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The Similarities and Dissimilarities Between Community and Clinic Cases of Depression

Published online by Cambridge University Press:  02 January 2018

C. G. Costello*
Affiliation:
Department of Psychology, University of Calgary, 2500 University Drive, NW, Calgary, Alberta, Canada, T2N 1N4

Abstract

It has been hypothesised that community cases of depression compared with clinic cases: (a) have fewer symptoms; (b) have milder symptoms; (c) have different symptoms; (d) are of shorter duration; (e) are less incapacitating; (f) are more environmentally and less biologically caused; and (g) respond better to psychological than pharmacological intervention. A review of the literature indicates that some of these hypotheses have not been tested, others have not been adequately tested, and none has been unequivocally confirmed. Further investigations of these important issues are required.

Type
Review Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Akiskal, H. S. (1987) The boundaries of mood disorders: implications for defining temperamental variants, atypical subtypes, and schizoaffective disorder. In Diagnosis and Classification in Psychiatry: A Critical Appraisal of DSM–III (ed. G. L. Tischler), pp. 6185. New York: Cambridge University Press Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: APA.Google Scholar
Aneshensel, C. S., Estrada, A. L., Hansell, M. J., et at (1987) Social psychological aspects of reporting behaviour: lifetime depressive episode reports. Journal of Health and Social Behavior, 28, 232246.Google Scholar
Anthony, J. C., Folstein, M., Romanoski, A. J., et al (1985) Comparison of the lay Diagnostic Interview Schedule and a standardized psychiatric diagnosis. Archives of General Psychiatry, 42, 667675.CrossRefGoogle Scholar
Banaji, M. R. & Crowder, R. G. (1989) The bankruptcy of everyday memory. American Psychologist, 44, 11851193.Google Scholar
Bebbington, P. E. (1984) Inferring causes: some constraints in the social psychiatry of depressive disorders. Integrative Psychiatry, 2, 6972.Google Scholar
Bebbington, P. E., Brugha, T., MacCarthy, B., et al (1988) The Camberwell collaborative depression study – I. Depressed probands: adversity and the form of depression. British Journal of Psychiatry, 152, 754765.CrossRefGoogle Scholar
Bebbington, P. E., Hurry, J., Tennant, C., et al (1981a) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561579.Google Scholar
Bebbington, P. E., Tennant, C. & Hurry, J. (1981b) Adversity and the nature of psychiatric disorder in the community. Journal of Affective Disorders, 3, 345366.Google Scholar
Benjaminsen, S. (1981) Stressful life events preceding the onset of neurotic depression. Psychological Medicine, 11, 369378.CrossRefGoogle ScholarPubMed
Brown, G. W. (1978) Notes on the Depression Study. London: Bedford College (mimeograph).Google Scholar
Brown, G. W. & Davidson, S. (1978) Social class, psychiatric disorder of mother and accidents to children. The Lancet, i, 378381.Google Scholar
Brown, G. W. & Harris, T. (1978a) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Brown, G. W. & Harris, T. (1978b) Social origins of depression: a reply. Psychological Medicine, 8, 577588.Google Scholar
Brown, G. W. & Harris, T. (1982) Disease, distress and depression: a comment. Journal of Affective Disorders, 4, 18.CrossRefGoogle ScholarPubMed
Brown, G. W. & Harris, T. (1986) Establishing causal links: the Bedford College studies of depression. In Life Events and Psychiatric Disorders: Controversial Issues (ed. H. Katschnig). New York: Cambridge University Press, pp. 107200.Google Scholar
Brown, G. W., Craig, T. K. J. & Harris, T. O. (1985) Depression: distress or disease? Some epidemiological considerations. British Journal of Psychiatry, 147, 612622.Google Scholar
Calloway, S. P., Dolan, R. J., Fonagy, P., et al (1984a) Endocrine changes and clinical profiles in depression. 1. The dexamethasone suppression test. Psychological Medicine, 14, 749758.CrossRefGoogle ScholarPubMed
Calloway, S. P., Dolan, R. J., Fonagy, P., et al (1984b) Endocrine changes and clinical profiles in depression. 2. The thyrotropin-releasing hormone test. Psychological Medicine, 14, 759765.CrossRefGoogle Scholar
