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Final: Somatic Symptom Disorders
Terms in this set (10)
Somatic Symptom Disorders
(as a group)
A physical problem with no apparent cause OR symptoms in excess.
KEY: Patient truly believes there is a bodily cause.
Key Factors of Bodily Preoccupation
1. Increased emotional arousal
2. Maladaptive schemas
3. Communication of bodily concerns
Can either serve to increase or decrease bodily symptoms.
Reported loss of body functions (pseudo-neurological) that does not make anatomical sense.
Onset: Late childhood or early adolescence. Often occurs after trauma.
Symptoms: Related to source of trauma.
Prevalence: higher in lower socioeconomic status / people with less medical knowledge
Illness Anxiety Disorder
Persistent belief that one is seriously ill despite medical reassurance and lack of physical evidence.
Onset: early adulthood
Prevalence: equally males/females
Somatization Pattern (Somatic Symptom Disorder)
Multiple recurrent bodily complaints. Often exaggerated. Chronic and fluctuates over time.
Key: Maladaptive thoughts, feelings, and beliefs about symptoms.
Diagnostic Criteria: persistent thoughts and high anxiety about physical symptoms, excessive concerns.
Onset: early adolescence.
Prevalence: U.S. = more females, and more A.A.'s. Green and Puerto Rico = more males.
Idiom of Distress: Physical symptoms helps a person communicate emotional distress.
Alexithymia: difficulty identifying/describing feelings.
Somatic Symptom Disorder w/ Predominant Pain
Reports extreme pain without physical signs or is in excess of what is expected.
Onset: any age
Course: with treatment, most can see improvement
1/3 meet criteria for clinical depression, anger and anxiety is common.
Report of symptoms voluntarily self-induced (or over-reported) for the purpose of receiving attention.
Key: they know nothing is wrong. Behavior is done for attention.
Deliberately fakes symptoms or manipulates medical test results in order to receive care/attention.
Munchausen by Proxy Syndrome
Deliberately invokes or over-reports symptoms in someone under their care, in order to receive attention and nurturance.
Legal issues: often leads to child abuse charges
Purposeful faking of physical/psychological symptoms.
Behavior is done to receive insurance payments, disability, lawsuits, etc.
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