Version 1 - ME agenda | information
Version 1.1 | Directory | Key documents and information around
APA DSM DSM-IV DSM-V WHO ICD ICD-10 ICD-11 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders World Health Organization Classifications DSM Revision Process DSM-ICD Harmonization Coordination Group International Advisory Group Global Scientific Partnership Coordination Group for Revision of ICD Mental and Behavioural Disorders ICD Update and Revision Platform WHO Collaborating Centre DSM-V Task Force DSM-V Somatic Distress Disorders Work Group CISSD Project Somatoform Somatisation Somatization Functional Somatic Syndromes Myalgic encephalomyelitis ME Chronic fatigue syndrome CFS Fibromyalgia FM IBS CS CI GWS MUS MUPSS Project
This version 1.1 Last updated: 15 April 2009 Previous version 1.0 28.03.09
Please check for the most recent version of this document at:
APA DSM
DSM-IV (Diagnostic and Statistical Manual for Mental Disorders) online:
The American Psychiatric Association (APA) Wesite:
The American Psychiatric Association (APA) published the Diagnostic and Statistical Manual for Mental Disorders Fourth Edition (DSM-IV) in 1994, with a text revision in 2000. The DSM revision process has been underway since 1999. The final, approved version of the next edition, DSM-V, is anticipated to be published in May 2012.
The APA participates with the WHO in a DSM-ICD Harmonization Coordination Group. The task of this group is "to facilitate the achievement of the highest possible extent of uniformity and harmonization between ICD-11 mental and behavioural disorders and DSM-V disorders and their diagnostic criteria" with the objective that “the WHO and APA should make all attempts to ensure that in their core versions, the category names, glossary descriptions and criteria are identical for ICD and DSM.”
APA DSM Press Releases:
American Psychiatric Association (APA) Appoints David J. Kupfer, M.D., and Darrel A. Regier, M.D., M.P.H., to Head DSM-V Task Force (4/13/2006)
American Psychiatric Association (APA) Names DSM-V Task Force Members (7/23/2007)
American Psychiatric Association (APA) Names DSM-V Task Force Members (5/1/2008)
Revision of Diagnostic Manual Underway (1/7/2009)
Key APA DSM Revision Process/DSM-V Development documents:
Timeline
DSM-V: The Future Manual
Task Force Members
Report of the DSM-V Task Force (November 2008)
Revision Activities (Resources, DSM-V Work Group Reports)
The APA has set up 12 Work Groups which have been meeting since late 2007. The Work Group which has the most relevance for the ME, CFS, IBS, CS and CI communities is the:
Somatic Distress Disorders Work Group
The document above includes biosketches and disclosure information for each Work Group member. Under the chair of Professor Joel E. Dimsdale, M.D., the nine members of the DSM-V Somatic Distress Disorders Work Group are:
*Arthur J. Barsky, M.D.; *Francis Creed, M.D.; Nancy Frasure-Smith, Ph.D.; Michael R. Irwin, M.D.; Francis J. Keefe, Ph.D.; Sing Lee, M.D.; *James L. Levenson, M.D.; *Michael Sharpe, M.D.; Lawson R. Wulsin, M.D.
Four out of the ten members of the APA DSM-V Somatic Distress Disorders Work Group (asterisked) were also members of the CISSD Project Work Group; Prof Michael Sharpe, served as the CISSD Project’s UK Chair.
Report of the DSM-V Somatic Distress Disorders Work Group (November 2008)
In addition to the work being undertaken by the 12 DSM-V Work Groups, a series of 13 international conferences were held between 2004 and 2008 on "The Future of Psychiatric Diagnosis: Refining the Research Agenda", administered by the APA's American Psychiatric Institute for Research and Education (APIRE). Proceedings from these conferences serve as resource documents for the various Work Groups involved in the DSM-V revision process.
Phase 2: Refining the Research Agenda for DSM-V: NIH Conference Series
DSM-V Research Planning Conference Summaries
Somatic Presentations of Mental Disorders Symposium (6 - 8 September 2006) Beijing, China:
In September 2006, in collaboration with the WHO and the NIH, the APA convened a diagnosis-related research planning conference focusing on “Somatic presentations of mental disorders”. Twenty-eight international scientists were invited to participate. This was the eighth in the series of thirteen conferences convened by the APA between 2004 and 2008.
