Quiz #7: Somatic Disorders (Morrison Ch. 8)

Question 1

The common features of Somatic Disorders are the prominence of somatic symptoms associated with significant _______________.

Answer 1

distress and impairment

Question 2

Most Somatic Disorders are commonly encountered in ________ before seeing a psychologist.

Answer 2

primary care and other medical settings

Question 3

The distinctive feature of Somatic Disorders is not so much the somatic symptom, but how the symptom is __________ by the individual.

Answer 3

presented and interpreted

Question 4

The category of Somatic Disorders emerged from earlier notions of ______.

Answer 4

Hysteria

Question 5

Morrison says about Somatic Symptom Disorders:

“…these conditions are not bound together by common etiologies, family histories, treatments or other factors. This chapter is simply another convenient collection–in this case, of conditions that are concerned primarily with __________” (Morrison, p. 250)

Answer 5

physical symptoms

Question 6

Which disorder experiences one or more somatic symptoms that are distressing or result in significant disruption of daily life?

Answer 6

Somatic Symptom Disorder (SSD)

Question 7

For Somatic Symptom Disorder (SSD), how many symptoms must be present for diagnosis?

Answer 7

Only ONE symptom required

Question 8

For Somatic Symptom Disorder (SSD), the symptom must either cause ______ or impair ________.

Answer 8

distress
functioning

Question 9

At least ______ of people with Somatic Symptom Disorder (SSD) also report mood and/or anxiety symptoms.

Answer 9

half

Question 10

Which disorder experiences excessive thoughts, feelings, or behaviors related to the symptoms of related health concerns, as seen in at least one of following:
- Disproportionate and persistent thoughts about seriousness of one’s symptoms
- Persistent high anxiety about health or symptoms
- Excessive time and energy devoted to these symptoms/health concerns

Answer 10

Somatic Symptom Disorder (SSD)

Question 11

With Somatic Symptom Disorder (SSD), suffering is _______, and can also be _______ with other diagnosed health conditions.

Answer 11

authentic
comorbid

Question 12

For Somatic Symptom Disorder (SSD), the focus is on the _________ caused by the symptoms.

Answer 12

distress

Question 13

The most common somatic symptom in Somatic Symptom Disorder (SSD) is _________.

Answer 13

unexplained pain

Question 14

Along with unexplained pain, the following are common symptoms of which disorder?
- fatigue, shortness of breath
- For children: recurrent abdominal pain, headache, fatigue, nausea

Answer 14

Somatic Symptom Disorder (SSD)

Question 15

Morrison’s opinion on the DSM-5 SSD category is:

“I fear that we really may have truly come full circle, to the point where we are once again in danger of _________ people whose symptoms are perplexing, even mysterious, but which may well presage ultimate physical disease” He concludes, “Don’t use it!” You’ll do better with the DSM-IV criteria for _______.

Answer 15

misidentifying

Somatization Disorder

Question 16

Which disorder experiences multiple somatic symptoms recurring over a period of several years, often beginning from an early age? The symptoms must begin before age 30 and result in seeking medical help or lead to significant impairment.

Answer 16

Somatization Disorder

Question 17

The symptoms of Somatization Disorder must begin before age ___ and result in seeking medical help or lead to significant impairment.

Answer 17

30

Question 18

Which disorder must have minimum of 8 of the following symptoms:
- Hx of pain related to at least 4 anatomical sites/functions
- Hx of at least 2 GI symptoms other than pain (bloating, constipation, diarrhea, nausea…)
- At least 1 sexual/reproductive symptom (erection difficulty, irregular menses)
- At least 1 pseudoneurological symptom not related to pain (blindness, deafness, double vision, difficulty swallowing)
- Not explained by other medical conditions.

Answer 18

Somatization Disorder

Question 19

In the DSM-5, the Somatic Symptom Disorder (SSD) with predominant pain specifier replaced which disorder?

Answer 19

Pain Disorder

Question 20

Which disorder experiences somatic symptoms predominantly involve pain.
- Typically chronic & severe
- Commonly located in lower back, head, pelvis or TMJ
- Often begins following an accident or illness

Answer 20

Somatic Symptom Disorder (SSD) with predominant pain specifier

Question 21

Morrison notes about Somatic Symptom Disorder (SSD) with predominant pain specifier:
* Pain is __________, individuals experience it differently
* There is no gross ________ pathology
* __________ pain is hard

Answer 21

subjective
anatomical
measuring

Question 22

Morrison notes about Somatic Symptom Disorder (SSD) with predominant pain specifier:

“So it’s hard to know that a patient who complains of ____________ pain, and …lacks adequate objective pathology, has a mental disorder at all” (p.257)

Answer 22

chronic or excruciating

Question 23

Which disorder replaced the DSM-5 Hypochondriasis disorder?

