Medically unexplained Sx

Question 1

Terms for medically unexplained Sx

Answer 1

Somatization
Somatoform disorders
Functional somatic syndromes

Question 2

Patterns of somatization

Answer 2

Medically unexplained Sx
Hypochondriacal somatization
Somatic presentations of psychiatric illness

Question 3

Definition of symptom

Answer 3

Bodily sensation + Cortical interpretation

Question 4

Somatosensory amplification

Answer 4

Tendency to experience somatic sensations as disturbing or noxious

Question 5

Associations to somatosensory amplification

Answer 5

Hypervigilance to bodily sensations

Question 6

Illness behaviour

Answer 6

How people monitor bodies and interpret Sx

Includes heath care seeking behaviour

Question 7

Examples of medically unexplained Sx

Answer 7

IBS
Fibromyalgia
Non specific chest pain

Question 8

Epidemiology of somatoform disorders

Answer 8

F

< 30 yrs

Question 9

Hypochondriasis

Answer 9

Fear of illness
Misinterpretation of bodily sensations
Persists despite reassurance
> 6 months

Question 10

Conversion disorder

Answer 10

Alteration in physical functioning

Not intentionally producing Sx

Question 11

Factitious disorder

Answer 11

Deliberate feigning of Sx
No obvious motive
Peak onset 16-25
Eg. Munchausens

Question 12

Malingering

Answer 12

Intentional production of Sx

Obvious external incentive

Question 13

Mechanism and Motivation: conversion disorder

Answer 13

Mech: Unconscious
Mot: Unconscious

Question 14

Mechanism and Motivation: Factitious disorder

Answer 14

Mech: Conscious
Mot: Unconscious

Question 15

Mechanism and Motivation: Malingering

Answer 15

Mech: Conscious
Mot: Conscious

Question 16

Somatoform disorder def

Answer 16

more than 2 years 
physical symptoms (vs fear of having disease in hypochondriac)