Novas categorias de síndrome de estresse corporal e transtorno de estresse corporal na CID-11

摘要

"Somatization" has long been considered as one of the greatest riddles in Health Care. All ver sions of the International Classification on Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) released in the last 30 years differ when classifying patients with physical complaints associated with emotional distress. These differences demonstrate that, in spite of the improvement in our knowledge on how the brain potentially interferes with body function, we still have a long way ahead before we can truly understand the pro cesses (and there may be several) that ultimately result in this phenomenon. However, sci entific progress away from the traditional Cartesian perspective towards a more integrated biopsychosocial model1 has produced advances not only in clinical practice, but also in how disorders are classified. The new version of ICD-11, particularly its special version for Prima ry Care, introduces some major changes with the new categories of bodily stress syndrome (ICD-11-PC)2 and bodily distress disorder (ICD-11) that are different from the categories of so matic symptom disorders from DSM-5.