Bock Camilla, Bukh Jens Drachmann, Vinberg Maj, Gether Ulrik, Kessing Lars Vedel
Department of Psychiatry, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
Clin Pract Epidemiol Ment Health. 2009 Feb 12;5:4. doi: 10.1186/1745-0179-5-4.
To validate the ICD-10 diagnosis of a single depressive episode as used in daily clinical psychiatric practice and as recorded in the Danish Psychiatric Central Research Register.
Patients discharged with a diagnosis of a single depressive episode were consecutively sampled from the register and diagnosed according to an interview using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN).
A total of 75.4% of 399 patients with a register diagnosis of a single depressive episode also got this diagnosis according to the SCAN interview (82.8% for severe type of a single depression, 76.0% for moderate type of a single depression and 65.2% for mild type of a single depression).
The ICD-10 diagnosis of a single depressive episode can be used in daily clinical practice with sufficient precision. The validity of the diagnosis is highest for severe and moderate type of depression and decreases for mild depression.
验证国际疾病分类第十版（ICD - 10）中关于单次抑郁发作的诊断在日常临床精神科实践中的应用情况以及丹麦精神病学中央研究登记册中的记录情况。
从登记册中连续抽取诊断为单次抑郁发作的出院患者，并根据使用神经精神病学临床评估量表（SCAN）进行的访谈进行诊断。
在399例登记诊断为单次抑郁发作的患者中，共有75.4%的患者根据SCAN访谈也得到了该诊断（重度单次抑郁类型为82.8%，中度单次抑郁类型为76.0%，轻度单次抑郁类型为65.2%）。
ICD - 10中单次抑郁发作的诊断在日常临床实践中具有足够的准确性。该诊断对于重度和中度抑郁类型的有效性最高，而对于轻度抑郁则有所下降。
