2025-01-22 - MBH-CRG Meeting

2025-01-22 - MBH-CRG Meeting

Attendees

@Piper Ranallo PhD 

@Jan Ivar Ernø 

@Former user (Deleted) 

@Ian Green 

Andrew Williams

Apologies

@Elaine Wooler 

Dmytr Dymshyts

@Rebecca Berman 

2Discussion items

Item

Description

Owner

Notes

Action

Item

Description

Owner

Notes

Action

1

Hyperaffectivity

25467004 |Hyperaffectivity (finding)|

Clarify meaning and position in hierarchy.  

Definition of affectivity (APA Dictionary):

APA dictionary of psychology have a definition of affectivity: the degree of a person’s response or susceptibility to pleasure, pain, and other emotional stimuli. Evaluation of affectivity is an important component of a psychological examination; the therapist or clinician may look for evidence of such reactions as blunted affect, inappropriate affect, loss of affect, ambivalence, depersonalization, elation, depression, or anxiety.

https://dictionary.apa.org/affectivity

Consider

  • Inactivate Is a relationship: 106131003 |Mood finding (finding)|

  • New Is a relationship: 288545008 |Showing emotion (finding)|

Discussion

  • distinct concept versus synonym?

  • issues - clinical value of the concept?

  • next steps - look at translations 

Rebecca/ Andrew - SYN

2

Agony (finding)



  • 102498003 |Agony (finding)|

    Propose

    • Remove parent concept 225873007 | Finding relating to grief and dying (finding) |

    • Add parent concept 69328002 | Distress (finding) |

    • Add DEF:  Intense, negative experience typically occurring in the context of intense physical or emotional pain as often occurs in the context of impending death and extreme emotional trauma



3

Fearful mood (finding)



367545001 |Fearful mood (finding)|

Propose

  • Change Interprets (attribute) - Emotion (observable entity) to Interprets (attribute) = Mood (observable entity)

Need to discuss:

Hi Piper I was going to add 1155968006 |Mood (observable entity)| to the hierarchy 106131003 |Mood finding (finding)| but I am not sure it would be correct for all of the subtypes. Not sure where we got to for example with 33314005 |Hypoaffectivity (finding)|





4

Leaden paralysis (finding)



Leaden paralysis (finding) is a Symptoms of depression (finding)

Clarify position in hierarchy

ICD-11 MMS MB24.D Leaden paralysis - A feeling that one's arms or legs are as heavy as lead, associated with a form of depression that also commonly includes overeating and oversleeping - parent = symptoms or signs involving mood or affect.

Subjective feeling 

https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/1189315647

Consider:

  • Inactivate Is a Relationship: Symptoms of depression (finding)

  • Add Is a Relationship: Motor retardation (finding)

  • Add DEF: ?

  • Question: how is leaden paralysis different from motor retardation - can we model this distinction or just note it in the def?

Discussion: 

Guidance around 'symptom' concepts.



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