Talk:Bodily distress disorder
Article needs to make clear that ICD-11's Bodily distress disorder is differently conceptualised to the Fink et al (2007, 2010) Bodily distress syndrome -- Dx Revision Watch (talk) 14:03, March 15, 2020 (EDT)[edit source | reply | new]
Article needs to make clear that ICD-11's Bodily distress disorder is differently conceptualised to the Fink et al (2007 2010) Bodily distress syndrome.
For ICD-11, most of ICD-10’s Somatoform disorders and Neurasthenia are being replaced by a single new category, Bodily distress disorder (BDD)¹. Although the terms “Bodily distress disorder” and “Bodily distress syndrome” (BDS) are often used synonymously, both the World Health Organization (WHO) and Professor Per Fink² have clarified that as defined for ICD-11, BDD is a conceptually different diagnosis. ICD-11's BDD and Fink’s BDS are differently characterized, have very different criteria and include different groups of patients.
For ICD-11, the BDD diagnosis requires both the presence of one or more distressing bodily symptoms, which can be either “medically unexplained” or caused by a general medical condition, and also “excessive, disproportionate or maladaptive” responses to the symptoms. BDD potentially captures a percentage of patients with CFS, ME³ or with other general medical conditions and diseases, if the clinician considers they also meet the criteria for an additional diagnosis of BDD. In contrast, Fink’s BDS diagnosis requires physical symptom patterns from one or more body systems, for these symptoms to be “medically unexplained” and does not require any emotional or behavioural responses. Crucially, BDS includes CFS, ME, IBS and FM under a single, unifying diagnosis.
1 ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS) 2018 Release, Version for preparing implementation. Accessed July 14, 2018 https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f767044268
2 Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award 2017, Fink, Per. Journal of Psychosomatic Research, Volume 97, 127 - 130 https://www.jpsychores.com/article/S0022-3999(17)30445-2/fulltext Lecture slides: http://www.eapm2017.com/images/site/abstracts/PLENARY_Prof_FINK.pdf
Exclusions for 8E49 Postviral fatigue syndrome; Benign myalgic encephalomyelitis; and Chronic fatigue syndrome under 6C20 Bodily distress disorder -- Dx Revision Watch (talk) 14:10, March 15, 2020 (EDT)[edit source | reply | new]
On December 02, 2019, a new proposal and rationale was submitted via the ICD-11 Proposal Mechanism for adding exclusions for 8E49 Postviral fatigue syndrome; Benign myalgic encephalomyelitis; and Chronic fatigue syndrome under 6C20 Bodily distress disorder. This proposal was approved and implemented by WHO on January 17, 2020:
ICD-11 MMS: https://icd.who.int/dev11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f767044268
