17 The Role of Behavioural Factors in Disease and

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THE ROLE OF

BEHAVIOURAL
FACTORS IN
DISEASE AND
DISORDERS PRESENTED BY-DR. AMINA IFFAT
M.D PART-I
UNDER THE GUIDANCE OF- DR.C.B.REDDY SIRIR
• BY THE END OF THIS SESSION THE LEARNER WILL BE
ABLE TO UNDERSTAND
• WAHAT IS BEHAVIOUR ?
• WHAT ARE DISEASES AND DISORDERS?
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CC BY

• WHAT IS THE ROLE OF BEHAVIOURAL FACTORS IN


DISEASES AND DISORDERS
• What is behavior ?

• manner of behaving or conducting oneself


• Psychology:-the aggregate of all the responses made by an
organism in any situation
• -a specific response of a certain organism to a specific
stimulus or group of stimuli
• the action, reaction, or functioning of a system, under normal or
specified circumstances
• What are diseases and disorders?

• DISEASE- any harmful deviation from the normal structural or


functional state of an organism, generally associated with certain signs
and symptoms and differing in nature from physical injury. A diseased
organism commonly exhibits signs or symptoms indicative of its
abnormal state.
• DISORDER- A disorder could be defined as a set of problems, which
result in causing significant difficulty, distress, impairment and/or
suffering in a person's daily life.

• A disease is distinct and measurable. A disorder might indicate that a


specific disease is possible but there is not enough clinical evidence for
diagnosis
• Health behaviors are behaviors undertaken by people to
enhance or maintain their health.
• A health habit is health behavior that is firmly established
and often performed automatically without awareness.
• These habits usually develop in childhood and begin to
stabilize around age 11 or 12.
• Although a health habit may develop initially because it is
reinforced by positive outcomes ,such as parenteral approval
,it eventually becomes independent of the reinforcement
process.
• From daily health concerns such as smoking, exercise and
diet, to serious diseases such as cancer, HIV/AIDS and
diabetes, evidence continues to mount that a wide variety of
behavioral interventions are having a major influence in
producing useful changes in the risk, management and
outcome of many diseases and health problems.

• Health researcher's understanding the role of behavioral


factors in the development and course of disease has grown
in scope in the past 10 years. 
Factors That Influence Behavior Change
• Predisposing factors:
• Knowledge, beliefs, and attitudes based on life
experiences as well as gender, age, race,
socioeconomic background
• Enabling factors:
• Skills and abilities, resources available; can be positive
or negative
• Reinforcing factors:
• Presence or absence of support, encouragement or
discouragement from those around you
• Motivation
• Wanting to change is important to begin the change
process
• Must be combined with common sense,
commitment and realistic understanding of the
process
• Rewards or incentives can be good tools for
motivation to change
• Immune Function and Health 
• Negative emotions can lower immunity and can
lead to increased risk for cardiovascular disease,
osteoporosis, arthritis and certain cancers.
• Researchers have found that the endocrine
system serves as one central gateway for
psychological influences on health; stress and
depression can provoke the release of pituitary
and adrenal hormones that have multiple
effects on immune function and can lead to
actual health changes.

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Behaviour Related illnesses?????
• Cardiovascular disease
• Asthma
• Obesity.
• Diabetes
• Stroke
• Cancer
• COPD
• Depression
Coronary Heart Disease
•  Coronary heart disease (CHD) is the leading cause of death
in the United States and over the past decade there has been
an increasing amount of evidence regarding the role of
psychosocial risk factors in the development of CHD.
• Studies have demonstrated the negative effects of hostility,
depression and social isolation on CHD, with similar results in
studies dealing with job stress and social conflict. These risk
factors are associated with psychophysiological mechanisms
through which stress and emotions could influence CHD and
coronary artery disease (CAD). For those who do develop
CHD and CAD, there is evidence that psychosocial
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interventions can improve prognosis.


Asthma - 
• - Asthma flares are commonly triggered by allergens,
airway irritants such as tobacco smoke, exercise and cold
air.
• There is no solid evidence indicating that behavioral
factors cause asthma, but research shows asthma can be
affected by stress, anxiety and sadness. Recent findings
show that airways are just as reactive to psychological
state as other physiological conditions. Asthma education
programs that teach about the nature of the disease,
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medications and trigger avoidance tend to reduce the


incidence of asthma.
Diabetes
•  Diabetes management depends almost entirely on
behavioral self-regulation. Research over the past
decade provides strong evidence that the use of
intensive treatment regimens to maintain tighter
glucose control can delay or prevent the development
of some of the devastating long-term complications of
diabetes, and clinical health psychology plays a major
role in developing these management programs. As
for prevention, psychologists and behavioral scientists
are just beginning to play a prominent role in diabetes
prevention and genetic risk screening.
Stroke
COPD

• Smoking
• Lack of
breathing
exercises
• Exposure to
fumes and dust
• Poor air quality
Depression
• Financial loss
• Job problems
• Loss of loved ones
• Natural disasters
• Social isolation
• Jealousy
• Relationship troubles and separation
OBESITY
• 10-30% Obese persons suffer from binge eating.
• Although genetic factors are important physical activity and diet
contribute significantly to maintain appropriate body weight.
• Both cognitive behavioural therapy designed specially to control
disordered eating.
• Most important cause of obesity is lack of exercise , high fat intake ,
high sugar food.
• Obese people will have the risk of developing osteoarthritis,
diabetes , sleep apnoea , gallbladder disorders , respiratory problems
etc….
CANCER
• Obesity has been associated with some kind of cancer such as breast
cancer and endometrial cancer.
• Some researches shows that less physical activity leads to colon
cancer.
• Diet also plays important role in development of cancers.
• Low folate intake leads to development of colon cancer.
• Intake of fruits and vegetables lower the risk of many malignancies .
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Lifestyle diseases
• A persons,
1. Habits
2. Behaviour
3. Practices
Controllable risk factors
• Diet and body weight
• Daily levels of physical activities
• Level of sun exposure
• Avoiding Alcohol and smoking
Uncontrollable factors
• Age
• Race
• Gender
• Hereditary
Internet and technology
SUMMARY
• Frequent causes of death globally are chronic diseases,
including heart disease, cancer, lung diseases, and diabetes.
• Behavioural factors, particularly tobacco use, diet and activity
patterns, alcohol consumption, sexual behaviour, and
avoidable injuries are among the most prominent contributors
to this.
• The central concern of health education is health behaviour.
• Positive, informed changes in health behaviour are typically
the ultimate aims of health education programs.
Thank You

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