Somatic syndrome

Classification according to ICD-10
F31.31	Bipolar affective disorder , current mild or moderate depressive episode with somatic syndrome
F32.01	Mild depressive episode with somatic syndrome
F32.11	Moderate depressive episode with somatic syndrome
F33.01	Recurrent depressive disorder, currently mild episode with somatic syndrome
F33.11	Recurrent depressive disorder, currently moderate episode with somatic syndrome
ICD-10 online (WHO version 2019)

Somatic syndrome ( English somatic syndrome ) is a set of symptoms that can appear in addition to the main symptoms of depression or bipolar disorder . One always speaks of a syndrome when several symptoms (symptoms) appear at the same time.

In the DSM-IV , the somatic syndrome is described as melancholic depression . The somatic syndrome originally stems from the concept of endogenous depression and is associated with a good response to antidepressants.

Symptoms

Are in addition to a mild or moderate depression at least four symptoms of a somatic syndrome before, can according to ICD-10 , the diagnosis of depression with somatic syndrome are provided. Depending on the situation , one speaks of mild depression with somatic syndrome (F32.01) or of moderate depression with somatic syndrome (F32.11). No additional coding for the somatic syndrome is provided for severe depression. In the case of a depressive episode in the context of a bipolar affective disorder, a diagnosis of somatic syndrome can also be encoded (F31.31).

The following symptoms characterize a somatic syndrome:

• Loss of interest or loss of enjoyment: Whether this is a loss is measured by whether activities were normally enjoyable.
• Inability to react emotionally when the environment is friendly or when a joyful event occurs.
• Early morning waking: The criterion here is the usual time at which one was used to waking up. It is essential that you wake up at least 2 hours before this usual time.
• Morning low
• Psychomotor inhibition or agitation as an objective finding
• Significant loss of appetite
• Weight loss: The weight loss usually comprises more than 5% of the body weight based on the previous month
• Significant loss of libido

Individual evidence

1. ↑ ^{a b} Bipolar Disorder: An Evidence-Based Guide to Manic Depression . Springer, 2014, ISBN 978-3-642-37216-2 , pp. 344 ( limited preview in Google Book search).
2. ↑ Stefan Leucht, Hans Förstl: Short textbook psychiatry and psychotherapy . Georg Thieme Verlag, 2012, ISBN 978-3-13-170301-9 , p. 108 ( limited preview in Google Book search).
3. ↑ ^{a b} National Health Care Guideline - Unipolar Depression . Springer-Verlag, 2011, ISBN 978-3-642-13103-5 , pp. 170–171 ( limited preview in Google Book search).
4. ^ Textbook Psychiatry . Springer-Verlag, 2013, ISBN 978-3-211-89865-9 , pp. 169 ( limited preview in Google Book search).

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !