Somatoform Disorders Flashcards

1
Q

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

A

Somatoform disorders

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2
Q

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

A

somatization disorder

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3
Q

By what age must somatization disorders manifest?

A

age 30

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4
Q

How many symptoms must occur to qualify as somatization disorder?

A

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

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5
Q

T/F somatization disorders are the same across cultures

A

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

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6
Q

Goals of somatization disorder tx

A

reduce visits to numerous medical specialists and assign one PCP

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7
Q

Age of onset for conversion disorder

A

10-35 yrs

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8
Q

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

A

conversion disorder

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9
Q

Believed to be caused by past trauma or detachment from trauma

A

conversion disorder

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10
Q

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

A

pain disorder

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11
Q

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

A

pain disorder

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12
Q

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

A

hypochondriasis

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13
Q

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

A

at least 6 months

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14
Q

Most common manifestations of conversion disorder

A

paralysis, blindness, mutism

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15
Q

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

A

La belle indifference

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16
Q

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

A

one or more affecting voluntary motor or sensory function

17
Q

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

A

hypochondriasis

18
Q

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

A

body dysmorphic disorder

19
Q

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

A

body dysmorphic disorder

20
Q

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

A

body dysmorphic disorder

21
Q

Medical tx for body dysmorphic disorder

22
Q

Levels of this hormone are elevated in patients with somatization disorder

23
Q

Theory that attributes somatoform disorders to repressed sexual urges

A

psychoanalytic theory

24
Q

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

A

behavior theory

25
Associated with fears of aging and death, “doctor shopping”, poor relationships with providers, past experience with disease, family and work problems
hypochondriasis
26
fancy term for false pregnancy
pseudocyesis