Display options
Share it on

Nervenarzt. 2013 Sep;84(9):1081-2, 1084-90. doi: 10.1007/s00115-012-3675-6.

[Syndromal versus nosological diagnosis].

Der Nervenarzt

[Article in German]
M Jäger, K Frasch, T Becker

Affiliations

  1. Klinik für Psychiatrie und Psychotherapie II, Bezirkskrankenhaus Günzburg, Universität Ulm, Deutschland. [email protected]

PMID: 23247993 DOI: 10.1007/s00115-012-3675-6

Abstract

Against the background of the current preparation of ICD-11 and DSM-5, there is a discussion whether syndromal approaches should replace the traditional nosological diagnosis in psychiatry. From a historical point of view the syndromal approach results from a reaction to the nosological model of Emil Kraepelin. Later the syndromal diagnostic approach became more important because it enabled a quantitative-dimensional assessment and analysis of psychopathological data using modern statistical procedures. However, attempts to ascribe the traditional nosological categories to psychopathological syndromes using multivariate statistical methods have failed. The syndromal approach allows a differentiated recording of the cross-sectional symptomatology; however, a plurality of different syndromes might be registered without considering meaningful principles of classification and longitudinal aspects. The syndromal approach should be complemented by a nosological classification based mainly on the psychopathological course due to the absence of consistent neurobiological findings.

References

  1. Mol Psychiatry. 2008 Jun;13(6):606-13, 557 - PubMed
  2. Nervenarzt. 2000 Jul;71(7):525-34 - PubMed
  3. Schizophr Res. 2002 Oct 1;57(2-3):259-66 - PubMed
  4. J Affect Disord. 1987 Jul-Aug;13(1):1-8 - PubMed
  5. Nervenarzt. 1978 Aug;49(8):445-55 - PubMed
  6. Eur Psychiatry. 2002 Mar;17(1):9-16 - PubMed
  7. Eur Arch Psychiatry Clin Neurosci. 2008 Jun;258 Suppl 2:48-73 - PubMed
  8. Schizophr Bull. 2010 Mar;36(2):231-8 - PubMed
  9. Nervenarzt. 1999 May;70(5):399-407 - PubMed
  10. Fortschr Neurol Psychiatr. 2011 May;79(5):277-82 - PubMed
  11. Psychiatr Prax. 2007 May;34(4):175-80 - PubMed
  12. Eur Arch Psychiatry Clin Neurosci. 2008 Nov;258 Suppl 5:60-5 - PubMed
  13. Nervenarzt. 1999 Sep;70(9):780-9 - PubMed
  14. J Clin Psychiatry. 2011 Oct;72(10):1383-9 - PubMed
  15. Br J Psychiatry. 1980 Oct;137:324-31 - PubMed
  16. Psychiatr Neurol Neurochir. 1965 Jan-Feb;68:50-66 - PubMed
  17. Science. 1996 Nov 29;274(5292):1527-31 - PubMed
  18. Nat Neurosci. 2008 Dec;11(12):1381-2 - PubMed
  19. Z Klin Psychol Psychopathol Psychother. 1988;36(4):328-36 - PubMed
  20. Transl Psychiatry. 2011 Aug 30;1:e37 - PubMed
  21. Nervenarzt. 1999 May;70(5):391-8 - PubMed
  22. Arch Gen Psychiatry. 1987 Jun;44(6):573-88 - PubMed
  23. Nervenarzt. 2004 Mar;75(3):205-14 - PubMed
  24. Nat Rev Neurosci. 2007 Sep;8(9):725-32 - PubMed
  25. Fortschr Neurol Psychiatr. 2012 Sep;80(9):520-6 - PubMed
  26. Science. 2003 Jul 18;301(5631):386-9 - PubMed
  27. Nervenarzt. 2008 Mar;79(3):288-94 - PubMed
  28. Brain Res Brain Res Rev. 1998 Dec;28(3):309-69 - PubMed
  29. Schizophr Bull. 2006 Jan;32(1):9-16 - PubMed
  30. Psychiatry Clin Neurosci. 2009 Oct;63(5):595-612 - PubMed
  31. Nervenarzt. 1973 Jul;44(7):352-8 - PubMed
  32. Arch Psychiatr Nervenkr (1970). 1983;233(3):223-45 - PubMed
  33. Psychopathology. 2005 Jul-Aug;38(4):211-4 - PubMed
  34. Trends Cogn Sci. 2012 Jan;16(1):81-91 - PubMed
  35. Br J Psychiatry. 2005 Mar;186:182-4 - PubMed
  36. Soc Psychiatry Psychiatr Epidemiol. 1990 Jan;25(1):27-32 - PubMed
  37. Schizophr Bull. 2012 May;38(3):369-70 - PubMed
  38. Eur Arch Psychiatry Clin Neurosci. 2011 Feb;261(1):3-10 - PubMed
  39. Am J Psychiatry. 1970 Jan;126(7):983-7 - PubMed
  40. Eur Arch Psychiatry Clin Neurosci. 2009 Apr;259(3):164-71 - PubMed
  41. Nervenarzt. 1985 Sep;56(9):510-3 - PubMed
  42. Psychol Med. 1975 May;5(2):138-46 - PubMed
  43. Br J Psychiatry. 2009 Feb;194(2):101-3 - PubMed
  44. Br J Psychiatry. 1970 Sep;117(538):261-6 - PubMed
  45. Nervenarzt. 2012 Mar;83(3):345-54 - PubMed
  46. Science. 1997 Mar 14;275(5306):1593-9 - PubMed

MeSH terms

Publication Types