HC 2 Flashcards
MUPS
medically unexplained physical symptoms (mostly stress related)
bodily complaints and symptoms that are not due to organic dysfunction or disease
CBT model of MUS: 3 P’s
1 predisposing factors
2 Precipitating factors
3 perpetuating factors
predisposing factors
development of symptoms
- personality (neuroticism, alexithymia)
- early experiences (parental illness (vicariously learned illness behavior), trauma)
- core beliefs/schemas
precipitating factors
triggering factors
trigger the development of symptoms/complaints in people who are more predisposed/vulnerable (accident/operation)
perpetuating
maintaining/aggravating factors
- cognitive (attention, attribution, beliefs)
- behavior (avoidance of activity, overriding signals of body to stop/slow down)
- emotions (anxiety, dysphoric mood/clinical depression
Model of perpetuation
MUS, IBS, CFS
focus on perpetuating factors , a model of perpetuation that is autopoietic –> an organization produces itself: autonomous and self-maintaining unity
somatosensory amplification
focus on bodily sensations & experience these sensations as serious and threatening
How to change ‘thoughts’ and ‘ behavior’ in MUPS
thoughts - cognitive restructuring
behavior - activity scheduling (balance activity + rest)
The pace trial: CFS
compairing APT, CBT, GET & SSMC
CBT/GET better than SSMC only
SSMC > APT
clearest evidence for CBT for CFS –> cognition is seen as a mediator between behavior and fatigue
Interaction predisposing & precipitating factors
precipitating factors trigger the development of symptoms/complaints in people who are more predisposed (vulnerable) for developing such symptoms