Hypochondriasis

Aka: Hypochondriasis, Hypochondriac, Illness Anxiety Disorder

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II. Epidemiology

  1. Peak onset: ages 20 to 40 years
  2. Prevalence: 2 to 7% in U.S. primary care settings

III. Diagnosis: DSM-V - Illness Anxiety Disorder (replaces Hypochondriasis)

  1. Meets criteria and is a subset of Somatic Symptom Disorder
  2. Preoccupation with either contracting or having a serious medical disorder
  3. SubTypes
    1. Care-seeking subtype
    2. Care-avoidant subtype

IV. Diagnosis: DSM IV - Hypochondriasis

  1. Must meet criteria for a Somatoform Disorder
    1. Unexplained physical symptoms
    2. Not due to condition of Secondary Gain (Malingering or Factitious Disorder)
    3. Causes dysfunction
  2. Specific criteria for Hypochondriasis
    1. Nondelusional preoccupation for at least 6 months
    2. Fixation or fear of a serious or life-threatening medical condition

V. Symptoms

  1. Patient preoccupied with mild symptoms
    1. Believes illness is serious or life-threatening
    2. Angrily rejects reassurance of good health
    3. Demands further evaluation and treatment
    4. Shops from physician to physician
  2. Hyperalert to symptoms
    1. Presents symptoms in minute detail
    2. "Knows what the trouble is"
    3. Wants physician to concur with their self-diagnosis

VI. Associated conditions

  1. Schizophrenia
  2. Major Depression
  3. Dysthymic Disorder
  4. Organic Brain Syndrome

VII. Differential Diagnosis

  1. Somatoform Disorder
  2. Chronic Factitious Disorder
  3. Malingering

VIII. Management

  1. See Somatoform Disorder Management

IX. Course

  1. Chronic life-long illness

X. References

  1. Tomb (1988) Psychiatry, Williams & Wilkins, p. 96-7

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Related Studies

Ontology: Hypochondriasis (C0020604)

Definition (MSH) Preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms. (APA, DSM-IV)
Definition (CSP) preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D006998
ICD9 300.7
ICD10 F45.2 , F45.21
SnomedCT 192433006, 154891008, 18193002
DSM4 300.7
English Hypochondriacal Neuroses, Neurosis, Hypochondriacal, HYPOCHONDRIASIS, Hypochondriacal Neurosis, Hypochondriacal disorder, hypochondriasis (diagnosis), hypochondriasis, Hypochondriacal disorders, Hypochondriasis [Disease/Finding], hypochondria, hypochondrias, Neurosis;hypochondriacal, hypochondriasis disorder, hypochondriacal disorder, hypochondriacal disorder (diagnosis), Hypochondriacal disorder (disorder), Hypochondriacal neurosis, Hypochondria, Hypochondriasis (disorder), disease (or disorder); hypochondriacal, disorder; hypochondriacal, hypochondriacal; disorder, hypochondriacal; neurosis, neurosis; hypochondriacal, Hypochondriasis, hypochondriacal neurosis
French HYPOCHONDRIE, Hypocondrie, Hypochondrie, Nosophobie, Névrose hypochondriaque, Trouble hypochondriaque
Spanish HIPOCONDRIASIS, Hipocondria, hipocondriasis (trastorno), hipocondriasis, hipocondría, neurosis hipocondríaca, Hipocondría, Hipocondriasis, Neurosis Hipocondríaca
German HYPOCHONDRIE, Hypochondrische Stoerung, Hypochrondrie, Hypochondrie, Neurose, hypochondrische
Swedish Hypokondri
Japanese ｼﾝｷｼｮｳ, 心気症, ヒポコンドリー, ヒポコンドリー症, 心気性神経症, 心気神経症, 神経症-心気性
Czech hypochondrie, Hypochondriáza
Finnish Hypokondrinen häiriö
Russian IPOKHONDRICHESKII SINDROM, KOENESTEZIOPATICHESKAIA PARANOIIA, IPOKHONDRIIA, KOENESTOPATII, NEVROZ IPOKHONDRICHESKII, IPOKHONDRICHESKOE SOSTOIANIE, КОЭНЕСТЕЗИОПАТИЧЕСКАЯ ПАРАНОЙЯ, КОЭНЕСТОПАТИИ, ИПОХОНДРИЧЕСКИЙ СИНДРОМ, ИПОХОНДРИЧЕСКОЕ СОСТОЯНИЕ, ИПОХОНДРИЯ, НЕВРОЗ ИПОХОНДРИЧЕСКИЙ
Portuguese HIPOCONDRIA, Hipocondria, Hipocondríase, Neurose Hipocondríaca
Italian Nevrosi ipocondriaca, Ipocondria
Korean 건강염려성 장애
Croatian HIPOHONDRIJA
Polish Hipochondria, Nerwice hipochondryczne
Hungarian Hypochondriasis
Norwegian Kroppsdysmorfisk forstyrrelse, Hypokondri, Hypokondrisk forstyrrelse, Hypokondrisk nevrose
Dutch aandoening; hypochondrisch, hypochondrisch; aandoening, hypochondrisch; neurose, neurose; hypochondrisch, stoornis; hypochondrisch, Hypochondrische stoornis, hypochondrie, Hypochondrie, Neurose, hypochondrische
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Somatization Disorders

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