2024-07-24 MBH CRG Meeting

25467004 |Hyperaffectivity (finding)|

Clarify meaning and position in hierarchy.  

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)|

 198288003 |Anxiety state (finding)|

Clarify meaning and position in hierarchy.  

Used extensively in the UK.

APA dictionary defines it as an older concept related to anxiety neurosis: https://dictionary.apa.org/anxiety-state

ICD-10 representation https://icd.who.int/browse10/2019/en#/F41.1 looks to be an index term for GAD

ICD-9-CM https://bioportal.bioontology.org/ontologies/ICD9CM/?p=classes&conceptid=http%3A%2F%2Fpurl.bioontology.org%2Fontology%2FICD9CM%2F300.0

Consider:

• Inactivate concept
• Replaced by 21897009 | Generalized anxiety disorder (disorder) |
  • Add SYN to replacement concept: Anxiety state

102498003 |Agony (finding)|

Clarify meaning and position in hierarchy.  

Currently modeled as a subtype of Finding relating to grief and dying (finding) 

Merriam Webster has the following definitions of agony:

1a: intense pain of mind or spirit : extreme distress : anguish <the agony of being found wanting and exposed to the disapproval of others — Margaret Mead>

1b often capitalized : the sufferings of Jesus in the garden of Gethsemane <and being in an agony he prayed more earnestly — Luke 22:44 (Authorized Version)>

2a: intense pain of body : extreme torment : torture <left arm twisted upward behind him … in slow, deliberate agony — Kay Boyle>

2b: the throes of death : death struggle <his final agony>

3: a violent struggle, conflict, or contest <the world is convulsed by the agonies of great nations — T. B. Macaulay>

4: a strong sudden and often uncontrollable display (as of joy or delight) : outburst <my cousin … in an agony of mirth — Edith Wharton>

Consider:

• Inactivate Is a Relationship: Finding relating to grief and dying (finding) 
• Add Is a Relationship: Distress finding (finding)
• Add SYN:  Extreme distress
• Add DEF:  Intense, negative experience typically occuring in the context of intense physical or emotional pain as often occurs in the context of impending death and extreme emotional trauma

Disturbance in intuition (finding) and lack of intuition (finding)

Clarify meaning and position in hierarchy.  

• What is a Disturbance in intuition - is this a valid concept?
• If valid, Is lack of intuition a subtype?

Finding of individual style of dress (finding)

Clarify clinical utility and unambiguity

Consider: Items prefaced with "?" may not meet URU criteria (URU = useful, reproducible, understandable across healthcare workforce)

Concepts

    Wears a turban (finding)
    Wears brightly colored clothes (finding)
    Wears clothes of all one color (finding)
    Wears daywear during the night (finding)
?   Wears dull clothes (finding)
    Wears left and right shoes from two different pairs of shoes (finding)
    Wears many layers of clothing (finding)
    Wears nightwear during the day (finding)
    Wears nightwear under daywear (finding)
?   Wears odd socks (finding)
?   Wears undignified clothing (finding)
    Wears unlaundered clothes (finding)

Emotion v. Emotion State  AND Mental phenomenon v Mental State

 Clarify meaning and position in hierarchy. 

• Is there value in a distinct concepts to represent the specific idea of a "point in time" emotion and "point in time" mental state