Differences ICD-10: 1992 DSM-IV-TR: 2000

Origin International-WHO American Psychiatric Association

Goal As a classification system for all As a diagnostic nomenclature to

health related disorders meet the own members’ needs
To facilitate the collection of data

Presentation Different version for clinical One version

work, research, and use in
primary care

Languages Available in all widely spoken English version only

languages

Structure Part of general classification Multi-axial

Single axial available in Chapter Only mental disorders
V; separate multi-axial systems
available

Content Guidelines and criteria do not Diagnostic criteria usually

include consequences of disorder include significant impairment in
social function

Example: Is diagnosed as long as there is Diagnosed only if it affects the

Specific marked fear or avoidance of function/relationship
Phobia specific situation/object

Concern May lead to false positive Avoid false positive diagnosis to

diagnosis help out the diagnostic threshold
between normality and disorder

Classification Alphanumerical (F19, F25 etc.) Numerical (313.13, 256.21 etc)

Others  Depressive personality disorder  Incorporated into section

not included
 Passive-aggressive PD has
never been incorporated
 Does not distinguish BMD I/II  Does distinguish so in 1990s
 Recurrent brief depressive
disorder is a new addition
 Schizotypal disorder is
classified with schizophrenia
disorder
entitled “criteria sets & axes for
further study”
 Passive-aggressive PD has been
removed
 Only appear in appendix
 Classified with personality
disorder
Similarities:
1. Both are syndrome-based classification (not course-based)
2. Both are hierarchical
3. Both commend that multiple axis I diagnosis coexist (comorbidity) all should
be recorded, beginning with the most prominent

Conclusion:
Both are desired to be more etiologically based rather than just descriptive. Most of
the differences are trivial. E.g. schizophrenia subtypes