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The structure of depression found in the general population

Published online by Cambridge University Press:  09 July 2009

David J. Cooke
David J. Cooke*
Affiliation:
Department of Clinical Psychology, Gartnavel Royal Hospital, Glasgow
*
1Address for correspondence: Mr David J. Cooke, Department of Clinical Psychology, Gartnavel Royal Hospital, Glasgow, G12 OXH.
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Synopsis

Principal component analysis was applied to data relating to depressive experiences collected from a general population sample. The structure of depression found in the general population showed strong similarities to that found in the psychiatric population. There were, however, important differences. Four substantial syndromes of depression were identified: ‘anxiety depression’, ‘cognitive depression’, ‘vegetative depression’ and depression characterized by the classic endogenous triad of diurnal variations, early wakening, and weight loss. These syndromes were essentially independent for this sample. Examination of component score distributions suggested that people simultaneously experience differing degrees of each syndrome. It was concluded that depression was most parsimoniously classified in dimensional rather than categorical terms within this sample.

Type
Research Article
Information
Psychological Medicine , Volume 10 , Issue 3 , August 1980 , pp. 455 - 463
Copyright
Copyright © Cambridge University Press 1980

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References

Barrett, J., Hurst, M. W., Di Scala, C. & Rose, R. M. (1978). Prevalence of depression over a 12 month period in a non-patient population. Archives of General Psychiatry 35, 741–744.CrossRefGoogle Scholar
Beck, A. T. (1967). Depression: Clinical, Experimental and Theoretical Aspects. Staples Press: London.Google Scholar
Blumenthal, M. D. (1975). Measuring depressive symptomatology in a general population. Archives of General Psychiatry 32, 971–978.CrossRefGoogle ScholarPubMed
Blumenthal, M. D. & Dielman, T. E. (1975). Depressive symptomatology and role function in a general population. Archives of General Psychiatry 32, 895–991.Google ScholarPubMed
Blyth, W. G. & Marchant, C. J. (1972). A self-weighting random sampling technique. Journal of Market Research Society 153, 157–162.Google Scholar
Briggs, J. T., Wylie, L. T. & Ziegler, V. E. (1978). Validity of the Zung Self-Rating Depression Scale. British Journal of Psychiatry 132, 381–385.CrossRefGoogle Scholar
Brown, G. W. & Harris, T. (1978). Social Origins of Depression: A Study of Psychiatric Disorder in Women. Tavistock: London.Google Scholar
Carroll, B. J., Fielding, J. M. & Blashki, M. B. (1973). Depression rating scales: a critical review. Archives of General Psychiatry 28, 361–366.CrossRefGoogle ScholarPubMed
Cattell, R. B., Coulter, M. A. & Tsujioka, B. (1966). The taxonometric recognition of types and functional emergents. In Handbook of Multivariate Psychology (ed. Cattell, R. B.), pp. 288–329. Rand, McNally & Co.: Chicago.Google Scholar
Cooke, D. J. (1980). Some conceptional and methodological considerations of the problems inherent in the specification of the simple event syndrome link. In Stress and Anxiety, vol. 7 (ed. Sarason, I. G. and Spielberger, C. D.), pp. 139–157. Hemisphere: Washington, D.C.Google Scholar
Derogatis, L. R., Klerman, G. R. & Lipman, R. S. (1972). Anxiety states and depressive neurosis: issues on nosological discrimination. Journal of Nervous and Mental Disease 155, 392–403.CrossRefGoogle Scholar
Dixon, W. J. & Brown, M. B. (1979). Biomedical Computer Programs–P Series. University of California Press: London.Google Scholar
Eysenck, H. J. (1970). The classification of depressive illness. British Journal of Psychiatry 117, 241–250.CrossRefGoogle Scholar
Fahy, T. J. (1974 a). Pathways of specialist referral of depressed patients from general practice. British Journal of Psychiatry 124, 231–239.CrossRefGoogle ScholarPubMed
Fahy, T. J. (1974 b). Depression in hospital and in general practice: a direct clinical comparison. British Journal of Psychiatry 124, 240–242.CrossRefGoogle ScholarPubMed
Fahy, T. J. (1975). Some problems of method in the study of depression in general practice. Cambridge Medical Publications 82, 82–89.Google Scholar
Fahy, T. J., Brandon, S. & Garside, R. F. (1969). Clinical syndromes in a sample of depressed patients: a general practice material. Proceedings of the Royal Society of Medicine 62, 331–335.CrossRefGoogle Scholar
Friedman, H. (1968). Magnitude of experimental effect and a table for rapid estimation. Psychological Bulletin 70, 245–251.CrossRefGoogle Scholar
Garside, R. F. & Roth, M. (1978). Multivariate statistical methods and problems of classification in psychiatry. British Journal of Psychiatry 133, 53–67.CrossRefGoogle ScholarPubMed
Greene, J. G. (1976). A factor analytic study of climacteric symptoms. Journal of Psychosomatic Research 20, 23–32.CrossRefGoogle ScholarPubMed
Guilford, J. P. (1968). The structure of intelligence. In Handbook of Measurement and Assessment in the Behavioral Sciences (ed. Whitla, D. K.), pp. 143–170. Addison-Wesley: Reading, Mass.Google Scholar
