Psychological factors affecting medical condition: A new proposal for DSM-V

Giovanni A. Fava, Stefania Fabbri, Laura Sirri, Thomas N. Wise

Research output: Contribution to journalReview article

Abstract

The DSM category of "psychological factors affecting medical condition" had virtually no impact on clinical practice. However, several clinically relevant psychosomatic syndromes have been described in the literature: disease phobia, persistent somatization, conversion symptoms, illness denial, demoralization, and irritable mood. These syndromes, in addition to the DSM definition of hypochondriasis, can yield clinical specification in the category of "psychological factors affecting medical condition" and eliminate the need for the highly criticized DSM classification of somatoform disorders. This new classification is supported by a growing body of research evidence and is in line with psychosomatic medicine as a recognized subspecialty.

Original languageEnglish (US)
Pages (from-to)103-111
Number of pages9
JournalPsychosomatics
Volume48
Issue number2
DOIs
StatePublished - Jan 1 2007

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ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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