Chapter 5 in class notes Flashcards
Somatic symptoms disorder A) Prevalence B) Onset C) Comorbid D) Prognosis
A) 1-5%
B) early adulthood diagnosis. Symptoms start at 10-13yrs
C) depression and anxiety
D) not good
Somatic symptoms disorder
A) preoccupation with ___
B) Less concerned with…
C) ___ thoughts, feelings and behaviors related to ___
D) How long for symptoms
E) example of distress or disruption in life
A) symptoms - headache, stomach B) underlying disease C) excessive, health concerns D) 6+ months E) doctors a lot, emergency room a lot. testing a lot.
[exam]
Somatic symptoms disorder (SSD)
vs
Illness anxiety disorder (IAD)
Somatic = symptoms
Illness = illness itself
Illness anxiety disorder
A) formerly known as
B) Prevalence
C) Onset
A) hypochondriasis
B) 6.7 - 16.6%
C) childhood worries/vague symptoms - caught in early adulthood
Illness anxiety disorder
A) Comorbid with
B) Prognosis
A) anxiety/depression
B) negative, difficult to treat
Illness anxiety disorder
A) __ conviction
B) Preoccupation with
C) Worrying about ___
A) disease conviction - doesn’t believe it’s a psychological disorder
B) the possibility of being sick or acquiring a disorder/illness
C) underlying disease
SSD and IAD
Causes of Somatic Symptom Disorder and Illness Anxiety Disorder
- Trigger - vulnerabilities
Perceived threat > Anxiety > Arousal (body focus, symptoms – this is where SSD happens) > Behavior checking > Preoccupation > Misinterpretation (Where Illness anxiety disorder happens) > Perceived threat
SSD and IAD treatment
A) ____ - not because effective
B) ____ and _____ strategies
C) Education between ___ and ____
A) CBT
B) stress management and coping strategies
C) education between body and mind relationship
Functional Neurological Symptom Disorder FNSD A) used to be called B) Prevalence rate C) Onset D) Female to male
A) conversion disorder
B) 3-15%
C) sporadic (from 20-55 years)
D) women primarily 2:1 - female to male. Women seek treatment more
Functional Neurological Symptom Disorder A) \_\_\_ malfunction w/out \_\_\_\_\_ B) Most are deficits in the \_\_\_\_\_ C) has symptoms of \_\_\_ but \_\_\_\_ D) Easily \_\_\_
A) physical malfunction without organic (physical) pathology
B) sensory-motor-system
C) neurological issues but there’s no apparent reason
D) Hypnotized - take suggestions easily
Functional Neurological Symptom Disorder
A) Malingering?
B) treatment
A) no
B) none that works. Decrease behavioral reinforcement - symptoms decrease
la belle indifference
FNSD - Functional Neurological Symptom Disorder
inappropriately complacent attitude towards their condition and physical symptoms, seen in patients with Functional Neurological Symptom Disorder (conversion) disorder.
Primary gains and secondary gains
Primary morbid gain produces positive internal motivations. For example, a patient might feel guilty about being unable to perform some task. If a medical condition justifying an inability is present, it may lead to decreased psychological stress. Primary gain can be a component of any disease, but is most typically demonstrated in Functional Neurological Symptom Disorder (conversion)– a psychiatric disorder in which stressors manifest themselves as physical symptoms without organic causes, such as a person who becomes blindly inactive after seeing a murder. The “gain” may not be particularly evident to an outside observer.
Secondary morbid gain can also be a component of any disease, but is an external motivator. If a patient’s disease allows him/her to miss work, avoid military duty, obtain financial compensation, obtain drugs, or avoid a jail sentence, these would be examples of a secondary gain. An example would be an individual having stomach cramps when household chores are completed by a family. In the context of a person with a significant mental or psychiatric disability, this effect is sometimes called secondary handicap.
Factitious Disorder
A) Formerly called
B) by proxy is called
A) Munchausen’s Syndrome
B) Factitious Disorder Imposed by Others (FDIO)
Factitious Disorder Imposed by Others FDIO
A) Falls between ___ and ____
B) Written about in ___ by ___
A) Conversion Disorder and Malingering
B) 1977 by Samuel Roy Meadows
