![]() | The contents of the Somatization disorder page were merged into Somatic symptom disorder on 29 June 2024. For the contribution history and old versions of the redirected page, please see its history; for the discussion at that location, see its talk page. |
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![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Somatic symptom disorder.
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This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available
on the course page. Student editor(s):
Hannaolson.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 09:47, 17 January 2022 (UTC)
This article needs an update since the DSM-5 proposes new naming for this category "Somatic Symptom Disorders" and Hypochondriasis is proposed to be devided in two subcategories: "Complex somatic symptom disorder" and "Illness Anxiety Disorder". — Preceding unsigned comment added by 46.217.70.179 ( talk) 07:19, 9 November 2011 (UTC)
The proposed disorders seem dated. -- Candide124 ( talk) 21:21, 17 September 2017 (UTC)
Is there any objective evidence demonstrating that this condition actually exists, as oppose to a patient have both physical and mental pain or indeed, only physical pain of unknown origin? —Preceding unsigned comment added by 89.145.198.172 ( talk) 18:11, 23 October 2009 (UTC)
Considering the limitations of "modern medicine", the inattentiveness of most physicians in family practice, and the vast amount of unknown information/tests/diagnostic procedures that have yet to be discovered - how can any physician say with any degree of certainty that a patient consistently complaining of the same symptom for an extended period of time is just making it up or manifesting the problem subconsciously when it could just as likely be the failing of the physician to properly diagnose an organic illness/problem. My doctor tried to pull the old somatization bull on me as well only to later find out I was having vertebral-basilar TIA's. It seems that such labels as hypochondriasis and somatization are hapharzardly being tossed about to cover the failings of the treating physicians in order to justify their inability to help their ailing patient. Not only that, but any note alluding to hypochondriasis in a patients chart, even when later proven to be erroneous, will forever alter the way any future doctors treat you and sets a framework for just how seriously they may take you, no matter how wrong that information may be. Extreme caution, coupled with ACTUAL psychological testing should be utilized before even considering making mention of such suspicions in patient records let alone confronting the patient on your suspicions.
Could someone explain to us laypeople what the difference is between a psychosomatic illness, somatization disorder, and somatoform disorder? It would be helpful if these articles could differentiate themselves from each other, if they are actually different things. -- Beland 23:50, 8 December 2006 (UTC)
"Somatoform disorder (also known as Briquet's syndrome) is a mental disorder characterized by physical symptoms that mimic physical disease or injury for which there is no identifiable physical cause[1]"
So is it a disorder or a group of disorders? makeswell 02:24, 16 April 2010 (UTC) —Preceding unsigned comment added by Makeswell ( talk • contribs)
I think that "somatoform disorder" is the broad category of illnesses (including somatization disorder, conversion disorder, hypochondriasis, chronic pain and others where physical symptoms are experienced but have no clear biological cause). Therefore, "somatization disorder" is a particular type of somatoform disorder. 23rd July 2010 —Preceding
unsigned comment added by
147.197.20.137 (
talk)
11:31, 23 July 2010 (UTC)
A word on differential diagnosis may be nice here. The disorders are similar and overlapping, so explaining how they are each unique would be nice. -- 1000Faces ( talk) 17:27, 5 February 2011 (UTC)
Update to references. The link to http://www.familydoctor.org/162.xml is no longer active. The somatoform disorder page is now at http://familydoctor.org/familydoctor/en/diseases-conditions/somatoform-disorders.html -GN from AAFP — Preceding unsigned comment added by 208.35.133.11 ( talk • contribs) 20:16, 26 July 2013
Ok if I move this page to Somatic symptom disorder per DSM5 ( http://www.dsm5.org/documents/somatic%20symptom%20disorder%20fact%20sheet.pdf)? Robert Badgett 21:37, 19 October 2013 (UTC)
![]() | This help request has been answered. If you need more help, you can , contact the responding user(s) directly on their user talk page, or consider visiting the Teahouse. |
The DSM 5 has rendered somatoform disorder obsolete.
