DSM-III diagnostic categories for icd-9 hysteria: a study on 103 cases

Area of Science:

• Psychiatry
• Mental Health Diagnostics

Background:

• Hysteria is a historical diagnostic category with evolving classifications.
• The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) introduced new diagnostic criteria.

Purpose of the Study:

• To re-evaluate historical Hysteria diagnoses using current DSM-III criteria.
• To identify the most prevalent DSM-III diagnoses among patients previously classified as Hysteria.
• To assess the utility and limitations of DSM-III for Hysteria patients.

Main Methods:

• Retrospective analysis of 103 patient cases originally diagnosed with Hysteria under the International Classification of Diseases, Ninth Revision (ICD-9).
• Application of DSM-III diagnostic criteria to these historical cases.
• Statistical analysis of the resulting diagnoses.

Main Results:

• Conversion Disorder and Atypical Dissociative Disorder were the most common DSM-III diagnoses.
• Somatization Disorder was diagnosed in only 8.7% of cases.
• Twenty-nine percent of cases received dual diagnoses.

Conclusions:

• The DSM-III reclassification of Hysteria cases reveals a shift in diagnostic prevalence.
• Current diagnostic systems may not fully capture the spectrum of symptoms previously labeled as Hysteria.
• A new category, 'Simple Dissociative Disorder,' is proposed for inclusion in future DSM revisions.