Sunday, February 19, 2012

ACT: Re: "Bodily Distress Disorders" to replace "Somatoform Disorders" category for ICD-11?

From Suzy Chapman for http://dxrevisionwatch.wordpress.com=20

19 February 2012


Re my previous post:=20

"Bodily Distress Disorders" to replace "Somatoform Disorders" category =
for ICD-11?

Screenshot:

http://dxrevisionwatch.files.wordpress.com/2012/02/bodily-distress-disord=
ers180212.png=20

and this page on the Alpha Browser (click the little arrows to display =
the child categories):

http://apps.who.int/classifications/icd11/browse/l-m/en#/http%3a%2f%2fwho=
.int%2ficd%23F45

=20

A reminder that Creed, Henningsen and Fink published a book last year =
that was born out of the EACLPP MUS Study Group called:

"Medically Unexplained Symptoms, Somatisation and Bodily Distress: =
Developing Better Clinical Services" Published by Cambridge University =
Press, 14 July 2011

Some pages of this book can be read on Google Books at:

http://books.google.com/books?id=3DUQjdZrkyWkoC&pg=3DPA1#v=3Donepage&q&f=3D=
false

=20
Extracts from the book:

=20
"They [unexplained bodily symptoms] form one of the most expensive =
categories of health care expenditure in Europe. This book makes the =
case for shifting some of this expenditure away from numerous =
investigations for organic disease and towards effective treatment of =
bodily distress." (Preface vi)

"Since the traditional labels 'medically unexplained symptoms' or =
'somatisation' are so unhelpful, we propose the term 'bodily distress' =
as a more useful term for these disorders..." (Preface vi)

"ICD-10 included neurasthenia (chronic fatigue), as one of the =
somatoform disorders. This is considered here as chronic fatigue =
syndrome under the heading of functional somatic syndromes." (Page 8)

Some discussion of functional somatic syndromes on Page 10-16.

DSM-5 proposals for "CSSD" discussed briefly on Pages 43-45 with =
discussion of alternative terms (bodily distress disorder, functional =
somatic
disorder/syndrome).

-----------------

I hope that our professional advocates - our researchers and clinicians =
and our advocacy organizations will also be monitoring the progress of =
the ICD-11 Alpha and Beta drafts and participating in stakeholder =
interaction with the drafting process. I will update when more =
information on the release date of the Beta drafting platform becomes =
available and on any changes to the Alpha as it stood on 17 February =
2012.

References and related material:

[1] Patients with medically unexplained symptoms and somatisation - a =
challenge for European health care systems: A white paper of the EACLPP =
Medically Unexplained Symptoms study group by Peter Henningsen and =
Francis Creed: http://www.eaclpp.org/working_groups.html
http://www.eaclpp.org/documents/Patientswithmedicallyunexplainedsymptomsa=
ndsomatisation_000.doc


[2] Is there a better term than "Medically unexplained symptoms"? Creed =
F, Guthrie E, Fink P, Henningsen P, Rief W, Sharpe M and White P =
(Journal of Psychosom Research: Volume 68, Issue 1, Pages 5-8 January =
2010) discusses the deliberations of the EACLPP MUS study group. The =
Editorial also includes references to the DSM and ICD revision =
processes.
http://www.ncbi.nlm.nih.gov/pubmed/20004295


[3] Notes from EACLPP Workgroup meeting in Budapest July 2011.

Report from Working group meeting on MUS/somatisation/bodily distress, =
Budapest July 1st 2011

http://www.eaclpp.org/tl_files/content/eaclpp/Working%20Groups/EACLPP_WG_=
Medically_Unexplained_Symptoms_Budapest_2011.pdf

[4] "One single diagnosis, bodily distress syndrome, succeeded to =
capture 10 diagnostic categories of functional somatic syndromes and =
somatoform disorders." Psychosom Res. 2010 May;68(5):415-26. Fink P, =
Schr=F6der A. The Research Clinic for Functional Disorders and =
Psychosomatics, Aarhus University Hospital, 8000 Aarhus, Denmark. =
http://www.ncbi.nlm.nih.gov/pubmed/20403500


[5] EURASMUS
The multidisciplinary European Research Association for Somatisation and =
Medically Unexplained Symptoms (EURASMUS) was formed to study the =
genetic, psychological and physiological mechanisms underlying bodily =
distress. Co-convenors: Francis Creed, Peter Henningsen =
http://eurasmus.net/


Suzy Chapman
_____________________

http://dxrevisionwatch.wordpress.com=20
http://meagenda.wordpress.com
http://www.facebook.com/MEagenda
http://twitter.com/MEagenda


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