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Hypochondriasis, Somatoform Disorders, and Abnormal Illness Behavior

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Encyclopedia of Pain
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Synonyms

Abnormal illness behavior of the unconsciously motivated, somatically focussed type; Discordant illness behavior; Dysnosognosia; Somatoform disorders

Definition

In the fourth edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (1994), hypochondriasis is defined according to the following criteria:

  • Because of misinterpreting bodily symptoms, the patient becomes preoccupied with ideas or fears of having a serious illness.

  • Appropriate medical investigation and reassurance do not relieve these ideas.

  • These ideas are not delusional (as in delusional disorder) and are not restricted to concern about appearance (as in body dysmorphic disorder).

  • They cause distress that is clinically important or impair work, social, or personal functioning.

  • They have lasted 6 months or longer.

  • These ideas are better explained by generalized anxiety disorder, major depressive episode, obsessive-compulsive disorder, panic disorder, separation anxiety, or a different...

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References

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Correspondence to Issy Pilowsky .

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Pilowsky, I. (2013). Hypochondriasis, Somatoform Disorders, and Abnormal Illness Behavior. In: Gebhart, G.F., Schmidt, R.F. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28753-4_1839

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