Table of Contents

F32 : Depression

F32 Depressive Episode

A. The depressive episode should last at least 2 weeks

B. There have been no hypomanic or manic symptoms sufficient to meet the criteria for hypomanic or manic episode at any time in the individual's life

Somatic Syndrome

A fifth character may be used to specify the presence or absence of the somatic syndrome. To qualify for the somatic syndrome, four of the following symptoms should be present:

  1. marked loss of interest or pleasure in activities that are normally pleasurable

  2. lack of emotional reactions to events or activities that normally produce an emotional response

  3. waking in the morning 2 hours or more before the usual time

  4. depression worse in the morning

  5. objective evidence of marked psychomotor retardation or agitation (remarked on or reported by other people)

  6. marked loss of appetite

  7. weight loss (5 % or more of body weight in the past month)

  8. marked loss of libido

F32.0 Mild depressive episode

A. The general criteria for depressive episode must be met

B. At least two of the following three symptoms must be present:

  1. depressed mood to a degree that is definitely abnormal for the individual, present for most of the day and almost every day, largely uninfluenced by circumstances, and sustained for at least 2 weeks

  2. loss of interest or pleasure in activities that are normally pleasurable

  3. decreased energy or increased fatiguability

C. An additional symptom or symptoms from the following list should be present, to give a total of at least four:

  1. loss of confidence or self esteem

  2. unreasonable feelings of self-reproach or excessive and unreasonable guilt

  3. recurrent thoughts of death or suicide, or any suicidal behaviour

  4. complaints or evidence of diminished ability to think or concentrate, such as indecisiveness or vacillation

  5. change in psychomotor activity, with agitation or retardation (either subjective or objective)

  6. sleep disturbance of any type

  7. change in appetite (decrease or increase) with corresponding weight change

F32.1 Moderate depressive episode

A. The general criteria for depressive episode must be met

B. At least two of the three symptoms listed for F32.0, criterion B, must be present

C. Additional symptoms from F32.0, criterion C, must be present, to give a total of at least six

F32.2 Severe depressive episode without psychotic symptoms

A. The general criteria for depressive episode must be met

B. All three symptoms in criterion B, F32.0, must be present

C. Additional symptoms from F32.0, criterion C, must be present, to give a total of at least eight

D. There must be no hallucinations, delusions, or depressive stupor

F32.3 Severe depressive episode with psychotic symptoms

A. The general criteria for depressive episode must be met

B. The criteria for severe depressive episode without psychotic symptoms (F32.2) must be met with the exception of criterion D

C. The criteria for schizophrenia or schizoaffective disorder, depressive type are not met

D. Either of the following must be present:

  1. delusions or hallucinations, other than those listed as typically schizophrenic (i.e. delusions other than those that are completely impossible, or culturally inappropriate, and hallucinations that are not in the 3rd person or giving a running commentary); the commonest examples are those with depressive, guilty, hypochondriacal, nihilistic, self-referential or persecutory content

  2. depressive stupor