Amongst those presenting at the Beijing Symposium were:
Ricardo Araya (Bristol, UK); Simon Wessely (KCL, London, UK); *Javier Escobar (New Jersey, US); *Richard Mayou (Oxford, UK); *Michael Sharpe (Edinburgh, UK); *Winfried Rief (Marburg, Germany) and *Kurt Kroenke (Indianapolis, US).
*At the time, the five asterisked were also members of the international Conceptual Issues in Somatoform and Similar Disorders (CISSD) Project Work Group; Prof Kurt Kroenke and Prof Michael Sharpe served as the CISSD Project’s international and UK chairs. Javier Escobar is also a member of the APA DSM-V Task Force.
In November 2007, an Editorial and selected papers based on the Beijing Symposium presentations were published in:
Psychosom Med 2007 69: 827-900
Links for the Editorial, articles and abstracts for these papers are given in Appendix I. According to the Editorial, reprints of these articles along with additional papers from the conference will be available in a monograph to be published in late 2008 by the American Psychiatric Press, Inc. That volume will serve as a resource document for the DSM-V Task Force and disorder-specific Work Groups.
Summaries of the Beijing Symposium presentations (including recommendations for research and suggestions for future versions of classifications of mental disorders e.g. DSM-V, ICD-11 and others) can be read on the APA website at:
Publications by the American Psychiatric Publishing Inc:
Published 2002, in partnership with the NHI, the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse:
Research Agenda for DSM-V.
Edited by David J. Kupfer, M.D., Michael B. First, M.D. and Darrel A. Regier, M.D., M.P.H
2002 336 pages ISBN 9780890422922 Paperback
Download FREE in PDF (2MB) at
Published 2009, summarising the proceedings of the 2006 Beijing Symposium and a research landscape and literature resource for researchers and clinicians:
Somatic Presentations of Mental Disorders Refining the Research Agenda for DSM-V
Edited by Joel E. Dimsdale, M.D., Yu Xin, M.D., Arthur Kleinman, M.D., Vikram Patel, Ph.D., William E. Narrow, M.D., M.P.H., Paul J. Sirovatka, M.S., and Darrel A. Regier, M.D., M.P.H.
2009 206 pages ISBN 9780890423424 Paperback
Criticism of the APA’s DSM Revision Process:
Psychiatric Times Vol. 26 No. 1 01 January 2009: NEWS DSM-V Controversies Arline Kaplan
Psychiatric Times Vol. 26 No. 1 01 January 2009: Point/Counterpoint: Toward Credible Conflict of Interest Policies in Clinical Psychiatry
Point: Lisa Cosgrove, PhD and Harold J. Bursztajn, MD
Counterpoint: David J. Kupfer, MD and Darrel A. Regier, MD, MPH
Los Angeles Times: Opinion 16 November 2008: Wrangling over psychiatry's bible, Christopher Lane
WHO ICD
WHO International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2007:
Tabular List of inclusions and four-character subcategories:
ICD-10 Chapter V See: Related document [6]
Mental and behavioural disorders (F00-F99)
Neurotic, stress-related and somatoform disorders (F40-F48)
ICD-10 Chapter VI See: Related document [6]
Diseases of the nervous system (G00-G99)
Other disorders of the nervous system (G90-99)
WHO Revision of ICD-10 Mental and Behavioural Disorders:
The WHO is revising the classification of mental and behavioural disorders as a part of the overall revision of ICD-10, a revision process that has been underway since April 2007.
News Release WHO/13 16 April 2007
The third meeting of the International Advisory Group (AG) for the Revision of ICD-10 Mental and Behavioural Disorders was held on 11-12 March, 2008, in Geneva.
The Meeting Summary Report sets out a timeline for the revision process:
The Alpha draft version of ICD-11 should be completed in 2010, followed by 1 year for commentary and consultation.
The Beta draft version should be completed in 2011, followed by field trials, analysis of field trial data, and revision during the subsequent 2 years.
The final version for public viewing should be completed in 2013, with approval by the World Health Assembly in 2014.
