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The Long-Term Outcome of Depressive Illness

Published online by Cambridge University Press:  02 January 2018

L. G. Kiloh ,
Gavin Andrews  and
Megan Neilson
L. G. Kiloh
Affiliation:
The University of New South Wales
Gavin Andrews*
Affiliation:
Clinical Research Unit for Anxiety Disorders, The University of New South Wales at St Vincent's Hospital
Megan Neilson
Affiliation:
Clinical Research Unit for Anxiety Disorders, The University of New South Wales at St Vincent's Hospital
*
∗Clinical Research Unit for Anxiety Disorders, 299 Forbes Street, Darlinghurst, NSW 2010, Australia
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Abstract

One hundred and forty-five patients with primary depressive illness admitted to a university hospital between 1966 and 1970 were followed up an average of 15 years later. Adequate data were obtained on 133 (92%) of the 145. During the follow-up period, 7% of the 133 had suicided, 12% had remained incapacitated by illness and only 20% had remained continuously well. Patients for whom the index admission was not their first were especially likely to be readmitted during the follow-up period. Patients with endogenous depression, none of whom developed schizophrenia during the follow-up period, were more likely to need readmission than patients with an index diagnosis of neurotic depression. In all other respects the prognosis for the two types of depression was the same, with considerable morbidity evident in both.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue 6 , December 1988 , pp. 752 - 757
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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