DOI: 10.1097/NMD.0b013e318294827c

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PMID: 23719325

Issn Print: 0022-3018

Publication Date: 2013/06/01


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DSM-5 Somatic Symptom Disorder

Allen Frances

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In a previous article (Frances and Chapman, 2013), I indicated that the very inclusive Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), definition of somatic symptom disorder (SSD) would capture a whopping 15% of patients with cancer and heart disease and 25% of patients with irritable bowel syndrome and chronic widespread pain and would have a 7% false-positive rate in the general population (Dimsdale, 2012). A second article spelled out the considerable risks to medically ill people who are mislabeled (Frances and Chapman, in press). My purpose here was to indicate how the loose DSM-5 SSD criteria set could (and should) have been tightened and to speculate on why it was not.
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