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Comparison of the diagnosis of melancholic and atypical features according to DSM-IV and somatic syndrome according to ICD-10 in patients suffering from major depression

Published online by Cambridge University Press:  30 September 2020

K.N. Fountoulakis ,
A. Iacovides ,
I. Nimatoudis ,
G. Kaprinis  and
Ch. Ierodiakonou
K.N. Fountoulakis*
Affiliation:
3rd Department of Psychiatry, Aristotle University of Thessaloniki, University Hospital AHEPA, Thessaloniki, Greece
A. Iacovides
Affiliation:
3rd Department of Psychiatry, Aristotle University of Thessaloniki, University Hospital AHEPA, Thessaloniki, Greece
I. Nimatoudis
Affiliation:
3rd Department of Psychiatry, Aristotle University of Thessaloniki, University Hospital AHEPA, Thessaloniki, Greece
G. Kaprinis
Affiliation:
3rd Department of Psychiatry, Aristotle University of Thessaloniki, University Hospital AHEPA, Thessaloniki, Greece
Ch. Ierodiakonou
Affiliation:
3rd Department of Psychiatry, Aristotle University of Thessaloniki, University Hospital AHEPA, Thessaloniki, Greece
*
*Correspondence and reprints: Konstantinos N. Fountoulakis, 53 Chrysostomou Smyrnis Street, 55132 Aretsou Thessaloniki, Greece Fax: 30.31.266570 kfount@med.auth.gr
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Summary

While melancholic (according to DSM) or somatic syndrome (according to ICD) has strong historical roots and substantial empirical verification, the concept of atypical features is relatively new and not sufficiently studied. The aim of the current study was to investigate the reliability of these diagnostic subcategories in patients suffering from major depression in Greece. Forty patients (eight males and 32 females) aged 19-60 years (mean 39.3, sd 12.2) suffering from major depression according to DSM-IV criteria were studied. SCAN v.2.0 was used to assess symptomatology. The presence of each criterion according to DSM-IV and ICD-10 was registered. Frequency tables were developed and factor and cluster analysis were performed. The results of the analysis suggest the existence of three syndromes which roughly reflect the melancholic and atypical but also propose a third, which can be considered as an ‘undifferentiated’ syndrome. The DSM demand that the existence of melancholic features be excluded first and then that diagnosis of atypical features be made was confirmed.

Keywords

atypicalclassificationdepressionDSM-IVICD-10melancholicSCANsomatic
Type
Original article
Information
European Psychiatry , Volume 14 , Issue 8 , December 1999 , pp. 426 - 433
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 1999

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