scholarly journals ICD-10 predicts risk of relapse and suicide in people diagnosed with a single depressive episode

2004 ◽  
Vol 7 (3) ◽  
pp. 89-89
Author(s):  
P. R D Goldney
Keyword(s):  
Depressive Episode ◽  
Icd 10 ◽  
Single Depressive Episode ◽  
Risk Of Relapse

scholarly journals Severity of depressive episodes according to ICD-10: prediction of risk of relapse and suicide

2004 ◽  
Vol 184 (2) ◽  
pp. 153-156 ◽  
Author(s):  
Lars Vedel Kessing
Keyword(s):  
Depressive Episode ◽  
Predictive Ability ◽  
Course Of Illness ◽  
Icd 10 ◽  
Single Depressive Episode ◽  
Severity Of Depression ◽  
Depressive Episodes ◽  
Risk Of Relapse

BackgroundThe ICD–10 categorisation of severity of depression into mild, moderate and severe depressive episodes has not been validated.AimsTo validate the ICD–10 categorisation of severity of depression by estimating its predictive ability on the course of illness and suicidal outcome.MethodAll psychiatric in-patients in Denmark who had received a diagnosis of a single depressive episode at their first discharge between 1994 and 1999 were identified. The risk of relapse and the risk of suicide were compared for patients discharged with an ICD–10 diagnosis of a single mild, moderate or severe depressive episode.ResultsAt their first discharge, 1103 patients had an ICD–10 diagnosis of mild depressive episode, 3182 had a diagnosis of moderate depressive episode and 2914 had a diagnosis of severe depressive episode. The risk of relapse and the risk of suicide were significantly different for the three types of depression – increasing from mild to moderate to severe depressive episode.ConclusionsThe ICD–10 way of grading severity is clinically useful and should be preserved in future versions.

scholarly journals Severity of depressive episodes during the course of depressive disorder

2008 ◽  
Vol 192 (4) ◽  
pp. 290-293 ◽  
Author(s):  
Lars Vedel Kessing
Keyword(s):  
Depressive Disorder ◽  
Depressive Episode ◽  
Prophylactic Treatment ◽  
First Episode ◽  
Case Register ◽  
Course Of Illness ◽  
Icd 10 ◽  
Single Depressive Episode ◽  
First Contact ◽  
Depressive Episodes

BackgroundIt is not clear whether the severity of depressive episodes changes during the course of depressive disorder.AimsTo investigate whether the severity of depressive episodes increases during the course of illness.MethodUsing a Danish nationwide case register, all psychiatric inpatients and out-patients with a main ICD-10 diagnosis of a single mild, moderate or severe depressive episode at the end of first contact were identified. Patients included in the study were from the period 1994–2003.ResultsA total of 19 392 patients received a diagnosis of a single depressive episode at first contact. The prevalence of severe depressive episodes increased from 25.5% at the first episode to 50.0% at the 15th episode and the prevalence of psychotic episodes increased from 8.7% at the first episode to 25.0% at the 15th episode. The same pattern was found regardless of gender, age at first contact and calendar year.ConclusionsThe increasing severity of depressive episodes emphasises the importance of early and sustained prophylactic treatment.

ICD-10 or DSM-IV? Anhedonia, fatigue and depressed mood as screening symptoms for diagnosing a current depressive episode in physically ill patients in general hospital

2010 ◽  
Vol 126 (1-2) ◽  
pp. 245-251 ◽  
Author(s):  
Ingrid Sibitz ◽  
Peter Berger ◽  
Marion Freidl ◽  
Andrea Topitz ◽  
Monika Krautgartner ◽  
...  
Keyword(s):  
General Hospital ◽  
Depressed Mood ◽  
Depressive Episode ◽  
Icd 10 ◽  
Dsm Iv ◽  
A Current

Gender differences in subtypes of late-onset depression and mania

2006 ◽  
Vol 18 (4) ◽  
pp. 727-738 ◽  
Author(s):  
Lars Vedel Kessing
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Bipolar Disorder ◽  
Substance Abuse ◽  
Depressive Episode ◽  
Elderly Men ◽  
Men And Women ◽  
Single Depressive Episode ◽  
First Contact ◽  
Comorbid Substance Abuse

Background: It is currently not known whether elderly men and women present with different subtypes of depression and mania/bipolar disorder. The aim of this study was to compare the prevalence of subtypes of a single depressive episode and mania/bipolar disorder according to the ICD-10 for elderly men and women in a nationwide sample of all out- and inpatients in psychiatric settings.Methods: All patients older than 65 years who received a diagnosis of a single depressive episode and mania/bipolar disorder in the period from 1994 to 2002 at the end of their first outpatient treatment or at their first discharge from psychiatric hospitalization in Denmark were identified in a nationwide register.Results: A total of 9837 patients aged more than 65 years received a diagnosis of a single depressive episode (69.9% were women) and 443 a diagnosis of mania/bipolar disorder (61.6% were women) at the end of their first contact with psychiatric health care. Slightly more women than men received a diagnosis of mild (70.8%) or moderate depression (67.4%) compared to severe depression (65.9%). Men more often presented with a single depressive episode with comorbid substance abuse or comorbid somatic illness. No gender differences were found in the prevalence of depression with or without melancholic or psychotic symptoms. Men more often presented with mania/bipolar disorder with comorbid substance abuse.Conclusions: The distributions of the subtypes of a single depressive episode or mania/bipolar disorder are remarkably similar for male and female patients aged over 65 years with first contact with the psychiatric health-care system.

