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Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

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Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet].

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Table 3.32DSM-IV to DSM-5 Illness Anxiety Disorder Comparison

DSM-IVDSM-5
Name: HypochondriasisName: Illness Anxiety Disorder
Disorder Class: Somatoform DisordersDisorder Class: Somatic Symptom and Related Disorder
A. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person’s misinterpretation of bodily symptoms.A. Preoccupation with having or acquiring a serious illness.
B. The preoccupation persists despite appropriate medical evaluation and reassurance.DROPPED
B. Somatic symptoms are not present or, if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition (e.g., strong family history is present), the preoccupation is clearly excessive or disproportionate.
C. The belief in Criterion A is not of delusional intensity (as in delusional disorder, somatic type) and is not restricted to a circumscribed concern about appearance (as in body dysmorphic disorder).DROPPED
C. There is a high level of anxiety about health, and the individual is easily alarmed about personal health status.
D. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.DROPPED
D. The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doctor appointments and hospitals).
E. The duration of the disturbance is at least 6 months.E. Illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time.
F. The preoccupation is not better accounted for by generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, a major depressive episode, separation anxiety, or another somatoform disorder.F. The illness-related preoccupation is not better explained by another mental disorder, such as somatic symptom disorder, panic disorder, generalized anxiety disorder, body dysmorphic disorder, obsessive-compulsive disorder, or delusional disorder, somatic type.
Specify if:
  • With poor insight: If, for most of the time during the current episode, the person does not recognize that the concern about having a serious illness is excessive or unreasonable.
Specify whether:
  • Care-seeking type: Medical care, including physician visits or undergoing tests and procedures, is frequently used.
  • Care-avoidant type: Medical care is rarely used.

From: 3, Mental Illness

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