@article{Alciati_Atzeni_Sgiarovello_Sarzi-Puttini_2014, title={Somatoform disorders and rheumatic diseases: from DSM-IV to DSM-V}, volume={66}, url={https://www.reumatismo.org/reuma/article/view/reumatismo.2014.770}, DOI={10.4081/reumatismo.2014.770}, abstractNote={Medically unexplained symptoms are considered ‘somatoform disorders’ in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The introduction of this nosographic category has been helpful in drawing attention to a previously neglected area, but has not been successful in promoting an understanding of the disorders’ biological basis and treatment implications, probably because of a series of diagnostic shortcomings. The newly proposed DSM-V diagnostic criteria try to overcome the limitations of the DSM-IV definition, which was organised centrally around the concept of medically unexplained symptoms, by emphasising the extent to which a patient’s thoughts, feelings and behaviours concerning their somatic symptoms are disproportionate or excessive. This change is supported by a growing body of evidence showing that psychological and behavioural features play a major role in causing patient disability and maintaining high level of health care use. Pain disorders is the sub-category of DSM-IV somatoform disorders that most closely resembles fibromyalgia. Regardless of the diagnostic changes recently brought about by DSM-V, neuroimaging studies have identified important components of the mental processes associated with a DSM- IV diagnosis of pain disorder.}, number={1}, journal={Reumatismo}, author={Alciati, A. and Atzeni, F. and Sgiarovello, P. and Sarzi-Puttini, P.}, year={2014}, month={Jun.}, pages={98–102} }