Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-25T21:17:40.544Z Has data issue: false hasContentIssue false

Affective Disorders Among Women in the General Population and Among Those Referred to Psychiatrists Clinical Features and Demographic Correlates

Published online by Cambridge University Press:  02 January 2018

P. Mcc. Miller
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, Royal Edinburgh Hospital, Edinburgh

Abstract

In a study comparing depressive disorders detected in a field survey (n = 90) with patients referred to a specialist treatment setting (n = 63), the clinical features and demographic correlates of ‘cases' of affective disorders proved to be similar. However, those in treatment settings appeared to have more people achieving definite case status. Hospital-referred cases were also more likely than community cases to be older and single, and this difference persisted even after controlling for chronicity of symptoms.

Type
Research Article
Copyright
Copyright © 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

Bebbington, P. E. (1984) Inferring causes: some constraints in the social psychiatry of depressive disorders. Integrative Psychiatry, 2, 6972.Google Scholar
Bebbington, P. E., Hurry, J., Tennant, C., et al (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561579.CrossRefGoogle ScholarPubMed
Brown, G. W., Davidson, S., Harris, T., et al (1977) Psychiatric disorder in London and North Uist. Social Science and Medicine, 11, 367377.Google Scholar
Cohen, J., (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 142, 238246.Google Scholar
Endicott, J. & Spitzer, R. L. (1978) A diagnostic interview: the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry, 35, 837844.Google Scholar
Finlay-Jones, R. (1980) Notions of neurosis: a comparison of community cases with declared patients. Australian and New Zealand Journal of Psychiatry, 14, 97100.CrossRefGoogle ScholarPubMed
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Goldthorpe, J. & Hhope, K. (1974) The Social Grading of Occupations: a New Approach and Scale. London: Oxford University Press.Google Scholar
Hurry, J., Tennant, C. & Bebbington, P. (1980) The selective factors leading to psychiatric referrals. Acta Psychiatrica Scandinavica, 285 (suppl.), 315323.Google Scholar
Katschnic, H. (1984) Commentary. Inferring causes: some constraints in the social psychiatry of depressive disorders. Integrative Psychiatry, 2, 7779.Google Scholar
Lilienfeld, A. M. & Lilienfeld, D. E. (1976) Foundation of Epidemiology. Oxford: Oxford University Press.Google Scholar
Paykel, E. S., Klerman, G. L. & Prusoff, B. A. (1970) Treatment setting and clinical depression. Archives of General Psychiatry, 22, 1121.Google Scholar
Sashidharan, S. P. (1985) Definitions of psychiatric syndromes – comparison in hospital patients and general population. British Journal of Psychiatry, 147, 547551.CrossRefGoogle ScholarPubMed
Sashidharan, S. P., Surtees, P. G., Ingham, J. G., et at (1985) Neurosis divisible? Lancet, i, 1210.Google Scholar
Sashidharan, S. P., Surtees, P. G., Ingham, J. G., et at (1988) Hospital-treated and general population morbidity from affective disorders: comparison of prevalence and inception rates. British Journal of Psychiatry, 152, 499505.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry, 35, 837844.CrossRefGoogle ScholarPubMed
Surtees, P. G., Dean, C., Ingham, J. G., et al (1983) Psychiatric disorders in women from an Edinburgh community: association with demographic factors. British Journal of Psychiatry, 142, 238246.CrossRefGoogle ScholarPubMed
Surtees, P. G., Sashidharan, S. P. & Dean, C. (1986) Affective disorders amongst women in the general population: a longitudinal study. British Journal of Psychiatry, 148, 176186.Google Scholar
Wing, J. K. (1976) A technique for studying psychiatric morbidity and in-patient and out-patient series and in general population samples. Psychological Medicine, 6, 665671.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorious, 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.CrossRefGoogle ScholarPubMed
Wing, J. K., & Sturt, E. (1978) The PSE–ID–CATEGO System: Supplementary Manual. London: MRC Social Psychiatry Unit.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? (eds J. K. Wing, P. Bebbington & L. N. Robins). London: Grant McIntyre.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.