Proposed new diagnoses of anxious depression and bodily stress syndrome in ICD-11-PHC: an international focus group study

Lam, T. P.; Goldberg, D. P.; Dowell, A. C.; Fortes, S.; Mbatia, J. K.; Minhas, F. A.; Klinkman, M. S.

doi:10.1093/fampra/cms037

Cited by 59Psychosomatic Disorders and Their TreatmentsMental Health and PsychiatryAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Proposed new diagnoses of anxious depression and bodily stress syndrome in ICD-11-PHC: an international focus group study

Lam, T. P., Goldberg, D. P., Dowell, A. C., Fortes, S., Mbatia, J. K., Minhas, F. A., Klinkman, M. S.·2013·Family Practice

DOI 10.1093/fampra/cms037

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Abstract

BACKGROUND: The World Health Organization is revising the primary care classification of mental and behavioural disorders for the International Classification of Diseases (ICD-11-Primary Health Care (PHC)) aiming to reduce the disease burden associated with mental disorders among member countries. OBJECTIVE: To explore the opinions of primary care professionals on proposed new diagnostic entities in draft ICD-11-PHC, namely anxious depression and bodily stress syndrome (BSS). METHODS: Qualitative study with focus groups of primary health-care workers, using standard interview schedule after draft ICD-11-PHC criteria for each proposed entity was introduced to the participants. RESULTS: Nine focus groups with 4-15 participants each were held at seven locations: Austria, Brazil, Hong Kong, New Zealand, Pakistan, Tanzania and United Kingdom. There was overwhelming support for the inclusion of anxious depression, which was considered to be very common in primary care settings. However, there were concerns about the 2-week duration of symptoms being too short to make a reliable diagnosis. BSS was considered to be a better term than medically unexplained symptoms but there were disagreements about the diagnostic criteria in the number of symptoms required. CONCLUSION: Anxious depression is well received by primary care professionals, but BSS requires further modification. International field trials will be held to further test these new diagnoses in draft ICD-11-PHC.

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Self-citation
Studying ICD-11 Primary Health Care bodily stress syndrome in Brazil: do many functional disorders represent just one syndrome?
Fortes, S., Ziebold, C., Reed, G. M., Robles, R., Campos, M. R., Reisdorfer, E., Prado, R., Goldberg, D. P., Gask, L. L., & Mari, J. D. J. (2018) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2018-0003 · Cited by 16 · see citing works
Self-citation
International classification of Diseases-11: Primary care perspective
Razzaque, B., & Minhas, F. (2018) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_77_17 · Cited by 1 · see citing works
Self-citation

Authors: Lam, T. P., Goldberg, D. P., Dowell, A. C., Fortes, S., Mbatia, J. K., Minhas, F. A., & Klinkman, M. S.
Affiliations: University of Hong Kong (HK)
King's College London (GB)
University of Otago (NZ)
Universidade do Estado do Rio de Janeiro (BR)
Ministry of Health and Social Welfare (TZ)
Benazir Bhutto Hospital (PK)
University of Michigan (US)
Corresponding author: Lam, T. P.
ORCID: Goldberg, D. P.
Dowell, A. C.
Fortes, S.
Klinkman, M. S.
Venue: Family Practice
Publisher: Oxford University Press (OUP)
Published: 2012-07-28
Volume: 30
Issue: 1
Pages: 76-87
ISSN: 0263-2136 (ISSN-L)
1460-2229
DOI: 10.1093/fampra/cms037
OpenAlex: W2125670451
Cited by: 59
References: 28
Citations by year: 2026: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 12 · 2017: 9 · 2016: 6 · 2015: 10 · 2014: 1 · 2013: 5 · 2012: 1
FWCI: 3.88
Type: journal article
Language: en
Open access: closed
Locations: Family Practice (publishedVersion)
PubMed (publishedVersion)
The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: anxious depression, diagnostic criteria, primary care providers, medically unexplained symptoms, symptom duration, diagnostic validity, mental disorders classification
MeSH terms: Adolescent, Adult, Aged, Anxiety, Attitude of Health Personnel, Mental Disorders, Depression, Female, Humans, Male, Middle Aged, Nurses, Stress, Physiological, Syndrome, World Health Organization, Focus Groups, International Classification of Diseases, Young Adult, Physicians, Primary Care

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Proposed new diagnoses of anxious depression and bodily stress syndrome in ICD-11-PHC: an international focus group study

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