Chapter 6 - Preoccupation & Obsession Flashcards

1
Q

What is defining feature of somatic symptom disorder and related disorders

A

pathologically preoccupied and concerned with appearance or functioning of body

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2
Q

What is somatic symptom disorder

A

having somatic symptoms with no medical basis and being excessively concerned about them

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3
Q

What role does identity play in somatic symptom disorder

A

symptoms become entire identity and people don’t know how to interact without bringing up symptoms

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4
Q

Who tends to have somatic symptom disorder

A

women, unmarried, lower socioeconimic

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5
Q

Who is the typical patient of somatic symptom disorder

A

women between 18-24 with lower income from major urban area

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6
Q

What is illness anxiety disorder

A

preoccupation with having or getting a serious illness

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7
Q

What is the prevalence for illness anxiety

A

1-5%

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8
Q

Why is the onset for illness anxiety later in life

A

more health problems/concerns as we age

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9
Q

What features do somatic symptom and illness anxiety share

A

similar onset
personality characteristics
runs in families
comorbid with one another

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10
Q

What is the treatment for somatic and illness anxiety

A

uncover unconscious conflict and meaning of symptoms
explain symptoms in educational way - reduction in fear
exposure
drugs
gatekeeper physician

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11
Q

What is Psychological Factors affecting medical condition

A

presence of diagnosed medical condition that is affected by psychological/behavioural factors

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12
Q

What is functional neurological symptom disorder

A

physical malfunction without physical explanation

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13
Q

What is the prevalence of functional neurological symptom disorder

A

30% inn neurological setting

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14
Q

Who tends to have functional neurological symptom disorder

A

women

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15
Q

functional neurological symptom disorder causes

A

experience traumatic event that must be escaped

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16
Q

functional neurological symptom disorder treatment

A

identify and attend to trauma and reduce reinforcements (secondary gain)

17
Q

What is factitious disorders?

A

symptoms are under voluntary control but there is no reason, other than attention, to produce them
faking it for no gain

18
Q

What is OCD

A

presence of obsessions, compulsions or both that cause significant distress or impairment

19
Q

What are obsessions

A

intrusive thoughts, images or urges

20
Q

What are the four major types of obsessions

A

symmetry
forbidden thoughts or actions
cleaning and contamination
hoarding

21
Q

What are compulsions

A

thoughts or actions used to suppress obsessions that are believed to reduce stress or prevent dreaded event

22
Q

prevalence of OCD

A

Lifetime - 1.6-2.3%
1 year - 1%

23
Q

Average onset of OCD

A

Early adolescents-mid 20s
Boys - 13-15
Females - 20-24

24
Q

OCD causes

A

anxiety focused on having additional obsessions
bio and psycho precursors
early learned experience that thoughts are bad
thought = action

25
Q

OCD treatment

A

SSRIs
Exposure and ritual prevention
Reality testing
Psychosurgery (extreme)

26
Q

What is body dysmorphic disorder

A

preoccupation with imagined defect in appearance

27
Q

What is ideas of reference

A

people with body dysmorphic disorder believe that everything happening around them is related to defect

28
Q

body dysmorphic disorder prevalence

A

hard to estimate
1-2% of community and 2-13% of students meet criteria

29
Q

what are the gender differences in body dysmorphic disorder

A

men focus on body build, genitals, hair and tends to be more severe
women focus on body areas and more likely to have eating disorder

30
Q

body dysmorphic disorder onset

A

adolescents - mid 20s
peaks at 16-17

31
Q

What are the 2 treatments for body dysmorphic disorder

A

SSRIs
Exposure and response prevention

32
Q

What are the 3 characteristics of hoarding disorder

A

Excessive acquisiton of things
difficulty discarding anything
living with excessive clutter

33
Q

Hoarding prevalence

A

2-5%

34
Q

What is trichotillomania

A

urge to pull out own hair

35
Q

What is Excoriation

A

repetitive and compulsive skin picking