A plea for the diagnosis of hypochondriacal personality disorder

J Psychosom Res. 1990;34(6):637-42. doi: 10.1016/0022-3999(90)90107-f.

Abstract

Hypochondriacal personality disorder is identified as a separate condition by cluster analysis of data from a structured interview for assessing personality disorders, the Personality Assessment Schedule. Close examination of the patients identified as having hypochondriacal personality disorder suggests that they have common characteristics, including excessive preoccupation with the maintenance of health, distorted perception of minor symptoms so that they are elevated to the status of major disease, and frequent medical consultations and disciplines fringing on medicine. In a study of 1000 psychiatric patients 2.5% were found to have the disorder, most frequently among the affective psychoses.

Publication types

  • Case Reports

MeSH terms

  • Adjustment Disorders / classification
  • Adjustment Disorders / diagnosis
  • Adjustment Disorders / psychology
  • Adult
  • Affective Disorders, Psychotic / classification
  • Affective Disorders, Psychotic / diagnosis
  • Affective Disorders, Psychotic / psychology
  • Aged
  • Delusions / classification
  • Delusions / diagnosis
  • Delusions / psychology
  • Female
  • Humans
  • Hypochondriasis / classification
  • Hypochondriasis / diagnosis*
  • Hypochondriasis / psychology
  • Male
  • Middle Aged
  • Neurotic Disorders / classification
  • Neurotic Disorders / diagnosis
  • Neurotic Disorders / psychology
  • Personality Assessment / statistics & numerical data
  • Personality Disorders / classification
  • Personality Disorders / diagnosis*
  • Personality Disorders / psychology
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychometrics
  • Schizophrenia / classification
  • Schizophrenia / diagnosis
  • Schizophrenic Psychology
  • Somatoform Disorders / classification
  • Somatoform Disorders / diagnosis
  • Somatoform Disorders / psychology