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A 15–20 Year Follow-Up of Adult Psychiatric Patients

Psychiatric Disorder and Social Functioning

Published online by Cambridge University Press:  02 January 2018

David Quinton ,
Lesley Gulliver  and
Michael Rutter
David Quinton*
Affiliation:
Department of Social Work, School for Policy Studies, University of Bristol
Lesley Gulliver
Affiliation:
MRC Child Psychiatry Unit, Institute of Psychiatry, London
Michael Rutter
Affiliation:
MRC Child Psychiatry Unit, Institute of Psychiatry, London
*
Dr David Quinton, Department of Social Work, School for Policy Studies, University of Bristol, 8 Woodland Rd, Bristol BS8 1TN. Fax: 0171 708 5800
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Abstract

Background

An exploratory study was undertaken of the importance of personality disorder in predicting the long-term outcome for both episodic disorders and social functioning.

Method

In 1966–67, a representative series of patients with children, free of episodic illness for at least one year, was sampled from the Camberwell Psychiatric Register and systematically assessed over a four-year period, using measures of known reliability and validity. Psychiatric disorder was measured using a PSE-compatible instrument. The follow-up after 15–20 years used the PSE and a systematic assessment of social functioning.

Results

Overall outcomes were similar across diagnoses, but an initial categorical diagnosis of personality disorder predicted much poorer outcomes on psychiatric and social measures for patients with unipolar depressive disorders than for those with other diagnoses.

Conclusions

The findings indicate the importance for prognosis of including a systematic assessment of personality disorder in the clinical assessment of patients with depressive disorder.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 3 , September 1995 , pp. 315 - 323
Copyright
Copyright © 1995 The Royal College of Psychiatrists

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