Psychopathology Notes, Exams of Psychology

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MPCE-

QUESTIONS

SOMATOFORM DISORDERS

Somatoform disorders – person reports physical complaints

of bodily dysfunction but investigation fails to elicit any

actual physical defect.

Types:

1. Somatisation Disorder : multiple physical symptoms at

different locations (before 30)

2. Pain Disorder : Persistent pain in specific areas without

any physical cause

3. Hypochondriasis : constant fear of physical disease 4. Conversion Disorder : loss of sensory/motor function

SOMATIZATION

DISORDER/

BRIQUET’S

WHAT ARE SOMATIZATION

DISORDER?

A history of many physical complaints beginning

before age 30 years that occur over a period of several

years and result in treatment being sought. Each of the

following criteria have been met;

Four pain symptoms,

Two gastrointestinal symptoms,

One sexual symptom &

One pseudoneurological symptom

(Common symptoms-Headache, nausea, deafness,

PREVALENCE

Studies have reported widely variable

prevalence of Somatization Disorder, ranging from

 0.2% to 2% among women

 Less than 2% in men

Diagnosis depends on whether the interviewer is

a physician or a non physician who may less

frequently diagnose Somatoform Disorder

CONVERSION DISORDER

SPECIFY TYPE OF SYMPTOMS

OR DEFICIT:

With motor symptoms or deficits( impaired

coordination or balance, paralysis, lump in throat)

With sensory symptoms or deficits (loss of

touch or pain sensation, double vision, deafness,

hallucination)

With seizures or convulsions

With mixed presentation

COURSE

The onset is usually from late childhood to early

adulthood.

In middle or old age, the probability of neurological or

other general medical condition is high.

Recurrence is common predicting future episodes.

Factors that are associated with good prognosis include

acute onset, presence of clearly identifiable stress, short

interval between onset and treatment & above average

PAIN DISORDER

WHAT IS PAIN DISORDER?

Pain disorder is characterized by pain in one or more

anatomical sites which are clinically significant. There may

have been clear physical reasons for pain, but psychological

factors play a major role in maintaining it.

The pain has organic basis, is real and it hurts. It is not

intentionally produced or feigned.

Specify if:

Pain Disorder associated with psychological factors

Pain Disorder associated with both psychological factors

and a general medical condition

PREVALENCE

Prevalence of Pain Disorder is unclear.

Pain Disorder associated with general medical

condition and psychological factors is more

common than Pain Disorder associated with

psychological factors.

HYPOCHONDRIASIS

COURSE

Hypochondriasis can begin at any age but most

common is early adulthood. The course is usually

chronic.

Prevalence

The prevalence of Hypochondriasis in the general

population is 1% to 5%.

BODY DYSMOPHIC

DISORDER