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The British Journal of Psychiatry 143: 118-123 (1983)
© 1983 The Royal College of Psychiatrists

Assessment of outcome after psychosurgery using the Present State Examination

DA Curson, T Trauer, PK Bridges and PK Gillman

The aim of the study was to explore the way psychiatric symptoms might influence independent psychiatric assessment of outcome one year after stereotactic subcaudate tractotomy. In a sample of 34 patients consecutively accepted for psychosurgery the results showed that both 'good' and 'poor' outcome groups improved overall. No patients were significantly worse and the symptoms which improved most were nervous tension, depressed mood and somatic anxiety. It was not possible to identify symptomatic predictors of outcome because the preoperative symptom profiles of both groups were so similar. The reason why symptomatic outcome is so variable despite a basically identical psychosurgical technique is discussed.


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A. L. Malizia
The frontal lobes and neurosurgery for psychiatric disorders
J Psychopharmacol, January 1, 1997; 11(2): 179 - 187.
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Copyright © 1983 The Royal College of Psychiatrists.