Rosh Psychiatry Board Practice Exam

Which of the following is a key symptom of illness anxiety disorder?

1. Persistent negative thinking

2. Intense focus on body symptoms

3. Feeling detached from reality

4. Excessive checking behaviors

The correct answer is: Intense focus on body symptoms

Illness anxiety disorder is characterized by an intense preoccupation with the possibility of having or acquiring a serious illness, despite the absence of significant somatic symptoms. Individuals with this disorder often exhibit a heightened focus on bodily sensations, interpreting them as indications of serious health issues. This symptom can lead to excessive worry and distress over their health, even if medical evaluation does not support the presence of a medical condition. The significant focus on bodily symptoms can lead to frequent medical visits, unnecessary tests, or avoidance of situations that may trigger health anxiety. Understanding this distinction is crucial, as it helps differentiate illness anxiety disorder from other conditions that might involve psychiatric or behavioral symptoms.