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KMID : 1007420130110020079
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Mood and Emotion
2013 Volume.11 No. 2 p.79 ~ p.83
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Diagnostic Stability in Major Depressive Disorder According to DSM-IV : 4-Year Retrospective Study in a University Hospital
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Kim Hyun-Joon
Woo Young-Sup
Jun Tae-Youn
Kim Kwang-Soo
Bahk Won-Myong
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Abstract
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Objectives : The aim of the study was to determine the stability of a diagnosis of major depressive disorder (MDD) according to the DSM-IV by means of retrospective reviews of medical records.
Methods : Retrospective chart review of patients admitted to a university hospital with a primary diagnosis of MDD in a period from January 2005 to August 2008 was conducted. We reviewed DSM-IV diagnoses and detailed clinical information at the index admission with assessments made every 6 months for 4 years after discharge to determine diagnostic stability.
Results : There were 440 patients diagnosed with MDD at the first contact. The data showed that 88.6% of the patients maintained their initial diagnosis of MDD during follow up periods. About 11.4% of patients, the initial diagnosis of MDD ultimately changed during follow up to other diagnoses. A total of 227 patients were diagnosed MDD at subsequent period. Among these, 218 (96.0%) were diagnosed with MDD at the first contact.
Conclusions : This study showed the diagnostic stability of MDD, among Korean patients. When the DSM-IV diagnoses are used in clinical practice, the diagnostic stability of MDD has a low stability over time. The results demonstrated that a longitudinally based diagnostic process is needed.
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KEYWORD
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Major depressive disorder, Diagnostic stability, DSM-IV
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