Olfactory reference syndrome: diagnostic criteria and differential diagnosis.

Olfactory reference syndrome: diagnostic criteria and differential diagnosis.
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嗅觉参考综合征:诊断标准和鉴别诊断。

DOI:
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发表时间:
2003
影响因子:
1.6
通讯作者:
D. Stein
D. Stein
中科院分区:
医学4区
文献类型:
--
作者:
C. Lochner;D. Stein

文献摘要

被引文献

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嗅觉参考综合症(ORS)被定义为一种精神疾病,其特征是持续关注体味,并伴有羞耻、尴尬、显着的痛苦、回避行为和社会孤立。然而,ORS 尚未纳入《精神疾病诊断和统计手册》(第四版)(DSM-IV),并且鉴于其主要症状可能出现在各种其他疾病中,鉴别诊断可能存在问题。通过 ORS 的说明性案例,我们提出了 ORS 的诊断标准。我们还认为,ORS 代表了一组独特的症状,可以被描述为一个单独的诊断实体,并且 ORS 属于一系列社交焦虑障碍,包括社交焦虑障碍、taijin kyofusho 和身体变形障碍。
Olfactory reference syndrome (ORS) has been defined as a psychiatric condition characterized by persistent preoccupation about body odour accompanied by shame, embarrassment, significant distress, avoidance behaviour and social isolation. ORS has however not been included in the Diagnostic and Statistical Manual of Mental Disorders (4th edition) (DSM-IV) and, given that its primary symptoms may be found in various other disorders, differential diagnosis can be problematic. Using an illustrative case of ORS, we propose diagnostic criteria for ORS. We also argue that ORS represents a unique cluster of symptoms that can be delineated as a separate diagnostic entity, and that ORS falls on a spectrum of social anxiety disorders that includes social anxiety disorder, taijin kyofusho, and body dysmorphic disorder.