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Somatization and Symptoms Evaluation
Author Bios
Introduction
Defining Somatization
Currently selected section: Detecting Symptoms
Dimensions of Symptoms
Measuring Symptoms
Psychiatric Comorbidity
Interpreting Symptom Measures
Functional Syndromes and Symptoms
Etiology of Symptoms
Levels of Etiological Certainty
Strengthening Etiological Classification
Confounding Etiological Factors
Symptoms and Patient Expectations
Interpreting Patient Responses
Measuring Multiple Symptoms
Global Rating of Change
Measuring Somatization
Measuring Other Domains
Conclusions


Chapter 16: Somatization and Symptoms Evaluation: Detecting Symptoms
        

Problem 3.3

A 30 year-old woman is undergoing cancer treatment with a chemotherapy regimen that includes a Drug A that can produce ototoxicity in a dose-dependent fashion: both the probability as well as severity of vestibular symptoms (manifested by vertigo and nausea) increases with the cumulative dose of Drug A. After completion of the 6 courses of chemotherapy, she notes moderate distress from vertigo and nausea. Three months later, she still has some residual symptoms. Her symptom ratings at both time points are shown in Figure 3.2 below.

Figure 3.2: Patient Symptom Ratings After Completing 6 Courses of Chemotherapy
Immediately after completing chemotherapy, describe how bad your symptoms are from 0 (none at all) to 10 (most severe possible). In this example, 5 is circled. Three months after completing chemotherapy from 0 (none at all) to 10 (most severe possible). In this example, 5 is circled.

Question 3.3

Based upon her symptom ratings immediately after completing chemotherapy and 3 months later, what conclusions can you draw regarding the course of her vestibulopathy?
Selection AHer vestibulopathy seems to have improved.
Selection BHer vestibulopathy seems to have worsened.
Selection CHer vestibulopathy seems to be unchanged.
Selection DThe status of her vestibulopathy is uncertain.

 

 

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