Somatic symptom disorder, illness anxiety disorder, factitious disorder, and malingering distinctions tested on USMLE Step 1.
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- What is the core feature of somatic symptom disorder (SSD)?
- One or more distressing somatic symptoms plus excessive thoughts, feelings, or behaviors related to those symptoms
- How long must symptoms persist for a diagnosis of somatic symptom disorder?
- More than 6 months, though a specific symptom need not be continuously present
- True or False: somatic symptoms in SSD must be medically unexplained.
- False, SSD symptoms can be medically explained or unexplained
- What is illness anxiety disorder characterized by?
- Preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms
- How long must the preoccupation last for a diagnosis of illness anxiety disorder?
- At least 6 months
- What is the care-seeking subtype of illness anxiety disorder?
- Patients frequently seek medical care, including doctor visits and testing
- What is the care-avoidant subtype of illness anxiety disorder?
- Patients rarely seek medical care because doing so provokes anxiety
- What is conversion disorder (functional neurological symptom disorder)?
- A disorder with one or more symptoms of altered voluntary motor or sensory function incompatible with recognized neurological disease
- In conversion disorder, patients may show ____, an unexpectedly calm attitude toward their neurological symptoms.
- la belle indifference
- What commonly precedes the onset of conversion disorder symptoms?
- A psychological stressor or conflict
- Are conversion disorder symptoms produced consciously or unconsciously?
- Unconsciously, the patient does not intentionally produce them
- What is primary gain in conversion disorder?
- Relief from an internal psychological conflict achieved through the symptom
- What is secondary gain?
- An external benefit obtained from being sick, such as attention or avoiding responsibilities
- What is factitious disorder?
- Intentional falsification or induction of physical or psychological symptoms in oneself or another, without obvious external reward
- What is the underlying motivation in factitious disorder?
- An unconscious psychological need to assume the sick role