Hintergrund: Die somatische Belastungsstörung ist eine psychische Störung, die in der ICD-11 signifikante Änderungen im Vergleich zur ICD-10 erfahren hat. Der Begriff der somatoformen Störungen wird durch die neue Diagnose der somatischen Belastungsstörung (Englisch: Bodily Distress Disorder) ersetzt. Zusammenfassung: Die konzeptionellen Neuerungen der somatischen Belastungsstörung orientieren sich stark an der im DSM-5 eingeführten Diagnose unter demselben Namen. Vor allem der Wegfall der medizinischen Unerklärbarkeit der Symptome markiert eine entscheidende Veränderung in der Konzeption der Diagnose. Dieser Artikel stellt die neuen Diagnosekriterien vor, gibt einen Überblick über die wichtigsten Unterschiede zur ICD-10 und beleuchtet aktuelle Forschungsergebnisse. Darüber hinaus werden potenzielle klinische Implikationen für die zukünftige Behandlung und Diagnostik aufgezeigt. Kernbotschaft: Die somatische Belastungsstörung nach ICD-11 stellt eine deutliche Änderung zu den früheren somatoformen Störungen und verwandten Konzepten dar. Dennoch wird eine Vielzahl von bewährten therapeutischen Maßnahmen auch innerhalb der neuen ICD-11-Diagnose Anwendung finden.

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