Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T04:37:03.453Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Altman, DGPractical Statistics for Medical Research. London: Chapman & Hall; 1991.Google Scholar
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 3rd Ed, DSM-III. American Psychiatric Press: Washington DC; 1980.Google Scholar
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th Ed, DSM-IV. American Psychiatric Press: Washington DC, 1994.Google Scholar
Bech, PGram, LFReisby, NRafaelsen, OJThe WHO depresión scale: relationship to the Newcastle scales. Acta Psychiatr Scand 1980; 62: 140–55.CrossRefGoogle Scholar
Carney, MRoth, MGarside, RFThe diagnosis of depressive syndromes and the prediction of ECT response. Br J Psychiatry 1965; 111: 659–74.CrossRefGoogle Scholar
Cattell, RBThe description of personality I: Foundations of trait measurement. Psychol Rev 1943; 50: 559–94.CrossRefGoogle Scholar
Coryell, RBWinokur, GShea, TMaser, JEndicott, JAkiskal, HThe long-term stability of depressive subtipes. Am J Psychiatry 1994; 151: 199–204.Google Scholar
Dally, PJRohde, PComparison of antidepressant drugs in depressive illnesses. Lancet 1961; 1: 18–20.CrossRefGoogle ScholarPubMed
Davidson, PJTumbull, CStrickand, RBelyea, MComparative diagnostic criteria for melancholia and endogenous depression. Arch Gen Psychiatry 1984; 41: 506–11.CrossRefGoogle ScholarPubMed
Everitt, BSCluster Analysis. 3rd ed. New York: Edward Arnold; 1993.Google Scholar
Everitt, BSBimodality and the nature of depression. Brit J Psychiatriy 1981; 138: 336–9.CrossRefGoogle ScholarPubMed
Farmer, AMcGuffin, TThe classification of the depressions - Contemporary confusion revisited. Brit J Psychiatr 1989; 155: 437–43.CrossRefGoogle ScholarPubMed
Gillespie, RDDiscussion on manic-depressive pychosis. BMJ 1926; 2: 878–9.Google Scholar
Kendell, REThe classification of depressions: A review of contemporary confusión. Brit J Psychiatric 1976; 129: 15–28.CrossRefGoogle ScholarPubMed
Kendell, REThe stability of psychiatric diagnosis. Br J Psychiatry 1974; 124: 352–6.CrossRefGoogle ScholarPubMed
Kraepelin, ELectures on Clinical Psychiatry. London: Tindall and Cox; 1904.CrossRefGoogle Scholar
Leckman, JWeisman, MPrusoff, BCaruso, KMerikangas, KPauls, Det al.Subtypes of depression. Arch Gen Psychiatry 1984; 41: 833–8CrossRefGoogle ScholarPubMed
Levitan, RLesage, AParikh, SGoering, PKennedy, SReversed neurovegetative symptoms in depression: A community study of Ontario. Am J Psychiatry 1997; 154: 7: 934–40.Google Scholar
Lewis, AMelancholia: A clinical survey of depressive States. J Ment Sci 1934; 80: 277–8.CrossRefGoogle Scholar
Liebowitz, MRQuitkin, FMStewart, JMcGrath, PJHarrisson, WRabkin, Jet al.Phenelzine vs Imipramine in atypical depression. Arch Gen Psychiatry 1984; 41: 669–77.CrossRefGoogle Scholar
Liebowitz, MRQuitkin, FMStewart, JMcGrath, PPHarrison, WMarkowitz, Jet al.Antidepressant specificity in atypical depression. Arch Gen Psychiatry 1988; 152: 766–74.Google Scholar
McGuffin, PKatz, RAldrich, JBebbington, PThe Camberwell Collaborative Depression Study, II: Investigation of family members. Br J Psychiatry 1988; 152: 766–74.CrossRefGoogle ScholarPubMed
