Individuals with illness anxiety disorder Quizlet

Recommended textbook solutions

Social Psychology

10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson

525 solutions

HDEV5

6th EditionSpencer A. Rathus

380 solutions

Consumer Behavior: Buying, Having, Being

13th EditionMichael R Solomon

449 solutions

Myers' Psychology for the AP Course

3rd EditionC. Nathan DeWall, David G Myers

955 solutions

Recommended textbook solutions

Myers' Psychology for the AP Course

3rd EditionC. Nathan DeWall, David G Myers

955 solutions

Consumer Behavior: Buying, Having, Being

13th EditionMichael R Solomon

449 solutions

HDEV5

6th EditionSpencer A. Rathus

380 solutions

Social Psychology

10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson

525 solutions

Upgrade to remove ads

Only SGD 41.99/year

• Flashcards

• Learn

• Test

• Match

• Flashcards

• Learn

• Test

• Match

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
Biological factors

Epidemiology
of Somatic Symptom Disorder

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
2. panic disorder
3. generalized anxiety disorder
4. depressive disorders
5. illness anxiety disorder
6. conversion disorder
7. delusional disorder
8. body dysmorphic disorder
9. OCD

Treatment of Somatic Symptom Disorder

-Single identified provider as primary caretaker
-regular scheduled visits
-Visits should be brief
-Labs and diagnostic procedures should be avoided unless objective findings warrant them
-Psychotherapy
-Pharmacological treatment aimed at treating depression or anxiety

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]
Characterized by neurologic symptoms that are inconsistent with neurologic disease, causing distress and/or psychosocial impairments

Etiology of conversion disorder

Psychoanalytic factors

Due to the repression of unconscious intrapsychic conflict

Conversion of anxiety into a physical symptom

Learning theory
Classically conditioned learned behavior

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
basal ganglia disease somatic symptom disorder factitious disorder and malingering
dissociative disorders
body dysmorphic disorder depressive disorders
panic disorder

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
Symptoms persist, or worsen, in 40-66%

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
Adjustment disorders, somatic symptom disorder, anxiety disorders, OCD, major depressive disorder

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
Female
Unmarried

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

Sets with similar terms

Psychosomatic Disorders

51 terms

mimboden

Somatic Symptom Disorders

25 terms

kelseamann

Ab Psych Chap 5

54 terms

marketa_knight

Behavioral meds [Intro, Mood disorders, Somatoform…

59 terms

yuriito

Sets found in the same folder

Adolescent Psychology - Cognitive Development

17 terms

JoanMorganMartin

Abnormal Psychology Exam 2

121 terms

brennenshaw5

AP Psychology Unit 12 Vocab

24 terms

natashathedrummer

Anxiety Disorders

85 terms

Katie_Munro9

Other sets by this creator

BOARDS -PHARMACOLOGY

46 terms

Tiffany_ODonnell1

Diabetic Meds

23 terms

Tiffany_ODonnell1

Typical manifestations of pneumonia per pathogen

19 terms

Tiffany_ODonnell1

OBGYN BOARDS

75 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 Course

3rd EditionC. Nathan DeWall, David G Myers

955 solutions

Consumer Behavior: Buying, Having, Being

13th EditionMichael R Solomon

449 solutions

HDEV5

6th EditionSpencer A. Rathus

380 solutions

Myers' Psychology for AP

2nd EditionDavid G Myers

900 solutions

Other Quizlet sets

Show me tell me questions

21 terms

louisj632

Quizbowl

210 terms

ZbestZand

AP Gov/Politics Chapter 9

27 terms

kaite2323

PO2 Exam #1

55 terms

jicheleh

Related questions

QUESTION

What is the criteria for ADHD hyperactivity-impulsivity?

9 answers

QUESTION

Rhythms that are synchronized with the 24 hour cycle of day and night are called rhythms.

4 answers

QUESTION

What are the categories of the COSC triage?

13 answers

QUESTION

Which population has the highest rates of generalized anxiety disorder?

3 answers