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Depression in Hospital and in General Practice: A Direct Clinical Comparison

Published online by Cambridge University Press:  29 January 2018

T. J. Fahy*
Affiliation:
Department of Psychological Medicine, The Royal Victoria Infirmary and University of Newcastle upon Tyne. Now Clinical Director, St. Loman's Hospital, Dublin

Extract

A prospective study (Fahy, 1974) found that depressed patients referred to psychiatrists by family doctors differed from depressives not so referred in being more often difficult to reassure, diffusely anxious and subjectively retarded. Single men were selectively referred. Absence of hypochondriacal features characterized prompt referrals only. Generally, psychiatric referrals were obviously depressed in mood and showed a wealth of psychiatric symptoms, predominantly of ‘endogenous' type and not associated with overt physical stress-at-onset. For lack of data with a direct bearing on reliability, the repeatability of this study was uncertain and the question of a possible qualitative difference between depression in hospital and in general practice was left unanswered.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1974 

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References

Beck, A. T., Ward, C. H., Mandelson, N., Mock, J., and Erbaugh, J. (1961). ‘An inventory for measuring depression.’ Archives of General Psychiatry, 4, 53.CrossRefGoogle ScholarPubMed
Eysenck, H. J., and Eysenck, S. (1964). The Eysenck Personality Inventory. University of London Press.Google Scholar
Fahy, T. J. (1969). ‘The phenomenology of depression in hospital and in the community.’ Unpublished M.D. Thesis. National University of Ireland, Dublin.Google Scholar
Fahy, T. J. (1969a). ‘Some problems in the assessment of current mental status of depressed patients’, in Das Depressive Syndrom (ed. by Hippius, H., and Selbach, H.). Berlin: Urban and Schwarzenberg.Google Scholar
Fahy, T. J. (1974). ‘Pathways of specialist referral of depressed patients from general practice.’ British Journal of Psychiatry, 124, 231–9.CrossRefGoogle ScholarPubMed
Flebs, J. L., Spitzer, R. L., and Burdock, E. I. (1965). ‘Estimating accuracy of judgement using recorded interviews.’ Archives of General Psychiatry, 12, 562.Google Scholar
Hamilton, M. (1960). ‘A rating scale for depression.’ Journal of Neurology, Neurosurgery and Psychiatry, 23, 56.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Fleiss, J. L., Burdock, E. I., and Hardesty, A. (1964). ‘The Mental Status schedule: rationale, reliability and validity.’ Comprehensive Psychiatry, 5, 384.CrossRefGoogle ScholarPubMed
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