24.97.201.230 ( talk) 02:02, 8 April 2014 (UTC)
Great danger here of error in how to classify if it seems equally likely that there is not a sufficient physical cause or it it seems equally likely there is a physical cause but the diagnosis of the physical cause is still being sought, just not yet found. 3-29-2014 eg. Justina Pelletier case. 146.115.171.24 ( talk) 03:05, 30 March 2014 (UTC)
A critcal change in the DSM IV is that “an SSD diagnosis does not require that the somatic symptoms are medically unexplained. In other words, symptoms may or may not be associated with another medical condition.” http://www.dsm5.org/Documents/Somatic%20Symptom%20Disorder%20Fact%20Sheet.pdf — Preceding unsigned comment added by 71.234.174.39 ( talk) 22:24, 4 November 2014 (UTC)
I think it may be important to recognize that even though the individual's symptoms don't point to anything physiologically wrong, they can develop other health risks associated with their perceptions. I would like to add this to the introductory section. -- CKemble ( talk) 21:51, 18 April 2015 (UTC)
This reference:
<ref name="pmid9107152">{{cite journal |author=LaFrance WC |title=Somatoform disorders |journal=Seminars in Neurology |volume=29 |issue=3 |pages=234–46 |date=July 2009 |pmid=19551600 |doi=10.1055/s-0029-1223875}}</ref>
shares its name, pmid9107152, with this reference:
<ref name="pmid9107152">{{cite journal |author=Kroenke K |title=Multisomatoform disorder. An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care |journal=Arch. Gen. Psychiatry |volume=54 |issue=4 |pages=352–8 |year=1997 |pmid=9107152 |doi=10.1001/archpsyc.1997.01830160080011 |author2= Spitzer RL |author3= deGruy FV |displayauthors=etal}}</ref>
One or both are used four times in the article with this reference tag: <ref name="pmid9107152"/>
. Clearly the first reference definition should be renamed to be something different from the second, perhaps <ref name="pmid19551600">
.
Somatic system disorder is not my topic so I will leave it to others to determine which if any of the <ref name="pmid9107152"/>
references need to be changed to match the new name.
— Trappist the monk ( talk) 19:55, 1 August 2015 (UTC)
"A somatic symptom disorder, formerly known as a somatoform disorder,[1][2][3] is any mental disorder which manifests as physical symptoms that suggest illness or injury, but which cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder)."
"Somatic symptom disorders are a group of disorders, all of which fit the definition of physical symptoms similar to those observed in physical disease or injury for which there is no identifiable physical cause."
There are subtle but important differences between the outdated "somatoform disorder" and the current definition of "somatic symptom disorder." Perhaps the most important is that the somatic symptom(s) CAN (but don't have to) be fully explained by a general medical condition. To quote the American Psychiatric Association, "Somatic symptom disorder (SSD) is characterized by somatic symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feelings and behaviors regarding those symptoms...while medically unexplained symptoms were a key feature for many of the disorders in DSM-IV, an SSD diagnosis does not require that the somatic symptoms are medically unexplained. In other words, symptoms may or may not be associated with another medical condition. DSM-5 narrative text description that accompanies the criteria for SSD cautions that it is not appropriate to diagnose individuals with a mental disorder solely because a medical cause cannot be demonstrated. Furthermore, whether or not the somatic symptoms are medically explained, the individual would still have to meet the rest of the criteria in order to receive a diagnosis of SSD." - Information copied from the American Psychiatric Association's DSM 5 fact sheet for somatic symptom disorder published in 2013 (found at https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets) 204.139.85.250 ( talk) 13:50, 24 April 2018 (UTC)
This article is incorrect. The diagnosis does not require the symptoms to be medically "unexplained" in the DSM-V criteria for "somatic symptom disorder." This was the case in DSM-IV with the predecessor diagnoses only. e.g. see this review: Management of somatic symptom disorder - PubMed (nih.gov). I will wait for any comments before correcting the article. InnerCitadel ( talk) 08:02, 22 March 2022 (UTC)
(Comment simultaneously posted on the three relevant talk pages.)
