Table 1.
Abridged Classification of depressive states
| Classification used in guideline | DSM‐IV (code) | ICD‐10 (code) | DSM‐5a |
|---|---|---|---|
| Major depression | Major depressive episode, single episode, or recurrent (296) | Depressive episode – severe (F32.2), moderate (F32.1), or mild with at least 5 symptoms (F32.0) | Bereavement exclusion |
| Recurrent depressive disorder current episode severe (F33.2), moderate (F33.1) or mild with at least 5 symptoms (F33.0) |
Chronic depressive disorders dropped Now classed as Persistent Depressive Disorders |
||
| Milder depression | Depressive disorder not otherwise specified (311) | Depressive episode—mild with symptoms (F32.0) | |
| Recurrent depressive disorder current episode mild with symptoms (F33.0) | Chronic depressive disorders dropped | ||
| Mixed anxiety and depressive disorder (F41.2) |
Anxious distress is now a specifier for unipolar and bipolar and separated into 4 chapters; phobias, OCD, Trauma related, Dissociative disorders |
||
| Adjustment disorder with depressed mood/mixed anxiety and depressed mood (309) | Adjustment disorder—depressive reaction/mixed and depressive reaction (F43.2) | Disruptive Mood Dysregulation Disorder (DMDD) | |
| Other mood (affective) disorders (F38) | |||
| Dysthymia | Dysthymia (300.4) | Dysthymia (F34.21) | Changed to Persistent Depressive Disorder |
DSM‐5 has several new diagnoses that were not envisioned when ICD‐10/11 were being created and are now mapped into ICD‐9,10. The transition from ICD‐10 to ICD‐11 codes represents an increase from 14 400 codes to 50 000 and not surprisingly with some discrepancies (Abridged version, see links below for various detailed revision of the American Psychiatric Association's Diagnostic and Statistics Manual. https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596 and see 11th Revision of the International Classification of Disease, https://www.who.int/mental_health/management/depression/en/. DSM‐11 has not been included in the table as it is yet to be adopted by WHO and still under review and integrated into DSM‐5. For a list of revised symptoms, see the abridged DSM‐5 criteria below and DSM‐5 Update (August 2015), pages 1‐26. Published by American Psychiatric Association 2016.21, 22