For the purpose of revision of ICD mental and behavioural disorders, the following groups have been established:
International Advisory Group (AG) for the Revision of ICD-10 Mental and Behavioural Disorders
Global Scientific Partnership Coordination Group
Stakeholder Input and Partnership Coordination Group
Global Health Practice Network (GHPN)
DSM-ICD Harmonization Coordination Group
The International Advisory Group (AG) for the Revision of ICD-10 Mental and Behavioural Disorders was constituted by the WHO with the primary task of advising WHO on all steps leading to the revision of the mental and behavioural disorders classification in ICD-10 in line with the overall revision process. A list of participants is provided in the Annexes to the three published Summary Reports. Meetings are chaired by Dr Steven Hyman, Harvard University, Cambridge, MA, a former Director of the National Institute of Mental Health (NIMH) and an APA DSM-V Task Group Member. Prof David Goldberg, Institute of Psychiatry, London is also a participant in these Advisory Group meetings. A fourth meeting was scheduled for fall 2008 although no Summary has been published for any meeting held since March 2008.
International Advisory Group (AG) Terms of Reference and members:
Global Scientific Partnership Coordination Group Terms of Reference and members:
Professor Sir David Goldberg, Professor Emeritus, Institute of Psychiatry, King's College, London is a member of the GSP Coordination Group.
Summaries of International Advisory Group (AG) meetings
1st Meeting: 11 – 12 January 2007, Geneva
2nd Meeting: 24 – 25 September 2007, Geneva
3rd Meeting: 11 – 12 March 2008, Geneva
4th Meeting:
DSM-ICD Harmonization Coordination Group
The task of the “Harmonization” group is “to facilitate the achievement of the highest possible extent of uniformity and harmonization between ICD-11 mental and behavioural disorders and DSM-V disorders and their diagnostic criteria” with the objective that the “WHO and APA should make all attempts to ensure that in their core versions, the category names, glossary descriptions and criteria are identical for ICD and DSM.”
ICD Revision Steering Group
A Revision Steering Group, which includes chairs of the Topic Advisory Groups (TAGs), serves as the planning and steering authority in the update and revision process.
Revision Steering Group Member bios:
Dr Steven Hyman is the Chair of the Topic Advisory Group Mental Health (TAGMH).
Production of ICD-11: The overall revision process:
This PDF document sets out the overall process for the 11th revision of the International Classification of Diseases (ICD).
ICD Update and Revision Platform Entry Page:
In order to facilitate communication among individuals involved in the revision process, the WHO has launched an ICD Update and Revision Platform. This web-based application allows users to post proposals or comments and to review proposals and comment on them.
There are three consecutive steps in the revision process:
1. ICD 10 Plus for entering and commenting ICD Revision proposals
2. Draft ICD -11 for comments and field trials
3. ICD -11 and terminology/ontology work
More information on the system and how to use it is available in the User's Guide:
PDF:
Html:
In order to gain access into the extranet it is necessary to set up an account. When logged in, users can view 18 proposals submitted by Dr Richard Sykes to the Topical Advisory Group Mental Health (TAGMH):
ICD-11 Draft
The ICD-11 draft will be a WIKI-like joint authoring tool, designed for use by ICD-11 Technical Advisory Group (TAG) and WHO editors in the specification of taxonomic rules, definitions and diagnostic criteria. More information in the PowerPoint presentation:
PowerPoint [5 MB]: ICD 11 Revision Update NCBO Forum, 29 April 2008. Christopher G Chute, MD DrPH. ICD-11 Revision Steering Group Chair:
WHO Collaborating Centre:
WHO Collaborating Centre for Research and Training in Mental Health and Section of Mental Health Policy, Institute of Psychiatry, London
Dr Richard Sykes PhD, Co-ordinator of the international CISSD Project, is listed as an Honorary Member of the WHO Collaborating Centre:
When submitting proposals to the ICD Update and Revision Platform site, in March 2008, Dr Sykes listed Prof Rachel Jenkins, as Principal Collaborator, CISSD Project. See: Related document [2] at end of the CISSD Project section.
CISSD Project
Conceptual Issues in Somatoform and Similar Disorders (CISSD) Project:
The CISSD Project was undertaken between 2003 and 2007. The UK ME/CFS patient organisation, Action for M.E., acted as principal Administrators for the Project. At the time of compilation, Action for M.E. has published nothing about the DSM-ICD Harmonization process and very little about the objectives of the CISSD Project, who comprised the Project Work Group and how funding obtained in the name of the Project was spent. Action for M.E. has been called upon to publish a report on the Project.
