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Terms in this set (35)Somatic Symptom Disorder "hypochondriasis" Characterized by 6 or more months of preoccupation with fears of having, or the idea that one has, a serious disease-causes distress Etiology of Somatic Symptom Disorder Psychosocial
factors Epidemiology Prevalence is around 2-11% in the general population Most commonly appears age 20-30 More common in females Risk Factors for Somatic Symptom Disorder Female gender, hx of physical/sexual abuse Associated with depression, anxiety Characteristics of Somatic Symptom Disoder Many somatic complaints with long & complicated medical histories-vague, imprecise, inconsistent, disorganized patients always believe they are sick and don't believe the negative evaluations The symptoms are dramatic and emotional-anxiety and depression prevalent early onset & chronic course-no physical signs or abnormalities Differential Diagnosis for Somatic Symptom Disorder 1. Other medical conditions Treatment of Somatic Symptom Disorder -Single identified provider as
primary caretaker Prognosis of Somatic Symptom Disorder Chronic and relapsing disorder, rarely remits completely Estimated that 33-50% eventually improve significantly Good prognosis of Somatic Symptom disorder associated with what? High socioeconomic status Absence of personality disorder Treatment responsive anxiety/depression Conversion Disorder Functional Neurological Symptom Disorder (DSM-5) Etiology of conversion disorder Psychoanalytic factors Due to the repression of unconscious intrapsychic conflict Conversion of anxiety into a physical symptom Learning theory Biological factors of conversion disorder Hypometabolism of the dominant hemisphere of the brain Hypermetabolism of the nondominant hemisphere Risk Factors for conversion disorder Psychosocial stressors Possible association with hx childhood sexual abuse More common in patients with depressive disorders, anxiety and panic disorders More common with borderline, histrionic and narcissistic personality disorders
Epidemiology of conversion disorder Found in 5% of individuals referred to neurology clinics Women are 2-10x more effected than men Onset rare before age 10 or after age 35 Sings and Symptoms of conversion disorder Most common: weakness or paralysis, sensory symptoms, visual symptoms Nonepileptic seizures Movement disorders Speech disturbances Globus sensation (lump in your throat) Cognitive symptoms Differential Diagnosis of conversion disorder Often difficult to completely rule out a medical disorder Neurological disorders brain tumors Treatment of conversion disorder First-line tx: education about the illness Psychotherapy - CBT Consider referral to Psychiatry Alternatives - pharmacotherapy (depression or anxiety), hypnosis (Telling patients their symptoms are imaginary often makes them worse) Prognosis of conversion disorder Prognosis is
generally poor Factors associated with a positive outcome for conversion disorder Early diagnosis Good response to initial treatment Comorbid anxiety or depression Good therapeutic alliance with provider Illness Anxiety Disorder Previously called hypochondriasis (DSM IV) What is illness anxiety disorder characterized by Characterized by a general and nondelusional preoccupation with fears of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms (minimal to no symptoms, somatic symptom disorder has a ton of symptoms) Etiology of illness anxiety disorder Unclear genetic factors Possible neurochemical factors Risk Factors of illness anxiety disorder 80% of patients have co-exiting depressive or anxiety disorders Occurs more frequently in less educated Characteristics of illness anxiety disorder Patient believe that they have a serious disease that has not been detected Persist despite negative lab results & reassurance Concern about the illness is central feature of persons life& consult multiple physicians Transient episodes can occur after major stresses Differential diagnosis for illness anxiety disorder Must rule out non-psychiatric medical conditions Treatment for illness anxiety disorder first-line tx is psychotherapy Group therapy often is beneficial Pharmacotherapy can be considered (only SSRIs have been studied) Most will be resistant to having the psychotherapy Body dysmorphic disorder Characterized by the preoccupation with an imagined defect in appearance that causes clinically significant distress or impairment in important areas of functioning Etiology of body dysmorphic disorder Cause is unknown Pathophysiology of the disorder may involve serotonin and may be related to other mental disorders Risk factors for body dd High
