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KMID : 1007420070050010025
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Mood and Emotion
2007 Volume.5 No. 1 p.25 ~ p.29
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Diagnostic Stability in Major Depressive Disorder according to DSM-IV
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Woo Young-Sup
Lee Doo-Soo
Jun Tae-Youn
Chae Jeong-Ho
Kim Kwang-Soo
Bahk Won-Myong
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Abstract
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Objective：In this study, we determined the diagnostic stability of major depressive disorder according to the DSM-IV by investigating changes in the main diagnostic picture over time in clinical practice.
Method：A medical record review of patients admitted to a university hospital with the diagnosis of major depressive disorder (MDD) in a period from January 2002 to December 2005 was conducted. To evaluate prospective stability, all patients who were diagnosed with MDD at first inpatient contact were identified, and diagnoses at subsequent period of contact were described. To evaluate retrospective stability, all patients diagnosed with MDD at subsequent contacts were identified, and diagnoses at the first contact were described.
Results：A total of 233 patients were diagnosed with MDD at least once. Among these, 208 patients were diagnosed at the first contact. In approximately 21% of patients, the initial diagnosis of MDD eventually changed during follow up to other diagnoses. In 120 patients who were diagnosed with MDD at subsequent period, 90.8% of the patients were diagnosed with
MDD at the first contact.
Conclusions：The diagnosis of depressive disorder was found to have a low prospective stability and a high retrospective stability.
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KEYWORD
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Major depressive disorder, Diagnostic stability, DSM-IV
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