Cooper, J. E., Copeland, J. R. M., Brown, G. W., et al (1977) Further studies on interviewer training and inter-rater reliability of the Present State Examination (PSE). Psychological Medicine, 7, 517523.Google Scholar
Copeland, J. R. M., Kelecher, M. J., Gourlay, A. J., et al (1975) Influence of psychiatric training, medical qualification and paramedical training on the rating of abnormal behaviour. Psychological Medicine, 5, 8995.CrossRefGoogle ScholarPubMed
Costello, C. G. (1982) Social factors associated with depression: a retrospective community study. Psychological Medicine, 12, 325339.CrossRefGoogle ScholarPubMed
Costello, C. G., Devins, G. M. & Ward, K. W. (1988) The prevalence of fears, phobias and anxiety disorders and their relationship with depression in women attending family physicians. Behaviour Research and Therapy, 26, 311320.CrossRefGoogle ScholarPubMed
Creer, C. & Wing, J. K. (1974) Schizophrenia at Home. London: National Schizophrenia Fellowship.Google Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparisons of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 142, 247256.CrossRefGoogle Scholar
Depue, R. A. & Monroe, S. M. (1986) Conceptualization and measurement of human disorder in life stress research: the problem of chronic disturbance. Psychological Bulletin, 99, 3651.Google Scholar
Eysenck, H. J. (1970) A dimensional system of psychodiagnostics. In New Approaches to Personality Classification (ed. A. R. Mahrer), pp. 169207. New York: Columbia University Press.Google Scholar
Eysenck, H. J. (1986) A critique of contemporary classification and diagnosis. In Contemporary Directions in Psychopathology: Towards the DSM–IV (eds. T. Millon & G. L. Klerman), pp. 7398. New York: Guilford.Google Scholar
Eysenck, H. J. & Eysenck, S. B. G. (1964) The Manual of The Eysenck Personality Inventory. London: University of London Press.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Goldie, N. (1979) Review of G. W. Brown's & T. Harris's The Social Origins of Depression. Sociology of Health and Illness, 1, 352357.CrossRefGoogle Scholar
Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278296.CrossRefGoogle ScholarPubMed
Helzer, J. E., Spitznagel, E. L. & McEvoy, L. (1985) The predictive validity of lay Diagnostic Interview Schedule diagnoses in the general population. Archives of General Psychiatry, 44, 10691077.Google Scholar
Hirschfeld, R. M. A., Klerman, G. L., Andreasen, N. C., et al (1986) Psychosocial predictors of chronicity in depressed patients. British Journal of Psychiatry, 148, 648654.Google Scholar
Hollon, S. D. (1986) Deconfounding cognitive vulnerability from symptom suppression: what we can learn from differential risk following treatment of depression. Paper presented at the 20th Annual Convention for the Association for the Advancement of Behavior Therapy, Chicago, November 16.Google Scholar
Hurry, J. & Sturt, E. (1981) Social performance in a population sample: relation to psychiatric symptoms. In What is a Case? The Problem of Definition in Psychiatric Community Surveys (eds. J. K. Wing, P. E. Bebbington & L. Robins), pp. 202213. London: Grant McIntyre.Google Scholar
Lazarus, A. A. (1963) The results of behaviour therapy in 126 cases of severe neurosis. Behaviour Research and Therapy, 1, 6979.Google Scholar
McGuffin, P., Katz, R. & Bebbington, P. (1987) Hazard, heredity and depression: a family study. Journal of Psychiatric Research, 21, 365375.CrossRefGoogle ScholarPubMed
McGuffin, P., Katz, R. & Bebbington, P. (1988) The Camberwell collaborative depression study-Ill. Depression and adversity in the relatives of depressed probands. British Journal of Psychiatry, 152, 775782.Google Scholar
Mechanic, D. (1972) Social psychological factors affecting the presentation of bodily complaints. New England Journal of Medicine, 286, 11321139.CrossRefGoogle ScholarPubMed
Moroenstern, F. S., Pearce, J. F. & Rees, L. W. (1965) Predicting the outcome of behaviour therapy by psychological tests. Behaviour Research and Therapy, 3, 191200.Google Scholar
Nandi, D. N., Ajmany, S., Ganguli, H. et al (1976) A clinical evaluation of depressives found in a rural survey in India. British Journal of Psychiatry, 128, 523527.Google Scholar