McGuffin, PKatz, RAldrich, JBebbington, PThe Camberwell Collaborative Depression Study, II: Depression and anxietyin the relatives of depressed probands. Br J Psychiatriy 1988; 152: 775–82.CrossRefGoogle Scholar
Mendels, JCochrane, CThe nosology of depression: The endogenous-reactive concept. Am J Psychiatry 1968; 124:1–11.CrossRefGoogle ScholarPubMed
Nelson, GCharney, DThe symptoms of major depressive illness. Am J Psychiatry 1981; 138:1–13.Google ScholarPubMed
Overall, JEHollister, LEJohnson, MNosology of depression and differential response to drugs. JAMA 1966; 195:946–50.CrossRefGoogle ScholarPubMed
Parker, GHadzi Pavlovic, DBroyce, PWilhelm, KBrodary, HMitchell, Pet al.Classifying depression by mental State signs. Brit J Psychiatry 1990; 157: 55–65.CrossRefGoogle ScholarPubMed
Parker, GHadzi Pavlovic, DBroyce, PEndogenous depression as a construct: A quantitative analysis of the literature and a study of clinician judgements. Aust NZ J Psychiatry 1989; 23: 357–68.CrossRefGoogle Scholar
Paykel, ESPrusoff, BATanner, JTemporal stability of symptom patterns in depression. Br J Psychiatry 1976; 128: 369–74.CrossRefGoogle ScholarPubMed
Pollit, JYoung, JAnxiety State or masked depression? A study based on the action of MAOIs. Br J Psychiatry 1971; 119: 143–9.CrossRefGoogle Scholar
Rabkin, JStewart, JQuitkin, FMcGrath, PHarrison, WKlein, DShould atypical depression be included in DSM-IV? In: American Psychiatric Association. DSM-IV Sourcebook. Vol. 2. Washington DC: American Psychiatric Press; 1996. p. 239–260.Google Scholar
Roth, MCurney, MMountjoy, CQThe Newcastle rating scales. Acta Psychiatr Scand 1983; Suppl 310: 42–54.CrossRefGoogle ScholarPubMed
Roth, MThe phenomenology of depressive States. Can Psychiatr Assoc J 1959; 4 Suppl: 32–52.CrossRefGoogle ScholarPubMed
Rush, AJWeissenburger, JEMelancholic symptoms features. In: American Psychiatric Association DSM-IV Sourcebook. Vol. 2. Washington DC: American Psychiatric Press; 1996. p. 198–238.Google Scholar
Rush, AJWeissenburger, MAMelancholic symptoms, features and DSM-IV. Am J Psychiatric 1994; 151: 489–98.Google ScholarPubMed
Sargant, WSome newer drugs in the treatment of depressionand their relation to other somatic treatments. Psychosomatics 1960; 1: 14–17.CrossRefGoogle Scholar
Spitzer, RLEdincott, JRobins, EResearch diagnostic criteria: Rationale and reliability. Arch Gen Psychiatry 1978;35:773–82.CrossRefGoogle ScholarPubMed
VanPraag, HMUleman, AMSpitz, JCThe vital syndrome interview. Psychiatr Neurol Neurochir 1965; 68: 329–49.Google Scholar
West, EDDaily, PJEffects of Iproniazid in depressive syndromes. BMJ 1959; 1: 1491–4.CrossRefGoogle ScholarPubMed
World Health Organisation. Schedules for clinical assessment in neuropsychiatry-SCAN version 2.0 Greek Version. Athens: Mavreas V. Research University Institute for Mental Health; 1995.Google Scholar
World Health Organisation. The ICD-10 classification of mental and behavioural disorders. Geneva: Diagnostic Criteria for Research; 1993.Google Scholar
Young, MAScheftner, WKlerman, GLAndreasen, NCHirsfeld, RMThe endogenous syb-type of depression: A study of its internal construct validity. Br J Psychiatry 1986;148:257–67.CrossRefGoogle Scholar
Zimmerman, MCoryell, WHBlack, DVariability in the application of contemporary diagnostic criteria: Endogenous depression as an example. Am J Psychiatry 1990; 147: 9: 1173–9.Google ScholarPubMed