Diagnostik der Hypochondrie

In the current review the criteria for the diagnosis of hypochondriasis in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV) are compared with the criteria for illness anxiety disorder in DSM-5 and differences are discussed. A current review of instruments for the dimensional assessment of the severity of hypochondriasis and associated characteristics (illness-related cognitions and safety behavior) is given. Possible ways of implementing these instruments for planning and evaluating therapy are specified. Furthermore, economical screening methods, which could be broadly applied in medical contexts to identify patients with pronounced illness anxiety in order to offer effective treatment are described and discussed. This procedure would not only lead to a reduction of strain in the person concerned, it would also be connected with financial relief for the health care system.