Diagnostic Criteria for Pain Disorder

Tuesday, 09 August 2005 10:36
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APPENDIX 2

Diagnostic criteria for Pain Disorder

DSM IV 307.8x

Synonyms include: Somatoform disorder, Psychogenic pain disorder, Idiopathic pain disorder, Chronic pain syndrome, Psychalgia.

Somatoform disorders include:

Differential Diagnosis

Comorbidity:

Pain Disorder:

Epidemiology:

Conversion Disorder

  1. Unexplained symptoms of voluntary motor or sensory function
  2. associated psychological factors
  3. significant distress/functional decline
  4. not merely pain or sexual dysfunction
  5. rule out other conditions

Epidemiology:

Course:

Prognosis:

Good if:

Hypochrondriasis

  1. Preoccupation with fears of having a serious disease, triggered by misinterpreted bodily sensations
  2. occurs despite reassurance
  3. significant distress/functional decline
  4. >6 months' duration
  5. other conditions excluded

Epidemiology:

Prognosis:

Good if:

Specify if:

Acute: duration of less than 6 months

Chronic: duration of 6 months or longer

307.89 Pain Disorder Associated With Both Psychological Factors and a General Medical Condition: both psychological factors and a general medical condition are judged to have important roles in the onset, severity, exacerbation, or maintenance of the pain. The associated general medical condition or anatomical site of the pain (see below) is coded on Axis III

 

Specify if: 

Acute: duration of less than 6 months 
Chronic:
duration of 6 months or longer 
Note: The following is not considered to be a mental disorder and is included here to facilitate differential diagnosis.

Pain Disorder Associated With a General Medical Condition: a general medical condition has a major role in the onset, severity, exacerbation, or maintenance of the pain. (If psychological factors are present, they are not judged to have a major role in the onset, severity, exacerbation, or maintenance of the pain.) The diagnostic code for the pain is selected based on the associated general medical condition if one has been established or on the anatomical location of the pain if the underlying general medical condition is not yet clearly established--for example, low back (724.2), sciatic (724.3), pelvic (625.9), headache (784.0), facial (784.0), chest (786.50), joint (719.4), bone (733.90), abdominal (789.0), breast (611.71), renal (788.0), ear (388.70), eye (379.91), throat (784.1), tooth (525.9), and urinary (788.0).