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Foulds’ hierarchical model of psychiatric illness in a Dutch cohort: a re-evaluation

Published online by Cambridge University Press:  09 July 2009

A. De Jong ,
R. Giel ,
E. G. Lindeboom ,
C. J. Slooff  and
D. Wiersma
A. De Jong*
Affiliation:
Department of Social Psychiatry, State University of Groningen, The Netherlands
R. Giel
Affiliation:
Department of Social Psychiatry, State University of Groningen, The Netherlands
E. G. Lindeboom
Affiliation:
Department of Social Psychiatry, State University of Groningen, The Netherlands
C. J. Slooff
Affiliation:
Department of Social Psychiatry, State University of Groningen, The Netherlands
D. Wiersma
Affiliation:
Department of Social Psychiatry, State University of Groningen, The Netherlands
*
1Address for correspondence: Dr A. de Jong, Academisch Ziekenhuis, Sociale Psychiatrie, Oostersingel 59, 9713 EZ Groningen, The Netherlands.
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Synopsis

In order to evaluate Foulds' hierarchical model of psychiatric illness, a study was carried out using data from a 3-year follow-up of patients suffering from functional non-affective psychoses. Of the 177 Present State Examinations carried out 86% yielded symptom patterns compatible with the model. It was shown that failures to fit the hierarchy can be explained either by measurement error or by the masking of major symptoms by the simultaneous presence of minor ones. A one-dimensional scale to measure the severity of psychiatric illness was constructed. Patients' scores were compared with ratings on the Index of Definition and the diagnosis of current mental state. The results of these comparisons were considered to be supportive validatory evidence. Some of the implications of the model and the data are discussed.

Type
Research Article
Information
Psychological Medicine , Volume 14 , Issue 3 , August 1984 , pp. 647 - 654
Copyright
Copyright © Cambridge University Press 1984

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References

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