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Somatization disorder and hypochondriasis: as like as two peas?

İsmet Kırpınar, Erdem Deveci, Alperen Kılıç, Demet Zihni Çamur.

Abstract
Objective: Although the DSM-IV has provided some criteria for differential diagnosis of Hypochondriasis and Somatization Disorder, the differences between these disorders have rarely been studied. This study aimed to compare demographic and psychometric properties between hypochondriasis and somatization disorder. Methods: We investigated a sample of 100 patients aged 18-65 years who had been consecutively diagnosed as having hypochondriasis or somatization disorder via the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). The patients completed a battery of scales to measure anxiety, depression, dissociation, and somatosensorial amplification levels. Results: The only statistically significant difference between the two groups was in terms of health anxiety. The mean Health Anxiety Inventory score was higher in the hypochondriasis group. No differences arose between the two groups in terms of other psychometric properties. Conclusions: Our results show that except for health anxiety levels, hypochondriasis and somatization disorder are similar in terms of psychological variables. The higher health anxiety levels in the hypochondriasis group support the opinions about the necessity of new categorization in these disorders.

Key words: hypochondriasis, somatization disorder, differential diagnosis, health anxiety



Somatizasyon bozukluğu ve hipokondriyazis: Bir elmanın iki yarısı mı?

Ozet
Amaç: DSM-IV, hipokondriyazis ve somatizasyon bozukluğu ayırıcı tanısı için bazı ölçütler sağlamış olsa da, bu bozukluklar arasındaki farklılıklar ender çalışılmıştır. Bu çalışma hipokondriyazis ve somatizasyon bozukluğu arasındaki demografik ve psikometrik özellikleri karşılaştırmayı amaçlamaktadır. Yöntem: Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) aracılığı ile ardışık olarak Hipokondriyazis ve Somatizasyon Bozukluğu tanısı alan 18-65 yaşlarındaki 100 hastayı inceledik. Hastalar anksiyete, depresyon, dissosiyasyon ve somatosensoryel amplifikasyonu ölçen bir ölçek bataryasını tamamladılar. Results: İki grup arasında istatistiksel olarak anlamlı tek farklılık sağlık anksiyetesi açısındandı. Ortalama Sağlık Anksiyetesi Ölçeği puanı hipokondriyazis grubunda yüksekti. İki grup arasında diğer psikometrik özellikler açısından farklılık yoktu. Conclusion: Sonuçlarımız, hipokondriyazis ve somatoform bozukluğun sağlık anksiyetesi düzeyleri dışında psikolojik değişkenler açısından benzer olduğunu göstermektedir. Hipokondriyazis grubundaki yüksek anksiyete düzeyleri, bu bozukluklarda yeni bir kategorizasyonun gerekli olduğu görüşlerini desteklemektedir.

Anahtar Kelimeler: Hipokondriyazis, somatizasyon bozukluğu, ayırıcı tanı, sağlık anksiyetesi


 
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How to Cite this Article
Pubmed Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. Somatization disorder and hypochondriasis: as like as two peas?. Anadolu Psikiyatri Derg. 2016; 17(3): 165-173. doi:10.5455/apd.201002


Web Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. Somatization disorder and hypochondriasis: as like as two peas?. http://www.anadolupsikiyatri.net/?mno=201002 [Access: December 13, 2018]. doi:10.5455/apd.201002


AMA (American Medical Association) Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. Somatization disorder and hypochondriasis: as like as two peas?. Anadolu Psikiyatri Derg. 2016; 17(3): 165-173. doi:10.5455/apd.201002



Vancouver/ICMJE Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. Somatization disorder and hypochondriasis: as like as two peas?. Anadolu Psikiyatri Derg. (2016), [cited December 13, 2018]; 17(3): 165-173. doi:10.5455/apd.201002



Harvard Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur (2016) Somatization disorder and hypochondriasis: as like as two peas?. Anadolu Psikiyatri Derg, 17 (3), 165-173. doi:10.5455/apd.201002



Turabian Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. 2016. Somatization disorder and hypochondriasis: as like as two peas?. Anatolian Journal of Psychiatry, 17 (3), 165-173. doi:10.5455/apd.201002



Chicago Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. "Somatization disorder and hypochondriasis: as like as two peas?." Anatolian Journal of Psychiatry 17 (2016), 165-173. doi:10.5455/apd.201002



MLA (The Modern Language Association) Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur. "Somatization disorder and hypochondriasis: as like as two peas?." Anatolian Journal of Psychiatry 17.3 (2016), 165-173. Print. doi:10.5455/apd.201002



APA (American Psychological Association) Style

Ismet Kirpinar, Erdem Deveci, Alperen Kilic, Demet Zihni Camur (2016) Somatization disorder and hypochondriasis: as like as two peas?. Anatolian Journal of Psychiatry, 17 (3), 165-173. doi:10.5455/apd.201002





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