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Temporal Stability of Symptom Patterns in Depression

Published online by Cambridge University Press:  29 January 2018

E. S. Paykel ,
B. A. Prusoff  and
J. Tanner
E. S. Paykel
Affiliation:
St. George's Hospital and Medical School, London, S.W.17
B. A. Prusoff
Affiliation:
Yale University New Haven, Conn., U.S.A
J. Tanner
Affiliation:
Yale University New Haven, Conn., U.S.A
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Summary

Temporal stability of symptom patterns was examined in 33 depressives studied initially at the height of illness and again some months later in a relapse following earlier recovery. Relapse symptoms were significantly less severe at the time of rating, and initial and relapse severity were not significantly related. Nevertheless there were significant correlations between initial and relapse scores on two factors orthogonal to severity. One of these reflected symptom patterns important to the endogenous-neurotic distinction, the other a contrast between depression and anxiety. These findings indicate some consistency in symptom patterns in successive episodes of depression, and thereby support the value of clinical classifications depending on symptom patterns.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 128 , Issue 4 , April 1976 , pp. 369 - 374
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry, 111, 659—74.CrossRefGoogle Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56—62.Google Scholar
Kendell, R. E. (1968) The Classification of Depressive Illnesses. Maudsley Monograph No. 18, Oxford University Press, London.Google Scholar
Kendell, R. E. (1974) The stability of psychiatric diagnoses. British Journal of Psychiatry, 124, 352—6.CrossRefGoogle Scholar
Kiloh, R. G. & Garside, R. F. (1963) The independence of neurotic depression and endogenous depression. British Journal of Psychiatry, 109, 451—63.CrossRefGoogle ScholarPubMed
Klerman, G. L., DiMascio, A., Weissman, M. M., Prusoff, B. A. & Paykel, E. S. (1974) Treatment of depression by drugs and psychotherapy. American Journal of Psychiatry, 131, 186—91.Google Scholar
Mendels, J. & Cochrane, C. (1968) The nosology of depression: the endogenous-reactive concept. American Journal of Psychiatry, 124 (May supplement), 1–11.Google Scholar
Paykel, E. S. (1971) Classification of depressed patients: a cluster analysis derived grouping. British Journal of Psychiatry, 118, 275—88.Google Scholar
Paykel, E. S., Klerman, G. L. & Prusoff, B. A. (1970) Treatment setting and clinical depression. Archives of General Psychiatry, 22, 11—21.CrossRefGoogle ScholarPubMed
Paykel, E. S., Prusoff, B. A. & Klerman, G. L. (1971) The endogenous-neurotic continuum in depression: rater independence and factor distributions. Journal of Psychiatric Research, 8, 73—90.Google Scholar
Paykel, E. S., DiMascio, A., Haskell, D. & Prusoff, B. A. (1975) Effects of maintenance amitriptyline and psychotherapy on symptoms of depression. Psychological Medicine, 5, 67—77.Google Scholar
Raskin, A., Schulterbrandt, J., Reatig, N. & McKeon, (1970) Differential response to chlorpromazine, imipramine and placebo. A study of subgroups of hospitalized depressed patients. Archives of General Psychiatry, 23, 164—73.Google Scholar
Rosenthal, S. H. & Klerman, G. L. (1966) Content and consistency in the endogenous depressive pattern. British Journal of Psychiatry, 112, 471—84.Google Scholar
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