How Should Mood Disorders be Modelled?
- 1 January 2008
- journal article
- research article
- Published by SAGE Publications in Australian & New Zealand Journal of Psychiatry
- Vol. 42 (10), 841-850
- https://doi.org/10.1080/00048670802345458
Abstract
Classification of any mental disorder is likely to have clinical utility only if it is based on a valid underlying model. The depressive disorders have long provoked debates as to whether a categorical or a dimensional model is all explanatory. This paper will argue that no single (categorical or dimensional) model is likely to be valid, and that a mix of models is required to classify, diagnose and shape management decisions for the mood disorders. After reviewing limitations to the dimensionally based official classificatory systems (DSM-IV and ICD-10), and noting some of the consequences, a set of alternative strategies is outlined. In essence, identifying syndromal ‘fuzzy sets’ from phenotypic and aetiological clustering, a model that occurs in the rest of medicine.Keywords
This publication has 21 references indexed in Scilit:
- Is depression overdiagnosed? YesBMJ, 2007
- Modelling and Managing the Depressive DisordersPublished by Cambridge University Press (CUP) ,2005
- Searching for behavioral indicators of bipolar II in patients presenting with major depressive episodes: the “red sign,” the “rule of three” and other biographic signs of temperamental extravagance, activation and hypomaniaJournal of Affective Disorders, 2005
- Beyond major depressionPsychological Medicine, 2005
- “Cade's Disease” and Beyond: Misdiagnosis, Antidepressant Use, and a Proposed Definition for Bipolar Spectrum DisorderThe Canadian Journal of Psychiatry, 2002
- A Systematic Review of Newer Pharmacotherapies for Depression in Adults: Evidence Report Summary: Clinical Guideline, Part 2Annals of Internal Medicine, 2000
- Selective serotonin reuptake inhibitors versus tricyclic antidepressants: a meta-analysis of efficacy and tolerabilityJournal of Affective Disorders, 2000
- Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general populationAmerican Journal of Psychiatry, 1996
- Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research.Psychological Bulletin, 1990
- Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric DiagnosisArchives of General Psychiatry, 1985