Pirozynski T, Chiriţă V, Cosmovici N, Boişteanu P
Clinica de psihiatrie, Institutul de Medicină şi Farmacie Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1990 Jan-Mar;94(1):81-5.
The evolution of the clinical concept of depression from the viewpoint of actual epidemiological data and classification systems is presented. The classification difficulties, due to the reference criteria and absence of some concordant data, which lead to the elaboration of some systematizations prevalently syndromic, are revealed. The uncertainty of the nosological framing of the depressive states is reflected in the diagnostic disagreements of the various doctrinaire orientations in psychiatry. Starting from the Kraepelinian nosological conception, the revision of the dichotomy endogenic-psychogenic or the systematization in primary and secondary depressions, the I.N.S.E.R.M., I.C.D. 9 and I.C.D.-10 (WHO), D.S.M. III and D.S.M.III-R classification are discussed.
本文从实际流行病学数据和分类系统的角度阐述了抑郁症临床概念的演变。揭示了由于参考标准和某些一致数据的缺乏而导致的分类困难，这些困难导致了一些主要基于症状的系统化分类的制定。抑郁状态疾病分类框架的不确定性反映在精神病学中各种教条主义取向的诊断分歧上。从克雷佩林的疾病分类概念出发，讨论了内源性-心因性二分法的修订或原发性和继发性抑郁症的系统化分类，以及法国国家卫生与医学研究所（INSERM）、国际疾病分类第九版（ICD 9）和第十版（WHO）、精神疾病诊断与统计手册第三版（DSM III）和第三版修订本（DSMIII-R）的分类。
