Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T08:43:21.290Z Has data issue: false hasContentIssue false
  • English
  • Français

Marital Problems and Treatment Outcome in Depressed Women

A Clinical Trial of Social Work Intervention

Published online by Cambridge University Press:  02 January 2018

Roslyn H. Corney
Roslyn H. Corney*
Affiliation:
General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Get access Rights & Permissions [Opens in a new window]

Abstract

In a clinical trial investigating the effectiveness of social work intervention with depressed women patients in general practice, 80 women were randomly allocated to an experimental group for referral to attached social workers or to a control group for routine treatment by their GPs. They were reassessed at 6 and 12 months. The results indicated that women who had major marital problems were more likely to be depressed at follow-up than those with good relationships. However, patients with marital difficulties in the experimental group made more improvement than the controls. Women initially assessed as suffering from ‘acute on chronic’ depression and having major marital difficulties were found to benefit most from social work intervention.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 5 , November 1987 , pp. 652 - 659
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bothwell, S. & Weissman, M. M. (1977) Social impairments four years after an acute depressive episode. American Journal of Orthopsychiatry, 47, 231–237.Google Scholar
Brannen, J. & Collard, J. (1982) Marriages in Trouble. London: Tavistock.Google Scholar
Briscoe, C. W. & Smith, J. B. (1973) Depression and marital turmoil. Archives of General Psychiatry, 29, 811–917.Google Scholar
Brown, G. W. & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Butrym, Z. (1968) Medical Social Work in Action. Bell: London.Google Scholar
Chester, R. (1971) Health and marriage breakdown: experience of a sample of divorced women. British Journal of Preventive and Social Medicine, 25, 231–235.Google ScholarPubMed
Clare, A. W. & Cairns, V. E. (1978) Design, development and use of a standardized interview to assess maladjustment and dysfunction in community studies. Psychological Medicine, 8, 589–604.Google Scholar
Clare, A. W. & Corney, R. H. (1982) Social Work and Primary Health Care. London: Academic Press.Google Scholar
Cooper, B., Fry, J. & Galton, G. (1969) A longitudinal study of psychiatric morbidity in a general practice population. British Journal of Preventive and Social Medicine, 23, 210–217.Google Scholar
Cooper, B., Fry, J. & Galton, G., Harwin, B. G., Depla, C. & Shepherd, M. (1975) Mental health care in the community: an evaluative study. Psychological Medicine, 5, 372–380.Google Scholar
Corney, R. H. (1981a) The Effectiveness of Social Work in the Management of Depressed Women Patients in General Practice. PhD thesis, University of London.Google Scholar
Corney, R. H. (1981b) Client perspectives in a general practice attachment. British Journal of Social Work, 11, 159–170.Google Scholar
Corney, R. H. (1985) The Effectiveness of Attached Social Workers in the Management of Depressed Female Patients in General Practice. Psychological Medicine Monograph no. 6. Cambridge University Press.Google Scholar
Dominian, J. (1980) Marriage in Britain: 1945–1980. London: Study Commission on the Family.Google Scholar
Gibbons, J. S., Butler, J., Urwin, P. & Gibbons, J. L. (1978) Evaluation of a social work service for self poisoning patients. British Journal of Psychiatry, 133, 111–118.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google Scholar
Hicks, D. (1976) Primary Health Care. London: HMSO.Google Scholar
Hollis, F. (1964) Casework: A Psychosocial Therapy. New York: Random House.Google Scholar
Home Office (1979) Marriage Matters: A Consultative Document by the Working Party on Marriage Guidance. London: HMSO.Google Scholar
Kedward, H. (1969) The outcome of neurotic illness in the community. Social Psychiatry, 4, 1–4.CrossRefGoogle Scholar
Kincey, J. A. (1974) General practice and clinical psychology – some arguments for a closer liaison. Journal of the Royal College of General Practitioners, 24, 882–888.Google ScholarPubMed
Mayer, J. E. & Timms, N. (1970) The Client Speaks. London: Routledge and Kegan Paul.Google Scholar
Miller, P. Mc. & Ingham, J. C. (1976) Friends, confidants and symptoms. Social Psychiatry, 11, 51–58.Google Scholar
Mitchell, M. (1981) Someone To Turn To. University Press: Aberdeen.Google Scholar
Paykel, E. S., Myers, J. K. & Dienelt, M. (1969) Life events and depression. Archives of General Psychiatry, 31, 753–760.Google Scholar
Rounsaville, B. J., Weissman, M. M., Prusoff, B. A. & Herceg-Baron, R. L. (1979) Marital disputes and treatment outcome in depressed women. Comprehensive Psychiatry, 20, 483–490.CrossRefGoogle ScholarPubMed
Rounsaville, B. J. B., Prusoff, B. A. & Weissman, M. M. (1980) The course of marital disputes in depressed women: a 48 month follow up study. Comprehensive Psychiatry, 21, 111–118.CrossRefGoogle ScholarPubMed
Sainsbury, E. (1975) Social Work with Families. London: Routledge and Kegan Paul.Google Scholar
Shepherd, M. (1974) General practice, mental illness and the British National Health Service. American Journal of Public Health, 64, 230–234.Google Scholar
Shepherd, M., Harwin, B. G., Depla, C. & Cairns, V. (1979) Social work and the primary care of mental disorder. Psychological Medicine, 9, 661–669.Google Scholar
Weissman, M. M. & Paykel, E. S. (1974) The Depressed Woman: a study in Social Relationships. Chicago: University of Chicago Press.Google Scholar
Wootton, B. (1978) The social work task today. Community Care, 4 October, 14–16.Google Scholar
World Health Organization (1973) Psychiatry and Primary Medical Care. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.