somatic sx and related DO, factitious DOs Flashcards
risk factors for somatic sx DO
recent stressful events
lower levels of education
lower socioeconomic status
female sex
older age
unemployment
sexual trauma
childhood adversity
chronic medical illness
other psych DO
social stress
increased sensitivity to pain
lifetime suicide attempt rate in patients with body dysmorphic DO
22-24%
functional neurological symptom disorder
includes conversion
ie young women from lower SES
REAL neuro sx unexplained by medical cause, result in problems functioning.
weakness, paralysis, loss of balance, seizures, episodes of unresponsiveness, tremors, other abnormal movements, numbness, loss of sensations, speec problems, blindness, double vision
risk: prior neuro DO, recent stressors, emotional/physical trauma, comorbid mood/anxiety DO, dissociated DO
1/6 head and neck surgery patients get this
adjustment DO
maladaptive response
percentage of outpatient neuro patients diagnosed with conversion sx
4-6%
risk factor of Body dysmporphic DO
childhood neglect & abuse
increased prevalance with 1st degree relatives with OCD
*22-25% suicide rate for patients with BDD
dx criteria for Somatic sx do
1 or more somatic sx that disrupt life
at least one:
persistent thoughts, high anxiety, excessive time spent on health concerns
longer than 6 mo
specifier: with pain, persistent, mild, mod, server
*can be associated with another disorder
prevalence of illness anxiety DO
1-5%
pt with fictitious by proxy
more likely to have personality DO, substance DO and mood DOs
under somatic symptom and related disorder in DSM5
somatic symptom disorder
illness anxiety disorder
conversion disorder
psychological factors affecting other medical conditions
factitious disorder
other specified somatic symptom and related disorder
unspecified somatic symptom and related disorder
exogenous insulin use
high plasma insulin but normal c-peptide and proinsulin levels