comorbidity with depressive disorders, anxiety disorder Epidemiology of Body dd occurs in 2.4% of the general population Most common age of onset is between is 15-30 years Affects women slightly more than men Signs/symptoms of body dd More common concerns involve facial flaws (nose) Other body parts of concern are hair, skin, eyes Many have ideas/delusions of reference, believing that other people take special notice of them or mock them because of how they look May be associated with anxiety or depressive symptoms Signs and symptoms of body dd in men Desire to bulk up and develop a large muscle mass Treatment of Body dd Treatment with surgery, dermatological treatment, dental, or other medical procedures is unsuccessful Antidepressants can reduce symptoms Plastic surgery in body dd higher prevalence of BDD in men seeking penile enlargement and women seeking cosmetic surgery of the labia or the lips Prognosis of body dd not great, continuous, chronic issue, not likely to have any prolonged symptoms free periods, increased risk of suicide Students also viewedChapter 12 part 630 terms RuplingerA Illness Anxiety Disorder12 terms RachelleBernadel Abnormal Psych Exam #328 terms Alex_DeGroot Illness anxiety disorder (formerly hypoc…5 terms abcstephensPlus Sets found in the same folderAdolescent Psychology - Cognitive Development17 terms JoanMorganMartin Abnormal Psychology Exam 2121 terms brennenshaw5 AP Psychology Unit 12 Vocab24 terms natashathedrummer Anxiety Disorders85 terms Katie_Munro9 Other sets by this creatorBOARDS -PHARMACOLOGY46 terms Tiffany_ODonnell1 Diabetic Meds23 terms Tiffany_ODonnell1 Typical manifestations of pneumonia per pathogen19 terms Tiffany_ODonnell1 OBGYN BOARDS75 terms Tiffany_ODonnell1 Verified questions
psychology Choose the letter of the correct term or concept below to complete the sentence. a. extinction b. behavior modification c. unconditioned stimulus d. generalization e. schedules f. secondary g. token economy h. modeling i. operant conditioning j. escape conditioning. The tendency for a stimulus similar to the original conditioned stimulus to elicit a response similar to the conditioned response is called ______. Verified answer
psychology Choose the letter of the correct term or concept below to complete the sentence. a. psychobiologist b. hypothesis c. structuralist d. functionalist e. behaviorist f. theory g. clinical psychologist h. developmental psychologist i. experimental psychology j. industrial/ organizational psychology. A(n) ___________ would study the influence of biological factors on behavior and mental processes. Verified answer psychology How do conditions of worth influence your personality, according to Rogers? Verified answer
psychology What types of situations does a crisis intervention program handle? Verified answer Recommended textbook solutions
Myers' Psychology for the AP Course3rd EditionC. Nathan DeWall, David G Myers 955 solutions
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Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions Other Quizlet setsGERIATRÍA53 terms bgtg2001 Child development midterm #2 (questions from book)60 terms aimeeharris19Plus Explorers vocabulary 2nd period12 terms pdflashcardfactory Breeding and Reproduction Ch 258 terms Amy_Weidner What is the key difference between somatic symptom disorder and illness anxiety disorder?However, in Somatic Symptom Disorder there is generally a somatic expression of the complaint (e.g., back pain), whereas in Illness Anxiety Disorder, it is dominated by anxiety about having or acquiring a serious medical illness.
Is somatic symptom disorder the same as hypochondriasis?SSD is similar to illness anxiety disorder (hypochondria). This is when people are overly anxious about becoming sick or developing a serious disease. They fully expect they will become very ill at some point. Unlike SSD, with illness anxiety disorder, there are few or no actual physical symptoms.
What are the four characteristics of a somatic symptom disorder?Constant worry about potential illness. Viewing normal physical sensations as a sign of severe physical illness. Fearing that symptoms are serious, even when there is no evidence. Thinking that physical sensations are threatening or harmful.
What is an example of a somatic symptom disorder?Somatic symptom disorder is diagnosed when a person has a significant focus on physical symptoms, such as pain, weakness or dizziness, to a level that results in major distress and/or problems with daily activities.
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