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Classificazione, diagnosi ed ICD-10. III - Le sindromi affettive

Published online by Cambridge University Press:  11 October 2011

Stylianos Nicolaou  and
Giovanni de Girolamo
Stylianos Nicolaou
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona
Giovanni de Girolamo*
Affiliation:
Division of Mental Health, World Health Organization, Geneva
*
Indirizzo per la corrispondenza: Dr. G. de Girolamo, Division of Mental Health, World Health Organization, 1211 Geneva 27, Switzerland. Fax (+41) 22-791.0746
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Summary

Objective - To discuss, after a description of the main models of classification of affective disorders, the main features of the ICD-10 classification of these disorders, the main differences between ICD-10 and ICD-9 and a comparison with DSM-III-R classification. Results - The analysis of the classification of these disorders as reported in ICD-10 shows that their nosographic sistematization is a complex task. In any case ICD-10 represents a significant improvement compared to ICD-9 and has included many of the guidelines of DSM-III-R. Conclusions - ICD-10 proposes a syntesis between different schools and traditions taking into account the results emerged by research in this field over the last twenty years.

Riassunto

Scopo - Presentare un breve profilo storico sui termini nosografici e sui principali modelli di classificazione dei disturbi affettivi descrivendo le caratteristiche più importanti della loro classificazione secondo l'ICD-10, le principali novita introdotte in essa rispetto all'ICD-9 ed infine alcune similarità e differenze tra la classificazione ICD-10 ed il DSM-III-R. Risultati - DalFanalisi della struttura della classificazione di questi disturbi nelFICD-10 emerge con chiarezza la difficoltà di arrivare ad una sistemazione nosografica esauriente sulla base delle conoscenze attuali. L'ICD-10, comunque, ha segnato un significativo progresso rispetto all'ICD-9, ed ha, al tempo stesso incorporato molti degli orientamenti riscontrabili nel DSM-III-R. Conclusioni - L'ICD-10 ha proposto un modello di classificazione che cerca di operare una sintesi tra tradizioni e scuole diverse, e di valorizzare nel contempo, per quanto possibile, i risultati emersi dalle ricerche di queste ultime 2 decadi.

Keywords

sindromi affettivediagnosiICD-10affective disordersdiagnosisICD-10
Type
Articoli
Information
Epidemiology and Psychiatric Sciences , Volume 2 , Issue 2 , August 1993 , pp. 119 - 128
Copyright
Copyright © Cambridge University Press 1993

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