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)?
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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?
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More than 6 months, though a specific symptom need not be continuously present- True or False: somatic symptoms in SSD must be medically unexplained.
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False, SSD symptoms can be medically explained or unexplained- What is illness anxiety disorder characterized by?
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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?
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At least 6 months- What is the care-seeking subtype of illness anxiety disorder?
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Patients frequently seek medical care, including doctor visits and testing- What is the care-avoidant subtype of illness anxiety disorder?
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Patients rarely seek medical care because doing so provokes anxiety- What is conversion disorder (functional neurological symptom disorder)?
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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.
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la belle indifference- What commonly precedes the onset of conversion disorder symptoms?
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A psychological stressor or conflict- Are conversion disorder symptoms produced consciously or unconsciously?
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Unconsciously, the patient does not intentionally produce them- What is primary gain in conversion disorder?
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Relief from an internal psychological conflict achieved through the symptom- What is secondary gain?
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An external benefit obtained from being sick, such as attention or avoiding responsibilities- What is factitious disorder?
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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?
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An unconscious psychological need to assume the sick role
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