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Prediction of Outcome in Depressive Illness by the Newcastle Diagnosis Scale

Its Relationship with the Unipolar/Bipolar and DSM-III Systems

Published online by Cambridge University Press:  02 January 2018

M. W. P. Carney ,
James Edeh ,
E. H. Reynolds ,
B. K. Toone ,
C. Thomas  and
B. F. Sheffield
M. W. P. Carney*
Affiliation:
Department of Psychiatry Northwick Park Hospital and Clinical Research Centre
James Edeh
Affiliation:
Department of Psychiatry Northwick Park Hospital and Clinical Research Centre
E. H. Reynolds
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
B. K. Toone
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
C. Thomas
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
B. F. Sheffield
Affiliation:
Salford District Health Authority
*
∗Department of Psychiatry, Northwick Park Hospital and Clinical Research Centre, Watford Road, Harrow, Middlesex HA1 3UJ, UK
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Abstract

The Newcastle scores of a group of 64 and subsample of 52 severely depressed inpatients were not normally distributed. Evidence for discontinuity in these distributions was adduced from the contrast in outcome between the endogenous and neurotic patients thus defined, the endogenous consistently doing better than the neurotic group. The unipolar/bipolar system failed to predict different results for endogenous and neurotic patients unless unipolar was subdivided into endogenous and neurotic subgroups. The DSM-III criteria for major depression and melancholia failed to identify subgroups of differing prognoses.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 1 , January 1987 , pp. 43 - 48
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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