There appears to be a disconnect between the definition of "psychosomatic" in use for the Psychogenic disease, Psychosomatic medicine, and Somatic symptom disorder pages.
Psychogenic disease describes it as "illnesses with a known medical cause where psychological factors may nonetheless play a role (e.g., asthma can be exacerbated by anxiety)."
Somatic symptom disorder, which is the redirect for "psychosomatic," doesn't directly reference the word at all in the body of the article, but if we assume from the redirect that the two words are implied to be synonymous, it is "any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder)." Already, these two conflict.
Psychosomatic medicine corroborates the definition used in Psychogenic illness, saying "in contemporary psychosomatic medicine, the term is normally restricted to those illnesses that do have a clear physical basis, but where it is believed that psychological and mental factors also play a role." But it further states that "psychiatry traditionally distinguishes between psychosomatic disorders, disorders in which mental factors play a significant role in the development, expression, or resolution of a physical illness, and somatoform disorders, disorders in which mental factors are the sole cause of a physical illness."
It also appears to use the terms "psychosomatic" and "psychogenic" interchangeably (or without a clarified distinction) without linking to Psychogenic disease.
As Somatic symptom disorder is the redirect for somatoform disorder, this now means Psychosomatic medicine claims two of its redirects are distinct concepts.
This appears to be a tangle in need of cleaning up and I do not know how to approach it. Aliengeometries ( talk) 05:50, 13 September 2022 (UTC)
A recent anonymous edit added links to 3 complex (but most definitely not psychological) chronic illnesses to the “See Also” section. As every other link there appears to be about some form of psychological or fictitious disorder, I have to question the motives behind this recent edit.
The conditions in question (ME/CFS, POTS, and EDS) are all conditions lacking decent public awareness, making diagnosis difficult, and being that they are dynamic and generally outwardly invisible illnesses, patients with these conditions are frequently accused of hypochondria and other psychological issues by the uninformed. CFS is infamous for getting this treatment, and while most people are still unfamiliar with EDS snd POTS, this has been happening to them as well as awareness (but not necessarily *informed* awareness/understanding) increases.
If the motive in including those on this page was to highlight the above issue, I’m not sure it was well-executed, considering the conditions aren’t mentioned in the article itself. Listing them with a bunch of fictitious and psychological disorders gives the impression that they also fit that description (which is already a frustratingly common misconception, as stated above).
It’s also possible they were added ignorantly or even maliciously by someone with these misconceptions. If so, that’s concerning. I’d encourage people to not add info to wikipedia about medical conditions if they lack a decent understanding, as this can have harmful effects they may not even be aware of.
I’ve removed the links (one didn’t even link to the correct page anyway) and I’d argue they need to stay removed unless someone can make a good case for why those three ought to be singled out and included in that section when no other physical conditions were. (Uninformed personal bias is not a valid source) Catfrost ( talk) 23:41, 24 November 2023 (UTC)
I was wondering if I could have some help clarifying the difference between Somatic symptom disorder and Somatization disorder. It seems like Somatic symptom disorder is supposed to be a category of disorders however most literature establishes it as its own disorder. Somatic symptom disorder and Somatization disorder mostly contain the same information and I'm wondering if Somatization disorder should be redirected to Somatic symptom disorder. CursedWithTheAbilityToDoTheMath ( talk) 19:34, 9 March 2024 (UTC)
I propose merging Somatization disorder into Somatic symptom disorder. Both articles describe the same condition but uner different terminology. Somatic symptom disorder seems to be the more commonly used term and has more page views so that's why I'm proposing merging Somatization disorder into Somatic symptom disorder. CursedWithTheAbilityToDoTheMath ( talk) 05:44, 24 June 2024 (UTC)
![]() | The contents of the Somatization disorder page were merged into Somatic symptom disorder on 29 June 2024. For the contribution history and old versions of the redirected page, please see its history; for the discussion at that location, see its talk page. |
![]() | This ![]() It is of interest to the following WikiProjects: | |||||||||||||||||||||||||||
|
![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Somatic symptom disorder.
