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  • Title: Outpatients with DSM-III-R versus DSM-IV melancholic depression.
    Author: Lafer B, Nierenberg AA, Rosenbaum JF, Fava M.
    Journal: Compr Psychiatry; 1996; 37(1):37-9. PubMed ID: 8770524.
    Abstract:
    The purpose of this study was to compare outpatients who met DSM-III-R versus DSM-IV criteria for melancholia. Of 176 consecutive outpatients with unipolar depression, 40 (22.7%) met DSM-III-R criteria and 29 (16.5%) met DSM-IV criteria for melancholia. Patients with DSM-IV melancholia had higher mean scores on measurements of clinical severity as compared with those who qualified for a DSM-III-R diagnosis. These results suggest that the criteria for melancholia proposed in the DSM-IV are more restrictive and define a more severely depressed population than criteria in the DSM-III-R.
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