ISSN 1671-3710
CN 11-4766/R

心理科学进展 ›› 2013, Vol. 21 ›› Issue (11): 1967-1975.doi: 10.3724/SP.J.1042.2013.01967

• 研究前沿 • 上一篇    下一篇



  1. (南开大学社会心理学系, 天津 300071)
  • 收稿日期:2013-05-27 出版日期:2013-11-15 发布日期:2013-11-15
  • 通讯作者: 汪新建
  • 基金资助:


From DSM-Ⅳ Somatoform Disorder to DSM-5 Somatic Symptom Disorder

CHEN Zichen;WANG Xinjian   

  1. (Department of Social Psychology, Nankai University, Tianjin 300071, China)
  • Received:2013-05-27 Online:2013-11-15 Published:2013-11-15
  • Contact: WANG Xinjian


DSM-Ⅳ是使用最广泛的精神障碍诊断标准之一, 但其中的躯体形式障碍诊断标准在临床实践中存在应用性低, 标准模糊, 分类重叠等问题。因此DSM-5针对这些问题将其修改为躯体症状障碍, 删去医学无法解释症状的要求, 增加心理标准, 合并和简化亚型, 以改善该诊断标准的临床应用。本文分析了DSM-5躯体症状障碍修订的主要内容和原因, 并讨论了新标准在未来面临的问题和可能的进展。

关键词: 躯体形式障碍, 躯体症状障碍, DSM-Ⅳ, DSM-5, 精神障碍诊断


DSM-Ⅳ is one of the most widely used diagnostic criteria for the assessment of mental illness. However, in clinical practice, the DSM-Ⅳcriteria of somatoform disorders have several problems, which include poor applicability, imprecise standard, and overlapping classification. These aspects have been improved in the newer version of DSM, the DSM-5. The equivalent subcategory has been renamed as somatic symptom disorders in the DSM-5 criteria, with the language concerning “medically unexplained symptoms” removed, psychological criteria included, and subtypes combined or simplified. In this article, we analyze the major changes of DSM-5 somatic symptom disorders criteria. We also discussed a few potential problems with the new criteria and the possibilities to further develop the diagnosis criteria.

Key words: somatoform disorder, somatic symptom disorders, DSM-Ⅳ, DSM-5, diagnosis of mental disorders