Guilford, J. P. & Fruchter, B. (1973). Fundamental Statistics in Psychology and Education (5th edn). McGraw-Hill: New York.Google Scholar
Hamilton, M. (1960). A rating scale of depression. Journal of Neurology, Neurosurgery and Psychiatry 23, 56–62.CrossRefGoogle Scholar
Hamilton, M. (1976). Clinical evaluation of depression: clinical criteria and rating scales, including a Guttman scale. In Depression: Behavioral, Biochemical, Diagnostic and Treatment Concepts (ed. Gallant, D. M. and Simpson, G. M.), pp. 155–179. Spectrum Publications: New York.Google Scholar
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adlock, S. (1979). Psychiatric disorder in Canberra: a standardized study of prevalence. Acta psychiatrica scandinavica 60, 355–374.CrossRefGoogle ScholarPubMed
Horst, P. (1966). An overview of the essentials of multi- variate analysis methods. In Handbook of Multivariate Experimental Psychology (ed. Cattell, R. B.), pp. 129–152. Rand, McNally & Co.: Chicago.Google Scholar
Kellner, R. & Sheffield, B. F. (1967). Symptom rating test scores in neurotics and normals. British Journal of Psychiatry 113, 525–526.CrossRefGoogle ScholarPubMed
Kellner, R. & Sheffield, B. F. (1973). A self rating scale of distress. Psychological Medicine 3, 88–101.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1976). The classification of depression: a review of contemporary confusion. British Journal of Psychiatry 129, 15–28.CrossRefGoogle ScholarPubMed
Kendell, R. E. & Gourlay, J. (1970). The clinical distinction between psychotic and neurotic depression. British Journal of Psychiatry 117, 257–266.CrossRefGoogle Scholar
Kiloh, L. G. & Garside, R. F. (1963). The independence of neurotic depression and endogenous depression. British Journal of Psychiatry, 109, 451–463.CrossRefGoogle ScholarPubMed
Kiloh, L. G., Andrews, G., Neilson, M. & Bianchi, G. (1972). The relationship of the syndromes called endogenous and neurotic depression. British Journal of Psychiatry 121, 183–196.CrossRefGoogle ScholarPubMed
Leighton, A. H. (1979). Research directions in psychiatric epidemiology. Psychological Medicine 9, 234–247.CrossRefGoogle ScholarPubMed
MacMahon, B. & Pugh, T. F. (1970). Epidemiology: Principles and Methods. Little, Brown & Co.: Boston.Google Scholar
Maxwell, A. E. (1971). Multivariate statistical methods and classification problems. British Journal of Psychiatry 119, 121–127.CrossRefGoogle ScholarPubMed
Morton, J. M. (1972). A comparison of symptom rating test scores in normals and neurotics. Unpublished dissertation: University of Liverpool.Google Scholar
Ní, Bhrolcháin M. (1979). Psychotic and neurotic depression: 1. Some points of method. British Journal of Psychiatry 134, 87–93.Google Scholar
Ní, Bhrolcháin M., Brown, G. W. & Harris, T. O. (1979). Psychotic and neurotic depression: 2. Clinical characteristics. British Journal of Psychiatry 134, 94–107.Google Scholar
Paykel, E. S. (1974). Recent life events and clinical depression. In Life Stress and Illness (ed. Gunderson, E. K. and Rahe, R. H., pp. 135–149. Charles C. Thomas: Springfield, Ill.Google Scholar
Paykel, E. S., Myres, J. K., Dienelt, M. N., Klerman, G. L., Lindenthal, J. J. & Pepper, M. P. (1969). Life events and depressions: a controlled study. Archives of General Psychiatry 21, 753–760.CrossRefGoogle ScholarPubMed
Roth, M., Gurney, C., Garside, R. F. & Kerr, T. A. (1972). Studies in the classification of affective disorders: the relationship between anxiety states and depressive illness. British Journal of Psychiatry 121, 147–161.CrossRefGoogle Scholar
Seligman, M. E. P. (1975). Helplessness: On Depression, Development and Death. W. H. Freeman & Co.: San Francisco.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Weckowicz, T. (1973). A multidimensional theory of depression. In Multivariate Analysis and Psychological Theory (ed. Boyce, A.), pp. 501–519. Academic Press: London.Google Scholar
Weissman, M. M. & Klerman, G. L. (1978). Epidemiology of mental disorders: emerging trends in the United States. Archives of General Psychiatry 35, 705–712.CrossRefGoogle ScholarPubMed
Weissman, M. M. & Myers, J. K. (1978). Rates and risks of depressive symptoms in a United States union community. Acta psychiatrica scandinavica 57, 219–231.CrossRefGoogle Scholar
Zung, W. W. K. (1965). A self rated depression scale. Archives of General Psychiatry 12, 63–70.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1967). Depression in the normal aged. Psychosomatics 8, 287–292.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1969). A cross-cultural survey of symptoms in depression. American Journal of Psychiatry 126, 116–121.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1971). Depression in the normal adult population. Psychosomatics 12, 164–167.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1972). A cross-cultural survey of depressive symptomatology in normal adults. Journal of Cross- Cultural Psychology 3, 177–183.CrossRefGoogle Scholar
Zung, W. W. K. & Durham, N. C. (1973). From art to science: the diagnosis and treatment of depression. Archives of General Psychiatry 29, 328–337.CrossRefGoogle ScholarPubMed
Zung, W. W. K., Richards, C. B. & Short, M. J. (1965). Self-rating depression scale in an out-patient clinic. Archives of General Psychiatry 13, 508–515.CrossRefGoogle Scholar