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 (Unlicensed) 

Recording (ZOOM):

21st, October 2026

https://us06web.zoom.us/rec/play/acfU0nwsansofYaAsWRXBdDyesAfkp3IEEbjRwgaLgKtJaJunps7we3i9RRy4HwuRMoo97gyNoY3kUwn.xMkvbsZlyWgK6l6b?eagerLoadZvaPages=sidemenu.billing.plan_management&isReferralProgramEnabled=false&isReferralProgramAvailable=false&accessLevel=meeting&canPlayFromShare=true&from=share_recording_detail&continueMode=true&iet=ZUi3vcvZmWJYjaFCnDzNdBCy7n_1NA266169S7PqPbc.AG.dmbCYG1OKqECw1ghkVnAKTmmoCwyHSHY5pjdeiY0qM0KRmuwqQmUZtBng7Gwr86RuKudyl_2ja7sER6fp0qpbO4MOMaerurYaXHXzueu5-L54GXNmGM.SP_ZYEGh_4G1BIZSqF9ynQ.xR6gHYI53vbXeiFi&componentName=rec-play&originRequestUrl=https%3A%2F%2Fus06web.zoom.us%2Frec%2Fshare%2FoirBSC32cHIEoOFGVsXCXQo8VjA8Rib6n8S2F1MZm8zOSR0xr_tQfRqRfx0rbDyo.uWkFgsgc9y-OterW%3Fiet%3DZUi3vcvZmWJYjaFCnDzNdBCy7n_1NA266169S7PqPbc.AG.dmbCYG1OKqECw1ghkVnAKTmmoCwyHSHY5pjdeiY0qM0KRmuwqQmUZtBng7Gwr86RuKudyl_2ja7sER6fp0qpbO4MOMaerurYaXHXzueu5-L54GXNmGM.SP_ZYEGh_4G1BIZSqF9ynQ.xR6gHYI53vbXeiFi

Passcode: y4.!J3qK

22nd, October 2026

https://us06web.zoom.us/rec/play/7oTgIp1ASPJLjxxPDT5Ey7aSK41GdNnS-WChcTu5tbrDrk0OYfsQ2s9ceMxzHfN9mDq_S2-GKVtEmDO3.fFDklCdFHwEk8EqA?eagerLoadZvaPages=sidemenu.billing.plan_management&isReferralProgramEnabled=false&isReferralProgramAvailable=false&accessLevel=meeting&canPlayFromShare=true&from=share_recording_detail&continueMode=true&iet=dmA78QVDlAPGUMo9RBzZt-zOt2TMi5Y8jj4Mfc73sxo.AG.HJVzk5Ljr1q19cfoPLDzzPgxyTJ3mcyzs9aRkJerSZqywrsQOltRG0g7gs02nn5hOJowP4UlonckrFHLWjQcKh9QS5pu8iL-CsG6TOWwiJhRFtcAwIs.4WXzOHvnWid2XCUT8asP2g.DfidgEoMEOCwFMOS&componentName=rec-play&originRequestUrl=https%3A%2F%2Fus06web.zoom.us%2Frec%2Fshare%2FoP3IDwewqPkY7lxdvZVTa758etS7B48m6m9xN_oH4WdFm9ASydwQfFizLMM2ohoX.O-w6Oej4d8Iea1Ew%3Fiet%3DdmA78QVDlAPGUMo9RBzZt-zOt2TMi5Y8jj4Mfc73sxo.AG.HJVzk5Ljr1q19cfoPLDzzPgxyTJ3mcyzs9aRkJerSZqywrsQOltRG0g7gs02nn5hOJowP4UlonckrFHLWjQcKh9QS5pu8iL-CsG6TOWwiJhRFtcAwIs.4WXzOHvnWid2XCUT8asP2g.DfidgEoMEOCwFMOS

Passcode: xS^G=+k5

Discussion items

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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