Dr Richard Sykes PhD is an Honorary Member of the WHO Collaborating Centre:
In published papers, and when participating in conferences, the address of the WHO Collaborating Centre, Institute of Psychiatry, is given as Dr Sykes’ affiliation address.
When submitting proposals to the ICD Update and Revision Platform site, in March 2008, Dr
Sykes listed Prof Rachel Jenkins (Director, UK WHO Collaborating Centre, Institute of Psychiatry) as Principal Collaborator, CISSD Project.
Dr Sykes has been asked to clarify the nature of his relationship with the WHO Collaborating Center and the nature of the WHO Collaboration Centre’s involvement in, and relationship to the CISSD Project. See: Related documents [1] and [3].
On 10 March 2009, a request for information under the Freedom of Information Act was submitted to the Institute of Psychiatry. See: Related document [4].
A response was fulfilled on 9 April 2009.
For FOI response see:
According to the review paper published by the CISSD Project leads in July 2007:
Kroenke K, Sharpe M, Sykes R: Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations. Psychosomatics 2007 Jul-Aug;48(4):277-85 Abstract:
“[The CISSD Project] was launched several years ago by Richard Sykes to stimulate a multidisciplinary dialogue about the taxonomy of somatoform disorders and the medical diagnoses of functional somatic syndromes (e.g., irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia). A series of three CISSD workshops, spanning a total of 6 days were
held in London, UK (May 20, 2005), Oxford, UK (March 29–31, 2006), and Indianapolis, IN (May 10–11, 2006). The 2006 workshops brought together American and European experts to further consider the key questions and potential changes to be addressed in any revision of the Somatoform Disorders category, with the explicit aim of informing the development of DSM–V.”
The paper: Kroenke K: Somatoform disorders and recent diagnostic controversies. Psychiatr Clin North Am 2007 Dec;30(4):593-619. contains the caveat:
“Although the CISSD is an ad hoc group that includes many international experts on somatoform disorders, it was neither appointed nor sanctioned by the APA or WHO, the organizations authorized to approve revisions of DSM and ICD, respectively. As such, the CISSD recommendations should be considered advisory rather than official. Also, there were some suggestions for which the CISSD achieved near consensus but other issues where opinions diverged considerably.”
CISSD Work Group Members:
International Chair: Professor Kurt Kroenke, Indiana University School of Medicine and Regenstrief Institute, Indianapolis;
UK Chair: Professor Michael Sharpe, Department of Psychiatry, University of Edinburgh;
Co-ordinator: Dr Richard Sykes, WHO Collaborating Centre, Inst. of Psychiatry, London;
Principal Collaborator: Professor Rachel Jenkins, WHO Collaborating Centre, IoP, London;
Project Advisor: Dr John Bradfield, Department of Cellular and Molecular Medicine, University of Bristol, UK.
The CISSD Project Work Group included, in addition to the above:
Natalie Banner, Arthur Barsky, John Bradfield, Richard Brown, Frankie Campling, Francis Creed, Veronique de Gucht, Charles Engel, Javier Escobar, Per Fink, Peter Henningsen, Wolfgang Hiller, Kari Ann Leiknes, James Levenson, Bernd Löwe, Richard Mayou, Winfried Rief, Kathryn Rost, Robert C. Smith, Mark Sullivan, Michael Trimble.
[ Source: ]
Michael Sharpe, Arthur Barsky, Francis Creed and James Levenson have been members of the APA DSM-V Somatic Distress Disorders Work Group since 2007.
Javier Escobar is a member of the DSM-V Task Force.
Established sources of funding provided in the name of the Project:
1] Information provided under Freedom of Information Act by University of Edinburgh
Date awarded: 17 June 2005
Amount: £4,950
Grant number: 077740
Source of grant/award: The Wellcome Trust [Administered by University of Edinburgh]
Applicant(s): Dr Richard Sykes
Grant type/purpose: Funding of meeting
Duration: Meeting held on 20 May 2005
Project Title: ‘Key conceptual issues in the classification of somatoform and similar disorders: some outline proposals for a revised classification’.
