Quantitative Sensory Testing in Patients with Multisomatoform Disorder with Chronic Pain as the Leading Bodily Symptom, 2019, Tran et al

Discussion in ''Conditions related to ME/CFS' news and research' started by Andy, Oct 4, 2019.

  1. Andy

    Andy Committee Member

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    Hampshire, UK
    Paywall, https://academic.oup.com/painmedicine/article-abstract/doi/10.1093/pm/pnz195/5580374/
    Scihub, not available at time of posting.
     
    Peter Trewhitt and JohnM like this.
  2. Cheshire

    Cheshire Moderator Staff Member

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    Wouldn't it be more instructive to compare to people having painful conditions?
     
    Last edited: Oct 4, 2019
  3. Mithriel

    Mithriel Senior Member (Voting Rights)

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    I am not sure but I think they must mean physical disease when they talk about somatoform disorders if they are distinguishing them from functional somatic disorders.

    Which means they found that "imaginary" diseases have the same problems as physical ones. Then again who knows what these people find.
     
  4. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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    I don't have access to the full paper, but I would imagine what the authors are referring to are the ICD-10 Somatoform disorders:

    https://icd.who.int/browse10/2016/en#/F45

    F45 Somatoform disorders
    F45.0 Somatization disorder
    F45.1 Undifferentiated somatoform disorder
    F45.2 Hypochondriacal disorder
    F45.3 Somatoform autonomic dysfunction
    F45.4 Persistent somatoform pain disorder
    F45.8 Other somatoform disorders


    For expanded disorder description texts, see also:

    https://www.who.int/classifications/icd/en/bluebook.pdf

    The ICD-10 Classification of Mental and Behavioural Disorders, Clinical descriptions and diagnostic guidelines, World Health Organization

    aka the ICD-10 "Blue Book"

    (Expanded description texts from Page 129)


    See also:

    https://www.who.int/classifications/icd/en/GRNBOOK.pdf

    The ICD-10 Classification of Mental and Behavioural Disorders, Diagnostic criteria for research, World Health Organization

    aka the ICD-10 "Green Book" (Research criteria)

    (Diagnostic criteria from Page 127)

    -----------------------

    If you look at the research criteria (from page 127 onwards) for the ICD-10 Somatoform disorders, particularly for:

    F45.0 Somatization disorder,
    F45.1 Undifferentiated somatoform disorder,
    F45.3 Somatoform autonomic dysfunction, and
    F45.4 Persistent somatoform pain disorder

    there is potential "overlap" with the so-called "FSSs" and for assigning a diagnosis of one of the ICD-10 Somatoform disorders to patients with symptoms of one or more of the so-called "FSSs".



    As you know, DSM-5 replaced DSM-IV's Somatoform disorders categories with Somatic symptom disorder (SSD) in May 2013. I think it unlikely that the paper would be referring to the now deprecated DSM-IV TR Somatoform disorders, though you do still see occasional references to the disorder descriptions and criteria for the now obsolete DSM-IV Somatoform disorders categories in contemporary studies, rather than the DSM-5's SSD criteria which replaced them.

    Comparison Table: Criteria for DSM-IV Somatization disorder v ICD-10 Somatization disorder

    (You can see how IBS, FM and other of the so-called "FSSs" might, in some cases, meet a diagnosis of Somatization disorder or Persistent somatoform pain disorder.)

    [​IMG]

    [Edited to insert comparison table]
     
    Last edited: Oct 4, 2019

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