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Comparación del diagnóstico de rasgos melancólicos y atípicos según el DSM-IV y el síndrome somático según la CIE-10 en pacientes que sufren depresión mayor

Published online by Cambridge University Press:  12 May 2020

K. N. Fountoulakis ,
A. lacovides ,
I. Nimatoudis ,
G. Kaprinis  and
Ch. lerodiakonou
K. N. Fountoulakis
Affiliation:
Departamento de Psiquiatría, Universidad Aristotle de Thessaloniki, Hospital Universitario AHEPA, Thessaloniki, Grecia
A. lacovides
Affiliation:
Departamento de Psiquiatría, Universidad Aristotle de Thessaloniki, Hospital Universitario AHEPA, Thessaloniki, Grecia
I. Nimatoudis
Affiliation:
Departamento de Psiquiatría, Universidad Aristotle de Thessaloniki, Hospital Universitario AHEPA, Thessaloniki, Grecia
G. Kaprinis
Affiliation:
Departamento de Psiquiatría, Universidad Aristotle de Thessaloniki, Hospital Universitario AHEPA, Thessaloniki, Grecia
Ch. lerodiakonou
Affiliation:
Departamento de Psiquiatría, Universidad Aristotle de Thessaloniki, Hospital Universitario AHEPA, Thessaloniki, Grecia
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Resumen

Aunque el síndrome melancólico (según el DSM) o somático (según la CIE) tiene fuertes raíces históricas y una verificación empírica sustancial, el concepto de rasgos atípicos es relativamente nuevo y no se ha estudiado lo suficiente. El propósito del estudio actual era investigar la fiabilidad de estas subcategorías diagnósticas en pacientes que sufrían depresión mayor en Grecia. Se estudiaron 40 pacientes (ocho varones y 32 mujeres) de 19 a 60 años de edad (media; 39,3, DT; 12,2) que sufrían depresión mayor según los criterios del DSM-IV. Se utilizó SCAN v.2.0 para evaluar los síntomas. La presencia de cada criterio se registró según el DSM-IV y la CIE-10. Se desarrollaron tablas de frecuencia y se realizó análisis factorial y de grupos. Los resultados del análisis indican la existencia de tres síndromes que reflejan más o menos el síndrome melancólico y el atípico, pero también proponen un tercero, que se puede considerar como un síndrome "indiferenciado". Se confirmó la exigencia del DSM de que se excluya primero la existencia de rasgos melancólicos y se haga luego el diagnóstico de rasgos atípicos.

Keywords

atípicoclasificacióndepresiónDSM-IVCIE-10melancólicoSCANsomático
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 7 , Issue 4 , May 2000 , pp. 232 - 241
Copyright
Copyright © European Psychiatric Association 2000

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