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Stability of somatoform symptoms--implications for classification.
Psychosom Med. 2007 Dec; 69(9):864-9.PM

Abstract

OBJECTIVE

To investigate the stability of somatoform symptoms/disorders.

METHODS

A literature search was done to select studies reporting data on stability of medically unexplained physical symptoms.

RESULTS

Whereas individual symptoms vary over time, grouping symptoms into syndromes seems to create stable features. There are substantial problems with the use of lifetime diagnosis, favoring classification approaches that require only present state symptoms. Further, doctors' ratings that symptoms are "medically unexplained" is highly problematic and reduces interrater reliability. Misdiagnoses and overlooking of organic conditions are in the same range as for other psychiatric (and many organic) disorders; therefore, this does not seem to reduce the stability of the diagnoses of somatoform disorders.

CONCLUSIONS

These results indicate how the classification of somatoform disorders can be improved. Some new diagnostic criteria are suggested that could be considered in the revision of Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V).

Authors+Show Affiliations

Rief W
Department of Clinical Psychology und Psychotherapy, Philipps University of Marburg, Gutenbergstrasse18, D-35032 Marburg, Germany. rief@staff.uni-marburg.de
Rojas G
No affiliation info available

MeSH

Cross-Sectional StudiesDiagnosis, DifferentialDiagnostic and Statistical Manual of Mental DisordersFollow-Up StudiesHumansPrimary Health CareSomatoform DisordersSyndrome

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18040096

Clinical Trial Links

Cognitive-Behavioral Therapy Enriched With Emotion Regulation Training for Multiple Somatoform Symptoms

Citation

Rief, Winfried, and Graciela Rojas. "Stability of Somatoform Symptoms--implications for Classification." Psychosomatic Medicine, vol. 69, no. 9, 2007, pp. 864-9.
Rief W, Rojas G. Stability of somatoform symptoms--implications for classification. Psychosom Med. 2007;69(9):864-9.
Rief, W., & Rojas, G. (2007). Stability of somatoform symptoms--implications for classification. Psychosomatic Medicine, 69(9), 864-9.
Rief W, Rojas G. Stability of Somatoform Symptoms--implications for Classification. Psychosom Med. 2007;69(9):864-9. PubMed PMID: 18040096.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stability of somatoform symptoms--implications for classification. AU - Rief,Winfried, AU - Rojas,Graciela, PY - 2007/11/28/pubmed PY - 2007/12/18/medline PY - 2007/11/28/entrez SP - 864 EP - 9 JF - Psychosomatic medicine JO - Psychosom Med VL - 69 IS - 9 N2 - OBJECTIVE: To investigate the stability of somatoform symptoms/disorders. METHODS: A literature search was done to select studies reporting data on stability of medically unexplained physical symptoms. RESULTS: Whereas individual symptoms vary over time, grouping symptoms into syndromes seems to create stable features. There are substantial problems with the use of lifetime diagnosis, favoring classification approaches that require only present state symptoms. Further, doctors' ratings that symptoms are "medically unexplained" is highly problematic and reduces interrater reliability. Misdiagnoses and overlooking of organic conditions are in the same range as for other psychiatric (and many organic) disorders; therefore, this does not seem to reduce the stability of the diagnoses of somatoform disorders. CONCLUSIONS: These results indicate how the classification of somatoform disorders can be improved. Some new diagnostic criteria are suggested that could be considered in the revision of Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V). SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/18040096/Stability_of_somatoform_symptoms__implications_for_classification_ DB - PRIME DP - Unbound Medicine ER -