E2 Somatic Symptom and Related Disorders

Question 1

Disorder involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident.

Answer 1

Somatic symptom disorder

Question 2

A somatic symptom disorder involving severe anxiety over belief in having a disease process without any evident physical cause.

Answer 2

Illness Anxiety disorder

Question 3

Physical malfunctioning, such as blindness or paralysis, suggesting neurological impairment but with no organic pathology to account for it.

Answer 3

Conversion Disorders

Question 4

Who believed the anxiety resulting from unconscious conflicts somehow was “converted” into physical symptoms to find expression?

Answer 4

Freud

Question 5

Deliberate faking of a physical or psychological disorder motivated by gain

Answer 5

Malingering

Question 6

What is the 4 criterion of conversion disorder?

Answer 6

1. one or more symptoms altered voluntary function
2. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions
3. The symptom or deficit is not better explained by another medical or mental disorder
4. The symptom clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

Question 7

Somatic symptom disorder and illness anxiety used to be grouped together into one disease

Answer 7

Hypochondriasis

Question 8

What disease causes medical distress (pain/fatigue), with NO ACTUAL medical problems

Answer 8

Somatic symptom disorder

Question 9

Somatic symptom disorder must have one of the two following:
Also must be persistent for ___________

Answer 9

1. With distress, there is no actual medical problem
2. If there is, the reaction/distress is above what is expected
   6 months

Question 10

What are the three symptoms of somatic system disorder?

Answer 10

1. Anxiety about symptoms
2. Disproportionate and persistent thoughts about the seriousness of symptoms
3. Excessive time/energy devoted to symptoms

Question 11

What is the major difference between illness anxiety and somatic symptom?

Answer 11

Illness anxiety has no to very mild symptoms, while somatic have genuine symptoms (that are still overestimated)

Question 12

Disorder associated with the fears of having/developing serious disease

Answer 12

Illness Anxiety Disorder

Question 13

In Illness anx disorder, do medical reassurances/negative tests help to lower anxiety?

Answer 13

No

Question 14

Illness anxiety patients must have one of the three following symptoms
Must be persistent for

Answer 14

1. High level of anxiety about future health
2. Medical reassurances do not help
3. Experience health-seeking or maladaptive avoidances
   6 months

Question 15

Who are the most vulnerable people to illness anxiety? (2)

Answer 15

1. Already anxious tendencies
2. Familial history of illness

Question 16

What are the two main treatments for both somatic symptom and illness anxiety?

Answer 16

1. Educational and supportive
2. Cognitive-behavior treatment

Question 17

Identify and challenge illness related misinterpretation, show how to create symptoms, and use stress reduction techniques

Answer 17

Cognitive behavior therapy treatment

Question 18

Nonexistent physical or psychological disorder deliberately faked for no apparent gain except possibly sympathy and attention.

Answer 18

Factitious disorder

Question 19

Munchausen syndrome symptoms

Answer 19

1. Voluntarily controlled
2. No obvious reason for producing symptoms except for attention

Question 20

Can factitious disorders be placed on another person?

Answer 20

Yes; parents may purposefully make their kid believe they’re sick

Question 21

What are the 4 criteria for factitious disorders

Answer 21

1. Must be faking an illness
2. Must present to others as ill
3. The behavior is not better accounted for by another condition
4. Deceptive behavior is evident even with no external rewards