Hypochondriasis
| Subclass of | somatic symptom disorder, nosophobia, disease |
|---|---|
| Health specialty | psychiatry, psychology |
| Hashtag | hypochondriasis |
| ICD-9-CM | 300.7 |
| ICPC 2 ID | P75 |
| NCI Thesaurus ID | C9493 |
Hypochondriasis anaa hypochondria be a condition insyd wich a person be excessively den unduly worried about having a serious illness. Hypochondria be an old concept wey na ein meaning be repeatedly changed over ein lifespan.[1] Na dem claim say dis debilitating condition dey result from an inaccurate perception of de condition of body anaa mind despite de absence of an actual medical diagnosis.[2] An individual plus hypochondriasis be known as a hypochondriac. Hypochondriacs cam be unduly alarmed about any physical anaa psychological symptoms dem detect, no matter how minor de symptom fi be, wey na dem be convinced say dem get, anaa dem be about to be diagnosed plus, a serious illness.[3]
Often, hypochondria dey persist even after a physician evaluate a person den reassure dem say dema concerns about symptoms no get an underlying medical basis anaa, if der be a medical illness, dema concerns be far in excess of wat be appropriate for de level of disease. Chaw hypochondriacs dey focus on a particular symptom as de catalyst of dema worrying, such as gastro-intestinal problems, palpitations, anaa muscle fatigue. To qualify for de diagnosis of hypochondria de symptoms for be experienced for at least six months.[4]
International Classification of Diseases (ICD-10) dey classify hypochondriasis as a mental den behavioral disorder.[5] Insyd de Diagnostic and Statistical Manual of Mental Disorders, na DSM-IV-TR define de disorder "Hypochondriasis" as a somatoform disorder[6] wey na one study show am to affect about 3% of de visitors to primary care settings.[7] Na de 2013 DSM-5 replace de diagnosis of hypochondriasis plus de diagnoses of somatic symptom disorder (75%) den illness anxiety disorder (25%).[8][9]
Hypochondria often be characterized by fears dat minor bodily anaa mental symptoms fi indicate a serious illness, constant self-examination den self-diagnosis, den a preoccupation plus one ein body. Chaw individuals plus hypochondriasis dey express doubt den disbelief insyd de doctors dema diagnosis, den dey report say doctors dema reassurance about an absence of a serious medical condition be unconvincing, anaa short-lasting. Additionally, chaw hypochondriacs dey experience elevated blood pressure, stress, den anxiety insyd de presence of doctors anaa while occupying a medical facility, a condition dem know as "white coat syndrome". Chaw hypochondriacs dey require constant reassurance, either from doctors, family, anaa paddies, den de disorder fi cam be a debilitating challenge give de individual plus hypochondriasis, as well as dema family den paddies.[10] Sam individuals plus hypochondria completely dey avoid any reminder of illness, wer as odas frequently visit medical facilities, sam times obsessively.[11] Sam never fi speak about am.
A research wey base on 41,190 people, wey na dem publish insyd December 2023 by JAMA Psychiatry, na dem find dat people wey dey suffer from hypochondriasis get a five-year shorter life expectancy compared to those widout symptoms.[12]
References
[edit | edit source]- ↑ Berrios GE (2001) Hypochondriasis. History of the Concept. In Starcevic V & Lipsitt DR (eds). Hypochondriasis. Oxford, Oxford University Press, pp3-20.
- ↑ Avia MD, Ruiz MA (2005). "Recommendations for the Treatment of Hypochondriac Patients". Journal of Contemporary Psychotherapy. 35 (3): 301–13. doi:10.1007/s10879-005-4322-3. S2CID 28529570.
- ↑ Kring, Ann M.; Davison, Gerald C.; Neale, John M.; Johnson, Sheri L. (2007). Abnormal Psychology with Cases (10th ed.). Wiley. ISBN 978-0-471-71260-2.
- ↑ Goldberg, Richard J. (2007). Practical Guide to the Care of the Psychiatric Patient. Mosby/Elsevier. ISBN 978-0-323-03683-2.
- ↑ Drs; Sartorius, Norman; Henderson, A.S.; Strotzka, H.; Lipowski, Z.; Yu-cun, Shen; You-xin, Xu; Strömgren, E.; Glatzel, J.; Kühne, G.-E.; Misès, R.; Soldatos, C.R.; Pull, C.B.; Giel, R.; Jegede, R.; Malt, U.; Nadzharov, R.A.; Smulevitch, A.B.; Hagberg, B.; Perris, C.; Scharfetter, C.; Clare, A.; Cooper, J.E.; Corbett, J.A.; Griffith Edwards, J.; Gelder, M.; Goldberg, D.; Gossop, M.; Graham, P.; Kendell, R.E.; Marks, I.; Russell, G.; Rutter, M.; Shepherd, M.; West, D.J.; Wing, J.; Wing, L.; Neki, J.S.; Benson, F.; Cantwell, D.; Guze, S.; Helzer, J.; Holzman, P.; Kleinman, A.; Kupfer, D.J.; Mezzich, J.; Spitzer, R.; Lokar, J. "The ICD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines" (PDF). www.who.int World Health Organization. Microsoft Word. bluebook.doc. p. 116. Retrieved 23 June 2021 – via Microsoft Bing.
- ↑ American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revised, Washington, DC, APA, 2000.
- ↑ Escobar JI, Gara M, Waitzkin H, Silver RC, Holman A, Compton W (May 1998). "DSM-IV hypochondriasis in primary care" (PDF). General Hospital Psychiatry. 20 (3): 155–9. doi:10.1016/S0163-8343(98)00018-8. PMID 9650033. S2CID 597107.
- ↑ "DSM-5 redefines hypochondriasis - Mayo Clinic". Mayo Clinic.
- ↑ Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Association. 2013. p. 310. ISBN 978-0-89042-554-1.
- ↑ Olatunji BO, Etzel EN, Tomarken AJ, Ciesielski BG, Deacon B (November 2011). "The effects of safety behaviors on health anxiety: an experimental investigation". Behaviour Research and Therapy. 49 (11): 719–28. doi:10.1016/j.brat.2011.07.008. PMID 21839987.
- ↑ "Illness anxiety disorder". Mayo Clinic. Retrieved January 2, 2023.
- ↑ Mataix-Cols, David; Isomura, Kayoko; Sidorchuk, Anna (2024). "All-Cause and Cause-Specific Mortality Among Individuals With Hypochondriasis". JAMA Psychiatry. 81 (3): 284–291. doi:10.1001/jamapsychiatry.2023.4744. PMC 10719832. PMID 38091000.