264 Obsessive-Compulsive and Related Disorders
distress or impairment in social, occupational , or other important areas of functioning
and are not better explained by trichotillomania (hair-pulling disorder), excoriation (skin-
picking) disorder, stereotypic movement disorder, or nonsuicidal self-injury. 
4.Obsessional jealousy:  This is characterized by nondelusional preoccupation with a
partner’s perceived infidelity. The preoccupations may lead to repetitive behaviors or
mental acts in response to the infidelity concerns; they cause clinically significant dis-
tress or impairment in social, occupational, or other important areas of functioning; and
they are not better explained by another mental  disorder such as delusional disorder,
jealous type, or paranoid personality disorder. 
5.Shubo-kyofu: A variant of taijin kyofusho  (see “Glossary of Cultural Concepts of Dis-
tress” in the Appendix) that is similar to body dysmorphic disorder and is characterized
by excessive fear of having a bodily deformity.
6.Koro:  Related to dhat syndrome (see “Glossary of Cultural Concepts of Distress” in
the Appendix), an episode of sudden and intense anxiety that the penis (or the vulva
and nipples in females) will recede into the body, possibly leading to death.
7.Jikoshu-kyofu:  A variant of taijin kyofusho  (see “Glossary of Cultural Concepts of Dis-
tress” in the Appendix) characterized by fear of having an offensive body odor (also
termed olfactory reference syndrome).
Unspecified Obsessive-Compulsive
and Related Disorder
300.3 (F42)
This category applies to presentations in which symptoms characteristic of an obsessive-