somatic disorders

Question 1

medical iatrogenesis

Answer 1

reinforcement of sick role by excessive referrals or diagnostic testing

Question 2

basic defintion of somatic sx disorder

Answer 2

at least 1 distressing/disrupting somatic symptom accompanied by excessive thoughts/behaviors about seriousness

Question 3

what are possible manifestations of excessive thoughts/behaviors r/t seriousness in somatic symptom disorder and how many must be present for dx

Answer 3

at least 1:
-disproportionate/persistent thoughts about seriousness
-persistently high anxiety r/t sx
-excessive time/energy devoted to sx and health concerns

Question 4

how long must the state of being symptomatic (sxs may not always be the same) be present for dx of somatic sx disorder

Answer 4

6 months

Question 5

specifiers for somatic sx disorder

Answer 5

-with predominant pain
-if persistent
-severity

Question 6

mild somatic sx disorder

Answer 6

1manifestation from criteria B present

Question 7

moderate somatic symptom disorder

Answer 7

2+ manifestations from criteria B

Question 8

severe somatic sx disorder

Answer 8

2+ manifestation from criteria B and either multiple somatic complaints or one serious somatic complaint

Question 9

what if somatic sxs cannot be explained by a medical dx

Answer 9

in and of itself this is not sufficient for dx and sx may be comorbid with another actual medical dx

Question 10

possible cognitive features of somatic sx disorder

Answer 10

-attention focused on somatic sxs
-attributes normal body sensations to medical illness
-worry about illness
-self-concept of bodily weakness
-intolerance of body complaints

Question 11

possible emotional features of somatic sx disorder

Answer 11

-health anxiety
-negative affect
-desperation and/or demoralization regarding somatic sxs

Question 12

possible behavioral features of somatic sx disorder

Answer 12

-repeatedly checking body for abnormailites
-repeatedly seeking medical help/reassurane
-avoiding physical activity

Question 13

most common somatic sxs in children

Answer 13

recurrent abdominal pain
HA
fatigue
nausea

Question 14

most common presenting symptom of somatic sx disorder in older adults

Answer 14

localized pain in several areas of the body

Question 15

temperamental risk factors for somatic sx disorder

Answer 15

negative affectivity (neuroticism)
comorbid anxiety/depression

Question 16

common somatic sx of depression

Answer 16

fatigue
HA
pain

Question 17

general definition of illness anxiety disorder

Answer 17

preoccupation with having/getting serious illnes that is accompanied by high anxiety and either excessive health-related behaviors or maladaptive avoidance

Question 18

characteristics of somatic sxs in illness anxiety disorder

Answer 18

few if any
mild

Question 19

how long must illness preoccupation be present for dx of illness anxiety disorder

Answer 19

at least 6 months
(may not always be for the same dx)

Question 20

specifiers for illness anxiety disorder

Answer 20

care-seeking type
care-avoidant type

Question 21

what is distress in illness anxiety related to

Answer 21

possible reasons for sxs rather than sx itself

Question 22

environmental risk factors for illness anxiety disorder

Answer 22

-may be precipitated by major life event or threat to health
-abuse
-seriousness childhood illness
illness or loss of parent at an early age

Question 23

common psychiatric comorbidities of illness anxiety disorder

Answer 23

personality disorders
anxiety disorders (GAD and panic)
depressive disorders
OCD

Question 24

what is the new name for conversion disorder

Answer 24

functional neurological symptom disorder

Question 25

basic definition of functional neurological symptom disorder

Answer 25

1+ neurological sx that is incompatible with known neurological or medical disorders that causes clinically significant distress or functional impairment

Question 26

8 type specifiers for functional neurological symptom disorder

Answer 26

-with weakness/paralysis -with abnormal movement -with swallowing symptoms -with speech symptoms -with attacks or seizures -with anesthesia or sensory loss -with special sensory symptoms -with mixed symptoms

Question 27

length of episode specifiers for functional neurological symptom disorder

Answer 27

acute - <6 months persistent - >6 months

Question 28

stressor specifier for functional neurological symptom disorder

Answer 28

with psychological stressor w/o psychological stressor

Question 29

possible motor symptoms of conversion disorder

Answer 29

weakness/paralysis abnormal movements gait disturbance

Question 30

possible sensory symptoms of conversion disorder

Answer 30

altered, reduced, or absent skin sensations, vision, or hearing

Question 31

dysphonia/aphonia

Answer 31

reduced or absent speech output (possible sx of conversion disorder)

Question 32

globus

Answer 32

sensation of lump in throat (possible sx of conversion disorder)

Question 33

can dx of conversion disorder be made if there is a recognized neurological disease present

Answer 33

yes. They may be comorbid

Question 34

temperamental risk factors for conversion disorder

Answer 34

emotional instability maladaptive personality traits

Question 35

environmental risk factors for conversion disorder

Answer 35

hx of abuse/neglect stressful life events

Question 36

common comorbidities of conversion disorder

Answer 36

neurological/medical conditions anxiety somatic sx disorder personality disorders

Question 37

what is required for dx of psychological factors affecting other medical conditions dx

Answer 37

presence of a comorbid diagnosed medical condition

Question 38

main definition of psychological factors affecting other medical conditions

Answer 38

psychiatric and behavioral factors have an adverse effect on the course or exacerbation of medical condition

Question 39

what is the difference between psychological factors affecting other medical conditions and adjustment disorder d/t medical condition

Answer 39

adjustment disorder is when medical dx causes psych sxs. he other is where psych sxs affect outcomes of already diagnosed medical disorder

Question 40

4 ways in which psychological factors can affect other medical conditions

Answer 40

-influencing course of condition -interfering w/ tx of condition -constitutes other well-established health risks -influencing underlying pathophysiology

Question 41

mild psychological factors affecting other medical conditions

Answer 41

psychological and/or behavioral factors increase medical risk

Question 42

moderate psychological factors affecting other medical conditions

Answer 42

psychological/behavioral factors aggravate underlying condition

Question 43

severe psychological factors affecting other medical conditions

Answer 43

psychological/behavioral factors result in ER visits and hospitalizations

Question 44

extreme psychological factors affecting other medical conditions

Answer 44

psychological/behavioral factors result in severe life-threatening risk

Question 45

general definition of factitious disorder

Answer 45

falsifying symptoms with intent to deceive to assume sick role rather than for external rewards

Question 46

types of factitious disorder

Answer 46

imposed on self imposed on another

Question 47

difference between factitious disorder and malingering

Answer 47

malingering is falsifying symptoms for some sort of personal gain

Question 48

brief somatic sx disorder

Answer 48

meets criteria but sx present for less than 6 months

Question 49

brief illness anxiety disorder

Answer 49

meets criteria but sx have been present less than 6 months

Question 50

illness anxiety disorder w/o excessive health-related behaviors or maladaptive avoidance

Answer 50

meets all but criteria D for illness anxiety disorder

Question 51

pseudocyesis

Answer 51

false belief of being pregnant associated with objective s/s of pregnancy