Paykel, E. S. (1971) Classification of depressed patients: a cluster analysis derived grouping. British Journal of Psychiatry. 118, 275288.Google Scholar
Paykel, E. S., Prusoff, B. A. & Unlenhuth, E. H. (1971) Scaling of life events. Archives of General Psychiatry, 25, 340347.CrossRefGoogle ScholarPubMed
Paykel, E. S., Rao, B. M., & Taylor, C. N. (1984) Life stress and symptom pattern in out-patient depression. Psychological Medicine, 14, 559568.CrossRefGoogle ScholarPubMed
Richman, A. & Barry, A. (1985) More and more is less and less: the myth of massive psychiatric need. British Journal of Psychiatry, 146, 164168.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule (DIS). Archives of General Psychiatry, 38, 381389.Google Scholar
Sashidharan, S. P. (1985) Definitions of psychiatric syndromes – comparison in hospital patients and general population. British Journal of Psychiatry, 147, 547551.Google Scholar
Schmidt, E., Castell, D. & Brown, P. (1965) A retrospective study of 42 cases of behaviour therapy. Behaviour Research and Therapy, 3, 919.CrossRefGoogle ScholarPubMed
Shapiro, S., Skinner, E. A., Kessler, L. G., et al (1984) Utilization of health and mental health services. Archives of General Psychiatry, 41, 971978.Google Scholar
Snaith, R. P. (1987) The concepts of mild depression. British Journal of Psychiatry, 150, 387393.Google Scholar
Stavraki, C. & Vargo, B. (1986) The relationship of anxiety and depression: a review of the literature. British Journal of Psychiatry, 149, 716.Google Scholar
Sturt, E., Bebbington, P., Hurry, J., et al (1981) The Present State Examination used by interviewers from a survey agency: report from the MRC Camberwell community survey. Psychological Medicine, 11, 185192.Google Scholar
Surtees, P. G., Sashidharan, S. P. & Dean, C. (1986) Affective disorder amongst women in the general population: a longitudinal study. British Journal of Psychiatry, 148, 176186.Google Scholar
Tarnopolsky, A., Hand, D. J., McLean, E. K., et al (1979) Validity and use of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry, 134, 508515.Google Scholar
Tennant, C. & Bebbington, P. (1978) The social causation of depression: a critique of the work of Brown and his colleagues. Psychological Medicine, 8, 565575.CrossRefGoogle Scholar
Thase, M. E., Frank, E. & Kupfer, D. J. (1985) Biological processes in major depression. In Handbook of Depression: Treatment, Assessment and Research (eds. E. C. Beckham & W. R. Leber), pp. 816913. Homewood, Illinois: Dorsey.Google Scholar
Torgerson, S. (1986) Genetic factors in moderately severe and mild affective disorders. Archives of General Psychiatry, 43, 222226.Google Scholar
Weissman, M. M., Prusoff, B. A. & Klerman, G. L. (1978) Personality and the prediction of long-term outcome of depression. American Journal of Psychiatry, 135, 797800.Google Scholar
Williams, P., Tarnopolsky, A. & Hand, D. (1980) Case definition and case identification in psychiatric epidemiology: review and assessment. Psychological Medicine, 10, 101114.CrossRefGoogle ScholarPubMed
Wing, J. K. (1976) A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psychological Medicine, 6, 665671.Google Scholar
Wing, J. K. & Sturt, E. (1978) The PSE–ID–CATEGO System: A Supplementary Manual. London: Institute of Psychiatry.Google Scholar
Wing, J. K., Bebbington, P., Hurry, J., et al (1981) The prevalence in the general population of disorders familiar to psychiatrists in hospital practice. In What is a Case? The Problem of Definition in Psychiatric Community Surveys (eds. J. K. Wing, P. Bebbington & L. N. Robins), pp. 4561. London: Grant McIntyre.Google Scholar
Wing, J. K., Cooper, J. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P., et al (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203217.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A., et al (1977) Reliability of the PSE (ninth edition) used in a population survey. Psychological Medicine, 7, 505516.Google Scholar
Wolpin, M. & Raines, J. (1966) Visual imagery, expected roles and extinction as possible factors in reducing fear and avoidance behaviour. Behaviour Research and Therapy, 4, 2537.CrossRefGoogle Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Disorders (ICD–9). Geneva: WHO.Google Scholar
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