Somatoform and Factitious disorders Flashcards

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1
Q

enduring physical symptoms without an identifiable organic cause, which causes significant distress or impairment in social, occupational or other areas of functioning

A

Somatoform Disorder

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2
Q

symptoms as an unconscious defense against unacceptable internal conflicts ( self justification for various actions or lack of actions)

A

primary gain

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3
Q

symptoms that provide unconscious external benefits (increase attention from others, decreases responsibilities , avoidance of law, etc)

A

secondary gain

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4
Q

onset of somatization disorder

A

before age 30

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5
Q
somatization disorder:
need at least how many pain sx?
how many GI?
How many sexual or repro?
Neuro?
A

4 pain
at least 2 GI
at least 1 sexual or repro
at least 1 pseudoneuro, not limited to pain

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6
Q

pts who have at least one neuro sx (sensory or motor) that cannot be explained by a medical disorder
onset is usually preceded or exacerbated by a psychological stressor, although pt may not connect the two

A

Conversion Disorder

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7
Q

common sx in conversion disorder

A

shifting paralysis, blindess, mutism, paresthesias, seizures, globus hystericus ( sensation of lump in throat)

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8
Q

The only somatoform disorder that does NOT have a higher frequency in women?

A

Hypochondriasis

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9
Q

Criteria for Pain Disorder

A

patient’s main complaint is pain at one or more anatomic sites, of sufficient severity to warrant clinical attention
the pain causes significant distress or impairment in the patients life
psychological factors play an important role in the pain
not intentionally produced

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10
Q

Tx for pain disorder

A

SSRIs

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11
Q

what can exacerbate the sx of pain disorder

A

major depression

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12
Q

patients intentionally produce signs of physical or mental disorders, they produce the sx to assume the sick role (primary gain), lack of secondary gain distinguishes this from malingering, there is no external incentives (money, etc) as in malingering

A

factitious disorder

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13
Q

Difference between malingering and factitious disorder

A

Malingering, the motivation is external (achieve personal gain: avoiding police, receving room and board, obtaining narcotics, receiving monetary compensation)
Factious disorder the motivation is internal

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14
Q

Malingering is more common in which gender

A

Men!!

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