Somatoform disorders in DSM-IV:: Mental or physical disorders?

被引：25
作者：
Sykes, R [1 ]
机构：
[1] Univ London, Inst Psychiat, WHO, Ctr Collaborat, London, England
来源：
JOURNAL OF PSYCHOSOMATIC RESEARCH | 2006年 / 60卷 / 04期
关键词：
somatoform disorders; conceptual issues; classification; physical disorder; mental disorder; psychological factors;
D O I：
10.1016/j.jpsychores.2006.01.018
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Objective: To examine analytically the question of whether the characterization of somatoform disorders (SFDs) in Diagnostic and Statistical Manual, Fourth Edition (DSM-IV) provides adequate grounds for classifying them as mental disorders rather than as physical disorders. Methods: Analytical examination. Results: There are prima facie grounds for classifying SFDs as physical disorders since they are characterized by physical symptoms. The characterization of SFDs in DSM-IV does not provide adequate grounds for classifying them as mental disorders. Conclusion: The spectrum of SFDs is drawn too widely in DSM-lV. At least some of the conditions now listed as SFDs in DSM-IV should be either given a dual diagnosis or classified simply as physical disorders. (c) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码：341 / 344
页数：4
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