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An olfactory reference syndrome -- monosymptomatic hypochondriasis

E R Bishop

    The Journal of Clinical Psychiatry
    |February 1, 1980
    PubMed
    Summary
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    This case study followed a patient with olfactory reference syndrome for five years, showing stable symptoms and diagnosis. The condition appears distinct from other psychiatric disorders like schizophrenia.

    Area of Science:

    • Psychiatry
    • Clinical Psychology

    Background:

    • Monosymptomatic hypochondriacal syndromes are underrepresented in American psychiatric literature.
    • Olfactory reference syndrome (ORS) is a specific type of monosymptomatic hypochondriacal syndrome.

    Observation:

    • A patient initially presented with a 4-year history of olfactory reference syndrome.
    • A 5-year follow-up was conducted to assess diagnostic stability and symptom changes.

    Findings:

    • The patient demonstrated diagnostic stability over the 5-year follow-up period.
    • No significant changes in olfactory reference syndrome symptoms were observed.

    Implications:

    • The findings suggest that olfactory reference syndrome may represent a distinct diagnostic entity.

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  • Further research into monosymptomatic hypochondriacal syndromes is warranted to differentiate them from schizophrenic and affective disorders.