Abstract
Zusammenfassung: In diesem Beitrag geben wir eine Übersicht über die Diagnostik und Differentialdiagnostik affektiver Störungen bei hirngeschädigten Patienten. Detailliert werden die entsprechenden im Diagnostische und Statistische Manual der Psychischen Störungen (DSM-IV) und im Internationalen Klassifikationssystem für Krankheiten - Kapitel V (ICD-10) vorhandenen Diagnosekategorien vorgestellt. Abschließend werden mögliche Probleme diskutiert, die die Diagnose einer affektiven Störung bei hirngeschädigten Patienten erschweren.
In this article we provide a description of the assessment of mood disorders in patients with brain injuries (e.g., stroke, head trauma). Relevant diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and of the International Classification of Diseases - Chapter V (ICD-10) were described. Finally, the most problematic factors (e.g., cognitive consequences of brain injury) were discussed that diminish the reliability and validity of diagnostic information and complicate the assessment.
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