|
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available
on the course page. Student editor(s):
Hannaolson.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 09:47, 17 January 2022 (UTC)
This article needs an update since the DSM-5 proposes new naming for this category "Somatic Symptom Disorders" and Hypochondriasis is proposed to be devided in two subcategories: "Complex somatic symptom disorder" and "Illness Anxiety Disorder". — Preceding unsigned comment added by 46.217.70.179 ( talk) 07:19, 9 November 2011 (UTC)
The proposed disorders seem dated. -- Candide124 ( talk) 21:21, 17 September 2017 (UTC)
Is there any objective evidence demonstrating that this condition actually exists, as oppose to a patient have both physical and mental pain or indeed, only physical pain of unknown origin? —Preceding unsigned comment added by 89.145.198.172 ( talk) 18:11, 23 October 2009 (UTC)
Considering the limitations of "modern medicine", the inattentiveness of most physicians in family practice, and the vast amount of unknown information/tests/diagnostic procedures that have yet to be discovered - how can any physician say with any degree of certainty that a patient consistently complaining of the same symptom for an extended period of time is just making it up or manifesting the problem subconsciously when it could just as likely be the failing of the physician to properly diagnose an organic illness/problem. My doctor tried to pull the old somatization bull on me as well only to later find out I was having vertebral-basilar TIA's. It seems that such labels as hypochondriasis and somatization are hapharzardly being tossed about to cover the failings of the treating physicians in order to justify their inability to help their ailing patient. Not only that, but any note alluding to hypochondriasis in a patients chart, even when later proven to be erroneous, will forever alter the way any future doctors treat you and sets a framework for just how seriously they may take you, no matter how wrong that information may be. Extreme caution, coupled with ACTUAL psychological testing should be utilized before even considering making mention of such suspicions in patient records let alone confronting the patient on your suspicions.
Could someone explain to us laypeople what the difference is between a psychosomatic illness, somatization disorder, and somatoform disorder? It would be helpful if these articles could differentiate themselves from each other, if they are actually different things. -- Beland 23:50, 8 December 2006 (UTC)
"Somatoform disorder (also known as Briquet's syndrome) is a mental disorder characterized by physical symptoms that mimic physical disease or injury for which there is no identifiable physical cause[1]"
So is it a disorder or a group of disorders? makeswell 02:24, 16 April 2010 (UTC) —Preceding unsigned comment added by Makeswell ( talk • contribs)
I think that "somatoform disorder" is the broad category of illnesses (including somatization disorder, conversion disorder, hypochondriasis, chronic pain and others where physical symptoms are experienced but have no clear biological cause). Therefore, "somatization disorder" is a particular type of somatoform disorder. 23rd July 2010 —Preceding
unsigned comment added by
147.197.20.137 (
talk)
11:31, 23 July 2010 (UTC)
A word on differential diagnosis may be nice here. The disorders are similar and overlapping, so explaining how they are each unique would be nice. -- 1000Faces ( talk) 17:27, 5 February 2011 (UTC)
Update to references. The link to http://www.familydoctor.org/162.xml is no longer active. The somatoform disorder page is now at http://familydoctor.org/familydoctor/en/diseases-conditions/somatoform-disorders.html -GN from AAFP — Preceding unsigned comment added by 208.35.133.11 ( talk • contribs) 20:16, 26 July 2013
Ok if I move this page to Somatic symptom disorder per DSM5 ( http://www.dsm5.org/documents/somatic%20symptom%20disorder%20fact%20sheet.pdf)? Robert Badgett 21:37, 19 October 2013 (UTC)
![]() | This help request has been answered. If you need more help, you can , contact the responding user(s) directly on their user talk page, or consider visiting the Teahouse. |
The DSM 5 has rendered somatoform disorder obsolete.
