Thanks Bruce, Reg, SJ - Saved me having to re-post now that I'm (sorta) awake again... Steve
Senny, Regebro laid it out as clear as possible. Bruce covered what tells you what the reference is.
Just to be sure, all dB levels other than sound pressure levels need a reference. This reference is measured at 0 dB, regardless of the reference. Since the decibel (in electronics, anyway) is a RATIO and not an ABSOLUTE, when you state a dB figure you need to state what it is compared to. This is what the 3rd letter is, as in dBV, dBu, dBM - Sooo, 0 dBV means "no change" from 1 "V", or 1 volt RMS. -10 dBV would be, as regebro stated, 10 dB down from 1 volt rms.
Pro audio uses mostly 600 ohm balanced lines, so levels are referenced to a standard level based on a 600 ohm load. the unit that was chosen for 0 in this case was 1 milliwatt into a 600 ohm load. This, when plugged into ohms law, comes out to .775 volts rms for the o dB reference, so +4 dB from that comes out to 1.23 volts rms. (Can't believe I was too zoned out at 3:45 AM to remember that)
Since -10 is referenced to a zero of 1 volt rms, and +4 is referenced to a zero of .775 volts rms (the voltage caused by 1 milliwatt across 600 ohms), the differences between the two levels, even ignoring characteristic load impedances, will NOT be 14 dB, but 11.8 dB, as Bruce stated.
I had a link to a site that explained every version of the dB ever invented, but can't find it now. Probably on my desktop, which is not booted up at the moment. I hope that among all our ramblings (OK, I ramble, the other guise state facts) that we answered your question... Steve