Chapter 6: Somatic Symptom and Related Disorders Quiz
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Questions and Answers

What is a common shorthand label for somatic symptom disorders and related conditions?

  • Physical impairments
  • Emotional disturbances
  • Medically unexplained symptoms (correct)
  • Psychological disorders
  • How are somatic symptom disorders and dissociative disorders historically linked?

  • They are categorized under different headings
  • They share common features (correct)
  • They have no historical connection
  • Their symptoms are identical
  • What characterizes somatic symptom disorders in terms of emotional distress and impairment?

  • Impairment is minimal
  • Emotional distress is always absent
  • Impairment is never associated
  • Emotional distress is clearly excessive (correct)
  • How were somatic symptoms and dissociative disorders historically classified?

    <p>'Hysterical neurosis'</p> Signup and view all the answers

    What is implied by the term 'conversion' in conversion disorder?

    <p>Psychological manifestations</p> Signup and view all the answers

    How do somatic symptom disorders affect individuals according to the text?

    <p>They may worsen the physical condition</p> Signup and view all the answers

    What is a key characteristic of Illness Anxiety Disorder?

    <p>Excessive worry and fear about having a serious medical illness</p> Signup and view all the answers

    Which of the following is NOT a criterion for diagnosing somatic symptom disorder?

    <p>Low level of health-related anxiety</p> Signup and view all the answers

    How long does the state of being symptomatic need to typically persist for a diagnosis of somatic symptom disorder?

    <p>More than 6 months</p> Signup and view all the answers

    What is a specifier for somatic symptom disorder that involves predominantly pain?

    <p>Predominant pain specifier</p> Signup and view all the answers

    Which diagnostic criteria of somatic symptom disorder relates to disproportionate thoughts about symptom seriousness?

    <p>Criterion C</p> Signup and view all the answers

    What was Illness Anxiety Disorder previously known as?

    <p>Hypochondriasis</p> Signup and view all the answers

    What distinguishes the preoccupation of individuals with panic disorder from those with somatic symptom disorders?

    <p>Panic disorder patients fear immediate symptom-related catastrophes during a panic attack, while somatic symptom disorder patients focus on a long-term process of illness.</p> Signup and view all the answers

    What is the estimated prevalence range of DSM-IV disorders, including hypochondriasis and somatic symptom disorder?

    <p>1% - 5%</p> Signup and view all the answers

    Why is severe illness anxiety said to have a late onset compared to Linda's disorder?

    <p>It develops due to physical health problems associated with aging.</p> Signup and view all the answers

    What psychological complaints are commonly reported by patients with somatic symptom disorders?

    <p>Anxiety or mood disorders</p> Signup and view all the answers

    In primary care settings, what can be the prevalence of distressing somatic symptoms among individuals?

    <p>16.6%</p> Signup and view all the answers

    What is a common demographic profile of individuals with somatic symptom disorders?

    <p>Women from lower socioeconomic groups</p> Signup and view all the answers

    What is a common prevalence estimate of conversion reactions in neurological settings?

    <p>30%</p> Signup and view all the answers

    Which of the following is a characteristic diagnostic criteria of conversion disorder?

    <p>Symptoms are not better explained by another medical or mental disorder</p> Signup and view all the answers

    What is one of the primary purposes of treatment for conversion disorder?

    <p>To identify and address traumatic life events</p> Signup and view all the answers

    Which term is commonly associated with faking symptoms in closely related disorders to conversion disorder?

    <p>Malingering</p> Signup and view all the answers

    During which historical periods were conversion reactions reported in soldiers exposed to severe combat?

    <p>World War I and World War II</p> Signup and view all the answers

    In dissociative disorders, which aspect of normal functioning is disrupted?

    <p>Memory integration</p> Signup and view all the answers

    What types of dissociative disorders are mentioned in the text?

    <p>Depersonalization and derealization</p> Signup and view all the answers

    What percentage of journalists in the study experienced dissociative symptoms after witnessing the execution of Robert Alton Harris?

    <p>50%</p> Signup and view all the answers

    How is depersonalization defined in the text?

    <p>Feeling unreal and distant from one's own emotions</p> Signup and view all the answers

    Which type of disorder might impair psychological functioning according to the text?

    <p>Dissociative disorders</p> Signup and view all the answers

    What is the influence of trauma on the presence of dissociative disorders?

    <p>The presence of dissociative disorders is influenced by proximity to trauma</p> Signup and view all the answers

    How did sleep deprivation contribute to the journalists' dissociative feelings after witnessing the execution?

    <p>It increased their dissociative symptoms</p> Signup and view all the answers

    Study Notes

    Somatic Symptom Disorders

    • Individuals with somatic symptom disorders focus on a long-term process of illness and disease, e.g., cancer or AIDS.
    • Estimated prevalence of DSM-IV disorders is between 1% and 5%.
    • In primary care settings, hypochondriasis is 6.7%, but distressing somatic symptoms can reach 16.6%.
    • Severe illness anxiety has a late onset due to more physical health problems with aging.

    Characteristics of Somatic Symptom Disorders

    • Excessive or maladaptive response to physical symptoms or associated health concerns.
    • Emotional distress or level of impairment in response to symptoms is clearly excessive and may worsen the condition.
    • Somatic symptom and dissociative disorders are strongly linked historically and share common features.

    Diagnostic Criteria for Somatic Symptom Disorder

    • At least one of the following: • Disproportionate and persistent thoughts about the seriousness of one’s symptoms. • High level of health-related anxiety. • Excessive time and energy devoted to symptoms or health concerns.

    Illness Anxiety Disorder (IAD)

    • Excessive worry and fear about having a serious medical illness, despite lack of medical evidence.
    • Previously known as Hypochondriasis.
    • Estimated prevalence in neurological settings is about 30%.

    Conversion Disorder

    • One or more symptoms of altered voluntary motor or sensory function.
    • Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.
    • The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

    Dissociative Disorders

    • Disrupt the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.
    • Often found after trauma, and their presence is influenced by proximity to trauma.
    • Types of dissociative disorders include: • Depersonalization: Perception alters, temporarily losing the sense of one's own reality. • Derealization: The sense of the external world is lost, and things may seem to change shape or size.

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    Test your knowledge on somatic symptom disorder, illness anxiety disorder, conversion disorder, dissociative disorders, depersonalization, derealization disorder, dissociative amnesia, and dissociative identity disorder.

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