HC 2

Question 1

MUPS

Answer 1

medically unexplained physical symptoms (mostly stress related)

bodily complaints and symptoms that are not due to organic dysfunction or disease

Question 2

CBT model of MUS: 3 P’s

Answer 2

1 predisposing factors
2 Precipitating factors
3 perpetuating factors

Question 3

predisposing factors

Answer 3

development of symptoms

• personality (neuroticism, alexithymia)
• early experiences (parental illness (vicariously learned illness behavior), trauma)
• core beliefs/schemas

Question 4

precipitating factors

Answer 4

triggering factors

trigger the development of symptoms/complaints in people who are more predisposed/vulnerable (accident/operation)

Question 5

perpetuating

Answer 5

maintaining/aggravating factors

• cognitive (attention, attribution, beliefs)
• behavior (avoidance of activity, overriding signals of body to stop/slow down)
• emotions (anxiety, dysphoric mood/clinical depression

Question 6

Model of perpetuation

Answer 6

MUS, IBS, CFS

focus on perpetuating factors , a model of perpetuation that is autopoietic –> an organization produces itself: autonomous and self-maintaining unity

Question 7

somatosensory amplification

Answer 7

focus on bodily sensations & experience these sensations as serious and threatening

Question 8

How to change ‘thoughts’ and ‘ behavior’ in MUPS

Answer 8

thoughts - cognitive restructuring

behavior - activity scheduling (balance activity + rest)

Question 9

The pace trial: CFS

Answer 9

compairing APT, CBT, GET & SSMC

CBT/GET better than SSMC only

SSMC > APT

clearest evidence for CBT for CFS –> cognition is seen as a mediator between behavior and fatigue

Question 10

Interaction predisposing & precipitating factors

Answer 10

precipitating factors trigger the development of symptoms/complaints in people who are more predisposed (vulnerable) for developing such symptoms