Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/28744
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dc.contributor.authorNewby, Jill Men
dc.contributor.authorHobbs, Megan Jen
dc.contributor.authorMahoney, Alison E Jen
dc.contributor.authorWong, Shiu (Kelvin)en
dc.contributor.authorAndrews, Gavinen
dc.date.accessioned2020-05-21T02:39:25Z-
dc.date.available2020-05-21T02:39:25Z-
dc.date.issued2017-10-
dc.identifier.citationJournal of Psychosomatic Research, v.101, p. 31-37en
dc.identifier.issn1879-1360en
dc.identifier.issn0022-3999en
dc.identifier.urihttps://hdl.handle.net/1959.11/28744-
dc.description.abstractObjective: To investigate the reliability, validity and utility of DSM-5 illness anxiety disorder (IAD) and somatic symptom disorder (SSD), and explore their overlap with DSM-IV Hypochondriasis in a health anxious sample. Methods: Treatment-seeking patients with health anxiety (N = 118) completed structured diagnostic interviews to assess DSM-IV Hypochondriasis, DSM-5 IAD, SSD, and comorbid mental disorders, and completed self-report measures of health anxiety, comorbid symptoms, cognitions and behaviours, and service utilization. Results: IAD and SSD were more reliable diagnoses than Hypochondriasis (kappa estimates: IAD: 0.80, SSD: 0.92, Hypochondriasis: 0.60). 45% of patients were diagnosed with SSD, 47% with IAD, and 8% with comorbid IAD/SSD. Most patients with IAD fluctuated between seeking and avoiding care (61%), whereas care-seeking (25%) and care-avoidant subtypes were less common (14%). Half the sample met criteria for DSM-IV Hypochondriasis; of those, 56% met criteria for SSD criteria, 36% for IAD, and 8% for comorbid IAD/SSD. Compared to IAD, SSD was characterized by more severe health anxiety, somatic symptoms, depression, and higher health service use, and higher rates of major depressive disorder, panic disorder and agoraphobia. Conclusions: DSM-5 IAD and SSD classifications reliably detect more cases of clinically significant health anxiety than DSM-IV Hypochondriasis. The differences between IAD and SSD appear to be due to severity. Future research should explore the generalizability of these findings to other samples, and whether diagnostic status predicts treatment response and long-term outcome.en
dc.languageenen
dc.publisherElsevier Incen
dc.relation.ispartofJournal of Psychosomatic Researchen
dc.titleDSM-5 illness anxiety disorder and somatic symptom disorder: Comorbidity, correlates, and overlap with DSM-IV hypochondriasisen
dc.typeJournal Articleen
dc.identifier.doi10.1016/j.jpsychores.2017.07.010en
local.contributor.firstnameJill Men
local.contributor.firstnameMegan Jen
local.contributor.firstnameAlison E Jen
local.contributor.firstnameShiu (Kelvin)en
local.contributor.firstnameGavinen
local.relation.isfundedbyNHMRCen
local.subject.for2008110319 Psychiatry (incl. Psychotherapy)en
local.subject.for2008111714 Mental Healthen
local.subject.for2008170106 Health, Clinical and Counselling Psychologyen
local.subject.seo2008920410 Mental Healthen
local.profile.schoolNew England Institute of Healthcare Research, Faculty of Medicine and Healthen
local.profile.emailmegan.hobbs@une.edu.auen
local.output.categoryC1en
local.grant.number1037787en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeUnited States of Americaen
local.format.startpage31en
local.format.endpage37en
local.peerreviewedYesen
local.identifier.volume101en
local.title.subtitleComorbidity, correlates, and overlap with DSM-IV hypochondriasisen
local.contributor.lastnameNewbyen
local.contributor.lastnameHobbsen
local.contributor.lastnameMahoneyen
local.contributor.lastnameWongen
local.contributor.lastnameAndrewsen
dc.identifier.staffune-id:mhobbs8en
local.profile.orcid0000-0003-0131-0089en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:1959.11/28744en
local.date.onlineversion2017-07-23-
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleDSM-5 illness anxiety disorder and somatic symptom disorderen
local.relation.fundingsourcenoteSt Vincent's Clinic Foundation Grant; Australian Government Research Training Program Scholarshipsen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.relation.grantdescriptionNHMRC/1037787en
local.search.authorNewby, Jill Men
local.search.authorHobbs, Megan Jen
local.search.authorMahoney, Alison E Jen
local.search.authorWong, Shiu (Kelvin)en
local.search.authorAndrews, Gavinen
local.istranslatedNoen
local.uneassociationNoen
local.atsiresearchNoen
local.sensitive.culturalNoen
local.year.available2017en
local.year.published2017en
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/03282f82-9302-4ec1-a943-efdd4515ebe4en
local.subject.for2020520302 Clinical psychologyen
local.subject.for2020520304 Health psychologyen
local.subject.for2020320221 Psychiatry (incl. psychotherapy)en
local.subject.seo2020200409 Mental healthen
dc.notification.token236e5227-365b-4470-bff6-f8a6603cacf9en
local.codeupdate.date2022-03-24T15:32:33.979en
local.codeupdate.epersonghart4@une.edu.auen
local.codeupdate.finalisedtrueen
local.original.for2020520303 Counselling psychologyen
local.original.for2020520304 Health psychologyen
local.original.for2020520302 Clinical psychologyen
local.original.for2020undefineden
local.original.for2020320221 Psychiatry (incl. psychotherapy)en
local.original.seo2020200409 Mental healthen
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