Psychological factors affecting other medical conditions

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Differential Diagnosis

• Adjustment disorders
• Illness anxiety disorder
• Mental disorder due to another medical condition
• Somatic symptom disorder

Epidemiology and Demographics

Prevalence

The prevalence of psychological factors affecting other medical conditions is unclear in the overall population.

Diagnostic Criteria

DSM-V Diagnostic Criteria for Psychological Factors Affecting Other Medical Conditions

“

A.A medical symptom or condition (other than a mental disorder) is present. AND B.Psychological or behavioral factors adversely affect the medical condition in one of the following ways: 1.The factors have influenced the course of the medical condition as shown by a close temporal association between the psychological factors and the development or exacerbation of, or delayed recovery from, the medical condition. 2.The factors interfere with the treatment of the medical condition (e.g., poor adherence). 3.The factors constitute additional well-established health risks for the individual. 4.The factors influence the underlying pathophysiology, precipitating or exacerbating symptoms or necessitating medical attention. AND C.The psychological and behavioral factors in Criterion B are not better explained by another mental disorder (e.g.,panic disorder, major depressive disorder, posttraumatic stress disorder). Specify current severity: Mild: Increases medical risk (e.g., inconsistent adherence with anti-hypertension treatment). Moderate: Aggravates underlying medical condition (e.g., anxiety aggravating asthma). Severe: Results in medical hospitalization or emergency room visit. Extreme: Results in severe, life-threatening risk (e.g., ignoring heart attack symptoms).

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