Fifty-five hospital-treated patients with the ICD-10 diagnosis of ‘recurrent depressive episode(s)’ were classified according to the Newcastle Depressive Diagnostic Scale as having either psychogenic (n = 25) or endogenous (n = 30) depression and interviewed using several inventories on personality and psychopathology (Composite International Diagnostic Interview, Symptom Check List, Inventory of Interpersonal Problems, IIP, NEO Five-Factor Personality Inventory, Social Adjustment Scale, Questionnaire of the Motivation to Seek Psychotherapy). Except for the IIP, individual subscales disclosed significant differences between the two groups. In light of these results, the grouping of these two disorders into one diagnostic group in the ICD-10 is critically discussed.
Fifty-five hospital-treated patients with the ICD-10 diagnosis of recurrent depressive episode(s) were classified according to the Newcastle Depressive Diagnostic Scale as having either psychogenic (n = 25) or endogenous (n = 30) depression and interviewed using the Composite International Diagnostic Interview and the Questionnaire for Assessment of Motivation to Seek Psychotherapy. The two groups were found to differ significantly from one another in two Motivation to Seek Psychotherapy subscales ("layman's etiology" and "general expectations from therapy"). The motivation to seek psychotherapy was greater in patients with psychogenic depression than in patients with endogenous depression. Nonetheless, psychotherapy is indispensable in treating endogenous depression, especially for patients under situational stress or at risk of suicide.
Resistant depressions are those cases that 12 weeks after peroral drug treatment remain refractory. Phenomenological forms of the so called anxious-agitated and hostile patients were treated with sedative antidepressive agents for a period of 12 weeks, per os, and inhabited-apathic and abulic patients with peroral administration of stimulative antidepressive agents during the same period. A total of 36 patients were treated in a five year period (I9~1995). which is 13.3% of the total number of depressive patients. Those were patients from the category of psychotic depression, with clear data on heredity, changed electropsychiological profile of sleep, manic ideas, with the phenomenon of false background, suicidal attempts, associated disease, avoiding daylight and surroundings from eye sight.
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