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Prodromes of Depression and Anxiety

The Stirling County Study

Published online by Cambridge University Press:  02 January 2018

Jane M. Murphy ,
Arthur M. Sobol ,
Donald C. Olivier ,
Richard R. Monson ,
Alexander H. Leighton  and
Lisa A. Pratt
Jane M. Murphy*
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114
Arthur M. Sobol
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114
Donald C. Olivier
Affiliation:
Office for Information Technology, Harvard University, Cambridge, MA 02138
Richard R. Monson
Affiliation:
Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115
Alexander H. Leighton
Affiliation:
Departments of Psychiatry and Community Health and Epidemiology, Dalhousie Medical School, Halifax, Nova Scotia B3H 4H7
Lisa A. Pratt
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
*
∗Correspondence
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Abstract

A longitudinal investigation of psychiatric epidemiology in a general population (the Stirling County study) has indicated that the incidence of depression and anxiety disorders is low relative to prevalence, because these disorders have long durations. In an average year approximately nine adults among 1000 experience a first-ever episode of one of these disorders. Incident cases over the course of a 16-year follow-up were more likely to have had premonitory symptoms than to have been asymptomatic at the beginning of the study. Among the relatively small number of people who exhibited the clearest prodromal manifestations, incidence was 20 per 1000 annually. It might be possible to intervene before such disorders become fully formed and persistent if the precursors are given attention.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 4 , October 1989 , pp. 490 - 495
Copyright
Copyright © Royal College of Psychiatrists 1989 

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References

Beiser, M. (1971) A psychiatric study of ‘normal’ adults. American Journal of Psychiatry, 127, 1464–1472.CrossRefGoogle ScholarPubMed
Bromet, E. J., Dunn, L. O., Connell, M. M., et al (1986) Long-term reliability of diagnosing lifetime major depression in a community sample. Archives of General Psychiatry, 43, 435–440.CrossRefGoogle Scholar
Brown, G. W. & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. New York: The Free Press.Google Scholar
Burvill, P. W. & Knuiman, M. W. (1983) Minor psychiatric morbidity and general practice consulting rates. Psychological Medicine, 13, 635–643.CrossRefGoogle ScholarPubMed
Cooper, B. & Shepherd, M. (1972) Epidemiology and abnormal psychology. In Handbook of Abnormal Psychology (2nd edn) (ed. Eysenck, H. J.). London: Pitman.Google Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., et al (1974) The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behavioral Sciences, 19, 1–15.CrossRefGoogle ScholarPubMed
Duncan-Jones, P. & Henderson, S. (1978) The use of a two-phase design in a prevalence survey. Social Psychiatry, 13, 231–237.CrossRefGoogle Scholar
Essen-Möller, E. (1956) Individual traits and morbidity in a Swedish rural population. Acta Psychiatrica et Neurologica Scandinavica (suppl. 100), 1–160.Google Scholar
Finlay-Jones, R. & Brown, G. W. (1981) Types of stressful life events and the onset of anxiety and depressive disorders. Psychological Medicine, 11, 803–815.CrossRefGoogle ScholarPubMed
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Kessel, W. I. N. (1960) Psychiatric morbidity in a London general practice. British Journal of Preventive and Social Medicine, 14, 16–20.Google Scholar
Laird, N. & Olivier, D. C. (1981) Covariance analysis of censored survival data using log-linear analysis techniques. Journal of the American Statistical Association, 76, 231–240.CrossRefGoogle Scholar
Lapouse, R. (1967) Problems in studying the prevalence of psychiatric disorder. American Journal of Public Health, 57, 947–954.CrossRefGoogle ScholarPubMed
Leighton, A. H. (1959) My Name is Legion: The Stirling County Study of Psychiatric Disorder and Social Environment. New York: Basic Books.Google Scholar
Leighton, D. C., Harding, J. S., Macklin, D. B. et al (1963) Psychiatric findings of the Stirling County study. American Journal of Psychiatry, 119, 1021–1026.CrossRefGoogle Scholar
Link, B. & Dohrenwend, B. P. (1980) Formulation of hypotheses about the true prevalence of demoralization in the United States. In Mental Illness in the United States: Epidemiological Estimates (ed. Dohrenwend, B. P., et al), pp. 114–132. New York: Praeger.Google Scholar
MacMahon, B. & Pugh, T. F. (1970) Epidemiology: Principles and Methods. Boston: Little Brown.Google Scholar
Macmillan, A. M. (1957) The Health Opinion Survey: technique for estimating prevalence of psychoneurotic and related types of disorder in communities. Psychological Reports, 3, 325–339.CrossRefGoogle Scholar
Monson, R. R. (1974) Analysis of relative survival and proportional mortality. Computers and Biomedical Research, 7, 325–332.CrossRefGoogle ScholarPubMed
Morris, J. N. (1957) Uses of Epidemiology. London: E. & S. Livingstone.Google Scholar
Murphy, J. M. (1980) Continuities in community-based psychiatric epidemiology. Archives of General Psychiatry, 37, 1215–1223.CrossRefGoogle ScholarPubMed
Murphy, J. M., Sobol, A. M., Neff, R. K., et al (1984) Stability of prevalence: depression and anxiety disorders. Archives of General Psychiatry, 41, 990–997.CrossRefGoogle ScholarPubMed
Murphy, J. M. Neff, R. K., Sobol, A. M., et al (1985) Computer diagnosis of depression and anxiety: the Stirling County study. Psychological Medicine, 15, 99–112.CrossRefGoogle ScholarPubMed
Murphy, J. M. Olivier, D. C., Sobol, A. M., et al (1986) Diagnosis and outcome: depression and anxiety in a general population. Psychological Medicine, 16, 117–126.CrossRefGoogle ScholarPubMed
Murphy, J. M., Berwick, D. M., Weinstein, M. C., et al (1987a) Performance of screening and diagnostic tests: application of receiver operating characteristic (ROC) analysis. Archives of General Psychiatry, 44, 550–555.CrossRefGoogle Scholar
Murphy, J. M., Monson, R. R., Olivier, D. C., et al (1987b) Affective disorders and mortality: a general population study. Archives of General Psychiatry, 44, 473–480.CrossRefGoogle ScholarPubMed
Murphy, J. M., Olivier, D. C., Monson, R. R., et al (1988) Incidence of depression and anxiety: the Stirling County study. American Journal of Public Health, 78, 534–540.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977) The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Shepherd, M., Cooper, B., Brown, A. C., et al (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Surtees, P. G. & Rennie, D. (1983) Adversity and the onset of psychiatric disorder in women. Social Psychiatry, 18, 37–44.CrossRefGoogle ScholarPubMed
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, 176–186.CrossRefGoogle ScholarPubMed
Wing, J. K., Mann, S. A., Leff, J. P., et al (1978) The concept of a “case” in psychiatric population surveys. Psychological Medicine, 8, 203–217.CrossRefGoogle ScholarPubMed
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