19 September 2009
On 18 September, I circulated a copy of the Summary Report of the 4th
Meeting of the International Advisory Group for the Revision of ICD-10
Mental and Behavioural Disorders, which had taken place on 1-2 December
2008 but which has only just been published by the WHO.
See: http://wp.me/p5foE-21S
When reading the Advisory Group's latest report, bear in mind that it is a
summary of a meeting held nine months ago. It has not yet been established
when the Advisory Group anticipates publishing a summary of its next
meeting which is scheduled for the end of this month (28-29 September).
Since the December 2008 meeting took place, the DSM-V "Somatic Symptom
Disorders" Work Group has published an Editorial: The proposed diagnosis of
somatic symptom disorders in DSM-V to replace somatoform disorders in
DSM-IV - a preliminary report by DSM-V Work Group members, Joel Dimsdale
(Chair) and Francis Creed. The report, published in the June 2009 issue of
the Journal of Psychosomatic Research, expands on proposals in the brief
DSM-V Work Group update, published on the APA's website, in April.
Page 1 of the Summary Report of the 4th Meeting of the International
Advisory Group records:
"2. Update on proposal for large groupings of mental and behavioural
disorders: Overview of Psychological Medicine articles
"Presenter: Dr. David Goldberg
"Dr. Goldberg described key changes and additional specifications in the
proposal for large groupings of mental disorders discussed at the AG
meeting in March, 2008. Manuscripts based on this proposal are now in press
in Psychological Medicine. The current version of the proposals includes
five clusters of disorders. Each of these clusters meets some, though not
all, of the validation criteria as modified from Robins and Guze by Hyman
and colleagues. Similarities within the proposed clusters make it
reasonable to view the different disorders within the cluster as variations
on a single theme rather than separate and 'comorbid' disorders. The AG
emphasized that decisions about an overarching architecture of categories
will need to be made within the next year, keeping in mind WHO's emphasis
on clinical utility in a broad range of settings and countries..."
and goes on to discuss the relevance of large groupings to ICD revision and
the testing of clinical utility in various contexts.
The "cluster" manuscripts referred to as "In Press in Psychological
Medicine" are listed on the APA's recently published website page:
"Peer-Reviewed Publications from DSM-V Development"
http://www.psychiatry.org/MainMenu/Research/DSMIV/DSMV/DSMRevisionActivities/DSMV-Publications.aspx
"As part of the efforts to make information about DSM-V development as
widely disseminated as possible, the American Psychiatric Institute for
Research and Education is maintaining an ongoing list of peer-reviewed
journal publications arising from the DSM-V planning conference series
(2002-08) and from DSM-V Task Force and Work Group discussions (e.g.,
empirical literature reviews, secondary data analyses). This list will be
continually updated."
[...]
119. Andrews G, Goldberg DP, Krueger RF, Carpenter Jr WT, Hyman SE,
Sachdev P & Pine DS. Exploring the Feasibility of a Meta-Structure for
DSM-V and ICD-11: Could It Improve Utility and Validity? Psychological
Medicine; in press.
120. Sachdev P, Andrews G, Hobbs MJ, Sunderland M & Anderson TM.
Neurocognitive Disorders: Cluster 1 of the Proposed Meta-Structure for
DSM-V and ICD-11. Psychological Medicine; in press.
121. Andrews G, Pine DS, Hobbs MJ, Anderson TM & Sunderland M.
Neurodevelopmental Disorders: Cluster 2 of the Proposed Meta-Structure for
DSM- V and ICD-11. Psychological Medicine; in press.
122. Carpenter Jr WT, Bustillo JR, Thaker GK, van Os J, Krueger RF & Green
MJ. Psychoses: Cluster 3 of the Proposed Meta-Structure for DSM-V and
ICD-11. Psychological Medicine; in press.
123. Goldberg DP, Krueger RF, Andrews G & Hobbs MJ. Emotional Disorders:
Cluster 4 of the Proposed Meta-Structure for DSM-V and ICD-11.
Psychological Medicine; in press.
124. Krueger RF & South SC. Externalizing Disorders: Cluster 5 of the
Proposed Meta-Structure for DSM-V and ICD-11. Psychological Medicine; in
press.
125. Goldberg DP, Andrews G & Hobbs MJ. Where Should Bipolar Appear in the
Meta-Structure? Psychological Medicine; in press.
-------------------
The June 2009 Journal of Psychosomatic Research Editorial: The proposed
diagnosis of somatic symptom disorders in DSM-V to replace somatoform
disorders in DSM-IV - a preliminary report by Joel Dimsdale and Francis
Creed was published as free access.
It is not yet known which issue of Psychological Medicine these manuscripts
are going to be published in or whether they will be freely available to
non subscribers.
Given that the DSM-V Task Force insists that its oversight of the DSM
revision is a transparent process one assumes that these manuscripts are
going to be made freely accessible to all stakeholders irrespective of
whether the proposals contained within them still stand or have since been
superseded by revised proposals.
Psychological Medicine is published by Cambridge Journals
http://journals.cambridge.org/action/displayJournal?jid=PSM
The Editors of Psychological Medicine are:
Kenneth S. Kendler
Psychiatric Genetics Research Program
Dept of Psychiatry
P O Box 980710
Richmond, VA 23298-0710 USA
and
Robin M. Murray
Institute of Psychiatry
de Crespigny Park
Denmark Hill
London SE5 8AF
The Editorial Board for Psychological Medicine includes:
Sir David Goldberg*
Institute of Psychiatry, London, UK
Professor Matthew Hotopf
Institute of Psychiatry, UK
Dr James Levenson*
Virginia Commonwealth University, USA
and
Professor S. C. Wessely
King's College London, UK
-----------------------
*Dr James Levenson is a member of the DSM-V Somatic Symptoms Disorders Work
Group and had been a member of the CISSD Project.
*Professor Sir David Goldberg, MD, Professor (Emeritus) Institute of
Psychiatry, has been a member of the International Advisory Group for the
Revision of ICD-10 Mental and Behavioural Disorders and is a member of the
APA DSM-V Work Group for Mood Disorders.
Professor Goldberg was a member of the UK National Editorial Team and UK
National Consensus Group for the WHO 'Diagnostic and Management Guidelines
for Mental Disorders in Primary Care: ICD-10 Chapter V Primary Care
Version'.
For archived correspondence between Connie Nelson, the WHO, Geneva, and the
WHO Collaborating Centre, Institute of Psychiatry, from 2001, concerning
the issue of the WHO Collaborating Centre's flexible use of terminology
around chronic fatigue, fatigue syndrome and neurasthenia, and chronic
fatigue syndrome and ME see: http://www.meactionuk.org.uk/whomisc.htm
I will update when these manuscripts have been published.
For latest "Elephant in the Room" series report (compiled before the
release of the Advisory Group's 4th meeting Summary) see:
DSM, ICD: transparency and timelines, 03 September 2009 at:
http://wp.me/p5foE-1Yh
Suzy Chapman
_____________________
http://meagenda.wordpress.com
http://twitter.com/MEagenda
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