The first meeting of the CISSD Project Work Group was held on 20 May 2005. It has not yet been established through what means the meeting held on 29-31 March 2006, in Oxford, was funded. Formal confirmation of the source(s) of funding for the meeting held on 10-11 May 2006, chaired and hosted by Kurt Kroenke, in Indianapolis, has not yet been obtained.
2] Information provided by Action for M.E.
Date awarded: Recorded during financial year ending 31 March 2006
Amount: £24,000
Date awarded: Recorded during Financial year ending 31 March 2007
Amount: £18,750
Date awarded: Recorded during Financial year ending 31 March 2008
Amount: £20,000
Total: £62,750
Source of grant/award: All three tranches of funding were provided by the Hugh and Ruby Sykes Charitable Trust. This funding was administered by Action for M.E. who have disclosed that they received one retrospective payment of £1750 in administration fees.
Sir Hugh Sykes was the original settlor and a trustee of the organisation Westcare UK. He is the brother of former Westcare UK Director, Dr Richard Sykes. In 2002, the assets and operation of Westcare UK had been transferred to Action for M.E.
Additional sources of funding obtained during the life of the CISSD Project to be confirmed.
See: Related documents [3]and [4].
CISSD Project Timeline:
Date by which CISSD Project Work Group was assembled: to be confirmed
Workshops:
20 May 2005 Workshop 1: London, UK
29-31 March 2006 Workshop 2: Oxford, UK
10-11 May 2006 Workshop 3: Indianapolis, US
April 2006: Papers resulting out of the proceedings of the first UK Workshop (May 2005) published in J Psychosom Res 2006;60:325-356; Special Mini-Series on Somatoform Disorders: Preface by Kroenke K and Sharpe M. See Appendix I for papers by Kroenke, Levenson, Bradfield, Creed, Sykes, Hiller, Maes, De Gucht, Sharpe, Mayou and Walker.
June 2006: Sykes R: The draft report of the CISSD project. J Psychosom Res 2006;60:663-664. A brief update on the progress and timeline of the CISSD Project.
[The Editor of the Journal of Psychosomatic Research is Prof Francis Creed, CISSD Project Work Group member; APA DSM-V Somatic Distress Disorders Work Group member.]
Sept 2006: Five researchers/clinicians who were CISSD Work Group members at the time present at the APA convened diagnosis-related research planning conference: Somatic Presentations of Mental Disorders Symposium, 6-8 Sept 2006, Beijing, China. [Escobar J (US), Mayou R (UK), Sharpe M (UK), Rief W (Ger), Kroenke K (US)]
Sept 2006: Dr Richard Sykes chairs and participates in the 26th European Conference of Psychosomatic Research 2006, 27-30 Sept 2006, Dubrovnic, Croatia. Listed in session programme as: WHO Collaborating Centre, Institute of Psychiatry, University of London. Chairs/co-chairs several plenary sessions including: Plenary Symposium 7: Conceptual Issues in Somatoform and Similar Disorders, presents on “Somatoform Disorders: What are patients’ concerns and do they matter?” and “Emerging proposals from the CISSD Project”. Programme:
April 2007: Dr Richard Sykes presents on “Conceptual issues in the classification of ME/CFS” at the 2007 Melvin Ramsay Society meeting. No official summary of proceedings available. [The Melvin Ramsay Society has close links with UK patient organisation, the ME Association; Dr Charles Shepherd is a member of the Melvin Ramsay Society and also gave a presentation at this annual meeting.]
July 2007: Publication of Review paper by CISSD Project leads Kroenke K, Sharpe M, Sykes R: Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations. Psychosomatics 2007 Jul-Aug;48(4):277-85.
Abstract:
FREE Text:
FREE PDF:
March 2008: 18 Proposals submitted by Dr Richard Sykes to WHO ICD Update and Revision Platform, Topical Advisory Group - Mental Health (TAGMH)
Or see: Related document [2].
Related documents
[1] Summary of work of CISSD Project provided by Dr Richard Sykes, October 2008
Open file at:
[2] 18 Proposals submitted by Dr Richard Sykes to ICD Update and Revision Platform, March 2008
Open file at:
[3] Questions raised with Dr Richard Sykes by Suzy Chapman, 26 February 2009
Open file at:
[4] Information obtained under Freedom of Information Act
[5] Extract, transcript of presentation: What is Chronic fatigue syndrome and what is ME? by Prof Peter D White, Royal Society of Medicine Conference on CFS, 28 April 2008. Prof White sets out existing ICD-10 classifications and discourages Conference from using ICD
Open file at:
[6] DSM-IV and ICD-10 classifications around the so-called Somatoform Disorders and Functional Somatic Syndromes; Neurasthenia; ME, PVFS, CFS
Open file at:
Appendix I
Selected research papers, review papers and commentaries on papers:
May 1998
Kroenke K, Spitzer RL, deGruy FV, Swindle R: A symptom checklist to screen for somatoform disorders in primary care. Psychosomatics 1998 May-Jun;39(3):263-272.
Sept 1999
Wessely S, Nimnuan C, Sharpe M: Functional somatic syndromes: one or many? Lancet 1999 Sep 11;354(9182):936-939.
July 2000
Kroenke K, Swindle R: Cognitive-behavioral therapy for somatization and symptom syndromes: a critical review of controlled clinical trials. Psychother Psychosom. 2000 Jul-Aug;69(4):205-215.
Sept 2002
FREE Sykes R: Physical or mental? A perspective on chronic fatigue syndrome. Advances in Psychiatric Treatment (2002);8:351-358.
FREE Commentaries on Physical or mental? A perspective on chronic fatigue syndrome. Advances in Psychiatric Treatment (2002);8:351-358.
White PD: Commentary on Sykes R: Physical or mental? A perspective on chronic fatigue syndrome. Advances in Psychiatric Treatment (2002);8:363-365.
Kendell, RE: Commentary on Physical or mental? A perspective on chronic fatigue syndrome. Advances in Psychiatric Treatment (2002);8:363-365.
Fulford, KWM: Commentary on Physical or mental? A perspective on chronic fatigue syndrome. Advances in Psychiatric Treatment (2002);8:363-365.
Sept 2003
In response to Advances in Psychiatric Treatment (2002);8:363-365 commentaries by White PD, Kendell, RE, Fulford, KWM:
FREE Sykes R: Chronic fatigue syndrome: commenting on the commentaries. Advances in Psychiatric Treatment (2003);9:78-79.
Oct 2003
Clauw DJ, Engel CC Jr, Aronowitz R, Jones E, Kipen HM, Kroenke K, Ratzan S, Sharpe M, Wessely S: Unexplained symptoms after terrorism and war: an expert consensus statement.
J Occup Environ Med 2003 Oct;45(10):1040-1048.
April 2004
Editorial Rief W, Sharpe M: Somatoform disorders – new approaches to classification, conceptualization, and treatment. J Psychosom Res 2004 Apr;56(4):387-390.
Aug 2004
FREE Wessely S, White PD: There is only one functional somatic syndrome. Br J Psychiatry 2004 Aug;185:95-96.
May 2005
FREE Review Mayou R, Kirmayer LJ, Simon G, Kroenke K, Sharpe M: Somatoform disorders: time for a new approach in DSM-V. Am J Psychiatry 2005 May;162(5):847-855.
April 2006
FREE Comments on: Mayou R, Kirmayer LJ, Simon G, Kroenke K, Sharpe M: Somatoform disorders: time for a new approach in DSM-V. Am J Psychiatry. 2005 May;162(5):847-855.
Rief W, Henningson P, Hiller W: Classification of somatoform disorders. Am J Psychiatry. 2006 Apr;163(4):746-7; author reply 747-8.
Stein E: Classification of somatoform disorders. Am J Psychiatry. 2006 Apr;163(4):746-7; author reply 747-8.
Letter to the Editor
Sharpe M, Kirmeyer L, Kroenke K, Mayou R, Simon G: Dr Sharpe and Colleagues Reply. Am J Psychiatry. 2006 Apr;163(4):747-8.
April 2006
Papers resulting out of the proceedings of the first CISSD Project Workshop (London, 20 May 2005). The Editor of the Journal of Psychosomatic Research is Prof Francis Creed, CISSD Project Work Group member and APA DSM-V Somatic Distress Disorders Work Group member.
