APA DSM DSM-IV DSM-V WHO ICD ICD-10 ICD-11 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders World Health Organization Classifications DSM Revision Process DSM-V Task Force DSM-V Somatic Distress Disorders Work Group Somatic Symptom Disorders Work Group DSM-ICD Harmonization Coordination Group International Advisory Group Revision of ICD Mental and Behavioural Disorders Global Scientific Partnership Coordination Group ICD Update and Revision Platform WHO Collaborating Centre CISSD Project MUPSS Project Somatoform Somatisation Somatization Functional Somatic Syndromes FSS MUS Myalgic encephalomyelitis ME Chronic fatigue syndrome CFS Fibromyalgia FM IBS CS CI GWS
The Elephant in the Room Series Three:
Reference to Psychological Medicine manuscripts in the Summary of the 4th meeting of the Advisory Group for Revision of ICD-10 Chapter V (Mental and Behavioural Disorders)
WordPress shortlink for this posting: http://wp.me/p5foE-22o
On 18 September, I posted 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 held on 1-2 December 2008, which has only just been published by the WHO.
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 very brief DSM-V Work Group update, published on the APA’s website, in April.
Page 1 of the Summary of the 4th Meeting of the International Advisory Group reports:
“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 webpage:
“Peer-Reviewed Publications from DSM-V Development”
“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.”
Gavin Andrews, MD, is a member of the DSM-V Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders Work Group.
Sir David Goldberg, MD, is a member of the DSM-V Mood Disorders Work Group
Robert Krueger, PhD, is a member of the DSM-V Personality and Personality Disorders Work Group
William T Carpenter, Jr., MD, chairs the DSM-V Psychotic Disorders Work Group and is a member of the DSM-V Task Force
Steven E Hyman, MD, is a member of the DSM-V Task Force and chairs the International Advisory Group for the Revision of ICD Mental and Behavioural Disorders
Perminder Sachdev MD, PhD, FRAZCP, is a member of the DSM-V Neurocognitive Disorders Work Group
Daniel S. Pine, MD, chairs the DSM-V Disorders in Childhood and Adolescence Work Group and is a member of the DSM-V Task Force
Juan R. Bustillo, MD, is a member of the DSM-V Psychotic Disorders Work Group
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 to be published in or whether they will be freely available to non subscribers to the journal.
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 are now superseded by alternative proposals.
See also: Summary Report of 3rd Meeting International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders 11 – 12 March 2008, Geneva
See also: Pages 3 and 4 Diagnostic Issues Symposium programme
Psychological Medicine is published by Cambridge Journals
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
Robin M. Murray
Institute of Psychiatry
de Crespigny Park
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
Professor S. C. Wessely
King’s College London, UK
*Dr James Levenson, MD, 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’s 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:
I will update when these manuscripts have been published.
On the DSM-V Peer-Reviewed Publications from DSM-V Development page under “Somatoform Disorders” is listed the paper:
88. Kanaan RAA, Lepine JP, & Wessely SC. The association or otherwise of the functional somatic syndromes. Psychosomatic Medicine, 2007; 69:855-859.
This paper can be accessed via Google Books “Preview”, published as Chapter 2 of:
“Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V”
Monograph published by the American Psychiatric Association, in 2009, summarising the proceedings of the September 2006 APA/WHO Beijing Symposium: Somatic presentations of mental disorders
See Chapter 2: Pages 9-18 http://tinyurl.com/somaticpresentationsDSM-V
For latest “Elephant in the Room” series report (compiled before the release of the Advisory Group’s 4th meeting Summary Report)
see: DSM, ICD: transparency and timelines 03 September 2009.