Physical factors affecting psychiatric condition. A proposal for DSM-IV.
A new diagnostic category, "Physical Factors Affecting Psychiatric Condition," is proposed for inclusion in the DSM-IV. In addition, there should be a new category called "Chronic Adjustment Disorder." Psychiatric syndromes meeting Axis I or Axis II criteria that arise as an emotional reaction to a chronic or episodic physical illness or disability should be subsumed under the diagnosis of "Physical Factors Affecting Psychiatric Condition--Specific Axis I or II syndrome." Psychiatric symptoms that do not meet other Axis I or Axis II criteria should be diagnosed as "Chronic Adjustment Disorder." These categories will be especially useful in consultation-liaison settings.
Leigh
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Department of Psychiatry, University of California, San Francisco-Fresno 93703.
D000219:Adams-Stokes Syndrome / Q000523:psychology; D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D000328:Adult; D000368:Aged; D000379:Agoraphobia / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D001008:Anxiety Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D003093:Colitis, Ulcerative / Q000523:psychology; D003866:Depressive Disorder / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology; D009203:Myocardial Infarction / Q000523:psychology; D019965:Neurocognitive Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D010348:Patient Care Team; D010698:Phobic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D012803:Sick Role