Psychosomatic characterization of adjustment disorders in the medical setting: Some suggestions for DSM-V

Luigi Grassi, Lara Mangelli, Giovanni A. Fava, Silvana Grandi, Fedra Ottolini, Piero Porcelli, Chiara Rafanelli, Marco Rigatelli, Nicoletta Sonino

Research output: Contribution to journalArticle

Abstract

Background: Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders. Methods: One hundred patients with medical illness and a diagnosis of adjustment disorder according to DSM-IV criteria were interviewed according to the Diagnostic Criteria for Psychosomatic Research (DCPR) system, consisting of 12 clusters. Results: A considerable overlap was shown between adjustment disorders and DCPR clusters related to abnormal illness behavior (health anxiety, tanatophobia, nosophobia and illness denial) (54%), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms and anniversary reaction) (37%) and demoralization (33%). Only 13 of the patients with adjustment disorders did not present any DCPR syndromes. Limitations: The study is cross-sectional and does not allow to determine the prognostic features of DCPR categorization. Conclusion: The clinical information which derives from the concomitant application of the DCPR might improve and make more specific the treatment of patients with adjustment disorders.

Original languageEnglish
Pages (from-to)251-254
Number of pages4
JournalJournal of Affective Disorders
Volume101
Issue number1-3
DOIs
Publication statusPublished - Aug 2007

Fingerprint

Adjustment Disorders
Diagnostic and Statistical Manual of Mental Disorders
Research
Conversion Disorder
Illness Behavior
Somatoform Disorders
Mental Disorders
Psychiatry
Anxiety
Cross-Sectional Studies
Health

Keywords

  • Adjustment disorders
  • DCPR
  • Demoralization
  • DSM-V
  • Somatization

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Behavioral Neuroscience
  • Biological Psychiatry
  • Neurology
  • Psychology(all)

Cite this

Grassi, L., Mangelli, L., Fava, G. A., Grandi, S., Ottolini, F., Porcelli, P., ... Sonino, N. (2007). Psychosomatic characterization of adjustment disorders in the medical setting: Some suggestions for DSM-V. Journal of Affective Disorders, 101(1-3), 251-254. https://doi.org/10.1016/j.jad.2006.11.011

Psychosomatic characterization of adjustment disorders in the medical setting : Some suggestions for DSM-V. / Grassi, Luigi; Mangelli, Lara; Fava, Giovanni A.; Grandi, Silvana; Ottolini, Fedra; Porcelli, Piero; Rafanelli, Chiara; Rigatelli, Marco; Sonino, Nicoletta.

In: Journal of Affective Disorders, Vol. 101, No. 1-3, 08.2007, p. 251-254.

Research output: Contribution to journalArticle

Grassi, L, Mangelli, L, Fava, GA, Grandi, S, Ottolini, F, Porcelli, P, Rafanelli, C, Rigatelli, M & Sonino, N 2007, 'Psychosomatic characterization of adjustment disorders in the medical setting: Some suggestions for DSM-V', Journal of Affective Disorders, vol. 101, no. 1-3, pp. 251-254. https://doi.org/10.1016/j.jad.2006.11.011
Grassi, Luigi ; Mangelli, Lara ; Fava, Giovanni A. ; Grandi, Silvana ; Ottolini, Fedra ; Porcelli, Piero ; Rafanelli, Chiara ; Rigatelli, Marco ; Sonino, Nicoletta. / Psychosomatic characterization of adjustment disorders in the medical setting : Some suggestions for DSM-V. In: Journal of Affective Disorders. 2007 ; Vol. 101, No. 1-3. pp. 251-254.
@article{65cffac981524d14b61b5f6d7973299c,
title = "Psychosomatic characterization of adjustment disorders in the medical setting: Some suggestions for DSM-V",
abstract = "Background: Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders. Methods: One hundred patients with medical illness and a diagnosis of adjustment disorder according to DSM-IV criteria were interviewed according to the Diagnostic Criteria for Psychosomatic Research (DCPR) system, consisting of 12 clusters. Results: A considerable overlap was shown between adjustment disorders and DCPR clusters related to abnormal illness behavior (health anxiety, tanatophobia, nosophobia and illness denial) (54{\%}), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms and anniversary reaction) (37{\%}) and demoralization (33{\%}). Only 13 of the patients with adjustment disorders did not present any DCPR syndromes. Limitations: The study is cross-sectional and does not allow to determine the prognostic features of DCPR categorization. Conclusion: The clinical information which derives from the concomitant application of the DCPR might improve and make more specific the treatment of patients with adjustment disorders.",
keywords = "Adjustment disorders, DCPR, Demoralization, DSM-V, Somatization",
author = "Luigi Grassi and Lara Mangelli and Fava, {Giovanni A.} and Silvana Grandi and Fedra Ottolini and Piero Porcelli and Chiara Rafanelli and Marco Rigatelli and Nicoletta Sonino",
year = "2007",
month = "8",
doi = "10.1016/j.jad.2006.11.011",
language = "English",
volume = "101",
pages = "251--254",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier",
number = "1-3",

