纤维肌痛综合征 - 一种身体应急障碍/身体症状障碍?
Winfried Häuser1,2, Mary-Ann Fitzcharles3,4, Peter Henningsen2
1Medical Center Pain Medicine and Mental Health Saarbrücken, Saarbrücken, Germany.
Pain reports
|January 16, 2025
概括
国际疾病分类11 (ICD-11) 重新对纤维肌痛综合征 (FMS) 进行分类,并引入了新的心理健康类别. 该研究批评这些新疾病的诊断标准不准确,可能误解FMS症状.
科学领域:
- 医疗分类系统的医疗分类系统.
- 精神病学是一个精神病学.
- 治疗疼痛的药物 治疗疼痛的药物
背景情况:
- 慢性广泛疼痛的分类,特别是纤维肌痛综合征 (FMS),已经争论了几十年,在物理和精神疾病定义之间摇摆不定.
- 以前的精神病学分类,如ICD-10中的体形疾病,经常被用作FMS的代理.
研究的目的:
- 审查国际疾病分类11 (ICD-11) 中的纤维肌痛综合征和相关疾病的分类变化.
- 批判性地评估ICD-11中新引入的身体痛苦障碍 (BDD) 和体症状障碍 (SSD) 的诊断标准.
主要方法:
- 在ICD-11中对诊断标准的批判性审查.
- 对纤维肌痛综合征 (FMS) 的重新分类的分析.
- 检查身体应急障碍 (BDD) 和体征性症状障碍 (SSD) 的新类别.
主要成果:
- 纤维肌痛综合征 (FMS) 被从肌肉骨疾病中删除,并放置在"症状,征兆,临床形式以及异常的临床和实验室发现,未经其他地方分类"的章节中.
- 在ICD-11中,体形疾病的诊断类别已被取消,并被身体痛苦障碍 (BDD) 和体症状障碍 (SSD) 取代.
- 诊断BDD和SSD需要痛苦的身体症状加上与这些症状相关的"过度的想法,感觉或行为",无论医疗解释如何.
结论:
- 对BDD/SSD的心理行为标准定义不准确,可能导致误解.
- "过度的健康问题"可能源于FMS的不确定性,而"过度的时间用于症状"可能反映了患者的自我管理.
- 新的ICD-11分类要求谨慎应用,以避免误诊患有纤维肌痛综合征或相关疾病的患者.
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