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Psychotic and neurotic depression: discriminant function analysis and five-year outcome

Published online by Cambridge University Press:  09 July 2009

J. R. M. Copeland
J. R. M. Copeland*
Affiliation:
Institute of Psychiatry, London, and the University Department of Psychiatry, Liverpool
*
1Address for correspondence: Professor J. R. M. Copeland, University Department of Psychiatry, Royal Liverpool Hospitla, Prescot Street, Liverpool 17 8XP.
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Synopsis

A consecutive series of 94 patients recently admitted to hospital from a defined catchment area and diagnosed as having a depressive illness were examined using standardized techniques for eliciting mental state, etc. The overlap between psychotic and neurotic diagnoses was 8·5% on discriminant function analysis of mental state items. A sub-sample of 71 patients was given a comprehensive postal and case record follow-up 5 years later. When patients developing organic and other complicating illnesses were excluded, those suffering from psychotic depression showed a significantly poorer outcome, as defined by relapse and required lengths of hospital care, than those diagnosed as suffering from neurotic depression.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 2 , May 1983 , pp. 373 - 383
Copyright
Copyright © Cambridge University Press 1983

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