Diagnostic Criteria for Psychosomatic Research versus DSM assessment in migraine patients

Aims: Psychosomatic syndromes have not yet been investigated in migraine patients. The present study aimed at comparing the classification system of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the revised version of the Diagnostic Criteria for Psychosomatic Research (DCPR-R...

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Bibliographic Details
Published in:Journal of psychosomatic research 2018-06, Vol.109, p.137-137
Main Authors: Svicher, A., De Cesaris, F., Benemei, S., Tondini, V., Geppetti, P., Cosci, F.
Format: Article
Language:English
Subjects:
Alexithymia
Anxiety
Classification
Clinical interviews
Conversion disorder
Denial
Diagnosis
Diagnostic and Statistical Manual
Emotions
Headache
Hypochondriasis
Medical coding
Medical diagnosis
Mental disorders
Migraine
Mood
Needs assessment
Obsessive compulsive disorder
Somatic symptoms
Somatization
Type A behaviour
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Summary:Aims: Psychosomatic syndromes have not yet been investigated in migraine patients. The present study aimed at comparing the classification system of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the revised version of the Diagnostic Criteria for Psychosomatic Research (DCPR-R). Methods: 196 consecutive migraine patients (mean age: 43.1; SD=12.4) years; 43 males and 153 females underwent the Structured Clinical Interview for DSM-5 and the Semi-structured Interview for the DCPR-R. Results: 46 patients (23.5%) had at least one DSM-5 diagnosis; 113 patients (57.7%) had at least one DCPR diagnosis. The DSM-5 diagnoses were: somatic symptoms and related disorders (1%), obsessive-compulsive disorder (2%), mood (9.7%) and anxiety (16.3%) The DCPR diagnoses were: allostatic overload (31.6%), type A behavior (8.3%), alexithymia (5.8%), illness denial (5.8%). irritable mood (5.4%). persistent somatization (5.3%), conversion disorder (3.3%), health anxiety (2.9%), thanatophobia (2.5%), anniversary reaction (2.1%), hypochondriasis (1.7%), demoralization (0.8%), nosophobia (0.4%). There were 14 patients who had a DSM-5 diagnosis only and 81 subjects who had a DCPR diagnosis only. Conclusion: DSM-5 somatic symptom and related disorders chapter is not adequate to capture psychosomatic information. The assessment of migraine patients needs to be implemented with the DCPR.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2018.03.149