March 2019 By PsychDB.com

Somatisation Disorder

Obsolete DSM-IV-TR Diagnosis

This diagnosis no longer exists in the DSM-5. It has been replaced with Somatic Symptom Disorder.
Criterion A

A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning.

Criterion B

Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance:

  1. Pain symptoms: a history of pain related to at least 4 different sites or functions (e.g., head, abdomen, back, joints, extremities, chest, rectum, during menstruation, during sexual intercourse, or during urination)
  2. Gastrointestinal symptoms: a history of at least 2 gastrointestinal symptoms other than pain (e.g., nausea, bloating, vomiting other than during pregnancy, diarrhea, or intolerance of several different foods)
  3. Sexual symptom: a history of at least 1 sexual or reproductive symptom other than pain (e.g., sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy)
  4. Pseudoneurological symptom: a history of at least 1 symptom or deficit suggesting a neurological condition not limited to pain (conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures; dissociative symptoms such as amnesia; or loss of consciousness other than fainting)

Criterion C

Either (1) or (2):

  1. after appropriate investigation, each of the symptoms in Criterion B cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g., a drug of abuse, a medication)
  2. when there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings

Criterion D

The symptoms are not intentionally feigned or produced (as in factitious disorder or malingering).