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Depressive Syndromes and Scales in the AMDP-system.

A Pietzcker1, R Gebhardt1

  • 1Department of Psychiatry, Free University of Berlin Berlin, FRG.

Acta Psychiatrica Scandinavica
|July 6, 2017
PubMed
Summary

The Association for Methodology and Documentation in Psychiatry developed the AMP and AMDP systems for psychiatric documentation. These systems provide comparable syndrome scales for assessing depressive states and discriminating between depressive diseases.

Keywords:
AMDP-Systemclassification by cluster analysisdiscrimination of depressive diseasessyndrome scales

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Area of Science:

  • Psychiatry
  • Psychopathology
  • Medical Documentation

Background:

  • The Association for Methodology and Documentation in Psychiatry (AMP) was founded in 1965.
  • It developed the AMP-System for documenting psychiatric findings, later revised as the AMDP-System in 1979.
  • Both systems aim for uniform and comprehensive documentation of psychopathological, somatic, and anamnestic data.

Purpose of the Study:

  • To present the development and validation of syndrome scales within the AMP and AMDP systems.
  • To ensure comparability between studies using the older AMP-System and newer studies using the AMDP-System.
  • To evaluate the utility of these syndrome scales in assessing depressive states and discriminating between depressive diseases.

Main Methods:

  • Analysis of data from psychiatric clinics in Munich, Zurich, and Berlin.
  • Construction of syndrome scales based on these data.
  • Application of cluster analysis for de novo classification of patients into psychopathological groups.
  • Comparison of classified groups with ICD-defined depressive diagnoses.

Main Results:

  • Syndrome scales derived from the AMP-System showed high intercorrelations.
  • Final AMDP syndrome scales, based on combined samples, demonstrated high similarity to AMP scales, ensuring comparability.
  • Both systems include specific syndromes for depressive states (depressive and apathy syndromes).
  • Syndromes effectively discriminated between ICD-defined depressive diseases, despite psychological overlap.
  • Cluster analysis identified homogenous psychopathological groups, illustrating differences compared to diagnostic groups.

Conclusions:

  • The AMP and AMDP systems provide reliable and comparable syndrome scales for psychiatric assessment.
  • These scales are valuable tools for understanding and differentiating depressive disorders.
  • Cluster analysis offers a complementary approach to diagnosis by grouping patients based on psychopathology.