Psychological problems in patients in the practice of physiotherapy

Question 1

Zimbardo’s definition of disorder is :
a pattern of _____, thoughts, and behavior that is _______ to the situation and leading to personal _____ and the inability to achieve personal _______

Answer 1

emotions
inappropriate
distress
goals

Question 2

psychological disorder, mental illness, mental disorder, psychopathology all mean ___________

Answer 2

the same thing

Question 3

What are the 5 signs of abnormality described by Rosenhan and Seligman?
How many of these signs must be present for an abnormality to exist?

Answer 3

1. Distress
2. Mal-adaptiveness
3. Irrationality
4. Unpredictability
5. unconventionality and undesirable behavior

2 or more

Question 4

Does having a psychological disorder mean social dysfunctioning ?
Can physiotherapists diagnose a psychological disorder?
what do experts use to diagnose psychological disorders?

Answer 4

yes
no only experts (psychologists, doctors, psychiatrists)
DSM-5 = Diagnostic and Statistical Manual of Mental Sciences

Question 5

which yellow flags signify a possible psychological disorder?

Answer 5

• Dysfunctional views on a complaint
• unfavorable personal characteristics such as an external locus of control, extreme pessimism
• Emotional state does not fir in with the nature of the complaint
• life problems complicating treatment

Question 6

Which 4 psychological problems are most common in physiotherapy?

Answer 6

1. overstress
2. Somatoform disorders
3. Anxiety disorders
4. Depression

Question 7

Tensed mood, emotional instability, irritation, loss of concentration, depressive feelings are all signs of ______
can fatigue and back pain be stress related complaints?

Answer 7

distress

yes

Question 8

which of the four most common psychological problems is not considered a mental disorder by DSM-5?

Answer 8

overstress

Question 9

What is somatization?

Answer 9

There is no medical explanation (yet) for the physical complaint or the complaints are not proportionate to the disorder. The patient suffers many more or more severe complaints than expected taking diagnosis into account

Question 10

What is the difference between somatization and psychosomatic complaints?

Answer 10

in psychosomatic complaints there is an explanation for the complaints which is psychological factors.
However, in somatization there is no medical explanation for the physical symptoms.

Question 11

What is somatoform disorder?

What is the example of a somatoform disorder from the ppt?

Answer 11

when psychological problems manifest in the form of physical complaints.
Hypochondriasis (excessive worrying about ones health)

Question 12

anxiety comes in which two forms?

Answer 12

being anxious about something specific or anxiety without apparent reason (panic)

Question 13

Abnormal anxiety leading to social dysfunction is called ______
What are two important examples of this?

Answer 13

anxiety disorder

1. Panic disorder
2. Phobias

Question 14

When does a depressive mood become depressive

Answer 14

when it lasts longer than 2 weeks (some books say 6 weeks)

Question 15

Depressive mood is a normal symptom if there is a loss of interest or pleasure as a reaction to _____

In depression, abnormal loss of interest and pleasure is accompanied by what?

Answer 15

loss

weight loss/gain, insomnia, suicidal thoughts, fatigue, excessive sleeping.

Question 16

What should you do if you suspect psychological problems?

Answer 16

refer back to GP
If you have hesitations you can resort to questionnaires (quality of life, TAMPA) but be aware that questionnaires say more about groups than individuals