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Behavioral Science > Somatoform > Flashcards

Somatoform Flashcards

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1
Q 
Which of the following disorders are characterized by unconscious production of physical symptoms that are not explained by a medical condition? 
Somatization Disorder
Malingering
Conversion Disorder
Anxiety/Depression
Factitious Disorder
A

Somatization Disorder
Conversion Disorder
Anxiety/Depression

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2
Q 
Which of the following disorders are characterized by conscious production of symptoms with an unconscious motivation? 
Somatization Disorder
Malingering
Conversion Disorder
Anxiety/Depression
Factitious Disorder
A

Factitious Disorder

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3
Q 
Which of the following disorders are characterized by conscious production symptoms with a conscious motivation?
Somatization Disorder
Malingering
Conversion Disorder
Anxiety/Depression
Factitious Disorder
A

Malingering

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4
Q

What is primary gain?

A

internal motivations

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5
Q

What is secondary gain?

A

external motivations

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6
Q

In which sex is there a higher incidence of somatoform disorders?

A

women

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7
Q

When do somatoform disorders usually start and what makes them worse?

A

starts in early adulthood

worse with stress

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8
Q

Are somatoform disorders genetic?

A

somatization, hypochondriasis and pain disorder do tend to run in families

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9
Q

What is the suggested biological pathway for somatoform disorders?

A

serotonin-related pathways

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10
Q

What are the diagnostic criteria for somatization disorder?

A

> 4 pain issues-2 GI, 1 sexual, 1 neuro
onset before 30
Sx are chronic and complete remission is rare
Unconscious/ no secondary gain

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11
Q

What are the diagnostic criteria for conversion disorder?

A
  • sudden loss of 1+ voluntary motor or sensory fxns
  • preceded by psychological stress or conflict
  • Sx usually has a symbolic relationship with the stressor
  • “La belle indifference”- pts seem unconcerned about their sx
  • unconscious/ no secondary gain
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12
Q

How long does conversion disorder usually last?

A

<1 month usually self limited

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13
Q

What are the diagnostic criteria for hypochondraisis?

A
  • fear/idea of having a medical illness
  • persists despite negative findings (dr shopping)
  • Sx for >6 months
  • unconsciouns/ no secondary gain
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14
Q

What type of medication may help in treating hypochondriasis?

A

SSRI’s

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15
Q

What are the diagnostic criteria for body dysmorphic disorder?

A
  • preoccupation w/ imagined problem or insignificant abnormality in appearance (usually face/head)
  • can’t be accounted for by eating disorder
  • Plastic surgery rarely relieves sx
  • unconscious/no secondary gain
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16
Q

What are the diagnostic criteria for pain disorder?

A
  • pain severe enough to cause pt to seek medical attention
  • can’t be explained by physical causes
  • acute 6 months
  • onset in 3rd or 4th decade
  • can be disabling and cause dependence on meds
  • unconscious/no secondary gain
17
Q

What is the differential diagnosis for any of the unconscious somatoform disorder?

A
  • true illness
  • depression or anxiety
  • conscious somatoform disorder (factitious disorder or malingering)
18
Q

Is psychiatry usually needed to treat the unconscious somatoform disorders?

A

no

19
Q

How are the unconsicous somatoform disorders usually treated?

A
  • identify and decrease stressors and primary gain
  • treat anxiety/depression if present
  • drug assisted interviewing with Na amobarbital
  • Hypnosis
  • Psychotherapy, interpersonal and CBT
20
Q

What are the diagnostic criteria for factitious disorder?

A

-conscious feigning or production of physical /mental illness to receive attention from medical personnel

21
Q

What is the primary gain in factitious disorder?

A

feel safe and cared for

22
Q

What is the secondary gain in factitious disorder?

A

feel proud/ an expert to be able to figure things out that drs cant

23
Q

What happens when people with factitious disorder are confronted?

A

get angry and leave quickly

24
Q

In what field is factitious most common?

A

medical field

25
Q

What are some of the produced symptoms in factitious disorder?

A 
Abd pain-"grid abdomen"
fever
hematuria
seizure
skin lesions
tachycardia
hypoglycemia
DVT
26
Q

What is factitious disorder by proxy?

A
  • parent feigns of induces illness in a child to gain attention for themselves
  • parent may have history of childhood neglect/abuse or serious childhood illness
27
Q

What are the diagnostic criteria for malingering?

A

NOT a psychiatric illness

  • conscious stimulation of exaggeration of physical or mental illness to achieve some secondary gain (disability, drugs, leave of absence from work)
  • Sx improve as soon as secondary gain is obtained
  • *common in the incarcerated and people in lawsuits**

Behavioral Science (16 decks)

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