Behavioral Science

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CHAPTER 16 Somatoform Disorders What are the primary types of somatoform disorders? What is factitious disorder? What is malingering? What is the primary difference between somatoform disorders and factitious disorder or malingering? Somatization disorder Conversion disorder Hypochondriasis Body dysmorphic disorder Pain disorder A disease in which the patient intentionally feigns illness to assume the sick role, but with no other obvious motivation (aka Munchausen syndrome) Intentional feigning of illness for the purpose of gaining a conscious reward Somatoform disorders are unconscious behaviors, whereas behaviors in factitious disorders and malingering are consciously derived by the patient. Table 16.1 Conscious Behavior? Motivation Apparent? Somatoform No No Conversion No Yes Factitious Yes No Malingering Yes Yes Are there any physical examination findings which are common in somatoform disorders? No. Disease etiology must be ruled out in these patients; however, there is no medical condition that can account for their symptoms. 117
118 Deja Review: <strong>Behavioral</strong> <strong>Science</strong> What are some disorders with nonspecific symptoms that should be thought of before somatoform disorder is diagnosed? Should patients with somatoform disorders be told that they are imagining their symptoms? What is a good way to frame the possibility of a lack of general medical problem? What is a good statement to make when discussing the possibility of psychiatric treatment with a patient? SLE, Multiple Sclerosis, Myasthenia gravis, Hyperparathyroidism, Thyroid disturbance, Porphyria, Malignancy No. Supportive treatment with suggestions that psychotherapy may alleviate their distress is associated with a better prognosis. Remember that pain is a subjective experience. Reassurance that there is no serious underlying medical cause, but without dismissing their symptoms—this may alleviate some anxiety. “Many of my patients with similar symptoms have found a lot of benefit from...” [SSRIs, psychotherapy, etc] SOMATIZATION DISORDER What are the diagnostic criteria of complaints seen in somatization disorder? Patients must manifest four pain, two gastrointestinal, one sexual, and one neurologic symptoms, all of which cannot be fully explained by medical etiology. What is the age of onset of Somatic complaints must begin prior somatization disorder? to age 30. What are common patterns of behaviors seen in these patients? Can the symptoms occur in the presence of a true medical condition? What is the prevalence of somatization disorders in the United States? What are risk factors for somatization disorder? What is the most common first manifestation of this disorder in women? These patients often have had multiple exploratory surgeries and visit multiple doctors. Yes, however, the complaints will often be in excess of what would be normally expected. 0.2% to 2% in women and
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DEJA REVIEW TM Behavioral Science
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DEJA REVIEW TM Behavioral Science S
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To my family
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Contents Faculty Reviewers/Student
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Contents ix Chapter 13 MOOD DISORDE
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Faculty Reviewers Debra L Klamen, M
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Preface Behavioral science is an ex
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SECTION I Human Development and Psy
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CHAPTER 1 Early Stages of Life: Inf
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Early Stages of Life: Infancy to Ch
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CHAPTER 2 Middle Stages of Life: Ad
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Middle Stages of Life: Adolescence
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CHAPTER 3 Late Stages of Life: Agin
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Late Stages of Life: Aging, Death,
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Late Stages of Life: Aging, Death,
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CHAPTER 4 Psychoanalytic Theory Wha
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Psychoanalytic Theory 27 What are t
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Psychoanalytic Theory 29 Which defe
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Table 4.1 Defense Mechanism Descrip
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Psychoanalytic Theory 33 CLINICAL V
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CHAPTER 5 Learning Theory What is b
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Learning Theory 37 What is the term
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Learning Theory 39 What are the dif
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Learning Theory 41 What is sensitiz
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CHAPTER 6 Sleep Science and Disorde
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Sleep Science and Disorders 45 Whic
