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Table 1 ICD-10 criteria for depression and associated questionnaire items

From: How often do German children and adolescents show signs of common mental health problems? Results from different methodological approaches – a cross-sectional study

ICD-10-criteria depressive episode F32

Item (abbreviated) “last week …“:



(1) Depressed mood to a degree that is definitely abnormal for the individual, present for most of the day and almost every day, largely uninfluenced by circumstances, and sustained for at least 2 weeks.

(1) “My child could not shake of the blues even with help from family or friends”.

“My child felt depressed“.

“My child talked less than usual“.

(2) Loss of interest or pleasure in activities that are normally pleasurable;

(2) “My child was happy“.

“My child talked less than usual“.

“My child enjoyed life“.

(3) Decreased energy or increased fatiguability.

(3) “My child has been physically active (e.g. running)“ (negative response)

“My child felt that everything he/she did was an effort“.

“My child talked less than usual“.

“My child could not get „going“.



(1) Loss of confidence and self-esteem;

(1) “My child felt it was just as good as other people.“ (negative response)

“My child thought his/her life had been a failure.“

“My child felt lonely.“

“My child felt that people dislike him/her.“

(2) Unreasonable feelings of self-reproach or excessive and inappropriate guilt;


(3) Recurrent thoughts of death or suicide, or any suicidal behavior;

(3) During the last 6 month my child:

“My child hurt himself or attempted suicide“.

“My child talked about suicide“

(4) Complaints or evidence of diminished ability to think or concentrate, such as indecisiveness or vacillation;

(4) “My child had trouble keeping his/her mind on what he/she was doing“.

“During the last month, my child was inattentive and distractible.“

(5) Change in psychomotor activity, with agitation or retardation (either subjective or objective);

(5) retardation:

“My child could not get going“.

“My child talked less than usual“.

“My child has been physically active (e.g. running) “ (negative response)


“During the last month my child was twitchy“.

(6) Sleep disturbance of any type;

(6) “My child ´s sleep was restless“.

“My child has nightmares about something bad happening to his/her parents“.

“My child has nightmares about something bad happening to him/her“.

(7) Change in appetite (decrease or increase) with corresponding weight change).

(7) “My child did not feel like eating; appetite was poor“.