Special Mini-Series on Somatoform Disorders
Guest editors: Kurt Kroenke and Michael Sharpe. J Psychosom Res 2006 Apr;60(4):325-356.
Kroenke K, Sharpe M: Preface. J Psychosom Res 2006 Apr;60(4):323.
Levenson JL: A rose by any other name is still a rose. J Psychosom Res 2006 Apr;60(4):325-326.
Bradfield JWB: A pathologist’s perspective of the somatoform disorders. J Psychosom Res 2006 Apr;60(4):327-330.
Creed F: Can DSM-V facilitate productive research into the somatoform disorders? J Psychosom Res 2006 Apr;60(4):331-334.
Kroenke K: Physical symptom disorder: a simpler diagnostic category for somatization-spectrum conditions. J Psychosom Res 2006 Apr;60(4):335-339.
Sykes R: Somatoform disorders in DSM-IV: mental or physical disorders? J Psychosom Res 2006 Apr;60(4):341-344.
WHO Collaborating Centre, Institute of Psychiatry, University of London, United Kingdom.
Hiller W: Don’t change a winning horse. J Psychosom Res 2006 Apr;60(4):345-347.
De Gucht V, Maes S: Explaining medically unexplained symptoms: toward a multidimensional, theory-based approach to somatization. J Psychosom Res 2006 Apr;60(4):349-352.
Sharpe M, Mayou R, Walker J: Bodily symptoms: new approaches to classification. J Psychosom Res 2006 Apr;60(4):353-356.
June 2006
Article Sykes R: The draft report of the CISSD project. J Psychosom Res 2006; 60:663–664.
July 2006
Allen LA, Woolfolk RL, Escobar JI, Gara MA, Hamer RM: Cognitive-Behavioral Therapy for Somatization Disorder A Randomized Controlled Trial. Arch Intern Med. 2006 Jul;166(14):1512-1518.
March 2007
FREE PDF Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B: Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007 Mar 6;146(5):317-325.
March 2007
Rief W, Isaac M: Are somatoform disorders ‘mental disorders’? A contribution to the current debate. Curr Opin Psychiatry 2007 Mar;20(2):143-146.
July 2007
Review paper published by the CISSD Project leads
FREE Kroenke K, Sharpe M, Sykes R: Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations. Psychosomatics 2007 Jul-Aug;48(4):277-285.
Oct 2007
Editorial Brown R J: Introduction to the special issue on medically unexplained symptoms: Background and future directions. Clin Psychol Rev 2007 Oct;27(7):769-80.
Dec 2007
Review Kanaan RA, Lepine JP, Wessely SC: The association or otherwise of the functional somatic syndromes. Psychosom Med 2007 Dec;69(9):855-9.
FREE Psychosom Med Author manuscript available in PMC 2008
Dec 2007
Kroenke K: Somatoform disorders and recent diagnostic controversies. Psychiatr Clin North Am 2007 Dec;30(4):593-619.
Dec 2007
Five researchers/clinicians who were CISSD Work Group members at the time, presented at the APA convened diagnosis-related research planning conference: Somatic Presentations of Mental Disorders Symposium, 6-8 Sept 2006, Beijing, China [Escobar J (US), Mayou R (UK), Sharpe M (UK), Rief W (Ger), Kroenke K (US)].
Summaries of presentations and recommendations resulting out of the proceedings of the Symposium:
According to the Editorial by Darrel A Regier in Psychosom Med. 2007 Dec;69(9):827-828, reprints of these articles and additional papers from the conference will be available in a monograph to be published in late 2008 by the American Psychiatric Press, Inc. which will serve as a resource document for the DSM-V Task Force and disorder-specific Work Groups.
Editorial and papers based on the 2006 Beijing Symposium presentations
Journal of Psychosomatic Medicine 69:827-828 (2007)
Somatic Presentations: Overview
FREE Regier DA: Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V. Psychosom Med. 2007 Dec;69(9):827-828.
Dimsdale JE, Patel E , Xin Y, Kleinman A: Somatic Presentations-A Challenge for DSM-V. Psychosom Med. 2007 Dec;69(9):829. No Abstract available.
Somatic Presentations: History
FREE Oken D: Evolution of Psychosomatic Diagnosis in DSM. Psychosom Med 2007 Dec;69(9):830-831.
