Health anxiety and hypochondriasis in the light of DSM-5

Bailer, Josef; Kerstner, Tobias; Witthöft, Michael; Diener, Carsten; Mier, Daniela; Rist, Fred

doi:10.1080/10615806.2015.1036243

Cited by 96 publications

(69 citation statements)

References 45 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Illness anxiety disorder (also known as health anxiety) is characterised in DSM-5 by a preoccupation with having a serious illness, a high level of anxiety about health, and excessive health-related behaviours (either repeated use of medical services or abnormal avoidance of these), without somatic symptoms 21 23. In contrast, people with functional cognitive disorder are preoccupied by specific symptoms and appear to accept that they do not have a serious illness (although this does not alleviate their symptoms).…”

Section: Excluding Other Conditionsmentioning

confidence: 99%

“…However, SPECT reporting is not standardised between centres and its specificity for dementia is only around 73% 33 34. Some centres use fludeoxyglucose positron-emission tomography during a work-up for dementia, which is more sensitive and specific than SPECT 23. Evidence of previous brain injury may indicate that a person's cognitive difficulties are in fact due to structural brain damage or epilepsy; those with prior brain injury may be more vulnerable to premature neurodegeneration;35 36 these patients should be carefully followed up and considered for early use of cognitive enhancers.…”

Section: Investigationsmentioning

confidence: 99%

See 1 more Smart Citation

Functional cognitive disorder: what is it and what to do about it?

et al. 2015

View full text Add to dashboard Cite

To err is human, and it is normal to make minor cognitive errors from time to time. Some people experience persistent subjective cognitive difficulties that cause distress and functional impairment, with no underlying structural, neurodegenerative, toxic or metabolic cause. This is considered a form of functional disorder. In this article, we review functional cognitive disorder and outline its core clinical features. Patients with this are typically of working age and have a source of psychological distress, such as chronic pain, work stress or family difficulties. Its distinction from incipient dementia is difficult and usually requires interval follow-up. Pointers towards possible dementia include abnormal neuroimaging or loss of insight. Many patients accept a functional cognitive disorder diagnosis and willingly engage with psychological therapies but there is no defined optimal treatment. Functional cognitive disorder is common but under-studied; future research priorities include the development of clear diagnostic criteria and robust trials of therapeutic strategies.

show abstract

Section: Excluding Other Conditionsmentioning

confidence: 99%

Section: Investigationsmentioning

confidence: 99%

Functional cognitive disorder: what is it and what to do about it?

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Over and above these field trials, to our knowledge, only four studies have attempted to study DSM-5 SSD and/or IAD, but in doing so have relied exclusively on post hoc classification based on self-assessment questionnaires (Bailer et al, 2016;Häuser, Bialas, Welsch, & Wolfe, 2015;van Dessel, van der Wouden, Dekker, & van der Horst, 2016;Voigt et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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

Axelsson

Andersson

Ljótsson

et al. 2016

Cognitive Behaviour Therapy

View full text Add to dashboard Cite

Somatic symptom disorder (SSD) and illness anxiety disorder (IAD) are two new diagnoses introduced in the DSM-5. There is a need for reliable instruments to facilitate the assessment of these disorders. We therefore developed a structured diagnostic interview, the Health Preoccupation Diagnostic Interview (HPDI), which we hypothesized would reliably differentiate between SSD, IAD, and no diagnosis. Persons with clinically significant health anxiety (n = 52) and healthy controls (n = 52) were interviewed using the HPDI. Diagnoses were then compared with those made by an independent assessor, who listened to audio recordings of the interviews. Ratings generally indicated moderate to almost perfect inter-rater agreement, as illustrated by an overall Cohen's κ of .85. Disagreements primarily concerned (a) the severity of somatic symptoms, (b) the differential diagnosis of panic disorder, and (c) SSD specifiers. We conclude that the HPDI can be used to reliably diagnose DSM-5 SSD and IAD.

show abstract

“…[4] Patients with somatoform disorder are also known to have comorbid panic and generalized anxiety disorder. [5] These patients are evaluated based on the initial presentation of somatic symptoms and do not receive medical attention when treated by psychiatrists. [6] …”

Section: Introductionmentioning

confidence: 99%

Somatoform disorder as a predictor of interstitial cystitis/bladder pain syndrome

et al. 2017

View full text Add to dashboard Cite

Interstitial cystitis/bladder pain syndrome (IC/BPS) has several well-known comorbid psychiatric manifestations, including insomnia, anxiety, and depression. We hypothesized that somatoform disorder, which is a psychosomatic disease, can be used as a sensitive psychiatric phenotype of IC/BPS. We investigated whether somatoform disorder increases the risk of IC/BPS.A nested case-control study and a retrospective cohort study were followed up over a 12-year period (2002–2013) in the Taiwan Health Insurance Reimbursement Database. In the nested case-control study, 1612 patients with IC/BPS were matched in a 1:2 ratio to 3224 controls based on propensity scores. The odds ratio for somatoform disorder was calculated using conditional logistic regression analysis. In the retrospective cohort study, 1436 patients with somatoform disorder were matched in a 1:2 ratio to 2872 patients with nonsomatoform disorder based on propensity scores. Cox regression analysis was used to estimate the hazard ratio associated with the development of IC/BPS in patients with somatoform disorder, and the cumulative survival probability was tested using the Kaplan–Meier analysis.We found that the odds ratio for somatoform disorder was 2.46 (95% confidence interval [CI], 1.05–5.76). Although the average time until IC/BPS development in the control subjects was 11.5 ± 1.3 years, this interval was shorter in patients with somatoform disorder (6.3 ± 3.6 years). The hazard ratio for developing IC/BPS was 2.50 (95% CI 1.23–5.58); the adjusted hazard ratio was 2.26 (95% CI 1.002–5.007). The patients and controls also differed significantly in their cumulative survival probability for IC/BPS (log rank P < .05).Evidence from the nested case-control study and retrospective cohort study consistently indicated that somatoform disorder increases the risk for IC/BPS. Our study suggests that somatoform disorder can be used as a sensitive psychiatric phenotype to predict IC/BPS. Any past history of somatoform disorder should be documented while examining patients with IC/BPS.

show abstract

Health anxiety and hypochondriasis in the light of DSM-5

Abstract: These results do not support the proposed splitting of health anxiety/hypochondriasis into two diagnoses. Further validation studies with larger samples and additional control groups are warranted to prove the validity of the new diagnoses.

Cited by 96 publications

References 45 publications

Functional cognitive disorder: what is it and what to do about it?

Functional cognitive disorder: what is it and what to do about it?

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

Somatoform disorder as a predictor of interstitial cystitis/bladder pain syndrome

Contact Info

Product

Resources

About