Somatic symptom disorder and undifferentiated somatoform disorder, which is broader? Response to “Clinical value of DSM IV and DSM 5 criteria for diagnosing the most prevalent somatoform disorders in patients with medically unexplained physical symptoms (MUPS)”

Huang, Wei‐Lieh; Chen, I‐Ming; Chang, Fang‐Chi; Liao, Shih‐Cheng

doi:10.1016/j.jpsychores.2016.07.014

Cited by 18 publications

(10 citation statements)

References 4 publications

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“…Only seven studies used semi-structured clinical interviews based on DSM-5 criteria to diagnose SSD (Calabro et al, 2019; Cao et al, 2020; Fergus, Kelley, & Griggs, 2019; Guidi et al, 2013; Huang et al, 2016; Hüsing et al, 2018; Umemura et al, 2019). Of these, Fergus et al, was conducted in primary care patients; the others were in specialized patient populations.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies considered the inclusion of the B-criteria as a positive change in the diagnostic conception (Claassen-van Dessel et al, 2016;Klaus et al, 2015;Wollburg, Voigt, Braukhaus, Herzog, & Löwe, 2013). However, the choice of the three psychological B-criteria was criticized (Klaus et al, 2015), and the relevance of the clinical context and the interpretation of these criteria were highlighted for diagnosing SSD and its severity (Cao et al, 2020;Huang, Chen, Chang, & Liao, 2016). Two studies compared SSD and IAD, indicating higher health service use, more comorbid anxiety disorders (Bailer et al, 2016;Newby et al, 2017), more severe health anxiety, depression and somatic symptoms in individuals with SSD compared to individuals with IAD (Newby et al, 2017).…”

Section: Validity Of the Ssd Criteriamentioning

confidence: 99%

“…With regard to reliability, an acceptable to good interrater-reliability can be assumed for SSD, especially in comparison with other mental disorders (Dimsdale et al, 2013). The findings that patients with SSD display higher disability and lower health-related quality of life compared to the general population (Cao et al, 2020;Claassen-van Dessel et al, 2016;Huang et al, 2016) also support construct validity, as do the findings that with increasing severity of SSD, functional impairment also increases (Toussaint et al, 2016;Wollburg et al, 2013). Notably, the group of individuals identified by the new diagnosis of SSD is not identical to the group described by the previous diagnosis of somatization disorder.…”

Section: Reliability Validity Clinical Utility Functional Consequencesmentioning

confidence: 99%

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Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis

et al. 2021

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Background In 2013, the diagnosis of somatic symptom disorder (SSD) was introduced into the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This review aims to comprehensively synthesize contemporary evidence related to SSD. Methods A scoping review was conducted using PubMed, PsycINFO, and Cochrane Library. The main inclusion criteria were SSD and publication in the English language between 01/2009 and 05/2020. Systematic search terms also included subheadings for the DSM-5 text sections; i.e., diagnostic features, prevalence, development and course, risk and prognostic factors, culture, gender, suicide risk, functional consequences, differential diagnosis, and comorbidity. Results Eight hundred and eighty-two articles were identified, of which 59 full texts were included for analysis. Empirical evidence supports the reliability, validity, and clinical utility of SSD diagnostic criteria, but the further specification of the psychological SSD B-criteria criteria seems necessary. General population studies using self-report questionnaires reported mean frequencies for SSD of 12.9% [95% confidence interval (CI) 12.5–13.3%], while prevalence studies based on criterion standard interviews are lacking. SSD was associated with increased functional impairment, decreased quality of life, and high comorbidity with anxiety and depressive disorders. Relevant research gaps remain regarding developmental aspects, risk and prognostic factors, suicide risk as well as culture- and gender-associated issues. Conclusions Strengths of the SSD diagnosis are its good reliability, validity, and clinical utility, which substantially improved on its predecessors. SSD characterizes a specific patient population that is significantly impaired both physically and psychologically. However, substantial research gaps exist, e.g., regarding SSD prevalence assessed with criterion standard diagnostic interviews.

