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Mental and Behavioural Health CRG
Date
26 June 2023
Recording (GoogleDrive)
https://drive.google.com/file/d/1SSpbvUxRJB8x-_Edu_k_YO2xPntXQD6-/view?usp=drive_link
Discussion items
| Item | Description | Owner | Notes | Action |
|---|---|---|---|---|
| 1 | Mental disorder in pregnancy I have a query from the Netherlands about two concepts they feel are duplicates:
Do we thinking psychological disorder SYN with mental disorder? |
Does this mean psychological problem v disorder? Ambiguous - would anyone be able to distinguish between these? Need to distinguish between pre-existing v. with onset during pregnancy? terms 'psychological disorder' as SYN for 'mental disorder' (different provider types) |
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| 1.5 | Ambiguous concept? Ideas about intended meaning? 85660004 | Multiple personality traits (finding) | 90434008 | Dual personality traits (finding) | |
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| 2 | Request for promotion of 288511000119108 |Chronic mood disorder (disorder)| from the US extension. This concept subsumes 45 concepts if you look here - https://browser.ihtsdotools.org/?perspective=full&conceptId1=288511000119108&edition=MAIN/SNOMEDCT-US&release=&languages=en John asked for review by the group as we think this may be an outdated concept | |||
| 3 | General mental state Obtain consensus on inactivation of concepts:
| Michael First |
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| 4 | Organic disorder What is the definition of 'organic'? Only disorders caused by a biomedical condition or also disorders caused by a substance (i.e., a known or presumed physiological mechanism v. an unknown mechanism) DSM5: Mental disorder due to another medical condition: There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition ICD11 Secondary mental or behavioural disorder: "syndromes characterised by the presence of prominent psychological or behavioural symptoms judged to be direct pathophysiological consequences of a medical condition not classified under mental and behavioural disorders" | |||
| 5 | Phobia as a finding and Phobia as a disorder Fear and avoidance of X (finding) v. Fear and avoidance of X causing distress or dysfunction (disorder) Was there any decision on the recommendation at the top of the document?
idea of phobic fear : marked and excessive fear or anxiety that consistently occurs upon exposure or anticipation of exposure to one or more specific objects or situations (e.g., proximity to certain animals, flying, heights, closed spaces, sight of blood or injury) that is out of proportion to actual danger. The phobic objects or situations are avoided or else endured with intense fear or anxiety. idea of phobic fear disorder adds additional meaning: sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. | Elaine Wooler, Ed Cheetham, Piper Allyn Ranallo to discuss whether SNOMED editorial guidance around the distinction between a disorder and a finding is consistent with DSM and ICD distinction between a disorder and a finding - i.e., that to be a disorder a syndrome must "result in significant risk or damage to health, significant distress, or significant impairment in personal, family, social, educational, occupational or other important areas of functioning" | move those that are disorders in ICD-11 and any others the group thinks of.
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Meeting Files
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Previous Meetings
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