Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-27T15:52:11.724Z Has data issue: false hasContentIssue false

Social Factors and Affective Disorder: An Investigation of Brown and Harris's Model

Published online by Cambridge University Press:  29 January 2018

Elizabeth A. Campbell
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford
Susan J. Cope
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford
John D. Teasdale
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford

Summary

The aetiological model proposed by Brown and Harris was examined in a sample of 110 working class women with children in Oxford. Using the same methodology as Brown and Harris, the role of provoking agents in the onset of affective disorder was found to be very similar to that which they originally described. Lack of an intimate relationship with a husband or boyfriend was found to act as a vulnerability factor, increasing the risk of psychiatric disorder in the face of a provoking agent. There was a trend for women with three or more children aged 14 or under to have an increased vulnerability. However, unemployment was not found to be a vulnerability factor. These results provide general support for Brown and Harris's causal model.

Type
Research Article
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brown, G. W. & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Brown, G. W. & Prudo, R. (1981) Psychiatric disorder in a rural and an urban population: I. Aetiology of depression. Psychological Medicine, 11, 581–99.CrossRefGoogle Scholar
Cochrane, R. & Stopes-Roe, M. (1981) Women, marriage, employment and mental health. British Journal of Psychiatry, 139, 373–81.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Cooke, D. J. (1981) Life events, depression and vulnerability factors: a theoretical and empirical evaluation. Paper presented at British Psychological Society Annual Conference 1981.Google Scholar
Costello, C. G. (1982) Social factors associated with depression: a retrospective community study. Psychological Medicine, 12, 329–39.Google Scholar
Everitt, B. S. & Smith, A. M. R. (1979) Interactions in contingency tables: a brief discussion of alternative definitions. Psychological Medicine, 9, 581–3.Google Scholar
Finlay-Jones, R., Brown, G. W., Duncan-Jones, P., Harris, T., Murphy, E. & Prudo, R. (1980) Depression and anxiety in the community: replicating the diagnosis of a case. Psychological Medicine, 10, 445–54.CrossRefGoogle ScholarPubMed
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupations. Oxford: Clarendon Press.Google Scholar
Parry, G., Shapiro, D. A. & Davies, L. (1981) Reliability of life-event ratings: an independent replication. British Journal of Clinical Psychology, 20, 133–4.CrossRefGoogle Scholar
Paykel, E. S., Myers, J. K., Dienelt, M. N., Klerman, G. L., Lindenthal, J. J. & Pepper, M. P. (1969) Life events and depression: a controlled study. Archives of General Psychiatry, 21, 753–60.Google Scholar
Paykel, E. S., Prusoff, B. A. & Myers, J. K. (1975) Suicide attempts and recent life events: a controlled comparison. Archives of General Psychiatry, 32, 327–33.Google Scholar
Roy, A. (1978) Vulnerability factors and depression in women. British Journal of Psychiatry, 133, 106–10.Google Scholar
Roy, A. (1981) Risk factors and depression in Canadian women. Journal of Affective Disorders, 3, 6570.CrossRefGoogle ScholarPubMed
Solomon, Z. & Bromet, E. (1982) The role of social factors in affective disorder: an assessment of the vulnerability model of Brown and his colleagues. Psychological Medicine, 12, 123–30.CrossRefGoogle Scholar
Tennant, C. & Bebbington, P. (1978) The social causation of depression: a critique of the work of Brown and his colleagues. Psychological Medicine, 8, 565–75.Google Scholar
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.Google Scholar
Warr, P. & Parry, G. (1982) Paid employment and women's psychological well-being. Psychological Bulletin, 91, 498516.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) An Instruction Manual for the Present State Examination and CATEGO Programme. Cambridge: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.