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The term Major depressive disorder was introduced by a group of US clinicians in the mid-1970s as part of proposals for diagnostic criteria based on patterns of symptoms (called the "Research Diagnostic Criteria", building on earlier Feighner Criteria), [10] and was incorporated into the DSM-III in 1980. [306]
The criteria below are based on the formal DSM-5 criteria for a major depressive episode. [21] A diagnosis of a major depressive episode requires the patient to have experienced five or more of the symptoms below, one of which must be either a depressive mood or a loss of interest or pleasure (although both are frequently present). [1]
Psychotic major depression (PMD), or simply psychotic depression, is the term for a major depressive episode, in particular of melancholic nature, wherein the patient experiences psychotic symptoms such as delusions or, less commonly, hallucinations. These are most commonly mood-congruent (content coincident with depressive themes). [16]
296.xx Major depressive disorder.2x Major depressive disorder, single episode .26 In full remission.25 In partial remission.21 Mild.22 Moderate.23 Severe without psychotic features.24 Severe with psychotic features.20 Unspecified.3x Major depressive disorder, recurrent .36 In full remission.35 In partial remission.31 Mild.32 Moderate
Rather than being used to diagnose depression, a depression rating scale may be used to assign a score to a person's behaviour where that score may be used to determine whether that person should be evaluated more thoroughly for a depressive disorder diagnosis. [1] Several rating scales are used for this purpose. [1]
For example, a diagnosis of major depressive disorder, a common mental illness, had a poor reliability kappa statistic of 0.28, indicating that clinicians frequently disagreed on diagnosing this disorder in the same patients. The most reliable diagnosis was major neurocognitive disorder, with a kappa of 0.78. [103]
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