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

Published online by Cambridge University Press:  11 October 2011

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

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.

Type
Articoli
Copyright
Copyright © Cambridge University Press 1993

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References

BIBLIOGRAFIA

Allen, M.G. (1976). Twin studies of affective illness. Archives of General Psychiatry 33, 14761478.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1993). DSM-IV Draft Criteria. American Psychiatric Association: Washington.Google Scholar
Bebbington, P. & McGuffin, P. (1989). Calamity, constitution and the origins of depression. In Depression: An Integrative Approach, (ed. Herbst, K.R. and Paykel, E.S.), pp. 6580. Oxford: Heinemann.Google Scholar
Bebbington, P., Brugha, T., MacCarthy, B., Potter, J., Sturt, E., Wykes, T., Katz, R. & McGuffin, P. (1988). The Camberwell Collaborative Depression Study. I. Depressed probands: adversity and the form of depression. British Journal of Psychiatry 152, 754765.CrossRefGoogle Scholar
Blacker, D. & Tsuang, M.T. (1992). Contested boundaries of bipolar disorder and the limits of categorical diagnosis in psychiatry. American Journal of Psychiatry 149, 14731483.Google ScholarPubMed
Brown, G.W. & Harris, T.O. (1989). Depression. In Life Events and Illness (ed. Brown, G.W and Harris, T.O.), pp. 4993. Guilford: New York.Google Scholar
Carney, M.W.P., Roth, M. & Garside, R.F. (1965). The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry 111, 659674.CrossRefGoogle Scholar
de Girolamo, G. (1993). Cross-cultural differences in depression. Focus in Depression 4, 2838.Google Scholar
Feighner, J.P., Robins, E., Guze, S.B., Woodruff, R.A., Winokur, G. & Muoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 5763.CrossRefGoogle ScholarPubMed
Gelder, M., Gath, D. & Mayou, R. (1990). Oxford Textbook of Psychiatry (2nd ed.). Oxford University Press: Oxford.Google Scholar
Jablensky, A. (1987). Prediction of the course and outcome of depression. Psychological Medicine 17, 19.CrossRefGoogle ScholarPubMed
Keller, M.B. (1989). Current concepts in affective disorders. Journal of Clinical Psychiatry 50, 157164.Google Scholar
Kendell, R.E. (1976). The classification of depressions: a review of contemporary confusion. British Journal of Psychiatry 129, 1528.Google Scholar
Klerman, G.L. (1979). Is the age of melancholy? Psychology Today 12, 3642.Google Scholar
Klerman, G.L. (1980). Overview of affective disorders. In Comprehensive Textbook of Psychiatry, (ed. Kaplan, H.I., Freedman, A.M. and Sadock, B.J..), pp. 13051319. Williams & Wilkins: Baltimore.Google Scholar
Leonhard, K. (1959). Aufteilung der Endogenen Psychosen. Aka-demie Verlag: Berlin.Google Scholar
Lewis, A.J. (1971). Endogenous and exogenous: a useful dichotomy? Psychological Medicine 1, 191196.CrossRefGoogle ScholarPubMed
Maggini, C., Lattanzi, L. & Sbrana, A. (1993). Nosografia delia depressione. In Psichiatria della Comunitd (ed. Asioli, F., Ballerini, A. e Ceroni, G.B.), pp. 108146. Bollati Boringhieri: Torino.Google Scholar
McGuffin, P., Katz, R., Aldrich, J. & Bebbington, P. (1988a). The Camberwell Collaborative Depression Study. II. The investigation of family members. British Journal of Psychiatry 152, 766774.CrossRefGoogle ScholarPubMed
McGuffin, P., Katz, R. & Bebbington, P. (1988b). The Camberwell Collaborative Depression Study. III. Depression and the adversity in the relatives of depressed probands. British Journal of Psychiatry 152, 775782.CrossRefGoogle ScholarPubMed
Mellsop, G.W., Thomas, G.S., Ellis, P.M., Purdie, G., Crawshaw, J. & Mendis, N. (1991). Reliability of the draft diagnostic criteria for research of ICD-10 in comparison with ICD-10 and DSM-III-R. Ada Psychiatrica Scandinavica 84, 332335.Google Scholar
Paykel, E.S. (1971). Classification of depressed patients: a cluster analysis derived grouping. British Journal of Psychiatry 118, 275288.CrossRefGoogle ScholarPubMed
Paykel, E.S. (1989). The background: extent and nature of the disorder. In Depression: An Integrative Approach, (ed. Herbst, K.R. and Paykel, E.S.), pp. 320. Oxford: Heinemann.Google Scholar
Paykel, E.S. & Rowan, P.R. (1979). Affective disorders. In Recent Advances in Clinical Psychiatry (ed. Granville-Grossman, K.), pp. 3790. Churchill Livingstone: Edinburgh.Google Scholar
Saraceno, B., Bolongaro, G., Cottatellucci, T., Laviola, F., Maranesi, T., Sternai, E. & Tognoni, G. (1989). La depressione. Ricerca ePratica 30, 217270.Google Scholar
Sartorius, N., Kaelber, C., Cooper, J., Roper, M., Rae, D., Gulbinat, W., Ustun, B. & Regier, D. (1993). Progress towards achieving a common language in psychiatry: results from the field trial of the clinical guidelines accompanying the WHO classification of mental and behavioural disorders in the ICD-10. Archives of General Psychiatry 50, 115124..CrossRefGoogle Scholar
Schatzberg, A.F., Orsulale, P.J., Rosenbaum, A.H., Maruta, T., Kruger, E.R., Cole, O.J. & Schildkraut, J.J. (1982). Toward a biological classification of depressive disorders. II: Heterogeneity of unipolar depressions. American Journal of Psychiatry 139, 471475.Google Scholar
Schou, M. (1976). Prophylactic and maintenance therapy in recurrent affective disorders. In Depression: Behavioural, Biochemical, Diagnostic and Treatment Concepts (cd. Gallant, D.M. and Simpson, G.M., pp. 309334. Hallsted Press: New York.Google Scholar
World Health Organization (1992). International Classification of Diseases, 10th. Revision. WHO: Geneva. Ed. it.: Decima Revisione della Classificazione Internazionale delle Sindromi e dei Disturbi Psichici e Comportamentali. Descrizioni Cliniche e Direttive Diagnostiche (ed. D. Kemali, M. Maj, F. Catapano, S. Lobrace e L. Magliano). Masson: Milano.Google Scholar