Somatoform disorder

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Somatoform disorder
ICD-10 F45
ICD-9 300.8
DiseasesDB 1645
MedlinePlus 000955
MeSH D013001

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and Keywords: Functional disorders or Psychophysiological disorder or Psychosomatic disorders or Somatization disorders or Briquet syndrome or CFS or Chronic fatigue syndromes or Conversion disorder.

Overview

Somatoform disorders are physical ailments (such as pain, nausea, depression, dizziness) or concerns for which no adequate medical explanation has been found. Somatoform disorders are physical symptoms that seem as if they are part of a general medical condition. However, no general medical condition, other mental disorder, or substance is present. The complaints are serious enough to cause significant emotional distress and impairment of social and/or occupational functioning.

A diagnosis of a somatoform disorder implies that psychological factors are a large contributor to the symptoms' onset, severity and duration. It is important to note that somatoform disorders are not the result of conscious malingering or factitious disorders.

Recognized somatoform disorders

The somatoform disorders recognized by the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association are:

Proposed somatoform disorders

Additional proposed somatoform disorders are:

These disorders have been proposed because the recognized somatoform disorders are either too restrictive or too broad. In a study of 119 primary care patients, the following prevalences were found[3]:

References

  1. Escobar JI, Rubio-Stipec M, Canino G, Karno M (1989). "Somatic symptom index (SSI): a new and abridged somatization construct. Prevalence and epidemiological correlates in two large community samples". J. Nerv. Ment. Dis. 177 (3): 140–6. PMID 2918297.
  2. Kroenke K, Spitzer RL, deGruy FV; et al. (1997). "Multisomatoform disorder. An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care". Arch. Gen. Psychiatry. 54 (4): 352–8. PMID 9107152.
  3. Lynch DJ, McGrady A, Nagel R, Zsembik C (1999). "Somatization in Family Practice: Comparing 5 Methods of Classification". 1 (3): 85–89. PMID 15014690.

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