ICD-10 and depressions in patients with somatic and neurological diseases

• Main Authors: S. V. Kikta, M. Yu. Drobizhev, O. V. Latypova, S. V. Vaulin
• Format: Article
• Language: Russian
• Published: IMA-PRESS LLC 2011-12-01
• Series: Nevrologiâ, Nejropsihiatriâ, Psihosomatika
• Subjects: icd-10; depressions; somatic and neurological diseases; diagnosis; psychosomatics; treatment; organization of care
• Online Access: https://nnp.ima-press.net/nnp/article/view/111
• ISSN: 2074-2711; 2310-1342

The authors have made a generalized analysis of earlier published PARUS program studies covering (2327 patients in different nonmental health care facilities). It has ascertained that depressions in these patients cannot be qualified in Chapter V of ICD-10 (“Mental Disorders” and “Behavioral Disorders”). It has been shown that depressions can be most commonly regarded as mental symptoms of a somatic or neurological disease. This concept best explains the high prevalence of such depressions, as well as their masked, somatized pattern. At the same time this concept is in conflict with the prevailing medical approach contemplating the differentiation between somatic (neurological) diseases and mental disorders.