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The Course and Outcome in Depressive Illness

A Follow-up Study of 122 Cases in Madurai, India

Published online by Cambridge University Press:  29 January 2018

A. Venkoba Rao  and
N. Nammalvar
A. Venkoba Rao
Affiliation:
Department of Psychiatry, Madurai Medical College and Erskine Hospital, Madurai, India
N. Nammalvar
Affiliation:
Indian Council of Medical Research, Erskine Hospital, Madurai, India
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Summary

One hundred and nine out of one hundred and twenty-two cases of endogenous depression were followed-up after their index diagnosis 3–13 years earlier. No recurrence occurred in 28 cases. Forty-two cases turned out to be bipolar and 21 remained unipolar. Manic episodes outnumbered the depressive ones. The change of polarity from depression to mania occurred within three years after the initial depression, though in others the shift occurred between three years and twelve years. The number of episodes of depression before the onset of mania varied from 1 to 3. While the onset of depression before the age of 40 years predisposed to recurrences, there was risk of chronicity in those patients who developed the illness after 40.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 130 , Issue 4 , April 1977 , pp. 392 - 396
Copyright
Copyright © Royal College of Psychiatrists, 1977 

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References

Arieti, S. (1974) Affective disorders. In American Handbook of Psychiatry, 2nd Ed, Vol III, pp 449–90. New York: Basic Books.Google Scholar
Binitie, A. (1975) A factor-analytical study of depression across cultures (African and European). British Journal of Psychiatry, 127, 559–63.CrossRefGoogle ScholarPubMed
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between quantitative measures and of senile change in the cerebral grey matter of elderly subjects. British Journal of Psychiatry, 114, 797–811.Google Scholar
Bratfos, O. & Haug, J. U. (1958) The course of manic depressive psychosis: a follow-up investigation of 215 patients. Acta Psychiatrica et neurologica Scandinavica, 44, 89–112.Google Scholar
Carlson, G. A., Kotin, J., Davenport, Y. B. & Adland, M. (1974) Follow-up of 53 bipolar manic depressive patients. British Journal of Psychiatry, 124, 134–9.Google Scholar
Ciompi, L. (1969) Follow-up studies on the evolution of form of neurotic and depressive states in old age: clinical and psychodynamic aspects. Journal of Geriatric Psychiatry, 3, 99–106.Google Scholar
Hastings, D. W. (1958) Follow-up results in psychiatric illness. American Journal of Psychiatry, 114, 1057–66.Google Scholar
Kraepelin, E. (1921) Monk-Depressive Insanity and Paranoia (trans Barclay, M.). Edinburgh: E. S. Livingstone.Google Scholar
Lundquist, G. (1945) Prognosis and course in manic-depressive psychosis. Acta Psychiatrica et Neurological Scandinavica, Suppl 35.Google Scholar
Norris, V. (1959) Mental Illness in London: a Statistical Inquiry into Admissions into Mental Hospitals. Maudsley Monograph Series. London: Chapman & Hall.Google Scholar
Perris, C. (1968) The course of depressive psychosis. Acta Psychiatrica et Neurologica Scandinavica, 44, 238–48.Google Scholar
Pollock, H. M., Malzberg, N. & Fuller, R. G. (1939) Heredity and Environmental Factors in the Causation of Manic Depressive Psychosis and Dementia Praecox. Utica State Hospital Press.Google Scholar
Post, F. (1972) The management and nature of depressive illness in late life: a follow through study. British Journal of Psychiatry, 114, 1223–46.Google Scholar
Rennie, T. A. C. (1942) Prognosis in manic-depressive psychosis. American Journal of Psychiatry, 98, 801–14.Google Scholar
Sainsbury, P. (1968) Suicide and Depression, In Recent Developments in Affective Disorders (eds) Coppen, Alec and Walk, Alexander, pp 1–13. Ashford, Kent: Headley Brothers.Google Scholar
Shobe, F. O. & Brion, P. (1971) Long-term prognosis in manic-depressive illness. Archives of General Psychiatry, 24, 334–7.Google Scholar
Singer, K. (1975) Depressive disorders from a trans-cultural perspective. Social Science and Medicine, 9, 289–301.Google Scholar
Venkoba Rao, A. (1966a) Depression: a psychiatric analysis of thirty cases. Indian Journal of Psychiatry, 8, 143.Google Scholar
Venkoba Rao, A. (1966b) Depression in Southern India. Fourth World Congress of Psychiatry, Madrid, Spain, 5–11 September 1966. Abstracts, International Congress Series No. 117. Excerpta Medica Foundation, Amsterdam.Google Scholar
Venkoba Rao, A. (1970) A study of depression as prevalent in South India. Transcultural Psychiatric Research Review, 7, 165–7Google Scholar
Venkoba Rao, A. (1973a) Affective illness in first relatives, parental loss and family jointness in depressive disorders. British Journal of Psychiatry, 122, 601.Google Scholar
Venkoba Rao, A. (1973b) Depressive illness and guilt in Indian culture. Indian Journal of Psychiatry, 15, 231.Google Scholar
Winokur, G., Clayton, J. & Reich, T. (1969) Monk Depressive Illness. St. Louis: C. V. Mosby Company.Google Scholar
Winokur, G. & Morrison, J. (1973) The Iowa 500: Follow-up of 225 depressives. British Journal of Psychiatry, 123, 543–8.Google Scholar
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