Somatic Symptom and Related Disorders Flashcards

1
Q

Category of disorders defined by anxiety about health and excessive focus on physical symptoms

A

Somatic symptom and related disorders

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2
Q

What are 2 neurobiological factors in the shared etiology of somatic symptom and related disorders?

A
  • Increased activity in anterior insula and anterior cingulate (both of which are strongly connected with the somatosensory cortex)
  • Stress hormones
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3
Q

How does reinforcement play a role in somatic symptom and related disorders?

A

When the person assumes the role of being sick, they may seek reassurance, which may be reinforced if they get attention or sympathy.

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4
Q

Somatic symptom and related disorder involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident

A

Somatic symptom disorder

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5
Q

How long should the distress over somatic symptom(s) persist to meet the diagnostic criteria for somatic symptom disorder?

A

Typically more than 6 months

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6
Q

True or False: 1 somatic symptom should be continuously present for more than 6 months to meet the diagnostic criteria for somatic symptom disorder.

A

False

Any one somatic symptom may not be continuously present, but the state of being symptomatic should be persistent.

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7
Q

True or False: Somatic symptoms without an evident medical explanation are sufficient to make the diagnosis of somatic symptom disorder.

A

False

It is not sufficient to make this diagnosis.

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8
Q

True or False: Somatic symptom disorder and a concurrent medical illness are not mutually exclusive.

A

True

They frequently occur together.

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9
Q

From a psychological perspective, where do individuals with somatic symptom disorder get their dysfunctional illness beliefs and attitudes from?

A

Parents who catastrophize their somatic symptoms (which is modeled by the individual)

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10
Q

State at least 3 social contributions to the development of somatic symptom disorder.

A
  • Childhood neglect by parents who somatize
  • Family history of physical illness
  • Early trauma
  • Low socioeconomic status
  • Low educational attainment
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11
Q

What medication is prescribed to reduce chronic pain and distress in somatic symptom disorder?

A

Antidepressants

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12
Q

Apart from cognitive-behavioral therapy (CBT), state 1 psychotherapy approach used to treat somatic symptom disorder.

A
  • Psychodynamic therapy
  • Third-wave therapies (e.g., acceptance and commitment therapy [ACT])
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13
Q

Somatic symptom and related disorder involving severe anxiety over the belief in having a disease without any evident physical cause

A

Illness anxiety disorder

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14
Q

What is the minimum duration for illness preoccupation in illness anxiety disorder?

A

At least 6 months

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15
Q

What are the 2 specifiers of illness anxiety disorder

A
  1. Care-seeking type
  2. Care-avoidant type
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16
Q

A mistaken, difficult-to-share belief that one has a disease

A

Disease conviction

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17
Q

True or False: Reassurance and education can be effective in some cases with health anxiety.

A

True

18
Q

Somatic symptom and related disorder characterized by physical malfunctioning that suggests neurological impairment but with no organic pathology to account for it

A

Functional neurological symptom disorder (conversion disorder)

19
Q

True or False: The term conversion disorder originated with Jean-Martin Charcot.

A

False

The term originated with Sigmund Freud, who thought that anxiety and psychological conflcit were converted into physical symptoms.

20
Q

True or False: The diagnosis of functional neurological symptom disorder should be made when the results from investigations are normal or when the symptom is bizarre.

A

False

21
Q

Conversion symptom defined by the loss of the sense of smell

A

Anosmia

22
Q

Conversion symptom that occurs when the person experiences little or no sensation in the hand and lower arm

A

Glove anesthesia

23
Q

Seizures that are psychological in origin

A

Psychogenic non-epileptic seizures

24
Q

Conversion symptom characterized by the sensation of a lump in the throat that makes it difficult to swallow, eat, or sometimes talk

A

Globus hystericus

25
Q

Phenomenon in which the visual field is constricted, as it would be if the person were peering through a tube

A

Tunnel vision

26
Q

Conversion symptom whereby the individual loses their voice other than whispered speech

A

Aphonia

27
Q

Phenomenon characterized by a lack of concern about one’s conversion symptoms

A

La belle indifference

28
Q

The course of functional neurological symptom disorder is often persistent.

A

False

The course can be transient and may often disappear after a time, only to return later in the same or similar form when a new stressor occurs.

29
Q

Freud’s term for reduction in anxiety from transferring psychic energy attached to repressed emotions or memories to physical symptoms

A

Primary gain

30
Q

Freud’s term for benefits gained, such as receiving attention and concern and being relieved of obligation and expectations, that reinforce the conversion symptoms

A

Secondary gain

31
Q

What psychological factor is implicated in functional neurological symptom disorder, in which sensory or motor functions are dissociated from consciousness in reaction to extreme stress?

A

Spontaneous self-hypnosis

32
Q

What parenting style contributes to the development of functional neurological symptom disorder?

A

Overinvolved or overprotective parenting

33
Q

State 2 sociocultural contributions in the development of functional neurological symptom disorder.

A
  • Repressive sexual attitudes
  • Low educational attainment
  • Low socioeconomic status (SES)
34
Q

State 2 psychotherapy approaches used to treat functional neurological symptom disorder.

A
  • Psychoanalytic therapy
  • Cognitive-behavioral therapy (CBT)
35
Q

True or False: Psychodynamic treatment for somatic symptom and related disorders shows long-term effectiveness in alleviating physical symptoms.

A

False

It is only effective in the short term.

36
Q

State at least 2 behavioral strategies in cognitive-behavioral therapy (CBT) for somatic symptom and related disorders.

A
  • Exposure
  • Assertiveness training
  • Social skills training
37
Q

Disorder defined by deliberate faking of a physical or psychological disorder motivated by gain

A

Malingering

38
Q

True or False: Malingerers are fully aware of what they are doing.

A

True

39
Q

Disorder whereby the individual deliberately fakes a nonexistent physical or psychological disorder for no apparent gain except possibly sympathy and attention

A

Factitious disorder

40
Q

Condition when an individual deliberately makes someone else sick

A

Factitious disorder imposed on another (Munchausen syndrome by proxy)

41
Q

True or False: In factitious disorder imposed on another, the individual who is deliberately making someone else sick is aware of their abuse.

A

False

Awareness of abuse is not usually present.

42
Q

Other specified somatic symptom and related disorder characterized by a false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy

A

Pseudocyesis