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19 Cards in this Set
- Front
- Back
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What is somatization disorder?
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Multiple unexplained physical complaints
Spanning MULTIPLE organ systems |
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By definition, by what age must somatization disorder have its onset?
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Age 30
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What is conversion disorder?
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Unexplained symptoms or deficits affecting voluntary motor or sensory function
Psychological factors are associated with the symptoms/deficits |
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How long must concern persist to qualify as hypochondriasis?
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At least 6 months
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When in life is the peak incidence of hypochondriasis?
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4th and 5th decades
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Hypochondriasis overlaps with what other disorder?
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Obsessive Compulsive Disorder
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What are the criteria for somatization disorder?
(How many of what type of symptoms?) |
Four pain symptoms
Two GI symptoms One sexual symptom One pseudoneurological symptom |
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Predisposing factors for developing somatization disorder (6)
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Genetics
Neuropsychological/Physiologic factors Personality LEARNED RESPONSES Comorbid depressive disorder Comorbid anxiety disorder |
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Male relatives of F somat. disorder pts. are at increased risk of what (2)?
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Antisocial personality disorder
Alcoholism |
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% of F relatives of somat. disorder pts. who also have somat. disorder
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20%
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Somat. disorder entails dysfunction in what area(s) of the brain?
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Bilateral, symmetrical frontal lobe dysfunction
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What is alexithymia?
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Inability to recognize and communicate one's emotions
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3 ways that somat. disorder pts. abnormally deal with sensations
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Heightened vigilance for normal but unpleasant sensations
Tendency to focus on weak or infrequent sensations Tendency to mislabel sensations as symptomatic of disease NOTE: all of this leads to a "positive feedback loop" |
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Amplification is likely related to what personality characteristic?
What are the most commonly related personality disorders (3)? |
Neuroticism
Avoidant, paranoid, OCPD |
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What comorbidity do about half of somat. disorder pts. have?
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Comorbid depressive disorder
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~ How many of somat. disorder pts. meet criteria for Gen. Anxiety Disorder?
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About 1/3
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What is primary gain?
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Unconscious, INTRApsychic benefit achieved by experiencing a symptom
Ex. man is relieved at not hitting his child due to his arm numbness |
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What is secondary gain?
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EXTERNAL benefit achieved by experiencing a symptom
Ex. more attention from family and friends |
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Interval between physician visits should rarely exceed how long?
(in 1st yr of treatment of somat. disorder) |
6 weeks
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