Pichot P
Psychopathology. 1986;19 Suppl 2:12-6. doi: 10.1159/000285126.
Classification of depressive states is at the present time an open issue. Depression is ambiguously defined, either as a syndrome, or as a disease whose manifestation can be the depressive syndrome or other pathological manifestations (depressive equivalents). No agreement exists about the basic problem of the categorial or the dimensional nature of the classification, the later having being recently supported by several authors. The paper discusses the most commonly used classifications: the primary-secondary dichotomy, the ICD 9 and the DSM-III and especially the central problem of the endogenous- non endogenous dichotomy.
目前,抑郁状态的分类仍是一个未解决的问题。抑郁症的定义不明确,既被定义为一种综合征,也被定义为一种疾病,其表现可以是抑郁综合征或其他病理表现(抑郁等同症状)。关于分类的范畴性或维度性这一基本问题,目前尚无定论,不过近期有几位作者支持后者。本文讨论了最常用的分类方法:原发性 - 继发性二分法、国际疾病分类第九版(ICD 9)和精神疾病诊断与统计手册第三版(DSM - III),尤其讨论了内源性 - 非内源性二分法的核心问题。