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Section: Resultsmentioning

confidence: 99%

Section: Validity Of the Ssd Criteriamentioning

confidence: 99%

Section: Reliability Validity Clinical Utility Functional Consequencesmentioning

confidence: 99%

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Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis

et al. 2021

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“…However, van Dessel et al found a strong association between the presence of positive psychological criteria in DSM-5 and symptoms severity and physical functioning in patients with MUPS ( 13 ). Moreover, Huang et al discussed the importance of recruiting settings, the comorbidity of pain disorder and undifferentiated somatoform disorder, and the impact of cultural factors in somatic symptoms disorder's diagnosis ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Medically Unexplained Physical Symptoms in Hospitalized Patients: A 9-Year Retrospective Observational Study

et al. 2018

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Introduction: “Medically Unexplained Physical Symptoms” (MUPS) defines a subgroup of patients presenting physical symptoms of unclear origin. The study aims to profile clinical and socio-demographic characteristics of patients with MUPS.Materials and Methods: This 9-years observational retrospective study assesses all patients admitted between 2008 and 2016 in the divisions of neurology and gastroenterology. Socio-demographic and clinical variables were evaluated: gender, age, diagnosis or diagnostic hypothesis, presence of psychiatric comorbidities, psychiatric evaluation, pharmacological treatment, number of admissions/visits.Results: Among 2,479 neurological patients 10.1% presented MUPS. Patients were more frequently women (63.5%), with a mean age of about 50 years. Reported symptoms were headache (22.6%), seizures (8.7%), vertigo (5.9%), fibromyalgia (5.5%), paresthesia (5.1%), visual disturbances (5.1%), amnesia (3.9%). The diagnosis was somatoform disorder in 6.3% of cases, conversion disorder in 2.7%, and somatic symptom disorder in 1.5% only. 2,560 outpatients were evaluated in gastroenterology division. 9.6% (n = 248) of patients had MUPS; 62.1% of them were women. The most affected age group ranged between 15 and 45 years. The most frequent diagnoses were functional abdominal pain (50%), dysmotility-like dyspepsia (26.6%), irritable bowel syndrome (10.4%), meteorism of unknown cause (2.4%), hiccup (1.6%), burning mouth syndrome (1.2%). No patients received a diagnosis of somatic symptom disorder.Discussion: Patients with MUPS are more often women, of middle age, with self-referred specific symptomatology. While neurological patients received a diagnostic-therapeutic approach in line with the literature, gastroenterological patients mainly received antipsychotics. A more comprehensive assessment and a development of psychoeducational interventions are needed to improve patients' quality and quantity of life.

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“…Since studies showed that specific negative psychological factors may aggravate somatic complaints accompanying medical illnesses to an extent that cannot be fully explained by the underlying illness (86-89), the findings of the EMA studies may bear some relevance for persons suffering from a medical condition. However, the inclusion of medical conditions may have changed the characteristics of the investigated group and the strength of the presented psychological factors, since a study suggested that the diagnosis of somatic symptom disorder becomes less strict when medically explained somatic symptoms are included (90). With the lack of clear criteria for the fulfillment of the B criteria for somatic symptom disorder in the presence of medical conditions, the diagnosis may become less reliable and may lose validity.…”

Section: Psychological Factors In the Daily Lives Of Persons Su Ering...mentioning

confidence: 99%

Recent developments on psychological factors in medically unexplained symptoms and somatoform disorders

Mewes

2022

Front. Public Health

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Somatic symptoms which are not fully explained by a medical condition (medically unexplained symptoms) have a high relevance for the public health. They are very common both in the general population and in patients in health care, and may develop into chronic impairing conditions such as somatoform disorders. In recent years, the relevance of specific negative psychological factors for the diagnosis and the stability of somatoform disorders and for the impairment by medically unexplained symptoms gained more and more attention. This resulted—among others- in core changes in the diagnostic classification criteria of somatoform disorders. Against this background, the present “Perspective” will outline recent developments and findings in the area of medically unexplained somatic symptoms and somatoform disorders. Moreover, it will lay a special focus on evidence on specific negative psychological factors that may influence the course of unexplained somatic symptoms and disorders and the impairment caused by these symptoms.

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Somatic symptom disorder and undifferentiated somatoform disorder, which is broader? Response to “Clinical value of DSM IV and DSM 5 criteria for diagnosing the most prevalent somatoform disorders in patients with medically unexplained physical symptoms (MUPS)”

Cited by 18 publications

References 4 publications

Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis

Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis

Medically Unexplained Physical Symptoms in Hospitalized Patients: A 9-Year Retrospective Observational Study

Recent developments on psychological factors in medically unexplained symptoms and somatoform disorders

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