Behavioral Science - Ch 16 (Book)

Front 1

sx formation is unconscious; emotional disorders characterized by physical sx that suggest organic pathology

Back 1

somatoform disorders

Front 2

sx formation is conscious; feign mental or physical illness or actually induce physical illness for psyc reasons

Back 2

factitious disorder

Front 3

sx formation is conscious; feign mental or physical illness or actually induce physical illness for tangible gain

Back 3

malingering

Front 4

5 classifications of somatoform disorder:

Back 4

somatization, conversion, hypochondriasis, body dysmorphic and pain

Front 5

involves the defense mech of somatization to unconsciously express an unacceptable emotion as a physical sx to avoid dealing

Back 5

primary gain

Front 6

sx once established serves a useful purpose

Back 6

secondary gain

Front 7

dx criteria for somatization disorder

Back 7

at least 4 pain sx, 2 GI sx, 1 sex sx and 1 pseudoneuro sx over years; beings before 30 yo

Front 8

dx criteria for conversion disorder

Back 8

1 or more sx affecting voluntary motor or sensory function; produced or preceded by psych stress

Front 9

dx criteria for hypochondriasis

Back 9

at least 6 mo of fear/idea of having a serious illness based on misinterpretation of bodily sx

Front 10

dx criteria for body dysmorphic disorder

Back 10

preoccupation with imagined prob with appearance, not accounted for by anorexia

Front 11

dx criteria for pain disorder

Back 11

psych factors are involved in onset or other aspect of pain

Front 12

when do somatoform disorders tend to start?

Back 12

early adulthood

Front 13

tx for hypochondriasis

Back 13

SSRI

Front 14

la belle indifference is associated with what somatoform disorder?

Back 14

conversion disorder

Front 15

most common conversion disorder sx (6)

Back 15

paralysis, bizarre seizures, globus hystericus, paresthesias, anesthesias, visual probs

Front 16

conversion disorder is often co-morbid with what 2 other disorders?

Back 16

histrionic PD and depression

Front 17

what quickens the sx resolution of conversion disorder?

Back 17

hypnosis or drug-assisted interviewing

Front 18

is plastic surgery likely to relieve sx of body dysmorphic disorder?

Back 18

no

Front 19

most useful strategy in treating somatoform disorders:

Back 19

strong and supportive doc-pt relationship

Front 20

most commonly feigned sx are (4)

Back 20

abd pain, fever, blood in urine and seizures

Front 21

multiple cross-hatched abd scars or grid abdomen are evidence of what?

Back 21

previous unnecessary surgeries

Front 22

what is a common profession for those with factitious disorder?

Back 22

health professional

Front 23

adult, usually a parent, feigns or induces illness in child to gain attention

Back 23

factitious disorder by proxy

Front 24

is factitious disorder by proxy a form of child abuse?

Back 24

yes

Front 25

those with factitious disorder often have a hx of what?

Back 25

serious childhood illness

Front 26

is malingering a psychiatric illness?

Back 26

no

Front 27

psych factors likely to affect the course or tx of medical condition (6)

Back 27

psych illness (depression), other medical illness, stress, maladaptive health behavior, personality trait, coping mech

Front 28

increased release of ACTH leads to what that is impt to psychosomatic disorder

Back 28

immune system depression

Front 29

what personality trait is the key component to increased risk for heart disease?

Back 29

hostility

Front 30

very high life event stressors

Back 30

death of spouse, divorce, marital separation, death of close family member

Front 31

high life event stressors

Back 31

major personal loss de to illness/injury, marriage, job loss, retirement, major loss of health of close family member, birth/adoption

Front 32

moderate life event stressors

Back 32

major debt, promotion/demotion, child leaving home

Front 33

low life event stressors

Back 33

changing residence, vacation, major holiday

Front 34

homeostatic mech that the body uses in response to social stress

Back 34

general adaptation syndrome

Front 35

common psych complaints in medically ill pts (3)

Back 35

depression, anxiety, disorientation

Front 36

certain pt populations more likely to be psych stressed include (6)

Back 36

hospitalized, ICU, CCU, AIDS, renal dialysis, chronic pain

Front 37

pts in ICU/CCU are particularly at risk for what psych sx?

Back 37

delirium or ICU psychosis

Front 38

what is first way to decrease the risk of ICU psychosis?

Back 38

enhance sensory and social input, allow then control over as much as they can

Front 39

pts with AIDS have additional stressors like: (5)

Back 39

fatal illness, guilt, costly/painful tx, withdrawal from drugs, reveal sexual orientation

Front 40

chronic pain must last how long to be dx?

Back 40

at least 6 mo

Front 41

relief of pain caused by physical illness is best achieved by:

Back 41

analgesics or nerve-blocking surgical procedures or implants, antidepressants and antiseziure meds

Front 42

implants that provide electrical stimulation of large diam afferent nerves

Back 42

gate control theory of pain control

Front 43

is a person with chronic pain more likely to become depressed or addicted to pain meds?

Back 43

depressed

Front 44

when is the best time to admin analgesic?

Back 44

before the pt asks for it

Front 45

what is the best way to admin pain meds to kids?

Back 45

orally or transdermally

Front 46

subjective responsiveness to inactive pharm agent

Back 46

placebo response

Front 47

what is the proposed mech for placebo response?

Back 47

real changes in neural function such as release of endogenous opiods

Front 48

can you give a pt a placebo without telling them?

Back 48

no, unless you are in a research setting

Front 49

what 2 NTs are implicated in experience of pain?

Back 49

serotonin, glutamate

Front 50

2 actions of antidepressants in pain tx

Back 50

stimulate efferent inhibitory pain paths and improve sx of depression

Front 51

if a person presents with first case of depression, anxiety or psychosis at age 50, do you think psych or medical?

Back 51

medical