}

TY - JOUR

T1 - Psychosomatic characterization of adjustment disorders in the medical setting

T2 - Some suggestions for DSM-V

AU - Grassi, Luigi

AU - Mangelli, Lara

AU - Fava, Giovanni A.

AU - Grandi, Silvana

AU - Ottolini, Fedra

AU - Porcelli, Piero

AU - Rafanelli, Chiara

AU - Rigatelli, Marco

AU - Sonino, Nicoletta

PY - 2007/8

Y1 - 2007/8

N2 - Background: Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders. Methods: One hundred patients with medical illness and a diagnosis of adjustment disorder according to DSM-IV criteria were interviewed according to the Diagnostic Criteria for Psychosomatic Research (DCPR) system, consisting of 12 clusters. Results: A considerable overlap was shown between adjustment disorders and DCPR clusters related to abnormal illness behavior (health anxiety, tanatophobia, nosophobia and illness denial) (54%), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms and anniversary reaction) (37%) and demoralization (33%). Only 13 of the patients with adjustment disorders did not present any DCPR syndromes. Limitations: The study is cross-sectional and does not allow to determine the prognostic features of DCPR categorization. Conclusion: The clinical information which derives from the concomitant application of the DCPR might improve and make more specific the treatment of patients with adjustment disorders.

AB - Background: Adjustment disorders have been found to be the most frequent psychiatric diagnosis in the medically ill. Problems have been raised, however, as to their clinical value. The aim of the study was to characterize the psychosomatic features of adjustment disorders. Methods: One hundred patients with medical illness and a diagnosis of adjustment disorder according to DSM-IV criteria were interviewed according to the Diagnostic Criteria for Psychosomatic Research (DCPR) system, consisting of 12 clusters. Results: A considerable overlap was shown between adjustment disorders and DCPR clusters related to abnormal illness behavior (health anxiety, tanatophobia, nosophobia and illness denial) (54%), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms and anniversary reaction) (37%) and demoralization (33%). Only 13 of the patients with adjustment disorders did not present any DCPR syndromes. Limitations: The study is cross-sectional and does not allow to determine the prognostic features of DCPR categorization. Conclusion: The clinical information which derives from the concomitant application of the DCPR might improve and make more specific the treatment of patients with adjustment disorders.

KW - Adjustment disorders

KW - DCPR

KW - Demoralization

KW - DSM-V

KW - Somatization

UR - http://www.scopus.com/inward/record.url?scp=34249942905&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34249942905&partnerID=8YFLogxK

U2 - 10.1016/j.jad.2006.11.011

DO - 10.1016/j.jad.2006.11.011

M3 - Article

C2 - 17196662

AN - SCOPUS:34249942905

VL - 101

SP - 251

EP - 254

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

IS - 1-3

ER -