Divergierende Konzeptionen sexueller Funktionsstörungen in DSM-5 und ICD-11: Konsequenzen für die Diagnostik, Forschung und Praxis

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung




Over the past decades, the diagnostic criteria of mental disorders in DSM-5 and ICD-11 have been harmonized in many areas. However, this does not extend to the area of sexual dysfunctions.


The purpose of this review is to compare the conceptualizations of sexual dysfunctions in DSM-5 and ICD-11. Furthermore, we aim to analyze and discuss advantages and disadvantages of both conceptualizations as well as their consequences for diagnosis, research, and practice.


We contrast the conceptualizations of sexual dysfunctions in the two classification systems and examine similarities and differences on the symptom and disorder level.


In ICD-11, sexual dysfunctions are no longer grouped under mental disorders but rather located in a new chapter called Conditions related to sexual health. While ICD-11 and DSM-5 have converged significantly in their operationalization of disorder and symptom descriptions, they now differ fundamentally in their approach to the etiology of sexual dysfunction. This is especially due to significant changes in ICD-11: The new inclusive, multifactorial, (regarding the assignment of the diagnosis) non-etiological approach of ICD-11 is opposed by the etiology-driven approach of DSM-5, which aims to define sexual dysfunction exclusively as a psychological disorder.


Differences in the conceptualization of sexual dysfunction complicate international communication and research collaboration and have significant consequences for clinical practice. Therefore, a uniform classification of sexual dysfunction would be highly desirable. However, due to different priorities and target groups of the World Health Organization and American Psychiatric Association, this does not seem very likely in the future.


Seiten (von - bis)137-147
FachzeitschriftZeitschrift für Sexualforschung
PublikationsstatusVeröffentlicht - 6 Sept. 2022

Externe IDs

Scopus 85137930128
Mendeley 782fb247-767a-3ad4-8bd9-dd9955cce116
unpaywall 10.1055/a-1898-2516
WOS 000850300400001
ORCID /0000-0003-1761-1660/work/142249418
ORCID /0000-0002-1697-6732/work/148632175



  • DSM-5, ICD-11, classification of sexual dysfunctions, diagnosis, sexual dysfunctions, DSM-5, ICD-11, classification of sexual dysfunctions, diagnosis, sexual dysfunctions