Which of the following is not a specific somatoform disorder:
Correct Answer: Somatisation disorder
Description: A i.e. Somatisation disorder IBS, chronic fatigue syndrome & fibromyalgia all are specific (named) somatoform disorders, whereas somatization disorder is (unnamed) somatoform disorder which require 4 pain, 2G1, 1 sexual & 1 pseudoneurological symptoms for diagnosisQ. Somatoform Disorders Somatoform disorders (coined by American nosologist Robe spitzer) meaning somatic like is a generic term first used in DSM III for a group of disorders charactrized by physical symptoms that are not explained by organic factors (i.e. for syndromes of presumed psychological origin). A more appropriate term from a language (semantic) point of view would have been somatomorph disorders. Categories of somatoform disorders include DSM -IV - Somatization disorder ICD-10 - Somatization disorder - Undifferentiated - Undifferentiated somatoform disorder somatoform disorder - Hypochondriosis - Hypochondrial disorder - Conversion disorder - Dissociative disorders - Pain disorder - Persistent somatoform pain disorder - Somatoform disorders - Other somatoform not otherwise specified disorders (NOS) - Somatoform disorder unspecified - Body dismorphic - No category; instead disorder included in hypochondrial disorder - No category - Somatoform autonomic dysfunction - Neurasthenia (neurotic disorders category) So conversion disorder & body dismorphic disorder exist in DSM IV (but not in ICD-10), whereas neurasthenia, somatoform autonomic dysfunction & dissociative disorder exist in ICD-10 (but not in DSM Functional (Specific) Somatic Syndromes These includes clusters of idiopathic physical symptoms legitimately used in many specialities but their association with psychopathology & psychological distress suggest that many of them would fall in somatofom disorders. These includes - Chronic fatigue syndrome, fibromyalgiaQ, fibrositis, chronic low back pain, herniated disc, carpel tunnel syndrome, reptitive strain injury (ohopaedics) - Tension headache, pseudoseizures, chronic whiplash syndrome (neurology) - Irritable bowel syndrome (IBS)Q, nonulcer dyspepsia, food allergies (gastroenterology) - Temporomandibular joint syndrome, atypical facial pain (dental) - Tinnitus, dizziness, globus syndrome (ENT) - Dyspnea, habbit cough, laryngeal dysfunction, hyper ventilation syndrome (pulmonary medicine); multiple chemical sensitivity , sick building syndrome (occupational medicine); chronic Lyme disease, candidiasis hypersensitivity, chronic candidiasis, hypoglycemia, total allergy syndrome, systemic yeast infection (internal medicine); Gulf war syndrome, insomnia (military medicine) Premenstrual syndrome, chronic pelvic pain (Obs-Gyne); silicone breast implant effects / associated connective tissue disease (plastic surgery); interstitial cystitis (urology); atypical chest pain, non cardiac pain, mitral valve prolapse (cardiology).
Category:
Psychiatry
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