Somatic Presentation: Culture
Laurence J. Kirmayer, Sartorius N: Cultural Models and Somatic Syndromes. Psychosom Med 2007 Dec;69(9):832-840.
Escobar J, Gureje O: Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and Syndromes. Psychosom Med 2007 Dec;69(9):841-845.
Lee S, Kleinman A: Are Somatoform Disorders Changing With Time? The Case of Neurasthenia in China. Psychosom Med 2007 Dec;69(9):846-849.
Somatic Presentations: Biology
Dimsdale J, Dantzer R: A Biological Substrate for Somatoform Disorders: Importance of Pathophysiology. Psychosom Med 2007 Dec;69(9):850-854.
Somatic Presentations: Epidemiology
Kanaan RA, Lepine JP, Wessely S: The Association or Otherwise of the Functional Somatic Syndromes. Psychosom Med 2007 Dec;69(9):855-859.
Lieb R, Meinlschmidt G, Araya R: Epidemiology of the Association Between Somatoform Disorders and Anxiety and Depressive Disorders: An Update. Psychosom Med 2007 Dec;6 (9):860-863.
Rief W, Rojas R: Stability of Somatoform Symptoms-Implications for Classification. Psychosom Med 2007 Dec;69(9):864-869.
Hasin D, Katz H: Somatoform and Substance Use Disorders. Psychosom Med 2007 Dec;69(9):870-875.
Somatic Presentations: Treatment
Mayou R: Are Treatments for Common Mental Disorders Also Effective for Functional Symptoms and Disorder? Psychosom Med 2007 Dec;69(9):876-880.
Kroenke K: Efficacy of Treatment for Somatoform Disorders: A Review of Randomized Controlled Trials. Psychosom Med 2007 Dec;69(9):881-888.
Sumathipala A: What is the Evidence for the Efficacy of Treatments for Somatoform Disorders? A Critical Review of Previous Intervention Studies. Psychosom Med 2007 Dec;69(9):889-900.
July 2008
Comment in response to FREE Kroenke K, Sharpe M, Sykes R: Revising the classification of somatoform disorders: key questions and preliminary recommendations. Psychosomatics 2007 Jul-Aug;48(4):277-85.
FREE Comment, Letter Mailis Gagnon A, Nicholson K, Zurowski M: The future of the DSM pain disorder category. Psychosomatics 2008 Jul-Aug;49(4):362.
Oct 2008
FREE Review Löwe B, Mundt C, Herzog W, Brunner R, Backenstrass M, Kronmüller K, Henningsen P: Validity of Current Somatoform Disorder Diagnoses: Perspectives for Classification in DSM-V and ICD-11. Psychopathology 2008;41(1):4-9. Epub 2007.
Nov 2008
Van Houdenhove B, Luyten P: Customizing treatment of chronic fatigue syndrome and fibromyalgia: the role of perpetuating factors. Psychosomatics 2008 Nov-Dec;49(6):470-477.
Webcasts and PowerPoint presentations:
[For ease of opening, paste URLs for PowerPoint files and PowerPoint PDFs directly into browser.]
2000?
Mental Health Research in the Primary Care Setting: Challenges and Opportunities for Young Clinical Researchers: Javier I Escobar MD, Professor and Chairman, Department of Psychiatry, Robert Wood Johnson Medical School [367 KB]
2002?
Functional somatic syndromes: Peter Stevenson, Royal Australian College of Physicians [792 KB]
April 2008
Royal Society of Medicine CFS Conference: What is Chronic Fatigue Syndrome and what is ME?: Prof Peter Denton White, Bart's and the London School of Medicine [278 KB]
Power Point slides only:
Webcast (registration required):
Transcript first 6 minutes: Prof Peter White discouraging Conference from using ICD-10 Document [5] at or see:
Oct 2008
Coping and Complaining Understanding Somatisation with DMM: Simon R Wilkinson, Ulleval Hospital, Oslo [204 KB]
Futher reading:
Making Us Crazy DSM: The Psychiatric Bible and the Creation of Mental Disorders
Herb Kutchins and Stuart A Kirk 1997 304 pages Free Press ISBN 0743261208 Paperback
This version 1.1 Last updated: 15 April 2009 Previous version 1.0 28.03.09
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