Introduction to Health Psychology
Senior 6 · Psychology (Languages)
Introduction to Health Psychology
Lesson 4 of 4
25 min
In 2010 Jeremy Jamieson and colleagues at Harvard University studied students preparing for the GRE, a demanding admissions test for graduate study in the United States. Before a practice test, half the students read a short note explaining that feeling anxious during a test does not harm performance and may even help, so if they noticed their heart racing, they should remind themselves that the arousal could be helping them. The other half read nothing of the kind.
The students who had been encouraged to reappraise their arousal scored higher on the mathematics section of the practice test. Months later, when they sat the real GRE, their mathematics scores were also higher. Nothing about the test, or their preparation, had changed; only the way they interpreted the pounding heart. How we appraise stress shapes what it does to us.
Definition
Stress: the state that arises when a person sees the demands of a situation as exceeding, or testing, the resources they have to deal with it.
Stressor: an event or situation that causes stress, such as an examination, a family conflict or a move to a new school.
Eustress and distress: stress experienced as motivating and positive (eustress) or as harmful and overwhelming (distress).
Appraisal: a person’s evaluation of what a situation means for them (primary appraisal) and of whether they can cope with it (secondary appraisal) (Richard Lazarus and Susan Folkman, 1984).
Coping: the thoughts and actions people use to manage stressful demands and the feelings they cause.
Common stressors for secondary students include examinations and choosing a future path, family conflict or loss, money worries, relationships and peer pressure, bullying and online harassment, boarding-school life, and many small daily hassles that add up. Stress shows itself in several ways:
| Type of sign | Examples |
|---|---|
| Physical | Headaches, stomach aches, tense muscles, poor sleep, frequent colds |
| Emotional | Worry, irritability, sadness, feeling overwhelmed |
| Cognitive | Poor concentration, forgetfulness, racing or negative thoughts |
| Behavioural | Withdrawing from friends, eating too much or too little, using alcohol or drugs, avoiding work |
In the short term the body’s stress response, a faster heart, quicker breathing and the release of hormones such as adrenaline and cortisol, prepares us to act. When it is switched on for long periods, it can harm sleep, mood, the immune system and the heart.
Figure 1. The same stressor can be appraised as a challenge or a threat.
| Type of coping | What it involves | Example for exam stress |
|---|---|---|
| Problem-focused | Changing the situation or solving the problem | Making a revision timetable; asking the teacher about a difficult topic |
| Emotion-focused | Managing the feelings the situation causes | Slow breathing; reappraising arousal as energy; prayer; exercise |
| Seeking social support | Getting help, advice or comfort from others | Revising with a friend; talking to a parent or counsellor |
| Meaning-focused | Finding purpose or growth in the situation | Remembering why the exam matters for one’s goals |
| Avoidant (usually unhelpful) | Escaping the problem or the feelings | Denial, sleeping all day, alcohol or drugs, endless gaming |
No single strategy is always best. When a stressor can be changed, problem-focused coping usually works better; when it cannot, such as waiting for results, emotion-focused coping helps more. This idea is called the goodness of fit between coping and situation.
When stress becomes too much. If stress, sadness or worry goes on for weeks, stops you sleeping, eating or studying, or if you have thoughts of harming yourself, you are not weak and you are not alone: talk to a trusted adult, your school counsellor or a health worker. You can visit the nearest health centre or call the Rwanda Biomedical Centre’s free line, 114.
TED: “How to Make Stress Your Friend”, Kelly McGonigal. Listen for her claim about how beliefs about stress affect health, and note that the large study she describes is correlational: it shows a link, not proof of cause.
Important
Evaluate the evidence. Jamieson’s reappraisal study was a randomised experiment with a real-world outcome, which is impressive, but it was small, and later studies, though mostly supportive, often found smaller effects; reappraisal is promising, not a guaranteed cure. Kobasa’s hardiness research studied mostly male executives and measured health afterwards, so healthy people may simply have felt more in control; critics also argue that hardiness largely overlaps with low anxiety. Expressive writing has been tested in many studies, but a 2006 meta-analysis by Joanne Frattaroli of 146 studies found an average benefit that was real but small. Across all of this research, coping that matches the situation and draws on other people works better than avoidance.
Warning
Common mistake: saying that all stress is bad. Moderate, short-term stress can sharpen attention and motivation (eustress). The problems come from stress that is intense, long-lasting, or appraised as overwhelming.
Tip
Exam technique: when asked to advise on coping, first decide whether the stressor is controllable. If it is, lead with problem-focused strategies; if not, emotion-focused ones; and always add social support and healthy habits.
Practice
Further reading
Sources and credits
Written by Ganzaa: the text, the tables, Figure 1 and the exercises.