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19 Cards in this Set

  • Front
  • Back
What is somatization disorder?
Multiple unexplained physical complaints
Spanning MULTIPLE organ systems
By definition, by what age must somatization disorder have its onset?
Age 30
What is conversion disorder?
Unexplained symptoms or deficits affecting voluntary motor or sensory function

Psychological factors are associated with the symptoms/deficits
How long must concern persist to qualify as hypochondriasis?
At least 6 months
When in life is the peak incidence of hypochondriasis?
4th and 5th decades
Hypochondriasis overlaps with what other disorder?
Obsessive Compulsive Disorder
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
Predisposing factors for developing somatization disorder (6)
Neuropsychological/Physiologic factors
Comorbid depressive disorder
Comorbid anxiety disorder
Male relatives of F somat. disorder pts. are at increased risk of what (2)?
Antisocial personality disorder
% of F relatives of somat. disorder pts. who also have somat. disorder
Somat. disorder entails dysfunction in what area(s) of the brain?
Bilateral, symmetrical frontal lobe dysfunction
What is alexithymia?
Inability to recognize and communicate one's emotions
3 ways that somat. disorder pts. abnormally deal with sensations
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"
Amplification is likely related to what personality characteristic?

What are the most commonly related personality disorders (3)?

Avoidant, paranoid, OCPD
What comorbidity do about half of somat. disorder pts. have?
Comorbid depressive disorder
~ How many of somat. disorder pts. meet criteria for Gen. Anxiety Disorder?
About 1/3
What is primary gain?
Unconscious, INTRApsychic benefit achieved by experiencing a symptom

Ex. man is relieved at not hitting his child due to his arm numbness
What is secondary gain?
EXTERNAL benefit achieved by experiencing a symptom

Ex. more attention from family and friends
Interval between physician visits should rarely exceed how long?
(in 1st yr of treatment of somat. disorder)
6 weeks