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Nosology of atypical depression

Published online by Cambridge University Press:  09 July 2009

E. S. Paykel ,
R. R. Parker ,
P. R. Rowan ,
B. M. Rao  and
C. N. Taylor
E. S. Paykel*
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London
R. R. Parker
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London
P. R. Rowan
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London
B. M. Rao
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London
C. N. Taylor
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London
*
1Address for correspondence: Professor E. S. Paykel. Department of Psychiatry, St George's Hospital Medical School, London
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Synopsis

A review of the literature on atypical depression indicated three relatively separate usages for the term: anxiety or phobic symptoms additional to depression, reversed functional shift, and non-endogenous depression. A sample of 160 out-patient depressives was rated on a variety of diagnostic systems measuring these concepts. Inter-relationships between groups selected by the three definitions were found to be low. In addition, although there was moderate consistency within different definitions of endogenous depression and of additional anxiety, reversed functional shift symptoms did not correlate well with each other. These findings suggest that atypical depression may be of limited value as a specific diagnosis within non-psychotic depression.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 1 , February 1983 , pp. 131 - 139
Copyright
Copyright © Cambridge University Press 1983

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