Somatoform Disorders

Question 1

Overly preoccupied with health or body appearance. Physical complaints without a medical condition

Answer 1

Somatoform disorders

Question 2

Symptoms suggest a physical disorder, cannot adequately be explained physiologically, and are often described in dramatic ways

Answer 2

somatization disorder

Question 3

By what age must somatization disorders manifest?

Answer 3

age 30

Question 4

How many symptoms must occur to qualify as somatization disorder?

Answer 4

4 pain symptoms, 2 GI symptoms, 1 sexual symptom, 1 pseudoneurological symptom

Question 5

T/F somatization disorders are the same across cultures

Answer 5

false, symptoms vary. feeling of worms and ants in under skin more common in Asia/Africa

Question 6

Goals of somatization disorder tx

Answer 6

reduce visits to numerous medical specialists and assign one PCP

Question 7

Age of onset for conversion disorder

Answer 7

10-35 yrs

Question 8

Severe physical dysfunctioning without pathology. Genuinely unaware they can fxn normally. More common in lower SES, women, men under stress

Answer 8

conversion disorder

Question 9

Believed to be caused by past trauma or detachment from trauma

Answer 9

conversion disorder

Question 10

Main symptom is pain. May be exacerbated by psychosocial factors. May be maintained by gain

Answer 10

pain disorder

Question 11

10-15% of US adults, equally affects both genders, any age at onset and associated with unemployment, disability, substance abuse, depression, family problems

Answer 11

pain disorder

Question 12

No physical symptoms are necessary. Preoccupied with the possibility that normal sensations are symptoms of serious disease. Over-report bodily sensations

Answer 12

hypochondriasis

Question 13

How long must symptoms of hypochondriasis be present to diagnose it as a disorder

Answer 13

at least 6 months

Question 14

Most common manifestations of conversion disorder

Answer 14

paralysis, blindness, mutism

Question 15

A naive, inappropriate lack of emotion or concern for the perceptions by others of one’s disability, usually seen in persons with conversion disorder

Answer 15

La belle indifference

Question 16

How many symptoms need to be present to diagnose conversion disorder?

Answer 16

one or more affecting voluntary motor or sensory function

Question 17

Affects 1-5% of community, both genders equally, usually presents in an adult. Course of disorder waxes and wanes

Answer 17

hypochondriasis

Question 18

Excessive concern with real or imagined defects in appearance, especially facial marks or features

Answer 18

body dysmorphic disorder

Question 19

Either fixation or avoidance of mirrors. Suicidal Ideation and Suicidal Behavior are common

Answer 19

body dysmorphic disorder

Question 20

Affects both genders. Onset begins in childhood or adolescence. Associated with excessive grooming, removal of mirros, social isolation, surgical procedures

Answer 20

body dysmorphic disorder

Question 21

Medical tx for body dysmorphic disorder

Answer 21

SSRIs

Question 22

Levels of this hormone are elevated in patients with somatization disorder

Answer 22

cortisol

Question 23

Theory that attributes somatoform disorders to repressed sexual urges

Answer 23

psychoanalytic theory

Question 24

Theory that attributes somatoform disorders to malingering, social learning/reinforcement, secondary gain

Answer 24

behavior theory

Question 25

Associated with fears of aging and death, “doctor shopping”, poor relationships with providers, past experience with disease, family and work problems

Answer 25

hypochondriasis

Question 26

fancy term for false pregnancy

Answer 26

pseudocyesis