Lecture 4B: Somatic Stress Disorders 9

Front 1

Binder’s group found that epileptic and non
epileptic seizure patients did not differ on
most neurocognitive variables except the
______

Back 1

Portland Digit Recognition Test (a test of effort). But not in the range of malingering!!

Front 2

Somebody has NES and they complete an MMPI-2. What pattern of results would you expect to see as compared to someone who experiences actual seizures?

Back 2

NES score about 10 points higher on hypochondriasis and hysteria

Front 3

Non epileptic patients not typically in malingering range on ____.

Back 3

Non epileptic patients ARE NOT typically in
malingering range on PDRT.

Front 4

Classification of seizure type
with multiple predictors:

What are the best three predictors of NES?

Back 4

1. MMPI-2 hysteria
2. routine EEG
3. And brief chronicity

Front 5

MMPI-2 data and anecdotal evidence leads to the
conclusion that many of NES patients lack _______ and try to deny _________ problems, preferring physical explanations for their illness

Back 5

MMPI-2 data and anecdotal evidence leads to the
conclusion that many of these patients lack
insight and try to deny psychological problems,
preferring physical explanations for their illness.

Fortunately, some are willing to accept a
psychological explanation.

Front 6

How is fibromyalgia diagnosed?

Back 6

Diagnosis based on report of pain to at least 11
of 18 trigger points in response to 4 kg of pressure. Sites must be bilateral and both above and below the waist

Front 7

What are the two problems with diagnosing fibromyalgia? (2)

Back 7

Problems in diagnosis with examiner and
patient reliability

Front 8

Is fibromyalgia is associated with mild neuropsychological deficits?

Back 8

YES. Think CN (RAVLT poor and psychiatrically disturbed)

1. mild neuropsychological deficits
2. psychiatric illness

Front 9

Fibromyalgia aetiology is _____

What are the two hypotheses?

Back 9

Unproven.

1. ?Psychiatric
2. Abnormal illness behaviour

Various neuroendocrine and gate control theory
hypotheses have been advanced

Front 10

Pain and neuroendocrine findings in fibromyalgia are often associated with _______ _______.

Back 10

Pain and neuroendocrine findings in fibromyalgia are often associated with PSYCHIATRIC ILLNESS.

Front 11

People diagnosed with fibromyalgia often have a history of what? (think CN)

Back 11

Abuse.