Mass psychogenic illness: diagnostic criteria

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Mass psychogenic illness: diagnostic criteria. There is a rapid spread of the symptoms of illness without a corresponding organic cause.

Defining features

  • There is a rapid spread of the symptoms of illness without a corresponding organic cause
  • It affects members of a defined cohesive group
  • It usually reflects the social and cultural preoccupations of the affected people
  • It usually occurs when there is perceived threat which has a basis in reality
  • It manifests as excitation with loss or alteration of function
  • The symptoms are expressed unconsciously
  • There is no personality predisposition

Diagnostic criteria

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Types

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Historical examples

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Recent examples

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Triggers

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Neurological symptoms

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Verbal symptoms

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Systemic symptoms

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Synonym

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References

  1. Bartholomew RE, Wessely S. Protean nature of mass sociogenic illness: from possessed nuns to chemical and biological terrorism fears. Br J Psychiatry 2002; 180:300-306.
  2. Weir E. Mass sociogenic illness. CMAJ 2005; 172:36.
  3. Tarafder BK, Khan MA, Islam MT, et al. Mass psychogenic illness: demography and symptom profile of an episode. Psychiatry J 2016; 2016:2810143.
  4. Kharabsheh S, Al-Otoum H, Clements J, et al. Mass psychogenic illness following tetanus-diphtheria toxoid vaccination in Jordan. Bull World Health Organ 2001; 79:764-770.
  5. Simas C, Munoz N, Arregoces L, Larson HJ. HPV vaccine confidence and cases of mass psychogenic illness following immunization in Carmen de Bolivar, Colombia. Hum Vaccin Immunother 2019; 15:163-166.
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