The classification of multiple somatoform symptoms

The Journal of Nervous and Mental Disease
Winfried RiefManfred M Fichter

Abstract

This study evaluated the concordance among different approaches to diagnose patients with multiple somatoform symptoms. Inpatients (N = 108) of a center for behavioral medicine were diagnosed using a structured clinical interview. Somatization disorder according to DSM-IV and ICD-10 was as rare as somatization disorder according to DSM-III-R. The overlap between the criteria of DSM and ICD for somatization disorder was lower than that between DSM-III-R and DSM-IV. Somatoform autonomic dysfunction, a diagnostic category proposed by ICD-10, included fewer patients diagnosed with somatization disorder than the criteria of Escobar and colleagues for abridged somatization disorder (SSI-4/6: this Journal 177:140-146, 1989). Therefore, the Escobar criteria may be a common link between ICD-10 and DSM-IV. Although the original Escobar criteria were built upon the symptom list of DSM-III-R somatization disorder, SSI-3/5 is an empirically derived equivalent according to DSM-IV in our study (a minimum of 3 symptoms for men or 5 symptoms for women out of the list of 33 somatization symptoms according to DSM-IV).

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Citations

Dec 8, 2004·Social Psychiatry and Psychiatric Epidemiology·Winnie W S Mak, Nolan W S Zane
Dec 8, 2004·Social Psychiatry and Psychiatric Epidemiology·Susan M Becker
Aug 24, 1999·Journal of Psychosomatic Research·W Rief, W Hiller
Jul 6, 2000·Biological Psychology·W Rief, C Auer
Sep 20, 2005·The Australian and New Zealand Journal of Psychiatry·Per FinkFrede Olesen
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Dec 7, 2007·Journal of Psychosomatic Research·Alexandra MartinWinfried Rief
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Aug 25, 2007·Clinical Psychology Review·Winfried Rief, Elizabeth Broadbent
Mar 19, 2005·Psychosomatics·Wolfgang Hiller, Winfried Rief
Sep 2, 2009·Journal of Affective Disorders·Sabine RiemerWinfried Rief
Jul 12, 2014·Journal of Affective Disorders·Frank EuteneuerWinfried Rief
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Dec 8, 2021·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·P G IuzbashianD V Romanov

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