Depressive mood symptoms in primary psychotic disorders
Sintomas de humor deprimido em transtornos psicóticos primários
CategoryDefinition
This descriptor may be used together with a diagnosis from the grouping of Schizophrenia and other primary psychotic disorders to indicate that depressive symptoms are a prominent part of the current clinical presentation. The descriptor refers only to depressive mood symptoms, that is, depressed mood as reported by the individual (feeling down, sad) or manifested as signs (e.g. tearful, downtrodden appearance). If only non-mood symptoms of a depressive episode are present (e.g., anhedonia, psychomotor slowing), this descriptor should not be used. This descriptor may be used whether or not depressive symptoms meet the diagnostic requirements of a separately diagnosed Depressive disorder.
Coding Note
Diagnostic Criteria
This specifier may be used together with a diagnosis from the grouping of Schizophrenia or Other Primary Psychotic Disorders to indicate the degree to which depressive mood symptoms are a prominent part of the current clinical presentation. The specifier refers only to depressive mood symptoms, as reported by the individual (feeling down, sad) or as observed by the clinician (e.g., tearful, defeated appearance). The severity of associated non-mood symptoms of a Depressive Episode (e.g., anhedonia or other negative symptoms, changes in sleep or appetite) should not be considered in making a rating for this specifier. In this regard, the Depressive Mood Symptoms specifier is different from the severity rating applied to a Depressive Episode. If suicidal ideation is present, a rating of moderate or severe depressive mood symptoms should automatically be applied (see below). This specifier may be used regardless of whether the depressive symptoms meet the diagnostic requirements for a Depressive Episode.
The rating should be made based on the severity of depressive mood symptoms during the past week.
Table 6.9: Rating Scale for Depressive Mood Symptoms in Primary Psychotic Disorders
| | |
| - | - |
| None
6A25.2&XS8H
| No significant depressive mood symptoms have been present during the past week. |
| Mild
6A25.2&XS5W
| The person expresses significant depressed mood, but there are intermittent periods of relief. The depressive symptoms have some, but not considerable, impact on personal, social, or occupational functioning. |
| Moderate
6A25.2&XS0T
| The depressed mood is present continually, although its intensity may vary. Suicidal ideation may accompany the depressed mood when it is more intense. The depressive symptoms cause considerable difficulty with personal, social, or occupational functioning. |
| Severe
6A25.2&XS25
| The intensity of the depressed mood is overwhelming to the person. This level of severity may be indicated by intense suicidal ideation or suicide attempts. The depressive symptoms seriously affect personal, social, and occupational functioning to such an extent that the person is unable to function, except to a very limited degree. |
| Severity Unspecified
6A25.2
| Depressive mood symptoms have been present during the past week, but it is not possible to make a severity rating based on the available information. |