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Database of New Zealand mental health research

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Status
Completed 1 September 2008

Created
25 September 2009

Last updated
25 September 2009

Psychiatriform disorders: Psychiatric analogues of somatoform disorders

Investigator(s) / AuthorsRichard Mullen and David B. Menkes

 
Principal contact
Name Dr Richard Mullen
Email Email address is not available; please contact
keadmin@tepou.co.nz for more information.
The research
Summary Somatoform disorders can be understood to mimic supposedly more ‘legitimate’ physical disorders. To the extent that mental disorders are now also often considered legitimate, might clinicians expect to encounter the psychiatric equivalent of somatoform disorders, ‘psychiatriform disorders’?
Objectives Somatoform disorders can be understood to mimic supposedly more ‘legitimate’ physical disorders. To the extent that mental disorders are now also often considered legitimate, might clinicians expect to encounter the psychiatric equivalent of somatoform disorders, ‘psychiatriform disorders’?
Study design The relevant literature on somatoform disorders is reviewed in light of the tendency for mental and physical symptoms to co-occur.
Methods Qualitative
Results Illness attribution and behaviour may explain some of the recent rise in the prevalence of mental disorder. Hypotheses regarding the cause and nature of somatoform disorders are applied to their proposed psychiatric equivalent. Despite lack of current recognition, there is a strong theoretical basis for the existence of psychiatriform disorders. Psychiatriform disorders can be expected to have similar causes, comorbidity, and response to treatment, as somatoform disorders. A variety of cultural forces may be contributing to a rise in prevalence.
Conclusions As with somatoform disorders, psychiatriform disorders present problems in their distinction from conscious fabrication and from the ‘legitimate’ disorders they mimic. Given their likely prevalence and associated impairments, psychiatriform disorders warrant further examination, despite the methodological difficulties this presents.
Key Descriptors Symptoms
Disciplines Psychology, Multi disciplinary
Settings Other
Diagnostic Categories Schizophrenia, Other
Populations General Population
Other Keywords Illness behaviour, medicalization, sick role, somatization, somatoform
Ethics approval Yes
Academic led Yes
Service led No
How were service users involved No involvement
Publication in peer review journal Yes
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Page last updated: 7 November 2008