24.97.201.230 ( talk) 02:02, 8 April 2014 (UTC)
Great danger here of error in how to classify if it seems equally likely that there is not a sufficient physical cause or it it seems equally likely there is a physical cause but the diagnosis of the physical cause is still being sought, just not yet found. 3-29-2014 eg. Justina Pelletier case. 146.115.171.24 ( talk) 03:05, 30 March 2014 (UTC)
A critcal change in the DSM IV is that “an SSD diagnosis does not require that the somatic symptoms are medically unexplained. In other words, symptoms may or may not be associated with another medical condition.” http://www.dsm5.org/Documents/Somatic%20Symptom%20Disorder%20Fact%20Sheet.pdf — Preceding unsigned comment added by 71.234.174.39 ( talk) 22:24, 4 November 2014 (UTC)
I think it may be important to recognize that even though the individual's symptoms don't point to anything physiologically wrong, they can develop other health risks associated with their perceptions. I would like to add this to the introductory section. -- CKemble ( talk) 21:51, 18 April 2015 (UTC)
This reference:
<ref name="pmid9107152">{{cite journal |author=LaFrance WC |title=Somatoform disorders |journal=Seminars in Neurology |volume=29 |issue=3 |pages=234–46 |date=July 2009 |pmid=19551600 |doi=10.1055/s-0029-1223875}}</ref>
shares its name, pmid9107152, with this reference:
<ref name="pmid9107152">{{cite journal |author=Kroenke K |title=Multisomatoform disorder. An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care |journal=Arch. Gen. Psychiatry |volume=54 |issue=4 |pages=352–8 |year=1997 |pmid=9107152 |doi=10.1001/archpsyc.1997.01830160080011 |author2= Spitzer RL |author3= deGruy FV |displayauthors=etal}}</ref>
One or both are used four times in the article with this reference tag: <ref name="pmid9107152"/>
. Clearly the first reference definition should be renamed to be something different from the second, perhaps <ref name="pmid19551600">
.
Somatic system disorder is not my topic so I will leave it to others to determine which if any of the <ref name="pmid9107152"/>
references need to be changed to match the new name.
— Trappist the monk ( talk) 19:55, 1 August 2015 (UTC)
"A somatic symptom disorder, formerly known as a somatoform disorder,[1][2][3] is any mental disorder which manifests as physical symptoms that suggest illness or injury, but which cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder)."
"Somatic symptom disorders are a group of disorders, all of which fit the definition of physical symptoms similar to those observed in physical disease or injury for which there is no identifiable physical cause."
There are subtle but important differences between the outdated "somatoform disorder" and the current definition of "somatic symptom disorder." Perhaps the most important is that the somatic symptom(s) CAN (but don't have to) be fully explained by a general medical condition. To quote the American Psychiatric Association, "Somatic symptom disorder (SSD) is characterized by somatic symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feelings and behaviors regarding those symptoms...while medically unexplained symptoms were a key feature for many of the disorders in DSM-IV, an SSD diagnosis does not require that the somatic symptoms are medically unexplained. In other words, symptoms may or may not be associated with another medical condition. DSM-5 narrative text description that accompanies the criteria for SSD cautions that it is not appropriate to diagnose individuals with a mental disorder solely because a medical cause cannot be demonstrated. Furthermore, whether or not the somatic symptoms are medically explained, the individual would still have to meet the rest of the criteria in order to receive a diagnosis of SSD." - Information copied from the American Psychiatric Association's DSM 5 fact sheet for somatic symptom disorder published in 2013 (found at https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets) 204.139.85.250 ( talk) 13:50, 24 April 2018 (UTC)
This article is incorrect. The diagnosis does not require the symptoms to be medically "unexplained" in the DSM-V criteria for "somatic symptom disorder." This was the case in DSM-IV with the predecessor diagnoses only. e.g. see this review: Management of somatic symptom disorder - PubMed (nih.gov). I will wait for any comments before correcting the article. InnerCitadel ( talk) 08:02, 22 March 2022 (UTC)
(Comment simultaneously posted on the three relevant talk pages.)
