Somatoform disorders Flashcards
Difference between psychosomatic and somatoform disorder?
Is there an organic disorder behind the complaint?
Yes → Somatic disease
No → Somatoform disorder
Definition of somatoform disorder
The existence of such a syndrome
- behind which you cannot justify any somatic/physical disorders,
- when it is probable that psychological factors play an important role in the development of the symptoms
- which leads to misery and functional decline of the patient.
Typically affected areas in somatoform disorders
1) Neurology
2) Chronic pain
3) Digestive system
4) Sexual life
Most common somatoform disorders
1) Somatization disorder
2) Conversion disorder
3) Hypochondriasis
4) Somatoform pain disorder
Somatization disorder definition
A wide, variable, multi-organ, diverse complaints without any medical / biological relationship to each other, chronic course, many somatic examinations / inpatient assessments and therapies (no evidences)
Conversion disorder definition
Usually one – somatic like symptoms (eg, blindness, paralysis, etc…), acute onset without anatomical or pathophysiological explanation
Hypochondriasis definition
Conviction of a serious disease (faith/overvaluation/ enlarge of being sick), the suffering, caused by anxiety not by the physical complaints
Somatoform pain disorder
A variety of physical pain, which occurance / localization / intensity does not meet the organic difference
The Hungarian Civil Code state the following:
“Persons of legal age (18) whose necessary discretionary ability for conducting their affairs is – owing to their mental disorder – completely lacking shall be placed under guardianship that fully limits their competency in all matters of life, where this is deemed justified due to their individual circumstances and family and social ties.”
Incompetency is defined as the following in the Hungarian Civil Code:
“a person who is not of sound mind and who is therefore unable to make decisions for themselves at that time”
