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Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations

Received January 14, 2007; accepted January 19, 2007. From Indiana University School of Medicine and Regenstrief Institute, Indianapolis, IN; the School of Molecular and Clinical Medicine, Univ. of Edinburgh, Edinburgh, UK, and the WHO Collaborating Centre, Institute of Psychiatry, Univ. of London, UK. Send correspondence and reprint requests to Kurt Kroenke, Indiana Univ. School of Medicine and Regenstreif Institute, Indianapolis, IN 46202. e-mail: kkroenke{at}regenstrief.org
© 2007 The Academy of Psychosomatic Medicine

As the DSM–V process unfolds, Somatoform Disorders are a diagnostic category for which major revisions seem warranted. The Conceptual Issues in Somatoform and Similar Disorders (CISSD) project recently convened three workshops, involving 24 experts. The CISSD identified key questions related to stakeholders; terminology; appropriate axis (I versus III); medically unexplained criteria; status of functional somatic syndromes; and symptom counts, grouping, lifetime recall, and checklists. Preliminary recommendations include substantial revision of the category of Somatization Disorder, elimination of Undifferentiated Somatoform Disorder and Pain Disorder, terminology changes, and potential shifting of certain disorders to different DSM categories or axes.

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				A. Mailis Gagnon, K. Nicholson, and M. Zurowski The Future of the DSM Pain Disorder Category Psychosomatics, July 1, 2008; 49(4): 362 - 362. [Full Text] [PDF]

				J. L. Jackson and K. Kroenke Prevalence, Impact, and Prognosis of Multisomatoform Disorder in Primary Care: A 5-Year Follow-up Study Psychosom Med, May 1, 2008; 70(4): 430 - 434. [Abstract] [Full Text] [PDF]

				K. Kroenke Efficacy of Treatment for Somatoform Disorders: A Review of Randomized Controlled Trials Psychosom Med, November 1, 2007; 69(9): 881 - 888. [Abstract] [Full Text] [PDF]

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