ICD-10-Coding of Medically Unexplained Physical Symptoms and Somatoform Disorders—A Survey With German GPs

Pohontsch, Nadine Janis; Zimmermann, Thomas; Lehmann, Marco; Rustige, Lisa; Kurz, Katinka Marie; Löwe, Bernd; Scherer, Martin

doi:10.3389/fmed.2021.598810

Cited by 1 publication

(1 citation statement)

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“…One of the most common mental disorders is somatoform disorders, with estimated prevalence rates of 5-6% in the general population [5]. A meta-analysis study showed that the prevalence rate of patients with at least one somatoform disorder according to DSM or ICD diagnosis criteria in primary healthcare facilities was 26.2%, and the prevalence rate within one year was 18.9% [6]. The highest proportion of patient diagnoses was somatoform disorder, unspecified (F45.9) at 37%, while the least diagnosed patient condition was undifferentiated somatoform disorder (F45.1).…”

Section: Introductionmentioning

confidence: 99%

Pseudoceysis False Pregnancy in 25-Year-Old with Anxiety: A Case Report

Junio,

Amin

2023

Advances in Health Sciences Research

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BackgroundSomatoform disorder is a disorder characterized by the presence of multiple symptoms that cannot be explained or proven as physical symptoms. Patients with this disorder often undergo examinations and consultations with various healthcare centres about their complaints [1]. Doctors on duty in the emergency department often misdiagnose this disorder with other diagnoses. This can happen because of the need for more time to examine a patient in detail and thoroughly [2]. To establish a diagnosis of somatoform disorder, doctors require an elimination process to exclude symptoms and consider differential diagnoses for each symptom and sign, resulting in the somatoform diagnosis often being missed. The consequences of the imprecise diagnosis process of somatoform disorder on the first visit result in patients receiving a physical diagnosis that then encourages patients to focus on treating the organic disease [3]. Case report:This report discusses a 25-year-old married woman who has complaints of anxiety about her pregnancy. The patient insists that she is pregnant even though she has consulted several obstetricians. The complaints first appeared about three years ago since the beginning of her marriage. The complaints started when her family pressured the patient to have a child. The patient also complained of other symptoms, such as pain in several parts of her body, nausea, vomiting, intolerance to certain foods, and difficulty urinating despite having a strong urge to urinate. These complaints co-occurred with the patient's anxiety about her pregnancy. The patient has no history of psychiatric disorders use of illegal drugs, alcohol, or smoking. Conclusion:Somatoform disorders are characterized by one or more somatic symptoms or fear of a serious illness in the absence of physical symptoms, resulting in significant distress or functional impairment. This condition is marked by symptoms that are believed and unquestioned by the patient and have been ongoing for years. Patients with somatoform disorders may also experience symptoms from other organ systems. In this condition, there are psychological stressors that can trigger these symptoms. These symptoms are not influenced by illicit drugs, alcohol, and nicotine use.

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Section: Introductionmentioning

confidence: 99%