Diagnostik und Differenzialdiagnosen depressiver Störungen

2015 ◽  
Vol 34 (11) ◽  
pp. 855-860
Author(s):  
M. Schmauß
Keyword(s):  
Depressive Störungen ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv

ZusammenfassungDepressive Störungen sind in den aktuellen Diagnosesystemen ICD-10 und DSM-IV bzw. DSM-V primär nach klinischen Kriterien wie Schweregrad und Verlauf eingeteilt. Neben dieser kategorealen Diagnostik werden in diesem Artikel auch Aspekte der syndromalen Diagnostik dargestellt. Im Weiteren finden sich Hinweise auf das diagnostische Vorgehen bei Verdacht auf depressive Störungen und auf die wichtigsten somatischen und psychiatrischen Differenzialdiagnosen (Angsterkrankungen, Belastungsstörungen, schizoaffektive Psychosen, Schizophrenie, Burnout).

Problemi di psicoterapia

2010 ◽  
pp. 53-66
Keyword(s):  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Dsm Iv

Vengono presentati i principali sistemi di diagnosi psichiatrica, e precisamente le ultime edizioni del Diagnostic and Statistical Manual (DSM) dell'American Psychiatric Association (il DSM-III del 1980, il DSM-III-R del 1987, il DSM-IV del 1994, il DSM-IV-TR del 2000, e il DSM-V previsto per il 2013), la 10a edizione dell'International Classification of Diseases (ICD-10) proposta nel 1992 dall'Organizzazione Mondiale della Sanitŕ (OMS), e il Manuale Diagnostico Psicodinamico (PDM) prodotto dalla comunitŕ psicoanalitica internazionale nel 2006. A proposito dei DSM, vengono discussi alcuni problemi metodologici quali le dicotomie validitŕ/attendibilitŕ, categorie/dimensioni e politetico/monotetico, e anticipati alcuni dibattiti critici a proposito del futuro DSM-V. Infine, vengono discusse le seguenti problematiche: la psicopatologia "descrittiva" e "strutturale"; la diagnosi come "difesa" del terapeuta; l'aspetto scientifico e l'aspetto filosofico della diagnosi; i tentativi di "sospensione" del giudizio e dei nostri preconcetti; la dicotomia nomotetico-idiografico.

scholarly journals Harmonisation of ICD–11 and DSM–V: opportunities and challenges

2009 ◽  
Vol 195 (5) ◽  
pp. 382-390 ◽  
Author(s):  
Michael B. First
Keyword(s):  
Diagnostic Criteria ◽  
Development Process ◽  
Prior Experience ◽  
International Communication ◽  
Tic Disorder ◽  
Parallel Development ◽  
Dsm V ◽  
Two Systems ◽  
Icd 10 ◽  
Dsm Iv

BackgroundDifferences in the ICD–10 and DSM–IV definitions for the same disorder impede international communication and research efforts. The forthcoming parallel development of DSM–V and ICD–11 offers an opportunity to harmonise the two classifications.AimsThis paper aims to facilitate the harmonisation process by identifying diagnostic differences between the two systems.MethodDSM–IV–TR criteria sets and the ICD–10 Diagnostic Criteria for Research were compared and categorised into those with identical definitions, those with conceptually based differences and those in which differences are not conceptually based and appear to be unintentional.ResultsOf the 176 criteria sets in both systems, only one, transient tic disorder, is identical. Twenty-one per cent had conceptually based differences and 78% had non-conceptually based differences.ConclusionsHarmonisation of criteria sets, especially those with non-conceptually based differences, should be prioritised in the DSM–V and ICD–11 development process. Prior experience with the DSM–IV and ICD–10 harmonisation effort suggests that for the process to be successful steps should be taken as early as possible.

Neurocognitive disorders: Cluster 1 of the proposed meta-structure for DSM-V and ICD-11

2009 ◽  
Vol 39 (12) ◽  
pp. 2001-2012 ◽  
Author(s):  
P. Sachdev ◽  
G. Andrews ◽  
M. J. Hobbs ◽  
M. Sunderland ◽  
T. M. Anderson
Keyword(s):  
Mental Disorders ◽  
Task Force ◽  
Cognitive Disorders ◽  
Neurocognitive Disorders ◽  
Study Group ◽  
Normal Brain ◽  
Dsm V ◽  
Co Morbidity ◽  
Icd 10 ◽  
Dsm Iv

BackgroundIn an effort to group mental disorders on the basis of aetiology, five clusters have been proposed. In this paper, we consider the validity of the first cluster, neurocognitive disorders, within this proposal. These disorders are categorized as ‘Dementia, Delirium, and Amnestic and Other Cognitive Disorders’ in DSM-IV and ‘Organic, including Symptomatic Mental Disorders’ in ICD-10.MethodWe reviewed the literature in relation to 11 validating criteria proposed by a Study Group of the DSM-V Task Force as applied to the cluster of neurocognitive disorders.Results‘Neurocognitive’ replaces the previous terms ‘cognitive’ and ‘organic’ used in DSM-IV and ICD-10 respectively as the descriptor for disorders in this cluster. Although cognitive/organic problems are present in other disorders, this cluster distinguishes itself by the demonstrable neural substrate abnormalities and the salience of cognitive symptoms and deficits. Shared biomarkers, co-morbidity and course offer less persuasive evidence for a valid cluster of neurocognitive disorders. The occurrence of these disorders subsequent to normal brain development sets this cluster apart from neurodevelopmental disorders. The aetiology of the disorders is varied, but the neurobiological underpinnings are better understood than for mental disorders in any other cluster.ConclusionsNeurocognitive disorders meet some of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster. Further developments in the aetiopathogenesis of these disorders will enhance the clinical utility of this cluster.

