Somatoformt syndrom kriterier

BMJ. 2017 Feb 08;356:j268. (See "Functional neurological symptom disorder (conversion disorder) in adults: Terminology, diagnosis, and differential diagnosis", section on 'Diagnosis'.)

Delusional disorder, somatic subtype — Delusional disorder, somatic subtype, and somatic symptom disorder each involve the belief that something is wrong with one’s body; the two are distinguished by the intensity of the belief.

(See 'When to suspect the disorder' above.)

●Assessment

•General approach – The evaluation of a patient presenting with possible somatic symptom disorder includes taking a general medical history with a full review of systems (not just the presenting symptom), taking a psychiatric history, performing a physical examination and a mental status examination, reviewing laboratory data, and communicating with other clinicians.

Psychological and interactional characteristics of patients with somatoform disorders: Validation of the Somatic Symptoms Experiences Questionnaire (SSEQ) in a clinical psychosomatic population. It is the parent who may determine the interpretation of symptoms and the associated time off school and medical help seeking. Firstly, for patients with a medical illness, the reaction would have to be specified as “maladaptive,” “extreme,” “intrusive,” “impairing,” and “grossly in excess” compared to the expected reaction.

(See "Somatic symptom disorder: Epidemiology, clinical features, and course of illness" and "Somatic symptom disorder: Treatment".)

TERMINOLOGY — 

Somatic symptom disorder is a diagnosis that was introduced in 2013 [1-3]. Alpha Psychiatry 2022; 23:230.

  • Abasi I, Ghapanchi A, Toussaint A, et al. Caution must be exercised when conveying to patients that their physical symptoms are exacerbated by anxiety or excessive emotional problems as patients may be resistant to this suggestion.

    The differential diagnosis for somatic symptom disorder includes the psychiatric disorders that are described in the subsections below [2,42].

    Some of the psychiatric disorders that are part of the differential diagnosis can also occur in conjunction with it. Arlington, VA.

    • 4)Kleinstaeuber, M., Witthoeft, M., Steffanowski, A., van Marwijk, H., Hiller, W., & Lambert, M.

    J. (2014).


    J Nerv Ment Dis 1987; 175:20.

  • Kellner R, Fava GA, Lisansky J, et al. All rights reserved.
    • Topic 112997 Version 10.0

    Enstaka medicinskt oförklarade symptom är mycket vanliga i den allmänna populationen. 430-434.

    Mai, F. (2004). (See "Body dysmorphic disorder: Assessment, diagnosis, and differential diagnosis", section on 'Diagnostic criteria'.)

    Functional neurological symptom disorder (conversion disorder) — Both functional neurological symptom disorder (also called conversion disorder) and somatic symptom disorder are characterized by physical symptoms.

    The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder. Cochrane Database Syst Rev. 2014 Nov 07;2014(11):CD010628. It is counterproductive to tell patients that there is nothing wrong with them or that they are making too big a deal out of their symptoms.

    The Health Preoccupation Diagnostic Interview is a structured, interviewer-administered instrument that is available for diagnosing somatic symptom disorder, but is seldom used in routine clinical care.

    (See "Screening for depression in adults", section on 'Improved depression outcomes'.)

    For clinicians who want to screen for somatic symptom disorder, we suggest self-report measures, which can save interviewer time.