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The idea that stress and related psychosocial factors may contribute to physical illnesses and it has ancient roots but few proponents before the twentieth century, it is now represented in numerous studies within the twentieth century and beyond
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A disorder in which a person acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms.
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Which is FALSE about factitious disorders?
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Factitious disorder seems to be particularly common among people who (1) received extensive medical treatment as children, (2) carry a grudge against the medical profession, or (3) have worked as a nurse, lab technician, or medical aide.
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The precise causes of factitious disorder are understood, as depression, unsupportive parental relationships, and an extreme need for social support.
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Psychotherapists and medical practitioners often become angry at people with a factitious disorder, feeling that they are wasting their time.
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People with the disorder, however, feel they have no control over their problems and often experience great distress.
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Individuals experience neurological-like symptoms (e.g., blindness, paralysis, or loss of feeling) that have no neurological basis.
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In which conversion symptom does the entire hand, extending from the fingertips to the wrist, becomes numb.
Actual physical damage to the ulnar nerve, in contrast, causes anesthesia in the ring finger and little finger, and beyond the wrist part way up the arm; damage to the radial nerve causes loss of feeling only in parts of the ring, middle, and index fingers and the thumb, and partway up the arm.
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Glove anesthesia
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Muchausen syndrome
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somatization pattern
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migrane
Frage 6
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Occurs when people become excessively distressed, concerned, and anxious about bodily symptoms that they are experiencing
.
Frage 7
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Which pattern of a somatic-symptom disorder involves people with many long-lasting physical ailments that have little or no organic basis. Patients usually go from doctor to doctor in search of relief and patterns often runs in families.
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Somatization Pattern
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Predominant Pain Pattern
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Both
Frage 8
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Which pattern of a somatic symptom disorder occurs when the primary feature of somatic symptom disorder is pain
.
Although the precise prevalence has not been determined, this pattern appears to be fairly common.
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Somatization Pattern
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Predominant Pain Pattern
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Both
Frage 9
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Which view of Conversion and Somatic Symptom disorders believed that hysterical disorders represented a CONVERSION of underlying emotional conflicts into physical symptoms
. Concluded that some women unconsciously hide their sexual feelings in adulthood by converting them into physical symptoms.
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Freud centered his explanation of conversion and somatic symptom disorders on which psychosexual stage of development?
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Phallic (3-5)
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Oral (0-1)
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Anal (1-3)
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Latency (3-6)
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Genital (6+)
Frage 11
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Which view of Conversion and Somatic Symptom disorders propose that two mechanisms are at work in hysterical disorders:
Primary gain: bodily symptoms keep internal conflicts out of conscious awareness
Secondary gain: bodily symptoms further enable people to avoid unpleasant activities or receive sympathy from others
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Which view of Conversion and Somatic Symptom disorders proposes that the physical symptoms of hysterical disorders bring REWARDS to sufferers
. Suggests response to such rewards helps people learn to increasingly display symptoms
and views gains that come after underlying conflict as the primary cause of the development.
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Which view of Conversion and Somatic Symptom disorders proposes that conversion and somatic symptom disorders are forms of COMMUNICATION, providing a means for people to express difficult emotions
. Holds that emotions are being converted into physical symptoms; this conversion is not to defend against anxiety but to communicate extreme feelings.
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Which technique focused on the cause of conversion and somatic symptoms is
often psychodynamically oriented
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Insight
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Exposure
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Drug Therapy
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Which technique focused on the cause of conversion and somatic symptoms says the client thinks about traumatic event(s) that triggered the physical symptoms.
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Insight
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Exposure
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Drug Therapy
Frage 16
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Which technique focused on the cause of conversion and somatic symptoms focuses on antianxiety and antidepressant medication.
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Insight
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Exposure
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Drug Therapy
Frage 17
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Which technique focused on the physical symptoms of conversion and somatic disorders is usually an offering of emotional support that may include hypnosis.
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Suggestion
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Reinforcement
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Confrontation
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Which technique focused on the physical symptoms of conversion and somatic disorders focuses on the behavioral attempt to change reward structures
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Suggestion
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Reinforcement
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Confrontation
Frage 19
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Which technique focused on the physical symptoms of conversion and somatic disorders involves overt attempt to force patients out of the sick role.
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Suggestion
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Reinforcement
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Confrontation
Frage 20
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What can help reduce pain?
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Swearing
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Yelling
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Fighting
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Kicking
Frage 21
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Which disorder says people experience chronic anxiety about their health
and people are concerned that they are developing a serious medical illness, despite the absence of somatic symptoms
.
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Which theoretical explanation uses classical conditioning or modeling to explain illness anxiety disorders.
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Behaviorist
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Cognitive theorists
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Psychoanalytic theorists
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Humanists
Frage 23
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Which theoretical explanation uses oversensitivity to bodily cues
to explain illness anxiety disorders.
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Behaviorists
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Cognitive theorists
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Psychoanalytic theorists
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Humanists
Frage 24
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Which psychophysiological disorder involves lesions in the wall of the stomach that result in burning sensations or pain, vomiting, and stomach bleeding. Experienced by over 25 million people at some point in their lives; psychological and physiological factors
.
