Somatic Symptom and Related Disorders Flashcards
Category of disorders defined by anxiety about health and excessive focus on physical symptoms
Somatic symptom and related disorders
What are 2 neurobiological factors in the shared etiology of somatic symptom and related disorders?
- Increased activity in anterior insula and anterior cingulate (both of which are strongly connected with the somatosensory cortex)
- Stress hormones
How does reinforcement play a role in somatic symptom and related disorders?
When the person assumes the role of being sick, they may seek reassurance, which may be reinforced if they get attention or sympathy.
Somatic symptom and related disorder involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident
Somatic symptom disorder
How long should the distress over somatic symptom(s) persist to meet the diagnostic criteria for somatic symptom disorder?
Typically more than 6 months
True or False: 1 somatic symptom should be continuously present for more than 6 months to meet the diagnostic criteria for somatic symptom disorder.
False
Any one somatic symptom may not be continuously present, but the state of being symptomatic should be persistent.
True or False: Somatic symptoms without an evident medical explanation are sufficient to make the diagnosis of somatic symptom disorder.
False
It is not sufficient to make this diagnosis.
True or False: Somatic symptom disorder and a concurrent medical illness are not mutually exclusive.
True
They frequently occur together.
From a psychological perspective, where do individuals with somatic symptom disorder get their dysfunctional illness beliefs and attitudes from?
Parents who catastrophize their somatic symptoms (which is modeled by the individual)
State at least 3 social contributions to the development of somatic symptom disorder.
- Childhood neglect by parents who somatize
- Family history of physical illness
- Early trauma
- Low socioeconomic status
- Low educational attainment
What medication is prescribed to reduce chronic pain and distress in somatic symptom disorder?
Antidepressants
Apart from cognitive-behavioral therapy (CBT), state 1 psychotherapy approach used to treat somatic symptom disorder.
- Psychodynamic therapy
- Third-wave therapies (e.g., acceptance and commitment therapy [ACT])
Somatic symptom and related disorder involving severe anxiety over the belief in having a disease without any evident physical cause
Illness anxiety disorder
What is the minimum duration for illness preoccupation in illness anxiety disorder?
At least 6 months
What are the 2 specifiers of illness anxiety disorder
- Care-seeking type
- Care-avoidant type
A mistaken, difficult-to-share belief that one has a disease
Disease conviction