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Vol. 38, No. 1, 2005
Issue release date: January–February 2005
Section title: Original Paper
Psychopathology 2005;38:32–37
(DOI:10.1159/000083968)

Diagnostic Stability in Depressive Disorder as according to ICD-10 in Clinical Practice

Kessing L.V.
Department of Psychiatry, University of Copenhagen, Rigshospitalet, Copenhagen, and Department of Psychiatric Demography, University of Aarhus, Psychiatric Hospital, Risskov, Denmark

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/7/2004
Accepted: 9/23/2004
Published online: 3/7/2005

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 3

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

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

Abstract

Background: The diagnostic stability of the ICD-10 diagnosis of depressive disorder has not been investigated in clinical practice. Sampling and Methods: All patients who were diagnosed with depressive disorder at least once in a period from 1994 to 2002 in psychiatric out- or inpatient settings in Denmark were identified in a nationwide register. Results: A total of 39,741 patients were diagnosed with depressive disorder at least once; among these, 81% were diagnosed at the first contact. In approximately 56% of patients, the initial diagnosis of depressive disorder eventually changed during follow-up mainly to the schizophrenic spectrum (16%), but also to personality disorders (9%), neurotic, stress-related and somatoform disorders (8%) and to bipolar disorder (8%). Among the 18% of patients who were later diagnosed with depressive disorder, 23% initially had a diagnosis of adjustment disorder. Conclusions: When the ICD-10 diagnoses are used in clinical practice, the diagnosis of depressive disorder has a low stability over time. These findings emphasize the need for a longitudinally based diagnostic process in the diagnostic systems.


  

Author Contacts

Lars Vedel Kessing
Department of Psychiatry, University Hospital of Copenhagen
Rigshospitalet, Biegdamsvej 9
DK–2100 Copenhagen Ø (Denmark)
Tel. +45 3545 6237, Fax +45 3545 6218, E-Mail lars.kessing@rh.dk

  

Article Information

Received: April 7, 2004
Accepted after revision: September 23, 2004
Published online: February 15, 2005
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 3, Number of References : 17

  

Publication Details

Psychopathology (International Journal of Descriptive and Experimental Psychopathology, Phenomenology and Psychiatric Diagnosis)

Vol. 38, No. 1, Year 2005 (Cover Date: January-February 2005)

Journal Editor: C. Mundt, Heidelberg; E. Gabriel, Wien; J.E. Mezzich, New York, N.Y.
ISSN: 0254–4962 (print), 1423–033X (Online)

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


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/7/2004
Accepted: 9/23/2004
Published online: 3/7/2005

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 3

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

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


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