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Vol. 35, No. 2-3, 2002
Issue release date: March–June 2002
Section title: Topical Review of Experience with Current Diagnostic Systems
Psychopathology 2002;35:94–99
(DOI:10.1159/000065126)

Mood Disorders: Review of Current Diagnostic Systems

Paykel E.S.
Department of Psychiatry, University of Cambridge, Cambridge, UK

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Article / Publication Details

First-Page Preview
Abstract of Topical Review of Experience with Current Diagnostic Systems

Published online: 7/17/2002
Issue release date: March–June 2002

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 1

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP

Abstract

In their sections on mood disorders, both ICD-10 and DSM-IV represent considerable advances on ICD-9 in drawing affective disorders together in one section, distinguishing bipolar disorder from unipolar, including dysthymia and using clear definitions. Problems with ICD-10 include complexity, use of different clinical and research definitions, emphasis on single versus recurrent episodes and the lack of some clinically useful subtypes. DSM-IV is less complex but assigns separate unjustified categories of medical and substance-induced mood disorders, and fails to code its useful qualifiers. Both classifications preserve categories for psychotic depression and melancholia/somatic syndrome, which are better coded in ICD-10. The severity distinctions could usefully be extended to a milder category of minor depression. It is also recommended that the two classifications be brought together, with small differences in definitions ironed out and a single set used both clinically and for research, the simpler DSM-IV organisation, the omission of the categorisations of single versus recurrent and mood disorder due to general medical or substance abuse disorders, and the inclusion of coding for some subtypes such as seasonal and postpartum.


  

Author Contacts

E.S. Paykel, MD, FRCP, FRCPsych, FMedSci
Department of Psychiatry, University of Cambridge
Douglas House, 18E Trumpington Road
Cambridge CB2 2AH (UK)
Fax +44 1223 741 929, E-Mail esp10@cam.ac.uk

  

Article Information

Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 1, Number of References : 20

  

Publication Details

Psychopathology (International Journal of Descriptive Psychopathology Phenomenology and Clinical Diagnositcs)
Founded 1897 as ‘Monatsschrift für Psychiatrie und Neurologie’

Vol. 35, No. 2-3, Year 2002 (Cover Date: March-June 2002)

Journal Editor: E. Gabriel, Vienna; C. Mundt, Heidelberg
ISSN: 0254–4962 (print), 1423–033X (Online)

For additional information: http://www.karger.com/journals/psp


Article / Publication Details

First-Page Preview
Abstract of Topical Review of Experience with Current Diagnostic Systems

Published online: 7/17/2002
Issue release date: March–June 2002

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 1

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP


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