Fink, Per, Schröder, Andreas · Journal of psychosomatic research · 2010 · DOI
This study looked at whether a new diagnosis called 'bodily distress syndrome' could capture several different conditions that cause physical symptoms not explained by standard medical tests—including ME/CFS, fibromyalgia, and irritable bowel syndrome. Researchers tested nearly 1,000 patients and found that bodily distress syndrome successfully identified 95% of patients across all these different diagnoses, suggesting these conditions might be better understood as variations of one underlying problem rather than completely separate diseases.
For ME/CFS patients, this study suggests that the underlying pathophysiology of ME/CFS may be shared with other 'functional somatic syndromes,' potentially opening doors to unified research approaches and treatments that could benefit patients across multiple conditions. A consolidated diagnostic framework could reduce diagnostic fragmentation, improve recognition of ME/CFS across medical specialties, and facilitate development of evidence-based care strategies that apply across these overlapping syndromes.
This study does not identify the biological cause of ME/CFS or prove that these syndromes are truly one disease—it only shows diagnostic criteria overlap. The cross-sectional design cannot establish whether bodily distress syndrome predicts outcomes or responds to treatment better than existing diagnoses, nor does it prove that unifying these diagnoses clinically would improve patient outcomes. Post-hoc diagnostic assignment may introduce bias and does not validate BDS as superior to existing diagnostic systems.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Fink, Per & Schröder, Andreas (2010). One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders.. Journal of psychosomatic research. https://doi.org/10.1016/j.jpsychores.2010.02.004
BibTeX
@article{mecfsatlas-fink-2010-one-single,
author = {Fink, Per and Schröder, Andreas},
title = {One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders.},
journal = {Journal of psychosomatic research},
year = {2010},
doi = {10.1016/j.jpsychores.2010.02.004},
note = {PubMed: 20403500},
url = {https://www.mecfsatlas.com/evidence/fink-2010-one-single},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/fink-2010-one-single
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