Lecture 16: Somatic disorders Flashcards
Somatic symptom disorder
Excessive thoughts/feelings/behaviors related to somatic (physical) symptoms or associated health concerns
Somatic symptom disorder is more common in men or women
Women
People with somatic symptom disorder typically have ______ symptoms but sometimes just ____
multiple
one
People with somatic symptom disorder tend to have high levels of ____ about somatic symptoms
worry
People with somatic symptom disorder often focus on symptoms as ______ in conversation, which affects _______ ________
Themes
personal relationships
Somatic symptoms can be both specific and general, true or false?
TRUE
Specific somatic symptoms example
Pain in a particular area
General somatic symptoms example
Fatigue
Somatic symptoms may or may not be associated with a diagnosed medical condition true or false?
TRUE
What are the risk factors for somatic symptom disorder (5)
- Presence of anxiety disorder
- Presence of depressive disorder
- Being female
- Lower SES
- Fewer years of education
Illness anxiety disorder
Preoccupation with having/acquiring a serious illness
Diagnoses of illness anxiety disorder roughly correspond to the previous diagnosis of ________ in earlier versions of the DSM
hypochondriasis
The onset of illness anxiety disorder is usually when? What is it brought on by? Does it get better/worse with age?
- Early-middle adulthood
- Major life stressors
- Worse
Risk factors of illness anxiety disorder (5)
- Serious childhood illness/sibling with serious illness
- Being raised by a parent/caregiver with illness anxiety
- Having another anxiety disorder
- Having OCD
- Child abuse
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
Symptoms
Dire interpretations
People with illness anxiety disorder are typically care ______ or ________ with ____ or _____ utilization of medical services, respectively
careseeking/careavoiding
high/low utilization
People with illness anxiety disorder who are care-seeking often see many doctors for ___ _____ ______. They are sometimes met with ______/______ attitudes by physicians
The same problem
Hostile/dismissive
In some cases people with illness anxiety disorder have an underlying illness/medical problem that goes _________ for months/years
undiagnosed
Somatic symptom disorder and illness anxiety disorder can be better understood as _______ disorders.
anxiety
Recall anxiety is a potential threat. What do people with somatic symptom disorder and illness anxiety disorder perceive as a potential threat?
- SSD - somatic symptoms
- IAD - illnesses
Adaptations are characteristics that are (2)
- Produced by selection processes
- Produce beneficial effects
Behavioral immune system
A set of voluntary/involuntary behaviors that protect a person from harm by poisons and pathogens
Examples of the behavioral immune system (3+)
- Vomiting
- Coughing
- Avoiding stimuli that provoke disgust
From an evolutionary perspective, SSD and IAD can be understood as _________ adaptations
overactive