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Sleep Science and Disorders 47 In a
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CHAPTER 7 Sexuality SEXUAL DEVELOPM
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Sexuality 51 What is the sexual ori
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Sexuality 53 Which disorder is char
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Sexuality 55 Which postmyocardial i
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CHAPTER 8 Abuse and Aggression CHIL
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Abuse and Aggression 59 Which gende
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Abuse and Aggression 61 SEXUAL VIOL
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Abuse and Aggression 63 Why are man
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CHAPTER 9 Suicide SUICIDE What is i
Page 84 and 85: Suicide 67 At what stage, in treate
Page 86 and 87: CHAPTER 10 Genetic Basis of Behavio
Page 88 and 89: Genetic Basis of Behavior 71 Do per
Page 90 and 91: Genetic Basis of Behavior 73 A 19-y
Page 92 and 93: CHAPTER 11 Neurochemistry in Behavi
Page 94 and 95: Neurochemistry in Behavioral Scienc
Page 100 and 101: SECTION II Psychiatric Disorders an
Page 102 and 103: CHAPTER 12 Psychotic Disorders INTR
Page 104 and 105: Psychotic Disorders 87 Schizophreni
Page 106 and 107: Psychotic Disorders 89 Does gender
Page 108 and 109: Psychotic Disorders 91 What are som
Page 110 and 111: CHAPTER 13 Mood Disorders What are
Page 112 and 113: Mood Disorders 95 Table 13.1 SSRIs
Page 114 and 115: Mood Disorders 97 Table 13.2 Other
Page 116 and 117: Mood Disorders 99 What is electroco
Page 118 and 119: Mood Disorders 101 How do you diagn
Page 120 and 121: CHAPTER 14 Anxiety Disorders What a
Page 122 and 123: Anxiety Disorders 105 What differen
Page 124 and 125: Anxiety Disorders 107 What differen
Page 126 and 127: Anxiety Disorders 109 What characte
Page 128 and 129: CHAPTER 15 Cognitive Disorders Name
Page 130 and 131: Cognitive Disorders 113 How does de
Page 132 and 133: Cognitive Disorders 115 AMNESTIC SY
Page 136 and 137: Somatoform Disorders 119 What is th
Page 138 and 139: Somatoform Disorders 121 BODY DYSMO
Page 140 and 141: Somatoform Disorders 123 What is th
Page 142 and 143: CHAPTER 17 Personality Disorders Wh
Page 144 and 145: Personality Disorders 127 What is t
Page 146 and 147: Personality Disorders 129 What are
Page 148 and 149: Personality Disorders 131 How can a
Page 150 and 151: Personality Disorders 133 CLINICAL
Page 152 and 153: CHAPTER 18 Dissociative Disorders W
Page 154 and 155: Dissociative Disorders 137 A 42-yea
Page 156 and 157: CHAPTER 19 Substance Abuse Disorder
Page 158 and 159: Substance Abuse Disorders 141 How c
Page 160 and 161: Substance Abuse Disorders 143 What
Page 166 and 167: Substance Abuse Disorders 149 Serum
Page 168 and 169: Substance Abuse Disorders 151 CLINI
Page 170 and 171: CHAPTER 20 Eating Disorders What ar
Page 172 and 173: Eating Disorders 155 What are commo
Page 174 and 175: Eating Disorders 157 A 12-year-old
Page 176 and 177: CHAPTER 21 Child Psychiatry PERVASI
Page 178 and 179: Child Psychiatry 161 What happens t
Page 180 and 181: Child Psychiatry 163 In which age g
Page 182 and 183: CHAPTER 22 Psychopharmacology What
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Psychopharmacology 167 Which benzod
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Psychopharmacology 169 What are the
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Psychopharmacology 171 What is the
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Psychopharmacology 173 Which pharma
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SECTION III Ethics, Health Care, an
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CHAPTER 23 Clinical Practice and Di
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Clinical Practice and Difficult Sit
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CHAPTER 24 Medical Ethics and Legal
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Medical Ethics and Legal Issues 183
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CHAPTER 25 Health Care in the Unite
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Health Care in the United States 19
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CHAPTER 26 Epidemiology and Researc
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Epidemiology and Research Design 20
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CHAPTER 27 Biostatistics STATISTICA
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Biostatistics 211 What is a depende
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Biostatistics 213 If the sample siz
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Biostatistics 215 Which type of t-t
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Index A Abnormal thought formation,
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Index 219 Celexa. See Citalopram Ce
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Index 221 F Factitious disorder, 11
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Index 223 Negative predictive value
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Index 225 Schizophrenia (Cont.): do
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