Answer 23

Illness Anxiety Disorder

Question 24

Which disorder fits the following description?

“Despite the absence of serious physical symptoms, the patient is inordinately concerned about being ill. High anxiety couples with a low threshold for alarm…” (Morrison, p. 261)

Answer 24

Illness Anxiety Disorder

Question 25

Which disorder contains the following symptoms? - If somatic symptoms present, excessive & disproportionate preoccupation with them - High anxiety about health; easily alarmed - Excessive health related behaviors (repeatedly checking for illness); or maladaptive avoidance of health care

Answer 25

Illness Anxiety Disorder

Question 26

For Illness Anxiety Disorder, the patient must experience at least _______ of preoccupation with fears of having a serious disease based on misinterpretation of bodily symptoms.

Answer 26

6 months

Question 27

For _______, the fear persists despite lack of medical confirmation. - Care-seeking type/care-avoidant type - Although no current illness, do report high level of childhood illness

Answer 27

Illness Anxiety Disorder

Question 28

Caldwell's hypothesis regarding Hypochondriasis (Illness Anxiety Disorder) is: Adaptive response to a _________ to the client's physical integrity. “Staying in bed, worrying about deteriorating, and being preoccupied with the availability of medical help makes sense if one is terrified of bodily damage or death”

Answer 28

perceived overwhelming threat

Question 29

Howard Hughes was _________ in his own germ-free environment, apparently terrified of physical illness.

Answer 29

imprisoned

Question 30

If an individual has extensive worries about health but no or minimal somatic symptoms, more likely ____________. __________ is diagnosed when significant somatic symptoms are present.

Answer 30

Illness Anxiety Disorder Somatic Symptom Disorder (SSD)

Question 31

Which disorder experiences: 1) a change in how the body functions when 2) no causative physical... malfunctioning can be found” (Morrison)

Answer 31

Conversion Disorder (Functional Neurological Symptom Disorder)

Question 32

Which disorder experiences: - one or more symptoms of altered voluntary motor or sensory systems - Evidence of incompatibility between the symptom & recognized neurological/medical conditions

Answer 32

Conversion Disorder (Functional Neurological Symptom Disorder)

Question 33

The following was deleted from the DSM-5 from which disorder? "Psychological factors are associated with symptom because they precede the onset or exacerbation of symptoms"

Answer 33

Conversion Disorder (Functional Neurological Symptom Disorder)

Question 34

Morrison provides the following examples of ___________ within Conversation Disorder: - Stocking anesthesia - Blindness - Deafness - Double vision - Hallucinations

Answer 34

Sensory Conversions

Question 35

Morrison provides the following examples of ___________ within Conversation Disorder: - Impaired balance or staggering gait - Weak or paralyzed muscles - Lump in throat - Trouble swallowing - Retention of urine - Loss of voice

Answer 35

Motor Conversions

Question 36

Which disorder has the following subtypes? —with weakness or paralysis (F44.4) —with abnormal movement (F44.4) —With swallowing symptoms (F44.4) —With speech symptom (F44.4) —With attacks or seizures (F44.5) —With anesthesia or sensory loss (F44.6) —With special sensory symptom (F44.6) —With mixed symptoms (F44.7)

Answer 36

Conversion Disorder

Question 37

Morrison believes Psychological Factors Affecting Other Medical Conditions is ____ a medical condition, and should have been a Z-code (V code is a DSM-5-R)

Answer 37

NOT

Question 38

Which disorder contains the following: - A medical symptom/condition is present - Psychological/behavioral factors adversely affect the medical condition in one of following ways: - Affects the course of the condition - Interferes with treatment of condition - Creates additional health risks - Influences underlying pathophysiology, either exacerbating symptoms or requiring medical attention

Answer 38

Psychological Factors Affecting Other Medical Conditions

Question 39

The following are examples of which disorder? - Philip’s voices tell him not to go on kidney dialysis - Alice’s depression prevents her from refilling a prescription to treat diabetes - John’s hatred of authority figures causes him to reject doctor’s recommendation of heart surgery - Tim, at 400 lbs., knows he should avoid sweetened drinks, but loves his Big Gulps

Answer 39

Psychological Factors Affecting Other Medical Conditions

Question 40

______ is the intentional production of physical or psychological signs or symptoms. This may include: - fabrication of subjective complaints - Falsification of objective signs - Self-inflicted conditions - Exaggeration of preexisting medical condition

Answer 40

Factitious Disorder

Question 41

In Factitious Disorder, the motivation is to play the _________. There are NO external incentives for this behavior.

