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Adult Psychopathology > Somatic Symptom Disorders > Flashcards

Somatic Symptom Disorders Flashcards

1
Q

Patients with _____ disorders generally lack insight and do not accept that their problems have a psychological component.

A

somatic symptom

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2
Q

The changes to somatic symptom disorders in DSM-5 are an attempt to make the diagnoses easier in a _____ setting, although there is no evidence that they will have this effect.

A

medical

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3
Q

In any given month, 75% of the population experiences a physical complaint, and in 25% of the population, these symptoms last over one month. A (SMALL / LARGE) portion of these people develop somatic symptom disorders.

A

small

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4
Q

Medically unexplained symptoms have similar health care costs as _____ and _____ disorders.

A

mood; anxiety

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5
Q

Bouman & Eifert noted that prior to DSM-5, there had been no diagnosis for people who _____ or _____ somatic complaints. As of DSM-5, these people could be diagnosed with Psychological Factors Affecting Other Medical Conditions.

A

minimize; under-report

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6
Q

Somatic Symptom Disorder, Criterion A

One or more somatic symptoms that are _____ and/or result in significant _____ in daily life.

A

distressing; disruption

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7
Q

Somatic Symptom Disorder, Criterion B

Excessive thoughts, feelings, and behaviors related to their somatic symptoms or associated health concerns as manifested by at least one of the following:

  1. Disproportionate and persistent thoughts about the _____ of one’s symptoms.
  2. Persistently high level of _____ about health or symptoms.
  3. Excessive _____ devoted to these symptoms or health concerns.
A

seriousness - anxiety - time and energy

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8
Q

Somatic Symptom Disorder, Criterion C

TRUE or FALSE: Any given symptom must be continuously present for 6 months.

A

FALSE

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9
Q

Somatic Symptom Disorder, Criterion C

The state of being symptomatic is persistent, typically lasting more than _____ months.

A

6

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10
Q

Somatic Symptom Disorder, Specifiers

Somatic symptom disorder with predominant pain, previously _____ (DSM-IV), is for individuals whose somatic symptoms predominantly involve pain.

A

pain disorder

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11
Q

Somatic Symptom Disorder, Specifiers

_____ somatic symptom disorder is characterized by severe symptoms, marked impairment, and long duration (more than 6 months).

A

Persistent

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12
Q

Somatic Symptom Disorder, Specifiers

In mild somatic symptom disorder, _____ of the symptoms specified in Criterion B is/are fulfilled.

A

1

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13
Q

Somatic Symptom Disorder, Specifiers

In moderate somatic symptom disorder, _____ or more of the symptoms specified in Criterion B are fulfilled.

A

2

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14
Q

Somatic Symptom Disorder, Specifiers

In severe somatic symptom disorder, 2 or more of the symptoms specified in Criterion B are fulfilled, plus there are _____ or one very severe somatic symptom.

A

multiple somatic complaints

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15
Q

_____, a DSM-IV disorder now captured by somatic symptom disorder, involves severe pain that causes significant distress or impairment and in which psychological factors are judged to play a role.

A

Pain disorder

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16
Q

_____, _____, and _____ are all associated with chronic pain.

A

Abuse; trauma; depression

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17
Q

_____ is a subjective report of a bodily condition.

A

Pain

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18
Q

Pain behavior is susceptible to _____ reinforcement.

A

social

19
Q

Experience of pain may also be affected by _____.

A

self-efficacy

20
Q

Illness Anxiety Disorder, Criterion A

Preoccupation with having or acquiring a _____.

A

serious illness

21
Q

Illness Anxiety Disorder, Criterion B

_____ are not present, or if present, are only mild in intensity.

A

Somatic symptoms

22
Q

Illness Anxiety Disorder, Criterion B

If another medical condition is present or there is a high risk for developing a medical condition, the preoccupation is clearly _____ or _____.

A

excessive; disproportionate

23
Q

Illness Anxiety Disorder, Criterion C

There is a high level of anxiety about health, and the individual is easily alarmed about _____.

A

personal health status

24
Q

Illness Anxiety Disorder, Criterion D

The individual performs excessive _____ or exhibits maladaptive _____.

A

health-related behaviors - avoidance

25
Q

Illness Anxiety Disorder, Criterion F

The illness-related preoccupation is not better explained by another mental disorder, including _____.

A

somatic symptom disorder

26
Q

Illness Anxiety Disorder, Specifiers

What are the two specifiers for illness anxiety disorder?

A

care-seeking type; care-avoidant type

27
Q

Illness anxiety disorder usually begins in _____.

A

early childhood

28
Q

_____ may have origins in modeling, an early history of illness, overprotection, and/or experiences with medical errors.

A

Illness anxiety disorder

29
Q

Health Anxiety: Cognitive-Behavioral Model

_____ about health and illness

⟶ activated by a/an _____

⟶ anxious _____

⟶ _____, checking behavior, reassurance seeking

⟶ _____ and fear

⟶ _____ / increased activation of beliefs

A

Dysfunctional beliefs - event - apprehension - hypervigilance - anxiety - rumination

30
Q

Health Anxiety: Cognitive-Behavioral Model

_____ may be negatively reinforced.

A

Reassurance seeking

31
Q

Health Anxiety: Cognitive-Behavioral Model

_____ refers to the fact that individuals with health anxiety believe that they are more sensitive (although they probably are not).

A

Somatosensory amplification

32
Q

Conversion Disorder, Criterion A

One or more tymptoms of altered _____ or _____ function.

A

voluntary motor; sensory

33
Q

Conversion Disorder, Criterion B

Clinical findings provide evidence of _____ between the symptoms and recognized neurological or medical conditions.

A

incompatibility

34
Q

Conversion Disorder, Specifiers

Specifiers are based on _____, _____, and _____.

A

symptom type; acute or persistent; with or without psychological stressor

35
Q

Symptoms of conversion disorder may involve _____.

A

secondary gain

36
Q

Conversion disorder is 5 times more common in (MEN / WOMEN).

A

women

37
Q

In the US, conversion disorder is associated with _____ and _____ areas.

A

rural; low SES

38
Q

Psychological Factors Affecting Other Medical Conditions, Criteria A/B

A medical symptom or condition is present, and psychological or behavioral factors adversely affect the medical condition in one of the following ways:

  1. Exacerbate or delay _____ from the condition
  2. Interfere with _____
  3. Constitute established _____
  4. Affect the underlying _____ of the condition
A

recovery - treatment - health risks - pathophysiology

39
Q

Examples of _____ include:

  • Stress leading to hypertension
  • Anxiety exacerbating angina or asthma
  • Ignoring chest pain
A

psychological factors affecting other medical conditions

40
Q

Factitious Disorder, Criterion A

_____ of physical or psychological signs or symptoms, or _____ of injury or disease associated with identified deception.

A

Falsification - induction

41
Q

Factitious Disorder, Criterion B/C

The individual presents himself or herself to others as ill, impaired, or injured, and the deceptive behavior is evident even in the absence of obvious _____.

A

external rewards

42
Q

Factitious Disorder, Specifiers

Either _____ or _____.

A

single episode; recurrent episodes

43
Q

In factitious disorder, the motive appears to be to get _____ and support (to assume the sick role); there cannot be other incentives, or else it is malingering.

A

medical attention

44
Q

Factitious disorder by proxy occurs most commonly in _____ acting on their young children or _____ on their husbands.

A

mothers - older women

Adult Psychopathology (5 decks)

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