[Diagnostic interpretation of depressive symptoms from a psychodynamic point of view].
OBJECTIVE
The principal aim of this study is: (i) to assess the rate of depressive disorders in a sample of patient in a psychotherapy service of the Department of Psychiatric Sciences and Psychological Medicine at the Sapienza University, Roma; (ii) to focus the psychopathological features of depressive patient through the SCL-90R scale; (iii) to evaluate the correlation between SCL-90R score and categorical diagnosis.


METHODS
The sample of this study includes 178 patients, who came to our service for a psychotherapy. The anamnestic and clinical information were collected for each patient. Each patient is submitted to the multidimensional scale SCL-90R in the curse of the first interview. A descriptive analysis of all the data collected was made and the principal links between SCL-90 R score and categorical diagnosis were detected.


RESULTS
About 46% of the patients were depressive disorders following the DSM-IVTR diagnostic criteria. About 70% of depressive patients have psychoticism pathological scores, 60% have paranoic pathological scores, 70% anxiety pathological scores and 60% interpersonal sensibility pathological scores. The depressive dimension was pathological in about 77% of anxious patient and in 87% of patient with personality disorders.


CONCLUSIONS
The DSM.IVTR categorical psychiatric diagnosis might underestimate important psychopathological dimensions which are underline through a dimensional scale as the SCL-90R and through a psychodynamic diagnostic instrument.
Brandizzi
M
M
Dipartimento di Scienze Psichiatriche e Medicina Psicologica, U.O.D di Psicoterapia, Università di Sapienza, Roma, Italia.
Fraietta
S
S
Barbieri
V
V
Cavaggioni
G
G
D000328:Adult; D001007:Anxiety / Q000175:diagnosis; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D010259:Paranoid Disorders / Q000175:diagnosis; D010554:Personality Disorders / Q000175:diagnosis; D010555:Personality Inventory; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods; D011618:Psychotic Disorders / Q000175:diagnosis; D012384:Rome / Q000453:epidemiology; D012494:Sampling Studies; D012720:Severity of Illness Index