugs, like antidepressants, when treating social anxiety.
Gelpin (1996) found that while BZs have short term benefits alleviating distress from trauma, they do not prevent the onset of PTSD.
Beta-Blockers
Main points
- Act in the heart.
- Reduce activity of adrenaline and noradrenaline.
- Bind to beta-adrenergic receptors in body parts including heart and blood vessels.
- This blocks the receptor from being stimulated which reduces heart rate, blood pressure etc.
Evaluation
+ Acts fast and have life saving potential.
+ Do not have severe side effects.
- Don't target source of stress.
Hedblad (2001) found that regular, slow doses of BB slowed the rate of progression of atherosclerosis.
NICE report (2006) recommended that BB should not be used to treat high blodd pressure because other drugs are more effective. BB also carry a risk of provoking type 2 diabetes.
Overall Evaluation
• Quick availability - prescriptions of drugs.
• Technology always changing and improving drugs.