MABH-CRG Meeting: 26 Feb 2025

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86110000 |Rumination - thoughts (finding)|

@Jan Ivar Ernø 

see link here: 

86110000 |Rumination - thoughts (finding)| mapping to F or R in ICD?

discussed, @Jan Ivar Ernø has resolution 

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Affectivity

@Piper Ranallo PhD 

25467004 |Hyperaffectivity (finding)|

33314005 | Hypoaffectivity (finding) |

Clarify meaning and position in hierarchy.  

Definition of affectivity (APA Dictionary):

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

• Note: this definition does not seem to explicitly distinguish between internal response and externally observable response.

• Thus far, we have defined affect as the "observable expression of emotion" 

Consider

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

• New is a relationship must refer to the expression of emotion without claim that emotion is or is not being expressed (i.e., lack of expression of emotion is affect) 

Discussion

• Previously discussed looking at translations - who can do this??    

• Previously discussed looking at clinical value of the concept? – see examples of assessments (SANS), as well as affect data captured in EHR  

After discussion, the consensus was to leave the 2 concepts as-is; the term "affect" in these concepts refers to mood or emotion (as in 'affective disorder") not to expression of emotion (as in 'abnormal affect')

Laura noted that the following concepts are mis-represented as subtypes of 'abnormal affect':

• | Affective instability trait (finding) |   

• | Hypomanic personality trait (finding) |

xssstwo 2

State and Disposition

@Ed Cheetham will lead a discussion about the problematic state concepts (mental state / emotional state) and provide historical context.

The goal is to use this information to inform next steps around high priority decision to create more general concepts for "mental state finding" and "emotional state finding"

 Decision / Next steps=