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The Occurrence of Secondary Affective Disorder in an In-patient Population with Severe and Recurrent Affective Disorder

Published online by Cambridge University Press:  29 January 2018

Harvey C. Stancer ,
Emmanuel Persad ,
Thecla Jorna ,
Christine Flood  and
Diane K. Wagener
Harvey C. Stancer
Affiliation:
Clarke Institute of Psychiatry, 250 College Street, Toronto, Ontario M5T 1R8, Canada, and the Department of Psychiatry, University of Toronto, Canada
Emmanuel Persad
Affiliation:
Clarke institute of Psychiatry
Thecla Jorna
Affiliation:
Clarke institute of Psychiatry
Christine Flood
Affiliation:
Clarke institute of Psychiatry
Diane K. Wagener
Affiliation:
Western Psychiatric Institute and Clink, University of Pittsburgh, Pennsylvania, U.S.A.
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Summary

One hundred and eighty nine consecutive in-patients with treatment-resistant affective disorder were administered the Renard Diagnostic Interview to determine whether the 45 with secondary affective disorder (SAD) differed from the 144 with primary affective disorder (PAD). The SAD group, including 15 subjects with bipolar disorder, had an earlier mean age of onset of depression and contained more unmarried individuals. The total secondary group could not usefully be differentiated by assessment of clinical symptoms or discriminating analysis of social and clinical variables. While the present study of a severely depressed population does not lend itself to generalisability, this combined sample does have characteristics of patients used in biological investigations. No significant inter-group discrimination was found to support a previous assumption that identification of a prior psychiatric disorder provides the most suitable mechanism for selecting a population for research in affective disorders.

Type
Papers
Information
The British Journal of Psychiatry , Volume 144 , Issue 6 , June 1984 , pp. 630 - 635
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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