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[Affective disorders--concept, classification, and location in ICD-10]

Y Nakane1, K Hatada

  • 1Department of Neuropsychiatry, Nagasaki University School of Medicine.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|May 1, 1994
PubMed
Summary

This review traces the historical evolution of mood (affective) disorders, from Kraepelin's 1899 concept to the World Health Organization's ICD-10 classification. It details the categorization of episodic and persistent mood disorders.

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Area of Science:

  • Psychiatry
  • Psychopathology
  • Clinical Psychology

Context:

  • The classification of mood disorders has evolved significantly since Kraepelin's initial proposal in 1899.
  • The World Health Organization's International Classification of Diseases, 10th Revision (ICD-10) provides a current framework for diagnosing mood disorders.
  • Understanding the historical context is crucial for interpreting current diagnostic criteria.

Purpose:

  • To provide a historical overview of the concept of mood (affective) disorders.
  • To outline the classification system for mood disorders as presented in the ICD-10.
  • To differentiate between episodic and persistent mood disorder categories.

Summary:

  • Emil Kraepelin first conceptualized affective disorders as "Das manisch-melancholische Irressin" in 1899.

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  • The ICD-10 classifies mood (affective) disorders under category F3, encompassing episodic disorders (manic episode, bipolar affective disorder, depressive episode, recurrent depressive disorder) and persistent disorders (dysthymia, cyclothymia).
  • Additional categories include organic mood disorder (F06.3) and mixed anxiety and depressive disorders (F41.2).

    • Impact:

    • This historical perspective aids in understanding the diagnostic evolution of mood disorders.
    • Clarifies the ICD-10's structural approach to classifying diverse mood affective conditions.
    • Provides a foundational understanding for researchers and clinicians in the field of affective disorders.