NRNP 6665-01 Final Exam Study Guide 2025
Psychosomatic disorders Overview "How the mind affects the body" -DSM5- "psychological factors affecting physical conditions" Known mind/body connection is seen with: -General hospital population: depressive disorders 2x as common -Depression is a risk factor and poor prognostic factor in CAD Current trends Chronic fatigue syndrome and fibromyalgia -Some still believe to represent somatization variants -Currently are established medical diagnoses Summary of clinical problems in psychosomatic medicine Psychosomatic disorder spectrum (4) -Hypochondriasis/ Somatic symptom disorder -Conversion disorder -Factitious Disorder -Pain Disorder Hypochondriasis AKA Somatic Sx Disorder -6 or more months of general and non-delusional preoccupation with fears of having or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms (despite negative findings) -causes significant distress in their life -Not accounted for by another psychiatric or medical disorder -Patient typically has poor insight; do not consistently recognize that their concerns about the disease are excessive Epidemiology of hypochondriasis -Ranges from 4-15% of general population -Affects men and women equally -Usually ages from 20-30's but can affect individuals of any age -Up to 3% of medical students reportedly have this disorder -Coexisting problems: 80% of patients may have depressive/anxiety disorders DSM-5 criteria for hypochondriasis 6 or more months
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