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Ulcers
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Asthma
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Insomnia
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Chronic Headaches
Frage 25
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Which psychophysiological disorder is a narrowing of the body’s airways that makes breathing difficult.
Affects up to 25 million people in the United States each year; most victims are children or young teens at the time of first attack; psychological and physiological factors.
Antworten
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Ulcers
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Asthma
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Insomnia
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Chronic Headaches
Frage 26
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Which psychophysiological disorder involves difficulty falling asleep or maintaining sleep.
Affects 10 percent of people in the United States each year; psychological and physiological factors
.
Antworten
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Ulcers
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Asthma
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Insomnia
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Chronic Headaches
Frage 27
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Which psychophysiological disorder involves frequent intense aches of the head or neck that are not caused by another physical disorder. Tension headaches affect 45 million Americans each year; migraine headaches affect 23 million Americans each year; psychological and physiological factors.
Antworten
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Ulcers
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Asthma
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Insomnia
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Chronic Headaches
Frage 28
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Which of the following DOES NOT make a headache a migraine?
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Are extremely severe, often nearly paralyzing
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Are located on both sides of the head and are sometimes accompanied by dizziness, nausea, or vomiting
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blood vessels in the brain narrow, so that the flow of blood to parts of the brain is reduced, and
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the same blood vessels later expand, so that blood flows through them rapidly,
stimulating many neuron endings and causing pain
Frage 29
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Which traditional Psychophysiological disorder involves chronic high blood pressure, usually producing few outward symptoms. Affects 75 million Americans each year; psychological and physiological factors.
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Hypertension
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Coronary Heart Disease
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Insomnia
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Asthma
Frage 30
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Which psychophysiological is caused by blockage in the coronary arteries; refers to several problems, including myocardial infarction (heart attack). Nearly 18 million people in the United States suffer from some form of coronary heart disease; leading cause of death for U.S. men and women; psychological and physiological factors.
Antworten
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Insomnia
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Asthma
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Hypertension
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Coronary Heart Disease
Frage 31
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Which factor of psychophysiological disorders defects in the AUTONOMIC NERVOUS SYSTEM (ANS) contribute to the development of psychophysiological disorders
. Other more specific biological problems may also contribute.
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Biological
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Psychological
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Sociocultural
Frage 32
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Which factor of psychophysiological disorders says certain needs, attitudes, emotions, or coping styles may cause people to overreact repeatedly to stressors. This increases chances of developing psychophysiological disorders.
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Biological
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Psychological
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Sociocultural
Frage 33
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Biological, psychological, and sociocultural factors combine to produce what kind of disorder?
Frage 34
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Involves study of the connection between stress, the body’s immune system, and illness
Frage 35
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Is the body’s network of activities and cells that identify and destroy ANTIGENS and cancer cells
Frage 36
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What are white blood cells that circulate through the lymph system and the bloodstream, attacking invaders?
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Lymphocytes
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Norepinephrine
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Corticosteroids
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Cytokines
Frage 37
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Researchers now believe that what can interfere with the activity of lymphocytes, slowing them down and increasing a person’s susceptibility to viral and bacterial infections
.
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stress
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disease
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work
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behavior
Frage 38
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Which area of psychoneuroimmunology states stress leads to increased activity by the sympathetic nervous system, including a release of NOREPINEPHRINE and a slowdown in functioning of the immune system
. The body’s endocrine glands reduce immune system functioning during periods of prolonged stress through the release of CORTICOSTEROIDS, which also trigger increased CYTOKINES leading to chronic inflammation.
Antworten
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Biochemical activity
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Behavioral changes
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Personality style
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Degree of social support
Frage 39
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Which area of psychoneuroimmunology states stress may set in motion a series of behavioral changes – poor sleep patterns, poor eating, lack of exercise, increase in smoking and/or drinking – that indirectly affect the immune system.
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Biochemical activity
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Behavioral changes
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Personality style
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Degree of social support
Frage 40
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Which area of psychoneuroimmunology states Individual personality style (including a person’s level of optimism, constructive coping strategies, and resilience) may experience better immune system functioning and are better prepared to fight off illness.
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Biochemical activity
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Behavioral changes
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Personality style
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Degree of social support
Frage 41
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Which area of psychoneuroimmunology states few social supports and loneliness are related to poorer immune functioning in the face of stress. Social support and affiliation with others may actually protect people from stress, poor immune system functioning, subsequent illness, and quicker recovery from illness or surgery.
Antworten
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Biochemical activity
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Behavioral changes
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Personality style
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Degree of social support
Frage 42
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What is a treatment field that combines psychological and physical interventions to treat or prevent medical problems?
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Behavioral Medicine
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Soma-somatic Medicine
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Cognitive Medicine
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Biological Medicine
Frage 43
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Which psychological treatment for physical disorders says people with physical ailments have sometimes been taught new attitudes or cognitive responses as part of treatment.
Frage 44
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Which psychological treatment for physical disorders says if negative psychological symptoms contribute to a person’s physical ills, intervention to reduce these emotions should help reduce the ills
. Techniques have been used to treat a variety of illnesses including HIV, asthma, cancer, headache, and arthritis.
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Which psychological treatment for physical disorders says studies have found that the various psychological interventions for physical problems tend to be equal in effectiveness
. Psychological treatments are often of greatest help when they are combined and used with medical treatment.