A Qualitative Analysis on What Brazilian Psychiatrists Want from Current Diagnostic Classifications

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
A. Santos Júnior ◽  
L.F.A.L. Silva ◽  
C.E.M. Banzato ◽  
M.E.C. Pereira
Keyword(s):  
Daily Practice ◽  
Diagnostic Systems ◽  
Diagnostic Categories ◽  
Frequent Use ◽  
Open Questions ◽  
Dsm V ◽  
The Everyday ◽  
Icd 10 ◽  
Axis I ◽  
Dsm Iv

Aims:To analyze the qualitative answers profile of an anonymous standardized survey, with qualitative and quantitative questions, about the Brazilian psychiatrists' perceptions on their use of the multiaxial diagnostic systems ICD 10 and DSM-IV and on their expectations about future revisions of these classifications (ICD-11 and DSM-V).Method:the questionnaire, elaborated by Graham Mellsop (New Zealand), was translated into Portuguese and sent through mail to 1050 psychiatrists affiliated to the Brazilian Psychiatry Association. The quantitative analysis is presented elsewhere.Results:One hundred and sixty questionaries returned (15,2%). From these, 71,1% of the open questions where answered. The most needed and/or desirable qualities in a psychiatric classification were found to be: simplicity, criteria clarity, objectivity, comprehensibility, reliability and ease to use. The axis I of the ICD-10 was reported to be the most used due to its instrumental character in addition to being the official classification, including for legal and bureaucratic purposes. The DSM-IV was also used in the everyday practice, mostly for education and research purposes, by psychiatrists with academic affiliations. The less frequent use of the multiaxial systems was justified by the lack of training and familiarity, the overload of information and by the fact they are not mandatory. It was evaluated that some diagnostic categories must be reviewed, like: mental retardation, eating disorders, personality disorders, sleeping disorders, child and adolescence disorders, affective and schizoaffective disorders.Conclusion:This material offers a systematic panorama about the psychiatrists' opinions and expectations concerning the diagnostic instruments used in the daily practice.

The 1-Month Prevalence of Generalized Anxiety Disorder According to DSM-IV, DSM-V, and ICD-10 Among Nondemented 75-Year-Olds in Gothenburg, Sweden

2012 ◽  
Vol 20 (11) ◽  
pp. 963-972 ◽  
Author(s):  
Johan Nilsson ◽  
Svante Östling ◽  
Margda Waern ◽  
Björn Karlsson ◽  
Robert Sigström ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Generalized Anxiety ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv

scholarly journals Distress and fear disorders: an alternative empirically based taxonomy of the ‘mood’ and ‘anxiety’ disorders

2006 ◽  
Vol 189 (6) ◽  
pp. 481-483 ◽  
Author(s):  
Lee Anna Clark ◽  
David Watson
Keyword(s):  
Anxiety Disorders ◽  
Broad Group ◽  
Mood And Anxiety Disorders ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv ◽  
Internalising Disorders

SummaryThe nosological organisation of DSM – IV and ICD–10 does not capture the empirical structure of the mood and anxiety disorders. Instead, they form a broad group of ‘internalising’ disorders with two subclasses: distress disorders and fear disorders. This empirical structure should form the basis for revised taxonomies in DSM–V and ICD–11.

Considerations on classification of alcohol induced mental disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 90-90
Author(s):  
I. Pajević ◽  
M. Hasanović
Keyword(s):  
Mental Disorders ◽  
Delirium Tremens ◽  
Alcohol Withdrawal Syndrome ◽  
Classification Systems ◽  
Dimensional Structure ◽  
Clinical Samples ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv ◽  
Substance Related Disorders

IntroductionCurrent valid classification systems (ICD-10 and DSM-IV) of the alcohol-induced disorders include: acute intoxication, pathological intoxication, alcohol withdrawal syndrome, psychotic disorder with delusions or hallucinations, delirium tremens, amnesic syndrome, mood disorders and anxiety disorders caused by alcohol consumption (only in DSM-IV) and sexual dysfunction.AimTo consider adequacy of existing classifications of alcohol dependency and to offer more adequate suggestion for ICD-11 and DSM-V.MethodologyAuthors compared and analyzed the diagnostic criteria that are offered in the current classifications for these disorders.ResultsThere are many similarities and many differences between existing diagnostic criteria's. The former name of the DSM-IV (Substance related disorders, which include Alcohol related disorders) is inappropriate since it excludes other related disorders. Another important issue that is currently a subject of extensive discussions in the process of finalizing the DSM-V refers to the current distinction terms abuse and alcohol dependence. Scientific documents about the criteria of abuse and dependence in clinical samples and samples from the general population suggest that the DSM-IV criteria for abuse and dependence can be considered as part of a one-dimensional structure, thus for DSM-V it could be combined into a single disorder, with two criteria to make a diagnosis.ConclusionIt is expected that the principles adopted by the WHO during the preparation for ICD-11, which includes bridging the differences between ICD and DSM and the introduction of the person centered integrative diagnosis (PID) will be an important step forward in understanding and distinction among alcohol induced mental disorders.

