Lecture 16: Somatic disorders Flashcards

1
Q

Somatic symptom disorder

A

Excessive thoughts/feelings/behaviors related to somatic (physical) symptoms or associated health concerns

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2
Q

Somatic symptom disorder is more common in men or women

A

Women

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3
Q

People with somatic symptom disorder typically have ______ symptoms but sometimes just ____

A

multiple
one

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4
Q

People with somatic symptom disorder tend to have high levels of ____ about somatic symptoms

A

worry

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5
Q

People with somatic symptom disorder often focus on symptoms as ______ in conversation, which affects _______ ________

A

Themes

personal relationships

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6
Q

Somatic symptoms can be both specific and general, true or false?

A

TRUE

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7
Q

Specific somatic symptoms example

A

Pain in a particular area

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8
Q

General somatic symptoms example

A

Fatigue

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9
Q

Somatic symptoms may or may not be associated with a diagnosed medical condition true or false?

A

TRUE

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10
Q

What are the risk factors for somatic symptom disorder (5)

A
  1. Presence of anxiety disorder
  2. Presence of depressive disorder
  3. Being female
  4. Lower SES
  5. Fewer years of education
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11
Q

Illness anxiety disorder

A

Preoccupation with having/acquiring a serious illness

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12
Q

Diagnoses of illness anxiety disorder roughly correspond to the previous diagnosis of ________ in earlier versions of the DSM

A

hypochondriasis

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13
Q

The onset of illness anxiety disorder is usually when? What is it brought on by? Does it get better/worse with age?

A
  1. Early-middle adulthood
  2. Major life stressors
  3. Worse
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14
Q

Risk factors of illness anxiety disorder (5)

A
  1. Serious childhood illness/sibling with serious illness
  2. Being raised by a parent/caregiver with illness anxiety
  3. Having another anxiety disorder
  4. Having OCD
  5. Child abuse
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15
Q

Unlike somatic symptom disorder, the primary source of distress for people with illness anxiety disorder is not the ______ itself but the ________ ________ of symptoms as indications of grave illness/disease

A

Symptoms

Dire interpretations

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16
Q

People with illness anxiety disorder are typically care ______ or ________ with ____ or _____ utilization of medical services, respectively

A

careseeking/careavoiding
high/low utilization

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17
Q

People with illness anxiety disorder who are care-seeking often see many doctors for ___ _____ ______. They are sometimes met with ______/______ attitudes by physicians

A

The same problem

Hostile/dismissive

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18
Q

In some cases people with illness anxiety disorder have an underlying illness/medical problem that goes _________ for months/years

A

undiagnosed

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19
Q

Somatic symptom disorder and illness anxiety disorder can be better understood as _______ disorders.

20
Q

Recall anxiety is a potential threat. What do people with somatic symptom disorder and illness anxiety disorder perceive as a potential threat?

A
  1. SSD - somatic symptoms
  2. IAD - illnesses
21
Q

Adaptations are characteristics that are (2)

A
  1. Produced by selection processes
  2. Produce beneficial effects
22
Q

Behavioral immune system

A

A set of voluntary/involuntary behaviors that protect a person from harm by poisons and pathogens

23
Q

Examples of the behavioral immune system (3+)

A
  1. Vomiting
  2. Coughing
  3. Avoiding stimuli that provoke disgust
24
Q

From an evolutionary perspective, SSD and IAD can be understood as _________ adaptations

A

overactive

25
Treatment of SSD and IAD
1. CTB 2. Insight-oriented therapy 3. SSRI's
26
Prognosis (giving knowledge beforehand) of SSD and IAD is good if symptoms are ___ to ____. If symptoms are ______, prognosis is poor
1. Mild to moderate 2. Severe
27
Conversion Disorder/Functional Neurological Symptom Disorder
One or more symptoms of altered voluntary motor/sensory function
28
Approximately ___ of people under the care of a neurologist have symptom that are believed to be “non-organic” in nature
1/3
29
Calling a symptom “non-organic” = symptom is not _________ in nature and therefore ________ in nature
Biological Psychological
30
How to formulate the distinction between psychological and biological problems?
Biological medical problems require biological interventions and psychological medical problems require psychological interventions
31
“Biological medical problems require biological interventions and psychological medical problems require psychological interventions” Why is this imperfect? (2) Name 2 examples as well
1) Biological interventions can help with psychological problems eg. SSRIs and depression 2) Psychological interventions often help with biological problems eg. Meditation helps lower high blood pressure
32
Common categories conversion symptoms include (2)
1. Motor symptoms 2. Sensory symptoms
33
What are some motor symptoms of conversion disorder? (2)
1. Paralysis (usually lateralized) 2. Abnormal movements
34
Common sensory symptoms of conversion disorder include (4)
1. Anesthesia (lack of sensation) 2. Parenthesis (tingling sensation) 3. Altered vision (Blurred/psychogenic blindness) 4. Altered hearing
35
Diagnosis of conversion disorder must be based on evidence that a person’s symptoms are incompatible with _________ ________ eg. (4)
Neurological dysfunction 1. Motor weakness appearing only under specific examination conditions eg. Weakness appears without resistance but not with resistance 2. Motor symptoms that change when a person is distracted away from the symptom 3. Paralysis while awake but not sleeping 4. Seizures in the absence of an abnormal encephalogram
36
Who did some psychoanalytic interpretations of conversion disorder (2)
1. Freud 2. Breuer
37
Freud and Breuer popularized the term “_______” for people (mostly women) who had symptoms that we now describe as conversion disorder
Hysteria
38
Freud and Breuer advanced the view that people often ______ thoughts, feelings, and memories into the unconscious. And that those ______ cognitions are “converted” into (2)
Repress/repressed 1. Somatic symptoms 2. Motor dysfunction
39
In reality repressed cognitions are not literally “converted” into somatic symptoms/motor dysfunction but they do seem to ______ somatic symptoms and/or motor dysfunction
CAUSE!
40
Neurobiological explanations of conversion disorder: 1. _______/_______ activated by stressor 2. _________ _______ ________, which mediates ________, is _____active 3. ________/________ inhibit the a)_______, b)_______
1. Frontal cortex/limbic structures activated by stressor 2. Dorsolateral prefrontal cortex, is under active 3. Frontal cortex/limbic structures also inhibit the a) basal nuclei, b) the thalamus
41
Dorsolateral prefrontal cortex mediates and is over/under active in people with conversion disorder
Volition - under active
42
Basal nuclei mediates
Movement
43
Thalamus mediates
Sensory integration
44
Inhibition of the _____ ___ and/or the _______ are thought to produce symptoms of conversion disorder
1. Basal nuclei 2. Thalamus
45
Factitious Disorder
Falsification of physical/psychological signs/symptoms or induction of injury/disease associated with identified deception
46
Malingering
Conscious falsification for the purpose of external rewards eg. Getting money for an injury that doesn’t exist
47
Pathological lying
Conscious falsification for the purpose of internal rewards eg. Feeling important