There appears to be a disconnect between the definition of "psychosomatic" in use for the Psychogenic disease, Psychosomatic medicine, and Somatic symptom disorder pages.
Psychogenic disease describes it as "illnesses with a known medical cause where psychological factors may nonetheless play a role (e.g., asthma can be exacerbated by anxiety)."
Somatic symptom disorder, which is the redirect for "psychosomatic," doesn't directly reference the word at all in the body of the article, but if we assume from the redirect that the two words are implied to be synonymous, it is "any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder)." Already, these two conflict.
Psychosomatic medicine corroborates the definition used in Psychogenic illness, saying "in contemporary psychosomatic medicine, the term is normally restricted to those illnesses that do have a clear physical basis, but where it is believed that psychological and mental factors also play a role." But it further states that "psychiatry traditionally distinguishes between psychosomatic disorders, disorders in which mental factors play a significant role in the development, expression, or resolution of a physical illness, and somatoform disorders, disorders in which mental factors are the sole cause of a physical illness."
It also appears to use the terms "psychosomatic" and "psychogenic" interchangeably (or without a clarified distinction) without linking to Psychogenic disease.
As Somatic symptom disorder is the redirect for somatoform disorder, this now means Psychosomatic medicine claims two of its redirects are distinct concepts.
This appears to be a tangle in need of cleaning up and I do not know how to approach it. Aliengeometries ( talk) 05:50, 13 September 2022 (UTC)
A recent anonymous edit added links to 3 complex (but most definitely not psychological) chronic illnesses to the “See Also” section. As every other link there appears to be about some form of psychological or fictitious disorder, I have to question the motives behind this recent edit.
The conditions in question (ME/CFS, POTS, and EDS) are all conditions lacking decent public awareness, making diagnosis difficult, and being that they are dynamic and generally outwardly invisible illnesses, patients with these conditions are frequently accused of hypochondria and other psychological issues by the uninformed. CFS is infamous for getting this treatment, and while most people are still unfamiliar with EDS snd POTS, this has been happening to them as well as awareness (but not necessarily *informed* awareness/understanding) increases.
If the motive in including those on this page was to highlight the above issue, I’m not sure it was well-executed, considering the conditions aren’t mentioned in the article itself. Listing them with a bunch of fictitious and psychological disorders gives the impression that they also fit that description (which is already a frustratingly common misconception, as stated above).
It’s also possible they were added ignorantly or even maliciously by someone with these misconceptions. If so, that’s concerning. I’d encourage people to not add info to wikipedia about medical conditions if they lack a decent understanding, as this can have harmful effects they may not even be aware of.
I’ve removed the links (one didn’t even link to the correct page anyway) and I’d argue they need to stay removed unless someone can make a good case for why those three ought to be singled out and included in that section when no other physical conditions were. (Uninformed personal bias is not a valid source) Catfrost ( talk) 23:41, 24 November 2023 (UTC)
I was wondering if I could have some help clarifying the difference between Somatic symptom disorder and Somatization disorder. It seems like Somatic symptom disorder is supposed to be a category of disorders however most literature establishes it as its own disorder. Somatic symptom disorder and Somatization disorder mostly contain the same information and I'm wondering if Somatization disorder should be redirected to Somatic symptom disorder. CursedWithTheAbilityToDoTheMath ( talk) 19:34, 9 March 2024 (UTC)
I propose merging Somatization disorder into Somatic symptom disorder. Both articles describe the same condition but uner different terminology. Somatic symptom disorder seems to be the more commonly used term and has more page views so that's why I'm proposing merging Somatization disorder into Somatic symptom disorder. CursedWithTheAbilityToDoTheMath ( talk) 05:44, 24 June 2024 (UTC)