Symptom Perception Flashcards

1
Q

Definition of attention

A

How much we focus on internal and external stimuli info received from our sensory receptors

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2
Q

Definition of attribution

A

Long term info stored in meaningful categories, influenced by past learning and new assimilated knowledge

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3
Q

Definition of schema symmetry rule

A

Cycle of finding symptoms and associating them correctly /incorrectly with an illness label that fits

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4
Q

Definition of appraisal delay

A

Time taken to attribute a symptom to an illness

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5
Q

Defintion of illness delay

A

Time taken to reach a decision about if treatment is needed

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6
Q

Definition of utilisation delay

A

Time taken between symptom detection and presenting to a doctor

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7
Q

Definition of heuristics

A

People making judgements based on rules of thumb (age)

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8
Q

What is the relationship between symptom perception and objective markers

A

Symptom reports do not correlate with objective tests/markers

Biomedical model assumes a 1:1 ratio between physiological change and symptom reports

Psychological factors account for the non linear relationship

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9
Q

What is attention and how do unstimulating environments affect our attention

A

The degree of attention we pay to our internal body states influences symptom perception
We have a limited capacity to process many external and internal inputs

Unstimulating environments => less competition on attentional capacity => more likely to detect changes in internal states

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10
Q

What is attribution

What 3 things can symptoms be attributed to and what can these attributions lead to

A

People try to make sense of their symptoms by attributing them to what they know

Influenced by past learning and new assimilated knowledge

Symptoms can be attributed to
-somatic
-psychological
-environmental causes
Different attributions lead to different actions
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11
Q

What are attributions based on

A

Prior illness experience
Interaction with peers and media
Interactions with medical professionals

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12
Q

How are attributions organised and how can they change

-5 factors

A

Identity
-symptoms linked to a specific illness label

Cause
-aetiology

Timeline
-expected duration

Consequences
-impact of symptoms

Cure and control
-steps needed to manage symptoms

Patient has considered these attributions before seeing the doctor and is likely to reconsider attributions by adding new info

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13
Q

What is the schema symmetry rule

A

Illness label <=> detection of symptoms

Vicious cycle finding symptoms and associating them with an illness label that fits

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14
Q

How do negative emtions impact our symptom perception

A

Increased negative emotions => increased symptom reporting

Negative emotions => hypervigilance to health threats => physiological arousal symptoms => attributed incorrectly to physical illness

Catastrophic interpretation of environment and symptoms

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15
Q

What are the 3 reasons for delays in help seeking

A

Appraisal delay
-time taken to attribute a symptom to an illness

Illness delay
-time taken to reach a decision about if treatment is needed

Utilisation delay
-time taken between symptom detection and presenting to a health care servie

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16
Q

What are the 2 factors associated with appraisal delay

A

Attention
-symptoms not perceived as non threatening

Misattention
-symptoms interpreted incorrectly

17
Q

What factor is associated with illness delay

A

Heuristics

-people make judgements based on rules of thumb (age)

18
Q

What 4 factors are associated with utilisation delay

A

Dispositional factors
Social pressure
No clear action plan/implementation intention
Fear/avoidance

19
Q

What are the 3 effects of delays in seeking help

A

Poorer prognoses

  • decreased chances of survival
  • efficacy of drugs reduced if administration is time dependent
  • higher morbidity
20
Q

What are the 4 reasons for increased help seeking

A

Factors associated with presentation

  • personality traits (neuroticism/perfectionism)
  • significant life events
  • combination of infections, health problems, distress
  • receiving treatment for medically unexplained symptoms
21
Q

How would you target those who need help seeking interventions

A

Tailor to individuals

Personalised mail outs/social media campaign

Address issues face to face in consultations

22
Q

How would you address appraisal delay

A

Improve patient illness schema for target condition by improving label matching

23
Q

How would you address illness delay

A

Address heuristics used

-target the ‘old age schema’

24
Q

How would you address utilisation delay

A

Address barriers to attendance

  • If Then action plan
  • Address fear by emphasising support options available
  • Include family members