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DSM5 > somatic disorders > Flashcards

somatic disorders Flashcards

1
Q

medical iatrogenesis

A

reinforcement of sick role by excessive referrals or diagnostic testing

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2
Q

basic defintion of somatic sx disorder

A

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

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3
Q

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

A

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

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4
Q

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

A

6 months

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5
Q

specifiers for somatic sx disorder

A

-with predominant pain
-if persistent
-severity

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6
Q

mild somatic sx disorder

A

1manifestation from criteria B present

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7
Q

moderate somatic symptom disorder

A

2+ manifestations from criteria B

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8
Q

severe somatic sx disorder

A

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

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9
Q

what if somatic sxs cannot be explained by a medical dx

A

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

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10
Q

possible cognitive features of somatic sx disorder

A

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

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11
Q

possible emotional features of somatic sx disorder

A

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

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12
Q

possible behavioral features of somatic sx disorder

A

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

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13
Q

most common somatic sxs in children

A

recurrent abdominal pain
HA
fatigue
nausea

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14
Q

most common presenting symptom of somatic sx disorder in older adults

A

localized pain in several areas of the body

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15
Q

temperamental risk factors for somatic sx disorder

A

negative affectivity (neuroticism)
comorbid anxiety/depression

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16
Q

common somatic sx of depression

A

fatigue
HA
pain

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17
Q

general definition of illness anxiety disorder

A

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

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18
Q

characteristics of somatic sxs in illness anxiety disorder

A

few if any
mild

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19
Q

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

A

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

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20
Q

specifiers for illness anxiety disorder

A

care-seeking type
care-avoidant type

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21
Q

what is distress in illness anxiety related to

A

possible reasons for sxs rather than sx itself

22
Q

environmental risk factors for illness anxiety disorder

A

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

23
Q

common psychiatric comorbidities of illness anxiety disorder

A

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

24
Q

what is the new name for conversion disorder

A

functional neurological symptom disorder

25
Q

basic definition of functional neurological symptom disorder

A

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

26
Q

8 type specifiers for functional neurological symptom disorder

A

-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

27
Q

length of episode specifiers for functional neurological symptom disorder

A

acute - <6 months
persistent - >6 months

28
Q

stressor specifier for functional neurological symptom disorder

A

with psychological stressor
w/o psychological stressor

29
Q

possible motor symptoms of conversion disorder

A

weakness/paralysis
abnormal movements
gait disturbance

30
Q

possible sensory symptoms of conversion disorder

A

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

31
Q

dysphonia/aphonia

A

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

32
Q

globus

A

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

33
Q

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

A

yes. They may be comorbid

34
Q

temperamental risk factors for conversion disorder

A

emotional instability
maladaptive personality traits

35
Q

environmental risk factors for conversion disorder

A

hx of abuse/neglect
stressful life events

36
Q

common comorbidities of conversion disorder

A

neurological/medical conditions
anxiety
somatic sx disorder
personality disorders

37
Q

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

A

presence of a comorbid diagnosed medical condition

38
Q

main definition of psychological factors affecting other medical conditions

A

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

39
Q

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

A

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

40
Q

4 ways in which psychological factors can affect other medical conditions

A

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

41
Q

mild psychological factors affecting other medical conditions

A

psychological and/or behavioral factors increase medical risk

42
Q

moderate psychological factors affecting other medical conditions

A

psychological/behavioral factors aggravate underlying condition

43
Q

severe psychological factors affecting other medical conditions

A

psychological/behavioral factors result in ER visits and hospitalizations

44
Q

extreme psychological factors affecting other medical conditions

A

psychological/behavioral factors result in severe life-threatening risk

45
Q

general definition of factitious disorder

A

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

46
Q

types of factitious disorder

A

imposed on self
imposed on another

47
Q

difference between factitious disorder and malingering

A

malingering is falsifying symptoms for some sort of personal gain

48
Q

brief somatic sx disorder

A

meets criteria but sx present for less than 6 months

49
Q

brief illness anxiety disorder

A

meets criteria but sx have been present less than 6 months

50
Q

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

A

meets all but criteria D for illness anxiety disorder

51
Q

pseudocyesis

A

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

DSM5 (18 decks)

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