躯体不适障碍

定义

躯体不适障碍的特点是存在令个人痛苦的身体症状，以及对症状的过度关注，这可能表现为反复与医疗保健提供者接触。如果另一个健康状况引起或促成了这些症状，那么相对于其性质和进展，关注的程度显然是过度的。过度关注不能通过适当的临床检查和调查以及适当的安抚来缓解。身体症状是持续的，在大多数日子里至少持续几个月。通常情况下，身体不适障碍涉及多种身体症状，这些症状可能随时间变化。偶尔会有一个单一的症状-通常是疼痛或疲劳-与该障碍的其他特征有关。这些症状和相关的苦恼和关注至少对个体的功能产生了一些影响（如人际关系紧张，学习或职业功能的效率降低，放弃特定的休闲活动）。

Bodily distress disorder is characterised by the presence of bodily symptoms that are distressing to the individual and excessive attention directed toward the symptoms, which may be manifest by repeated contact with health care providers. If another health condition is causing or contributing to the symptoms, the degree of attention is clearly excessive in relation to its nature and progression. Excessive attention is not alleviated by appropriate clinical examination and investigations and appropriate reassurance. Bodily symptoms are persistent, being present on most days for at least several months. Typically, bodily distress disorder involves multiple bodily symptoms that may vary over time. Occasionally there is a single symptom—usually pain or fatigue—that is associated with the other features of the disorder. The symptoms and associated distress and preoccupation have at least some impact on the individual’s functioning (e.g. strain in relationships, less effective academic or occupational functioning, abandonment of specific leisure activities).

除外词 明确排除、需编到其他条目的情况

• 病毒感染后疲劳综合征8E49
• 疑病症6B23
• 躯体变形障碍6B21
• 抓痕障碍6B25.1
• 性别不一致
• 性功能障碍
• 抽动障碍8A05
• 性交痛-插入障碍HA20
• 分离障碍
• Tourette综合征8A05.00
• 慢性疲劳综合征8E49
• 肌痛性脑脊髓炎8E49
• 拔毛6B25.0
• 拔毛障碍6B25.0

子条目 共 4 条

• 6C20.0轻度躯体不适障碍
• 6C20.1中度躯体不适障碍
• 6C20.2重度躯体不适障碍
• 6C20.Z未特指的躯体不适障碍