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guidelines, which will be further tested in additional internet-based and clinic-based field studies.
References
Maercker A, Brewin C R, Bryant RA, Cloitre M, van Ommeren M, Jones L, Humayun A, Kagee A,
Llosa AE, Rousseau C, Somasundaram D, Souza R, Suzuki Y, Weissbecker I., Wessely S, First MB,
Reed GM. Diagnosis and classification of disorders specifically associated with stress: Proposals for
ICD-11. World Psychiatry 2013; 12:198-206. doi :10.1002/wps.20057
Maercker A, Brewin CR, Bryant RA, Cloitre M, Reed GM, van Ommeren M, Humayun A, Jones L,
Kagee A, Llosa AE, Rousseau C, Somasundaram D, Souza R, Suzuki Y, Weissbecker I, Wessely S, First
MB, Saxena, S. (2013). Proposals for mental disorders specifically associated with stress in the ICD-11.
Lancet 2013; 381:1683-1685. doi: 10.1016/S0140-6736(12)62191-6.
Session:
Regular
Symposium
SPEAKER 3
Code
SY469
Title:
Proposals and evidence for the ICD-11 classification of bodily distress disorders
Speaker
O. Gureje
University of Ibadan, Ibadan, Nigeria
Abstract
Objectives: The disorder categories currently classified in the group of Somatoform Disorders in ICD-10
have been the subject of controversy relating to their names, utility, reliability and acceptability. The
ongoing development of ICD-11 presents an opportunity to revise these categories so as to enhance their
utility and overall acceptability.
Methods: The WHO ICD-11 Working Group on Somatic Distress and Dissociative Disorders has
conducted a comprehensive review of the current status of Somatoform Disorders, drawing on literature
from across the world and considered within diverse clinical experiences of experts who were consulted
for the revision exercise. Proposals for DSM-5 and their suitability for global application were also
considered.
Results: Important areas for improving the utility and reliability of disorders grouped under Somatoform
Disorders were identified. These areas encompass name, content, structure and clarity of the
phenomenology. A simplified category of Bodily Distress Disorder with an improved set of guidelines
for making the diagnosis has been proposed to replace current Somatoform Disorders categories. Bodily
Distress Disorder may be described as Mild, Moderate, or Severe based on the extent of focus on bodily
symptoms and their interference with personal functioning. Bodily Distress Disorder is currently a
subject of tests of its utility and reliability in internet- and clinic-based studies via the extensive network
that WHO has developed.
Conclusions: Bodily Distress Disorder holds the promise of addressing the various concerns that have
been expressed in regard to the utility and applicability of categories currently classified under
Somatoform Disorders. The overarching goal of the new category is to enhance the clinical care of
patients presenting with these common and disabling conditions. Bodily Distress Disorder is currently a
subject of tests of its utility and reliability in internet- and clinic-based studies, including in primary care
settings, via the extensive network that WHO has developed.
References
Creed F, Gureje O. Emerging themes in the revision of the classification of somatoform disorders.
International Review of Psychiatry 2012; 24:556-567.
Session:
Regular
Symposium
SPEAKER 4
Code
SY469
Title:
Proposals and evidence for the ICD-11 classification of dissociative disorders
Speaker
E.R.S. Nijenhuis
1
, O. Gureje
2
1
Top Referent Trauma Center, Assen, The Netherlands
2
University of Ibadan, Ibadan, Nigeria
Abstract
Objectives: To describe proposals for the ICD-11 grouping of Dissociative Disorders. ICD-10 includes a
complex classification of “Dissociative [conversion] disorders” that is not fully consistent with current
XVI World Congress of Psychiatry. Madrid 2014
Volume 2. Abstracts Regular Symposia
www.wpamadrid2014.com
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