Rate of depressive episode in Peruvian oncologic outpatients.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e12043-e12043
Author(s):  
Luis Furuya ◽  
Erick Infanzon ◽  
Diego Venegas
Keyword(s):  
Breast Cancer ◽  
Depressive Episode ◽  
Financial Status ◽  
The Poor ◽  
Epidemiological Features ◽  
Two Factors ◽  
Icd 10 ◽  
The Mean ◽  
The Relationship ◽  
Transversal Study

e12043 Background: Depression in Lima, Peru has a prevalence rate of 6.7% and lifetime prevalence of 19%. The relationship between depression and cancer has been widely studied, affects approximately 15% to 25% of cancer patients. However, there is little research in latin population. We report the results of evaluate the frequency of depressive disorder in Peruvian oncologic outpatients and describe clinical and epidemiological features Methods: A descriptive transversal study was performed to 70 patients that attended to oncology clinic at the Hospital Nacional Cayetano Heredia. Data was collected through a survey that included a clinical demographic record and the spanish version – ICD 10 of the Mini International Neuropsychiatric Interview for the diagnosis of depressive episode. Results: The 52% of the participants were females. The mean age was 57 years (18- 83 y) Breast cancer (21%) and lymphoma non Hodgkin (21%) were the most common types of cancer. The mean period from diagnosis was 5 month. The frequency of depressive episode was 21.4%. The 33.3% of women with breast cancer had depression, while patients with NHL had only 13.3% of frequency. We founded two factors with statistically significant association: poor financial status (p =0.041) and advance clinical stages (III and IV) (p = 0.026; OR: 6.8) Conclusions: The frequency of depressive episode was similar to other reports in the literature, the poor financial status and advanced stage are most associated with depression in our population

scholarly journals Risk factors for new depressive episodes in primary health care: an international prospective 12-month follow-up study

2002 ◽  
Vol 32 (4) ◽  
pp. 595-607 ◽  
Author(s):  
K. BARKOW ◽  
W. MAIER ◽  
T. B. ÜSTÜN ◽  
M. GÄNSICKE ◽  
H.-U. WITTCHEN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Depressive Episode ◽  
Icd 10 ◽  
Depressive Episodes ◽  
Psychiatric Problems

Background. Studies that examined community samples have reported several risk factors for the development of depressive episodes. The few studies that have been performed on primary care samples were mostly cross-sectional. Most samples had originated from highly developed industrial countries. This is the first study that prospectively investigates the risk factors of depressive episodes in an international primary care sample.Methods. A stratified primary care sample of initially non-depressed subjects (N = 2445) from 15 centres from all over the world was examined for the presence or absence of a depressive episode (ICD-10) at the 12 month follow-up assessment. The initial measures addressed sociodemographic variables, psychological/psychiatric problems and social disability. Logistic regression analysis was carried out to determine their relationship with the development of new depressive episodes.Results. At the 12-month follow-up, 4·4% of primary care patients met ICD-10 criteria for a depressive episode. Logistic regression analysis revealed that the recognition by the general practitioner as a psychiatric case, repeated suicidal thoughts, previous depressive episodes, the number of chronic organic diseases, poor general health, and a full or subthreshold ICD-10 disorder were related to the development of new depressive episodes.Conclusions. Psychological/psychiatric problems were found to play the most important role in the prediction of depressive episodes while sociodemographic variables were of lower importance. Differences compared with other studies might be due to our prospective design and possibly also to our culturally different sample. Applied stratification procedures, which resulted in a sample at high risk of developing depression, might be a limitation of our study.

scholarly journals Clinical Features of Youth Depression with Attenuated Symptoms of the Schizophrenic Spectrum

Psychiatry ◽  
2021 ◽  
Vol 19 (1) ◽  
pp. 16-25
Author(s):  
M. A. Omelchenko
Keyword(s):  
Mental Health ◽  
Depressive Episode ◽  
Negative Symptoms ◽  
Mental Health Research ◽  
Research Centre ◽  
Psychotic Symptoms ◽  
Control Group ◽  
Youth Depression ◽  
Icd 10 ◽  
Type 3

Objective: establishment of clinical and psychometric features of youth depression with attenuated symptoms of the schizophrenic spectrum (ASSS) for early differential diagnosis and nosological assessment.Patients and methods: clinical and psychometric examination of young 219 inpatients (average age 19.6 ± 2.4 years), first admitted to the clinic “Mental Health Research Centre” from 2011 to 2020 with the first depressive episode with ASSS. Control group of inpatients (52 patients) with “classical” youth depressions without ASSS (average age 19.6 ± 2.4 years). Diagnosis  according ICD-10: F32.1, F32.2, F32.28, F32.8.Results: the psychopathological structure of youth depression with ASSS is characterized by the following types: (1) depression with attenuated psychotic symptoms (APS), which were divided into the subtype (1a) depression with APS and (1b) depression with brief limited intermittent psychotic symptoms (BLIPS); (2) depression with attenuated negative symptoms (ANS), comprising two subtypes (2a) with most emotional damage and (2b) with volitional impairment, and type (3) with attenuated symptoms of disorganization (ASD) in the structure of depressive episode. Clinical and reliable psychometric differences have been established between depressions with ASSS and «classical» youth depressions without ASSS. Conclusions: youth depression with ASSS is definitely different from “classical” youth depression without ASSS. Differences have been found in  the psychopathological structure of youth depression with ASSS, resulting in a typological differentiation.

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