Answer 41

"Sick Role"

Question 42

Factitious Disorder contains the following subtypes: - Factitious Disorder Imposed on ____ - Factitious Disorder Imposed on ______

Answer 42

Self Other

Question 43

_________ is the intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives. For example: avoiding military duty, avoiding work, evading prosecution, obtaining financial compensation

Answer 43

Malingering

Question 44

The difference from Factitious Disorder is that Malingering requires an ______________.

Answer 44

external incentive

Question 45

Symptoms are produced because of external motivation.

Answer 45

Malingering

Question 46

Symptoms are not produced intentionally. There is no external motivation present.

Answer 46

Somatic Symptom Disorders (SSD)

Question 47

Symptoms are not produced by external motivation. Need to maintain the sick role.

Answer 47

Factitious Disorder

Question 48

With Substance-Related and Addictive Disorders, there are ____ substances and ____ categories.

Answer 48

10 substances 3 categories

Question 49

What are the 3 categories of Substance-Related and Addictive Disorders?

Answer 49

1. Substance use disorders (dependence and abuse) Substance-induced disorders: 2. Intoxication 3. Substance withdrawal

Question 50

Caffeine Intoxication is a recent consumption of caffeine of ______.

Answer 50

250 mg +

Question 51

For _______, there must be five symptoms from the following: 1. Restlessness 2. Nervousness 3. Excitement 4. Insomnia 5. Flushed face 6. Diuresis 7. GI disturbance 8. Muscle twitching 9. Rambling flow of thought and speech 10. Tachycardia or cardiac arrhythmia 11. Periods of inexhaustibility

Answer 51

Caffeine Intoxication

Question 52

_________ is a prolonged daily use of caffeine.

Answer 52

Caffeine Withdrawal

Question 53

For _______, there must be three or more symptoms from following: A. Headache B. Marked fatigue or drowsiness C. Dysphoric mood, depressed mood, or irritability D. Difficulty concentrating E. Flu-like symptoms (nausea, vomiting, or muscle pain/stiffness

Answer 53

Caffeine Withdrawal

Question 54

Somatic Symptom Disorder used to be called _________.

Answer 54

Somatization Disorder

Question 55

A chronic condition characterized by unexplained physical symptoms. Found almost exclusively in women.

Answer 55

Somatic Symptom Disorder (SSD)

Question 56

The pain in question has no apparent physical or physiological basis, or it far exceeds the usual expectations, given the patient's actual physical condition.

Answer 56

Somatic Symptom Disorder with predominant pain

Question 57

These patients complain of isolated symptoms that seem to have no physical cause.

Answer 57

Conversion Disorder

Question 58

This is a disorder in which physically healthy people have an unfounded fear of a serious, often life-threatening illness, such as cancer or heart disease--but little in the way of somatic symptoms.

Answer 58

Illness Anxiety Disorder

Question 59

A patient's mental or emotional issues influence the course of care of a medical disorder.

Answer 59

Psychological factors affecting other medical conditions

Question 60

Patients who want to occupy the sick role (perhaps they enjoy the attention of being in a hospital) consciously fabricate symptoms to attract attention from health care professionals.

Answer 60

Factitious Disorder imposed on self

Question 61

A person includes symptoms in someone else, often a child, possibly for the purpose of gaining attention

Answer 61

Factitious Disorder imposed on another

Question 62

Psychological causes for symptoms should considered only after physical disorders have been eliminated.

Answer 62

Actual physical illness

Question 63

Pain with no apparent physical cause is characteristic of some patients with major depressive disorder or bipolar I disorder, current or most recent depressed. Because they are treatable and potentially life-threatening, these possibilities must be investigated early.

Answer 63

Mood Disorders

Question 64

In substance use, patients who use substances may complain of pain or other physical symptoms. These may result from the effects of substance __________ or __________.

Answer 64

intoxication or withdrawal

Question 65

Some patients who are experiencing a reaction to environmental circumstances will complain of pain or other somatic symptoms.

Answer 65

Adjustment Disorder

Question 66

These patients know their somatic (or psychological) symptoms are fabricated, and their motive is some form of material gains, such as avoiding punishment for work or obtaining money or drugs.

Answer 66

Malingering

Question 67

It is called "Somatic symptom and related disorders" because their presentations resemble _________.

Answer 67

somatic (bodily) disease