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Dysthymia in DSM-IV and ICD-10: nosology and diagnosis

Published online by Cambridge University Press:  16 April 2020

JJ López-Ibor Jr
JJ López-Ibor Jr*
Affiliation:
Psychiatric Unit, San Carlos Hospital, Complutense University, Madrid, Spain
*
*Correspondence: Av Nueva Zelanda 44, E-28035 Madrid, Spain.
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Summary

Since the DSM-III, the category of dysthymia includes patients that were previously considered as neurotic, reactive, characterological, temperamental, minor or atypical depressives as opposed to a category of endogenous, autonomous, morbid, major or typical depressives. Despite certain confusion, the need for a nosological category is very important for patients suffering from years of depressive mood, with a significant impact on their life-styles and adaptation, as they can benefit enormously from modern antidepressant treatments. DSM-IV and ICD-10 describe dysthymia in a very similar way although there are significant differences. The differences are the consequence of the lack of sufficient scientific data in some points and the need to take a decision, but also to indicate areas for future research. Other differences are the consequence of major discrepancies in basic perspectives of the classifications (ie, the importance given to disablement for the diagnosis). The similarities between both classifications allow the use of either of them for most purposes. Research on the different classifications should help in better defining the concept of dysthymia and mood disorders in general (ie, the cut-off points between them) and of psychiatric nosology.

Keywords

dysthymic disorderdepressive disorderspersonality disordersICD-10DSM-IV
Type
Research Article
Information
European Psychiatry , Volume 11 , Issue S3 , 1996 , pp. 111s - 116s
Copyright
Copyright © Elsevier paris 1996

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References

Akiskal, HSChronic depression. Bull Menninger Clin 1991; 55:156–71Google ScholarPubMed
Akiskal, HSWeise, REThe clinical spectrum of so-called “minor” depressions. Am J Psychother 1992; 46:9–22CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Revised third edition Washington, DC:American Psychiatric Association, 1987Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Fourth edition. Washington, DC:American Psychiatric Association, 1994Google Scholar
Angst, JEpidemiology of depression. Psychopharmacology (Berlin) 1992:106suppl:71–4CrossRefGoogle ScholarPubMed
Feighner, JPRobins, EGuze, SB et al. Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 1972; 26:57–63CrossRefGoogle ScholarPubMed
Frances, AWidiger, TFyer, MThe influence of classification methods on comorbidity. In: Maser, JCloninger, CRComorbidity of mood and anxiety disorders Washington, DC: American Psychiatric Press, 1990Google Scholar
Gillespie, RDThe clinical differenciation of types of depression. Guy's Hosp Rev 1929; 79:306–44Google Scholar
Horwath, EJohnson, JKlerman, GLWeissman, MMDepressive symptoms as relative and attributable risk factors for first-onset major depression. Arch Gen Psychiatry 1992; 49:817–23CrossRefGoogle ScholarPubMed
Keller, MBShapiro, RWDouble depression, superimposition of acute depressive episodes on chronic depressive disorders. Am J Psychiatry 1982; 139:438–42Google ScholarPubMed
Kendell, REThe classification of depressive illness London:Oxford Univ Press, 1968Google Scholar
Klein, DNDepressive personality: reliability, validity, and relation to dysthymia. J Abnorm Psychol 1990; 99:412–21CrossRefGoogle ScholarPubMed
Lewinsohn, PMRohde, PSeeley, JRHops, HComorbidity of unipolar depression. I. Major depression with dysthymia. J Abnorm Psychol 1994; 100:205–13CrossRefGoogle Scholar
López Ibor, JJLaangustia vital. Madrid: Paz Montalvo, 1950Google Scholar
López Ibor, JJLas neurosis como enfermedades del ánimo. Madrid:Gredos, 1966Google Scholar
López-Ibor, JJ JrLas psicosis y los trastornos afectivos. In: López-Ibor, JJ JrRuiz Ogara, CBarcia, DPsiquiatria, Vol. IIL. Barcelona: Toray, 1982;910–91Google Scholar
López-Ibor, JJ JrPsychopathological aspects of the Toxic Oil Syndrome Catastrophe. Br J Psychiatry 1985; 147:352–65CrossRefGoogle ScholarPubMed
López-Ibor, JJ JrThe classification of neurotic, anxiety and related disorders in light of ICD-10. In: Davison, KKerr, AContemporary themes in psychiatry. Págs Gaskell London:Royal College of Psychiatrists, 1988Google Scholar
López-Ibor, JJ JrProblems in the classification of anxiety disorders. Psychiatry Psychobiol 1989; 4:99–105CrossRefGoogle Scholar
López-Ibor, JJ JrThe Masking and Unmasking of Depression. In: Feighner, JPBoyer, WFThe diagnosis of depression San Diego, California:John Wiley & Sons Ltd, 1991:100–18Google Scholar
López-Ibor, JJ JrLa personalidad en mediana y sus trastornos. Institute de España Madrid:Real Academia Nacional de Mediana, 1993Google Scholar
López-Ibor, JJ JrPersonality Disorders in ICD-10 Multiaxial version. Bull World Psychiatr Assoc 1993; 1:3–6Google Scholar
López-Ibor, JJ JrFrances, AJones, CDysthymic disorder: a comparison of DSM-IV and ICD-10 and issues in differential diagnosis. Acta Psychiatrica Scandinavica 1994; 89(suppl 383):12–18CrossRefGoogle Scholar
Markowitz, JCMoran, MEKocsis, JHFrances, AJPrevalence and comorbidity of dysthymic disorder among psychiatric outpatients. J Affect Disord 1992; 24:63–71CrossRefGoogle ScholarPubMed
Peron-Magnan, PDysthymic disorder and depressive personality. Encephale 1992; 18(spec no 1):51–4Google ScholarPubMed
Sartorius, NKaelber, CCroper, J, et al. Progress towards achieving a common language in psychiatry. Results from the ICD-10 Clinical Field Trials of Mental and Behavioral Disorders. Arch Gen Psychiatry 1993; 50:115–24CrossRefGoogle Scholar
Starcevic, VUhlenhuth, EHKellner, RPathak, DPatterns of comor- bidity in panic disorder and agoraphobia. Psychiatry Res 1992; 42:171–83CrossRefGoogle Scholar
de Jesús, TeresaObras Completas. Madrid:Plenitud, 1964;739–43Google Scholar
World Health Organization. The ICD-10 Classification of Mental and Behavioral Disorders: Diagnostic Criteria for Research Geneva:WHO, 1993Google Scholar
World Health Organization. International Statistical Classification of Diseases and Related Health problems, Tenth revision (ICD- 10). Geneva:WHO, 1992Google Scholar
World Health Organization. International Classification of Impairments, Disabilities and Handicaps. Geneva: WHO, 1980Google Scholar
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