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这是心身疾病ppt，包括了Tomato diet kills six-stone model，History and definition of psychosomatic，psychosomatic disease，Classification according system等内容，欢迎点击下载。
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Psychosomatic Disease Tomato diet kills six-stone model A YOUNG model who lived on a diet of apples and tomatoes has died of anorexia（神经性厌食症）. Ana Carolina Reston， 21， a Brazilian who had worked for Giorgio Armani， was 5ft 7in tall but weighed only six stone when she died on Tuesday. (174cm，40kg BMI:13.4) psychosomatic disease refers to physical symptoms or illnesses that result from the interplay of psychosocial and physiological processes. Classification according system 1. Cardiovascular system coronary heart disease (CHD) essential hypertension Cardiac arrhythmias 2. Respiratory system bronchial asthma hyperventilation syndrome Classification according system 3. Gastrointestinal system peptic ulcer ulcerative colitis 4. Endocrine system diabetes mellitus hyperthyroidism Classification according system 5. Musculoskeletal system rheumatoid arthritis low back pain 6. Neurological system migraine headache tension headache Why do some people who are under stress get sick whereas others do not? Type A and Type B behavior patterns The discovery of “type A” Meyer Friedman and Ray Rosenman were studying dietary differences in cholesterol（胆固醇） intake between male heat disease victims and their wives. “If you really want to know what is giving our husbands heart attacks， I will tell you. It is stress， the stress they receive in their work.” Focusing on the subjects’ stress and behavioral characteristics. Type A behavior pattern It consists of three characteristics Competitive achievement orientation Time urgency Anger/hostility Competitive achievement orientation Type A individuals tend to be very self-critical and to strive toward goals without feeling a sense of joy in their efforts Hard workers Time urgency Type A people seem to be in a constant struggle against the clock. They quickly become impatient with delays， schedule commitments too tightly， and try to do more than one thing at a time， such as reading while eating or watching TV. Anger/hostility Type A individuals tend to be easily aroused to anger or hostility， which they may or may not express overtly. Type B behavior pattern low levels of competitiveness， time urgency and hostility. Tending to be more easygoing and philosophical about life – they are more like to “stop and smell the roses”. Measuring Type A and Type B Do you want to know what patterns you belong to? How does Type A influence the health? Type A individuals react differently to stressor than do those with the Type B pattern. Responding more quickly and strongly to stress， often interpreting stressors as threats. Increasing the person’s likelihood of encountering stressful events. (tend to have more accidents) Western cooperative group study (WCGS，1960~1969) 基线：3524名36~59岁男性，113人有CHD，TABP占71% 剔除患者，8年半系统追踪，期间257人患CHD，TABP是TBBP的2.37倍（2.7%和1.1%） 控制年龄、血脂、血压、吸烟等因素，TABP患CHD的危险性是TBBP的2倍。 结论：TABP是CHD的危险因素。 1978年，世界心肺和血液研究学会确认TABP与CHD有关。 Stress and Cardiovascular disorders CHD (coronary heart disease)（冠心病） Hypertension（高血压） CHD A disease of modernized societies Rate of CHD is higher in technologically advanced countries than in other nations Live longer， being less likely to die of infectious diseases Having certain risk factors for CHD， obesity and low levels of physical activity CHD Type A Stress High workloads Job responsibility Job dissatisfaction Major life stressors Hypertension Essential hypertension Obesity Dietary elements， such as salt， fats Excessive alcohol use Physical inactivity Family history of hypertension Psychosocial factors: anger， hostility Occupational and Environmental stressors Rate of hypertension were higher for traffic controllers working at high stress location than those at low stress sites. Crowding and aggression
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