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The Prediction of the Course of Minor Psychiatric Disorders

Published online by Cambridge University Press:  29 January 2018

P. J. Huxley ,
D. P. Goldberg ,
G. P. Maguire  and
V. A. Kincey
P. J. Huxley
Affiliation:
Department of Psychiatry, University of Manchester, Swinton Grove, Manchester M13 0EU
D. P. Goldberg
Affiliation:
Department of Psychiatry, University Hospital of South Manchester, West Didsbury, Manchester
G. P. Maguire
Affiliation:
Department of Psychiatry, University Hospital of South Manchester, West Didsbury, Manchester
V. A. Kincey
Affiliation:
Department of Psychiatry, University Hospital of South Manchester, West Didsbury, Manchester
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Summary

Recent studies have suggested that psychosocial factors play an important part in the prediction of the course of minor psychiatric disorders. Fifty-nine new psychiatric out-patients suffering from minor disorders were assessed, using standardized clinical and social interviews, and 52 were followed up after one year and the clinical assessment repeated. Social and clinical factors were equally important predictors of the number of months ill in the survey year, but social and constitutional variables were superior in the prediction of percentage change in symptoms over the year.

The results of correlation, factor and multiple regression analyses suggest that the course of minor psychiatric disorder is best predicted by three sets of variables which are, in order of importance, the patient's material social circumstances, his clinical symptoms and his ‘genetic risk’ scores.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 135 , Issue 6 , December 1979 , pp. 535 - 543
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Bleuler, M. (1968) A 23-year longitudinal study of 208 schizophrenics and impressions in regard to the nature of schizophrenia. In The Transmission of Schizophrenia (eds. Rosenthal, D. and Kety, S. S.). pp. 3–12. Pergamon Press.Google Scholar
Brown, G. W., Ni Bhrolchain, M. N. & Harris, T. (1975) Social class and psychiatric disturbance among women in an urban population. Sociology, 9, 225–54.CrossRefGoogle Scholar
Cooper, B. (1972) Clinical and social aspects of chronic neurosis. Proceedings of The Royal Society of Medicine, 65, 509–12.Google ScholarPubMed
Cooper, B., Eastwood, M. R. & Sylph, J. (1970) Psychiatric morbidity and social adjustment in a general practice population. In Psychiatric Epidemiology (eds. Hare, E. H. and Wing, J. K.). London: Oxford University Press.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community services. British Journal of Preventitive and Social Medicine, 24, 18–23.Google Scholar
Henderson, S. (1977) The social network, support and neurosis: the function of attachment in adult life. British Journal of Psychiatry, 131, 185–91.CrossRefGoogle ScholarPubMed
Huxley, P. J. (1973) Clinical Versus Social Prediction in Psychiatry, M.Sc. Thesis, University of Manchester.Google Scholar
Huxley, P. J. & Goldberg, D. P. (1975) Clinical versus social prediction in minor psychiatric disorders. Psychological Medicine, 5, 96–100.CrossRefGoogle ScholarPubMed
Kedward, H. B. (1967) The Natural History of Minor Psychiatric Illness. M.D. Thesis, University of Manchester.Google Scholar
Kedward, H. (1969) The outcome of neurotic illness in the community. Social Psychiatry, 4, 1–4.CrossRefGoogle Scholar
Kerr, T. A., Roth, M. & Schapira, K. (1974) Prediction of outcome in anxiety states and depressive illness. British Journal of Psychiatry, 124–25.Google Scholar
Myers, J. K. & Bean, L. L. (1968) A Decade Later, A Follow-up of Social Class and Mental Illness. New York: John Wiley and Sons.Google Scholar
Overall, J. E. (1974) Rating scales in the measurement of change. Paper given at 9th Colloquium Internationale Psychopharmacologium in Paris, 8 July.Google Scholar
Querido, A. (1959) Forecast and follow-up. An investigation into the clinical, social and mental factors determining the results of hospital treatment. British Journal of Preventitive and Social Medicine, 13, 33–49.Google ScholarPubMed
Seligman, M. E. P. (1975) Helplessness. On Depression, Development and Death. San Francisco: W. H. Freeman and Co.Google Scholar
Silberfeld, M. (1978) Psychological symptoms and social supports. Social Psychiatry, 13, 11–17.CrossRefGoogle Scholar
Sims, A. (1975) Factors predictive of outcome in neurosis. British Journal of Psychiatry, 127, 54–62.CrossRefGoogle ScholarPubMed
Sines, O. (1970) Actuarial versus clinical prediction in psychopathology. British Journal of Psychiatry, 116, 129–44.CrossRefGoogle ScholarPubMed
Strauss, J. & Carpenter, W. (1974) Characteristic symptoms and outcome in schizophrenia. Archives of General Psychiatry, 30, 429–34.CrossRefGoogle ScholarPubMed
Vaillant, G. E. (1962) The prediction of recovery in schizophrenia. Journal of Nervous and Mental Disease, 35, 534–42.Google Scholar
Wing, J. K. (1973) Social and familial factors in the causation and treatment of schizophrenia. In Biochemistry and Mental Illness (eds. Iversen, L. L. and Rose, J. P. R.). London: The Biochemical Society.Google Scholar
Wittenborn, J. R., McDonald, D. C. & Maurer, H. S. (1977) Persisting symptoms in schizophrenia predicted by background factors. Archives of General Psychiatry, 34, 1057–61.CrossRefGoogle ScholarPubMed
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