ICD-10 Classification of Mental and Behavioural Disorders, World Health Organization, Geneva, 1992


F32.0 Mild depressive episode

Definition | Diagnostic Guidelines | DCR-10 Criteria

Definition

No definition available

Diagnostic Guidelines

Depressed mood, loss of interest and enjoyment, and increased fatigability are usually regarded as the most typical symptoms of depression, and at least two of these, plus at least two of the other symptoms described above should usually be present for a definite diagnosis. None of the symptoms should be present to an intense degree. Minimum duration of the whole episode is about 2 weeks.

An individual with a mild depressive episode is usually distressed by the symptoms and has some difficulty in continuing with ordinary work and social activities, but will probably not cease to function completely.

A fifth character may be used to specify the presence of the somatic syndrome:

F32.00 Without somatic symptoms

The criteria for mild depressive episode are fulfilled, and there are few or none of the somatic symptoms present.

F32.01 With somatic symptoms

The criteria for mild depressive episode are fulfilled, and four or more of the somatic symptoms are also present. (If only two or three somatic symptoms are present but they are unusually severe, use of this category may be justified.)

 

DCR-10 Criteria

A. The general criteria for depressive episode must be met
B. At least two of the following three symptoms must be present:

1. depressed mood to a degree that is definitely abnormal for the individual, present for most of the day and almost every day, largely uninfluenced by circumstances, and sustained for at least 2 weeks
2. loss of interest or pleasure in activities that are normally pleasurable
3. decreased energy or increased fatiguability

C. An additional symptom or symptoms from the following list should be present, to give a total of at least four:

1. loss of confidence or self esteem
2. unreasonable feelings of self-reproach or excessive and unreasonable guilt
3. recurrent thoughts of death or suicide, or any suicidal behaviour
4. complaints or evidence of diminished ability to think or concentrate, such as indecisiveness or vacillation
5. change in psychomotor activity, with agitation or retardation (either subjective or objective)
6. sleep disturbance of any type
7. change in appetite (decrease or increase) with corresponding weight change

 


ICD-10 copyright © 1992 by World Health Organization.