exam 2 chapter 15

Question 1

somatic symptom disorder

Answer 1

physical complaints with or without clear known physical causes accompanied by excessive thoughts, feelings, and behavior regarding physical complaints; interferes with daily functioning and lifestyle; 0.4-0.7% prevalence but may be underdiagnosed; onset early adulthood; poor prognosis

Question 2

illness anxiety disorder

Answer 2

preoccupation with having or acquiring a serious illness accompanied by substantial anxiety about health and disease; somatic symptoms, if present, are mild; 1-2 year prevalence 1.3-10%; person overuses medical services and seeks reassurance while avoiding illness-related situations; onset early and middle adulthood; chronic and relapsing

Question 3

conversion disorder (functional neurological symptom disorder)

Answer 3

characterized by symptoms suggesting a neurological disorder for which medical investigations and neurological examinations fail to identify a neurological or general medical cause; symptoms may involve motor functioning (i.e. paralysis), seizures, sensory deficits; individual typically does not recognize psychological basis for symptoms; 5 in 100,000 people

Question 4

factitious disorder

Answer 4

falsification of medical or psychological symptoms; associated with a distortion of information that is intended to be deceptive (i.e. exaggeration); great psychological distress; usually occurs in episodes; onset early adulthood; 1% prevalence

Question 5

Munchausen syndrome by proxy (MSBP)

Answer 5

a review regarding perpetrators of factitious disorder imposed on another (FDIA)

Question 6

“looping effect”

Answer 6

attending to symptoms (somatic symptom disorder) increases salience and intensity

Question 7

“focal dimensions”

Answer 7

preoccupation with body and functioning; disease suspicion or conviction; disease fear; safety-seeking

Question 8

etiological factors

Answer 8

parental modeling; stressful life events; biological or genetic components; greater cultural acceptance of physical vs mental illness; interest in avoiding emotions; difficulty expressing emotions and negative affect

Question 9

treatment recommendations for physicians (5)

Answer 9

avoid “either mental or physical” thinking; schedule regular appointments; monitor for traumatic stressors and depression; involve a “psychotherapist”; negotiate realistic (i.e. modest) treatment goals

Question 10

intervention (4)

Answer 10

promote and encourage adaptive behavior; behavior therapy; treat coexisting conditions (i.e. anxiety, depression); view complaints as a form of communication