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The ICD-11 system allows further specifiers for the current depressive episode: the severity (mild, moderate, severe, unspecified); the presence of psychotic symptoms (with or without psychotic symptoms); and the degree of remission if relevant (currently in partial remission, currently in full remission). [112]
Recurrent brief depression (RBD) defines a mental disorder characterized by intermittent depressive episodes, not related to menstrual cycles in women, occurring between approximately 6–12 times per year, over at least one year or more fulfilling the diagnostic criteria for major depressive episodes (DSM-IV and ICD-10) except for duration in which RBD is less than 14 days (typically 5–7 ...
.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.33 Severe without psychotic features.34 Severe with psychotic features.30 Unspecified
Clinicians, however, may use the PHQ-9 to evaluate the efficacy of treatments for depression. A change of PHQ-9 score to less than 10 is considered a “partial response” to treatment and a change of PHQ-9 score to less than 5 is considered to be “remission.” [10]
A revision of DSM-5, titled DSM-5-TR, was published in March 2022, updating diagnostic criteria and ICD-10-CM codes. [52] The diagnostic criteria for avoidant/restrictive food intake disorder were changed, [53] [54] along with adding entries for prolonged grief disorder, unspecified mood disorder and stimulant-induced mild neurocognitive disorder.
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]
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