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Flashcards in Somatoform Disorders Deck (33)
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1

Define Somatic

Of or relating to the body, especially as distinct from the mind

2

Somatic Symptoms Disorder

One or more somatic symptoms that are distressing or result in significant disruption of daily life
Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns
The state of being symptomatic is persistent

3

Somatoform Symptoms

Suggest physical disorder
Cannot adequately be explained physiologically
Often described in dramatic ways
Often co-exist with anxiety/mood/personality disorders

4

Characteristics of Somatization Disorder

Reports of multiple physical symptoms with a medical basis
Runs in families
Rare
Onset usually in adolescents

5

Treatment of Somatization Disorder

CBT
Therapy to broaden basis for relating to others

6

Epidemiology of Somatization Disorder

Women > Men
5-7% general population
Older age of onset
Chronic course
Cultural influences affect gender ratios & body locations
Symptoms vary across cultures
Lower levels with higher education levels

7

Somatization Disorder Pathophysiology

Patient needs to be sick

8

Causes of Somatization Disorder

Family Hx of illness
Relation with antisocial personality disorder
Weak behavioral inhibition system

9

Treatment for Somatization Disorder

Assign a PCP
Reduce supportive consequences of talk about symptoms
Frequent, short visits

10

Define Conversion Disorder

Physical symptoms suggesting neurological problems

11

Types of Neurological Problems in Conversion Disorder

Sensory impairment
Paresthesias
Blindness
Paralysis

12

Epidemiology of Conversion Disorder

Suden onset, sudden termination, sudden reappearance
Women > Men except men in combat
Often misdiagnosed
Onset in late childhood
More common in rural areas, lower SES, & lower educational levels

13

Conversion Disorder Criteria

One or more symptoms or deficits affecting voluntary motor or sensory function
Psychological factors are judged to be associated with symptoms or deficit because issue is preceded by conflicts or other stressors
Symptom or deficit in not intentionally feigned
Symptom or deficit cannot be fully explained by a general medical condition, substance use, or culturally sanctioned behavior or experience
Symptom/deficit causes significant distress or impairment in functioning
Symptom/deficit not limited to pain or sexual dysfunction

14

Characteristics of Conversion Disorder

Severe physical dtysfunctioning without pathology
Affect people genuinely unaware that they can function normally
May coincide with other problems

15

Treatment of Conversion Disorder

Assign PCP
Attend to trauma
Remove success of secondary gain
Reduce supportive consequences of talk about symptoms

16

Causes of Conversion Disorder

Freudian psychodynamic view
Focus on past trauma & conversion
Address primary & secondary gain
Detachment from trauma

17

Define Illness Anxiety Disorder

Severe anxiety of the possibility of having a disease
Preoccupied with normal sensations being serious disease

18

Criteria for Illness Anxiety Disorder

Preoccupation with having or acquiring a serious illness
Somatic symptoms mild or not present
High level of anxiety about health; easily alarmed by personal health status
Individual performs excessive health related behaviors or exhibits maladaptive avoidance
Preoccupation present for at least 6 months; specific illness may change
Preoccupation not better explained by another mental disorder

19

Epidemiology of Illness Anxiety Disorder

Male = Female
Any age at onset
Chronic course that waxes & wanes

20

Associations with Illness Anxiety Disorder

Fears of aging and death
Doctor shopping
Poor relationships with providers
Past experience with disease
Family & work problems

21

Causes of Illness Anxiety Disorder

Cognitive perceptual distortions
Family history of illness

22

Treatment of Illness Anxiety Disorder

Challenge illness-related misinterpretations
Provide substantial & sensitive reassurance

23

Biological Factors as Etiology of Illness Anxiety Disorder

Increased level of cortisol
No concordance for any somatoform disorder
Symptoms more likely on the left half of the body

24

Other Specified Somatic Symptom & Related Disorder Criteria

Brief somatic symptom disorder (

25

Psychoanalytic Theory of the Etiology of Somatoform Disorders

Controlling repressed sexual urges
Deny knowledge but use information

26

Behavior Theory of the Etiology of Somatoform Disorders

Malingering
Social learning & reinforcement
Secondary gain

27

Define Body Dysmorphic Disorder

Excessive concern with real or imagined defects in appearance

28

Criteria for Body Dysmorphic Disorder

Preoccupation with an imagined defect in appearance
Preoccupation causes clinically significant distress or impairment in functioning
Preoccupation not better accounted for by another mental disorder

29

Characteristics of Body Dysmorphic Disorder

Fixation with or avoidance of mirrors
Suicidal ideation
Suicidal behavior

30

Facts about Body Dysmorphic Disorder

Men = Women
Onset in adolescence
Chronic course