Chapter 5 Review Notes

Chapter 5 Review Notes - Chapter 5 Outline Somatoform...

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Chapter 5 Outline Somatoform Disorders Somatoform Disorders: 1. Definition of Somatoform Disorders a. Defined as conditions in which physical symptoms or concerns about an illness cannot be explained by a medical or psychological disorder. b. Experience real physical symptoms, but the symptoms are not explained by a medical condition. c. Six Different Types of Somatoform Disorders: i. Somatization Disorder ii. Undifferentiated Somatoform Disorder iii. Conversion Disorder iv. Pain Disorder v. Hypochondriasis vi. Body Dysmorphic Disorder 2. Somatization Disorder a. The presence of many symptoms that suggest a medical condition, but without a recognized organic basis. b. Founded by Pierre Briquet (e.g., in 1859, he described psychiatric patients with somatic complaints that seemed to lack a physical cause in a paper, which led to the terms “hysteria” or “Briquet’s syndrome”). c. Most frequently reported symptoms: i. Back pain (e.g., 30%) ii. Joint pain (e.g., 25%) iii. Arm or Leg pain (e.g., 20%) iv. Headache (e.g., 19%) v. Abdominal pain (11%) vi. Abdominal bloating (e.g., 13%) vii. Food intolerance (e.g., 12%) viii. Heart palpitations (e.g., 11%) d. Least reported symptoms: i. Pseudoseizures (e.g., which are sudden changes in behavior and mimic epileptic seizures, but have no organic basis). e. To meet DSM-TR-IV criteria one must meet all four categories of symptoms before the age of 30. f. Can begin in childhood but is not usually recognized till adulthood. 3. Undifferentiated Somatoform Disorder a. A disorder with one or more physical complaints that is present for at least six months and cause distress or functional impairment. b. Most commonly diagnosed somatoform disorder (e.g., considered a residual diagnosis). 4. Conversion Disorder a. A pseudoneurological complaint such as motor or sensory dysfunction. b. Symptoms are quite serious (e.g., sudden paralysis or blindness); however, cannot be explained by a medical condition. c. About 10 to 15% of people diagnosed with conversion disorder will find that their symptoms do meet criteria for a diagnosable medical condition. d. Symptoms fall into three groups (e.g., motor symptoms, sensory deficits, and seizures and convulsions). 5. Pain Disorder a. A disorder with persistent pain that defies medical explanation. b. A common experience for people and causes frustration not only to the person suffering the pain, but health professionals as well.
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c. Pain can contribute to the development of psychological disorders (e.g., depression and anxiety) or intensify preexisting medical conditions. d. Quite difficult to differentiate pain from pain disorder. e. For an individual to meet diagnostic criteria the following must occur: i. Presence of pain, not psychological symptoms (e.g., low mood or anxiety). ii.
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Chapter 5 Review Notes - Chapter 5 Outline Somatoform...

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