Title: Prevalence of Illness Anxiety Disorder (IAD) and Somatic Symptom Disorder (SSD) among Medical and non Medical Students

Authors: Dr Sharad Manore, Dr Kamal Sahare, Dr Dhiraj Bhawnani, Laxmikant Umate

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.53

Abstract

The concept hypochondriasis is now replaced with two new entities Illness Anxiety Disorder (IAD) and Somatic Symptom Disorder (SSD) by American Psychiatric Association with new criteria of DSM V. As previously it was plagued by ambiguous definition and unreliable with DSM IV criteria. Disease phobia and disease conviction are the two main components of hypochondriasis. The person often searches for the diseases information and lives in extreme distress and anxiety. These hypochondriac characteristic often seen in medical students. 

Methods: The study targeted 1175 students of which 393 from medical background and 792 was from science university. Students were provided with self assessment questionnaire based on HAI (Health anxiety Inventory). Statistical analysis was done on observation on Anxiety index by using Chi – square on statistical software SPSS Version 22.

Results:  Prevalence of IAD and SSD and disease phobia level was slightly more seen for medical students compare to non medical as the fact they have to deal with the characteristic of disease throughout their life & has to read about it

Conclusion: The overall prevalence for SSD and IAD found as 3.28.% among students. However, further clear approach is needed for its classification with DSM V criteria. This because of co morbidity categorized and vague assessment for patients symptomatic behavior. It recommends for finding prevalence on general population with large sample size also the demographic factors affecting the results with more specific categorization to avoid co morbidity and better technique for identifying the patients.

Keywords: Hypochondriasis, Illness Anxiety Disorder (IAD), Somatic Symptoms Disorder (SSD).

References

  1. American Psychiatry Association; Diagnostic & Statistical Manual of Mental Disorder 5 th Edition: 2013 Arligntonva : Author .
  2. Dimsdale, J. E., Creed, F., Escobar, J., Sharpe, M., Wulsin, L., Barsky, A., Levenson, J. (2013).Somatic symptom disorder: An important change in DSM. Journal of Psychosomatic Research, 75, 223–228. doi:10.1016/j.jpsychores.2013.06.033
  3. Viadon Starcevic. Hypochondrasis and health anxiety : Conceptual challenges, Br J Psychiatry Jan 2013;202 7-8
  4. Barsky AJ, Coeytaux RR, Sarnie MK, Cleary PD. Hypochondriacal patients’ beliefs about good health. Am J Psychiatry 1993; 150: 1085–9.
  5. Starcevic V. Clinical features and diagnosis of hypochondriasis. In Hypochondriasis: Modern Perspectives on an Ancient Malady (eds V Starcevic, DR Lipsitt): 21–60. Oxford University Press, 2001.
  6. Paul M Salkovskis, Oliver D Hower. Health anxiety in medical students. The Lancet, 1998 May ;Vol 351 no 9112: 1332
  7. Mohammad Zahid et. al. Health-Related Anxiety and Hypochondriacal Concern : A Cross Sectional Study in Pakistan An International Journal Teaching and Learning in Medicine 2016; Vol 28 (3).
  8. Salkovskis PM1, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med.2002 Jul;32(5):843-53.
  9. Sharad Manore et.al. Prevalence of illness anxiety disorder (IAD] and somatic symptoms disorder (SSD) among medical students with DSM V. Medpulse- International Journal of Psychology. November 2017; 4(2): 39-43     
  10. YA Al- Turki et.al. Prevalence of hypochondrsis among medical students at King Saud University, The European Journal of Social & Behavioural Sciences , 2013: (ISSN 2301-2218)
  11. Magarinos M et. Al. Epidemiology& treatments of hypochondrasis , CNS drugs .2002; 16 (1) :9-22 Pub Med PMID :17931470 
  12. Gureje O, Ustan T B, Simon G E. The syndrome of hypochondriasis : A cross national study in primary care, Psychol Med 1997 Sep; 27(5):1001-10.
  13. Barsky AJ, Wyshak G, Kleman GL, Lathamks, Soc.Psychiatry Epidemiol.1990 Mar: 25(2) 89-94
  14. Lauren Z Waterman and John A Weinman. Medical student syndrome: fact or fiction? A cross-sectional study, JRSM Open. 2014 Feb; 5(2): 2042533313512480. Published online 2014 Feb 3. doi:  1177/2042533313512480
  15. Erland Axelsson, Erik Andersson, Brjánn Ljótsson, Daniel Wallhed Finn & Erik Hedman (2016): The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder, Cognitive Behaviour Therapy, DOI: 10.1080/16506073.2016.1161663.

Corresponding Author

Dr Sharad Manore

Assistant Professor Dept. of Psychiatry,

Govt. Medical College, Rajnandgaon (C.G.) India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob. No. +91 9422056440