Letter to the Editor
A commentary on: Somatic symptom disorder: An important change in DSM

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  • Comparing the diagnostic concepts of ICD-10 somatoform disorders and DSM-5 somatic symptom disorders in patients from a psychosomatic outpatient clinic

    2018, Journal of Psychosomatic Research
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    At the same time, patients with severe mental illness such as depression, who also suffer from physical complaints associated with their mental disorder, might now receive an additional diagnosis of somatic symptom disorder and thus specific attention and tailored interventions to their individual needs. However, the psychological criteria chosen for the classification of somatic symptom disorder have been subject to debate, and it remains questionable whether the basic mechanisms of the various conditions which are now lumped into one diagnostic category are really comparable [12, 34, 35]. Several studies showed that somatic symptom disorder proved better construct validity and enhanced clinical utility than DSM-IV somatoform disorders, while remission was lower and persistence rates higher after 12 months.

  • Clinical value of DSM IV and DSM 5 criteria for diagnosing the most prevalent somatoform disorders in patients with medically unexplained physical symptoms (MUPS)

    2016, Journal of Psychosomatic Research
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    As a result, we think that the addition of positive psychological symptoms as diagnostic criteria for DSM 5 SSD improves clinical value. Although several researchers in the field have stressed that the DSM 5 criteria would be even more inclusive than DSM IV criteria [39,40], the results of our study point out otherwise. In contrary, our results may even lead to concern about under-inclusiveness of DSM 5 SSD criteria.

  • Somatic symptoms and psychological concerns in a general adolescent population: Exploring the relevance of DSM-5 somatic symptom disorder

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    In these debates on clinical decision-making, further discussions of what precisely constitutes functional impairment in SSD are also warranted. Furthermore, the substantial overlap with other medical and mental conditions could mean that (adolescent) SSD is not the valid and homogeneous category that was hoped for [42,43]. Future prospective and etiological research will have to further address this worry.

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