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The Short-Term Outcome of Neurotic Disorders in the Community: The Relation of Remission to Clinical Factors and to ‘Neutralizing’ Life Events

Published online by Cambridge University Press:  29 January 2018

Christopher Tennant ,
Paul Bebbington  and
Jane Hurry
Christopher Tennant
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Paul Bebbington
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Jane Hurry
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Summary

A longitudinal study of neurotic disorder in the community showed that half the cases identified at first interview had remitted one month later. Remission was significantly related to four variables: recency of onset and of peak of the disorder, the occurrence of recent threatening life events and the occurrence of subsequent ‘neutralizing’ life events. A neutralizing event was defined a priori as one which neutralized the impact of an earlier threatening life event or difficulty. One third of all remissions were caused by such an event. Remission of disorder was not significantly related to demographic variables, symptom severity, syndrome type, medical consultation or psychotropic drug prescription. The implications for neurotic disorder in the community are discussed, in particular its relation to life events and the favourable outcome in the absence of treatment.

Type
Papers
Information
The British Journal of Psychiatry , Volume 139 , Issue 3 , September 1981 , pp. 213 - 220
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Barrett, J., Hurst, M. W., Discola, D. & Rose, R. (1978) Prevalence of depression over a 12 month period in a nonpatient population. Archives of General Psychiatry, 35, 741–4.CrossRefGoogle Scholar
Bebbington, P. B., Hurry, J., Tennant, C. & Wing, J. K. (1981) The epidemiology of mental disorders in the Camberwell community. Psychological Medicine (in press).CrossRefGoogle Scholar
Beisner, M. (1976) Personal and social factors associated with the remission of psychiatric symptoms. Archives of General Psychiatry, 33, 941–5.Google Scholar
Blyth, W. G. & Marchant, L. J. (1971) A self-weighting random sample technique. Journal of the Market Research Society, 15, 157–62.Google Scholar
Brown, G. W. & Harris, T. (1978) Social Origins of Depression. London: Tavistock Press.Google ScholarPubMed
Duncan-Jones, P. (1981) The natural history of neurosis: probability models. In What is a Case? Problems in Definition in Psychiatric Community Surveys (eds. Wing, J. K., Bebbington, P. E. and Robins, L.). London: Grant McIntyre.Google Scholar
Goldberg, D. P. (1981) Estimating the prevalence of psychiatric disorder from the results of a screening test. In What is a Case? Problems in Definition in Psychiatric Community Surveys (eds. Wing, J. K., Bebbington, P. E. and Robins, L.). London: Grant McIntyre.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupation—A New Approach and Scale. London: Oxford University Press.Google Scholar
Hagnell, O. (1970) The incidence and duration of mental illness in a total population. In Psychiatric Epidemiology (eds. Hare, E. H. and Wing, J. K.). London: Oxford University Press.Google Scholar
Hornstra, R. K. & Klassen, D. (1977) The course of depression. Comprehensive Psychiatry, 18, 119–25.CrossRefGoogle ScholarPubMed
Leighton, D. C., Harding, J. S., Macklin, D. B., McMillan, A. M. & Leighton, A. H. (1963) The Character of Danger. New York: Basic Books.Google Scholar
Luria, R. E. & Berry, M. A. (1979) Reliability and descriptive validity of PSE Syndromes. Archives of General Psychiatry, 36, 1187–95.CrossRefGoogle ScholarPubMed
Malan, D. H., Heath, E. S., Bacal, H. A. & Balfour, F. H. G. (1975) Psychodynamic changes in untreated neurotic patients. II. Apparently genuine improvements. Archives of General Psychiatry, 32, 110–26.CrossRefGoogle ScholarPubMed
Paykel, E. S. (1978) Contribution of life events to causation of psychiatric illness. Psychological Medicine, 8, 245–53.CrossRefGoogle ScholarPubMed
Sturt, E., Bebbington, P., Hurry, J. & Tennant, C. (1981) The Present State Examination used by interviewers from a survey agency: Report from the Camberwell Community Survey. Psychological Medicine, 11, 185–92.CrossRefGoogle ScholarPubMed
Tennant, C., Smith, A., Bebbington, P. & Hurry, J. (1979) The contextual threat of life events: the concept and its reliability. Psychological Medicine, 9, 525–8.CrossRefGoogle ScholarPubMed
Tennant, C., Hurry, J. & Bebbington, P. (1981a) The natural history of neurotic illness in the community: demographic and clinical predictors of remission. Australian and New Zealand Journal of Psychiatry (in press).CrossRefGoogle Scholar
Tennant, C., Smith, A., Bebbington, P. & Hurry, J. (1981b) Parental loss in childhood, adult psychiatric impairment and contact with psychiatric services. Archives of General Psychiatry, 38, 309—314.CrossRefGoogle ScholarPubMed
Uhlenhuth, E. H. & Paykel, E. S. (1973) Symptom configuration and life events. Archives of General Psychiatry, 28, 744–8.Google ScholarPubMed
Windle, C. (1954) Test-retest effect on personality questionnaires. Educational and Psychological Measurement, 14, 617–33.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the Present State Examination and CATEGO Program. London: Cambridge University Press.Google Scholar
Wing, J. K., Nixon, J., Von Cranach, M. & Strauss, A. (1977) Further developments of the PSE and CATEGO system. Archiv fur Psychiatrie und Nervenkrankenheiten, 224, 151–60.Google ScholarPubMed
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203–17.CrossRefGoogle ScholarPubMed
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