Somatic symptom and abnormal illness disorder Flashcards
1
Q
Somatic symptom disorder- Eti
A
- Before age 30
- 10x more common in women
2
Q
Somatic symptom disorder- Sx
A
- Multiple phys complaints to several organ systems
- Anxiety, panic, depression present
- Preoccupation with medical and surgical issues
- Symptoms freq change, elude dx by 3+ physicians
- Mult surg and evidence of long standing symptoms
3
Q
Somatic symptom disorder- Dx
A
- Dx of exclusion
4
Q
Somatic symptom disorder- Tx
A
- Biofeedback
- Hypnosis
- Peer groups
5
Q
Conversion disorder- Eti
A
- Lower SE classes
- Certain cultures
6
Q
Conversion disorder- Sx
A
- Precipitated by emotional event
- Psychic conflict converted to physical sx
- Paralysis
- Affected organ system may have symbolic meaning
7
Q
Conversion disorder- Dx
A
Rule out epilepsy if manifests with pseudo seizures
8
Q
Conversion disorder- Tx
A
- Family members attend appointments to learn
- Group therapy
- Biofeedback
9
Q
Hypochondriasis- Sx
A
- > 6 months
- Preoccupation with serious disease
- Fear and concern over disease without physical sx
- Not of delusional intensity
- Not better accounted for by anxiety, OCD, panic of depression
- Sx wax and wane
10
Q
Hypochondriasis- Eti
A
- Onset in adulthood
- M=W
Learned behavior rom childhood
11
Q
Hypochondriasis- Tx
A
- SSRIs
- CBT, group tx
- See at regular intervals
12
Q
Pain disorder- Sx
A
- Pain in 1+ anatomical site
- Sig. distress, impairment in fxn
- Psych factors have role in onset, severity, exacerbation
- Not intentionally produced
- Pain not better accounted for by mood, anxiety, psychotic disorder
13
Q
Pain disorder- Eti
A
- Learned behavior
- Punishment for guilt
14
Q
Pain disorder- Tx
A
- Reduce anxiety, distress
- NSAIDs rather than opioids
- Insight oriented psychotherapy
- Operant conditioning
- Pain clinic
15
Q
Factitious disorder- Eti
A
- Intentional
- Deceptive behaviors to achieve the sick role
- Self induced