Das Kapitel Schlafstörungen im DSM-V – ein Zwischenbericht

2011 ◽  
Vol 59 (4) ◽  
pp. 275-280 ◽  
Author(s):  
Dieter Riemann ◽  
Charles M. ◽  
Charles F.
Keyword(s):  
Depressive Episode ◽  
Restless Legs ◽  
Insomnia Disorder ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv ◽  
Internationale Klassifikation ◽  
Restless Legs Syndrom

Zusammenfassung.Schlafstörungen gehören zu den häufigsten Gesundheitsbeeinträchtigungen überhaupt und sind nicht selten ein Frühsymptom psychischer Erkrankungen. Insomnische Beschwerden, d. h. Klagen über Ein- und/oder Durschschlafprobleme persistieren häufig über den aktuellen Erkrankungszeitraum, zum Beispiel eine depressive Episode, hinaus und stellen einen Risikofakor für Rückfalle dar. Aktuell stehen zur diagnostischen Klassifikation von Schlafstörungen das ICD-10, DSM-IV und die ICSD-2 (Internationale Klassifikation der Schlafstörungen) zur Verfügung. Im DSM-V werden sowohl das Restless-Legs-Syndrom (RLS) als auch die REM-Schlafverhaltensstörung in den Rang eigenständiger Krankheitskategorien erhoben, was durch die Fülle von empirischen Daten zu beiden Störungsbildern mehr als gerechtfertigt erscheint. Im Hinblick auf die Diagnostik von Insomnien wird die Differenzierung in primäre/sekundäre Störungen zugunsten des übergreifenden Konzepts einer Insomnischen Störung (insomnia disorder) aufgegeben.

scholarly journals Exploring the feasibility of a meta-structure for DSM-V and ICD-11: could it improve utility and validity?

2009 ◽  
Vol 39 (12) ◽  
pp. 1993-2000 ◽  
Author(s):  
G. Andrews ◽  
D. P. Goldberg ◽  
R. F. Krueger ◽  
W. T. Carpenter ◽  
S. E. Hyman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Public Administration ◽  
Cognitive Deficits ◽  
Negative Emotionality ◽  
Dsm V ◽  
Neural Substrate ◽  
Icd 10 ◽  
Dsm Iv ◽  
Information Processing Deficits ◽  
Large Groups

BackgroundThe organization of mental disorders into 16 DSM-IV and 10 ICD-10 chapters is complex and based on clinical presentation. We explored the feasibility of a more parsimonious meta-structure based on both risk factors and clinical factors.MethodMost DSM-IV disorders were allocated to one of five clusters as a starting premise. Teams of experts then reviewed the literature to determine within-cluster similarities on 11 predetermined validating criteria. Disorders were included and excluded as determined by the available data. These data are intended to inform the grouping of disorders in the DSM-V and ICD-11 processes.ResultsThe final clusters were neurocognitive (identified principally by neural substrate abnormalities), neurodevelopmental (identified principally by early and continuing cognitive deficits), psychosis (identified principally by clinical features and biomarkers for information processing deficits), emotional (identified principally by the temperamental antecedent of negative emotionality), and externalizing (identified principally by the temperamental antecedent of disinhibition).ConclusionsLarge groups of disorders were found to share risk factors and also clinical picture. There could be advantages for clinical practice, public administration and research from the adoption of such an organizing principle.

scholarly journals THE BIPOLAR AFFECTIVE DISORDER TYPE II

2018 ◽  
Vol 24 (3) ◽  
pp. 157-162
Author(s):  
Leonid M. Bardenshteyn ◽  
N. N Osipova ◽  
Ya. M Slavgorodsky ◽  
N. I Beglyankin ◽  
G. A Aleshkina ◽  
...  
Keyword(s):  
Affective Disorder ◽  
Bipolar Affective Disorder ◽  
International Studies ◽  
Type Ii ◽  
Diagnostic Systems ◽  
Course Of Disease ◽  
Dsm V ◽  
Icd 10 ◽  
Dsm Iv ◽  
Disorder Type

The article presents review of modern publications concerning studies of bipolar affective disorder type II. The materials are summing up concerning national and international studies of characteristics of clinical course of depressions and hypo-maniacal states within the framework of bipolar affective disorder type II, problems of differential diagnostic of bipolar affective disorder within spectrum of affective pathology. The significance of studying of pre-morbid background in case of bipolar affective disorder type II, co-morbid states for prognosis of course of disease is demonstrated. The screening, diagnostic and estimated scales and questionnaires are considered including principles of their application as an add-on to actual international diagnostic systems ICD-10, DSM-IV-TR, DSM-V.

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