ICD v DSM - IV

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ICD v DSM - IV by Mind Map: ICD v DSM - IV

1. DSM-IV

1.1. About

1.1.1. DSM is published/approved by the assembly of the American Psychiatric Association

1.1.2. Very little international participation in the DSM ->the primary constituency of the DSM is U.S. psychiatrists

1.1.3. Produced by a single national professional association

1.1.4. Consists of a descriptive nosological system based on co-occurring clusters of symptoms

1.1.5. Includes: etiology, symptoms, treatment options, prognosis, known causes, statistics in terms of gender and age at onset (unlike ICD)

1.1.6. Many categories in the DSM may be grouped into one category in the ICD (less detailed)

1.1.7. Good deal of overlap among the different diagnoses (symptoms are rarely exclusive of anything)

1.1.8. DSM generates a very substantial portion of the American Psychiatric Association's revenue

2. ICD

2.1. About

2.1.1. ICD is a core function of the World Health OrganizationProduced by a global health agency with a constitutional public health mission

2.1.2. ICD has existed for more than a century, and became WHO's responsibility when it was founded in 1948 as an agency of the United Nation

2.1.3. ICD's development is global, multidisciplinary and multilingual

2.1.4. ICD is approved by the World Health Assembly, composed of the health ministers of all 193 WHO member countries

2.1.5. The ICD is distributed as broadly as possible at a very low cost and online

2.1.6. ICD covers a wider range of health problems then the DSM as it classifies both physical and mental illnesses

2.1.7. ICD is a core function of the World Health Organization -> produced by a global health agency with a constitutional public health mission

2.1.8. ICD distinguishes between mental and behavioural disorders whilst DSM uses the term 'mental disorders' to cover both types of disorders

3. Depression

3.1. The ICD-10 and DSM-IV criteria sets defining a depressive episode are almost identical, but there are differences about defining individuals who have a major depressive episode.

3.2. 1. both definitions have some items in common (depressed mood, loss of interest, decreased energy or increased fatiguability, recurrent thoughts of death or suicidal behavior, inability to concentrate or indecisiveness, sleep disturbance), they differ on the remaining items. ICD-10 has additional items (loss of confidence or self esteem and inappropriate or excessive guilt).

3.3. 2. The structure of the diagnostic algorithms also differs between the two systems. ICD-10 provides separate diagnostic thresholds for each of the different severity levels: a minimum of four out of ten symptoms defines mild, six out of ten symptoms defines moderate, and eight out of ten symptoms defines severe.

3.4. 3. DSM-IV shows Etiology, Treatment and Prognosis