Miyaoka Hitoshi
Department of Psychiatry, Kitasato University School of Medicine.
Seishin Shinkeigaku Zasshi. 2013;115(3):285-9.
The confusion regarding the system of classification and diagnosis of depressive syndrome must be promptly addressed. One issue is to discriminate between antidepressant-effective and -resistant depression. Another is to diagnose depressive disorders even if depression is mild. It is important as an immediate response to appropriately use DSM and ICD and the treatment guideline of the Japanese Society of Mood disorders. The system of dimensional classifications and diagnoses of depressive syndrome, including the axes of symptoms, social backgroud, and social function, should be more fully utilized in psychiatry. It may be possible to modify it according to associated areas such as occupational mental health, liaison psychiatry, and suicide prevention.
必须立即解决抑郁综合征分类和诊断系统方面的混乱问题。一个问题是区分对抗抑郁药有反应和无反应的抑郁症。另一个问题是即使抑郁症症状轻微也要对抑郁障碍进行诊断。立即做出适当使用《精神疾病诊断与统计手册》（DSM）、《国际疾病分类》（ICD）以及日本心境障碍学会治疗指南的反应很重要。抑郁综合征的维度分类和诊断系统，包括症状轴、社会背景和社会功能，在精神病学中应得到更充分的利用。根据职业心理健康、联络精神病学和自杀预防等相关领域进行修改或许是可行的。
