Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-28T04:56:01.022Z Has data issue: false hasContentIssue false
  • English
  • Français

The Outcome of Neurotic Disorders After Out-patient and Day Hospital Care

Published online by Cambridge University Press:  03 January 2018

P. Tyrer ,
M. Remington  and
J. Alexander
P. Tyrer*
Affiliation:
Mapperley Hospital
M. Remington
Affiliation:
Tatchbury Mount Hospital, Southampton
J. Alexander
Affiliation:
Thames Polytechnic, London
*
Mapper ley Hospital, Nottingham NG36AA
Get access Rights & Permissions [Opens in a new window]

Extract

New psychiatric out-patients with depressive, phobic, and anxiety neurosis were randomly allocated to out-patient care or to one of two types of day hospital treatment one specialising in psychotherapy and the other offering all forms of day care. Of 106 patients who entered the study, 78 had assessments of psychiatric symptomatology and social adjustment both before treatment and after 4, 8 and 24 months. There was no significant difference in outcome between depressive, phobic, and anxiety neurosis, and no overall difference in response to treatment between the three types of care. Suicidal symptoms were significantly less common in out-patients. In many respects, neurotic disorder can be regarded as a single syndrome.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 1 , July 1987 , pp. 57 - 62
Copyright
Copyright © 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

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd cd.) (DSM-III). Washington, DC: APA.Google Scholar
Beck, A. T., Rush, A. J., Shaw, B. F. & Emery, G. (1979) Cognitive therapy of depression. Chichester John Wiley.Google Scholar
Casey, P. R., Tyrer, P. J. & Platt, S. (1985) Relationship between social function and diagnostic status in primary care. Social Psychiatry, 20, 5–9.CrossRefGoogle Scholar
Dick, P., Cameron, L., Cohen, D., Barlow, M. & Ince, A. (1985) Day and full time psychiatric treatment: a controlled comparison. British Journal of Psychiatry, 147, 246–249.CrossRefGoogle ScholarPubMed
Gath, D. H., Hassall, C. & Cross, K. W. (1973) Whither psychiatric day care? A study of day patients in Birmingham. British Medical Journal, 1, 94–98.CrossRefGoogle Scholar
Hirsch, S. R., Platt, S., Knights, A. & Weyman, A. (1979) Shortening hospital stay for psychiatric care: effects on patients and their families. British Medical Journal, 1, 442–446.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1974) Stability of psychiatric diagnoses. British Journal of Psychiatry, 124, 352–356.CrossRefGoogle Scholar
Marks, I. (1981) Cure and care of neurosis: therapy and practice of behavioural psychotherapy. New York: John Wiley.Google Scholar
Prusoff, B. & Klerman, G. L. (1974) Differentiating depressed from anxious neurotic out-patients. Archives of General Psychiatry, 30, 302–309.CrossRefGoogle Scholar
Remington, M. & Tyrer, P. (1979) The Social Functioning Schedule – a brief semi-structured interview. Social Psychiatry, 14, 151–157.CrossRefGoogle Scholar
Remington, M., Newson-Smtth, J. & Cicchetti, D. V. (1979) Comparative reliability of categorical and analogue rating scales in the assessment of psychiatric symptomatology. Psychological Medicine. 9, 765–770.CrossRefGoogle ScholarPubMed
Rowan, P. R., Paykel, E. S. & Parker, R. R. (1982) Phenelzine and amitriptyline: effects on symptoms of neurotic depression. British Journal of Psychiatry, 140, 475–483.CrossRefGoogle ScholarPubMed
Schapira, K., Roth, M., Kerr, T. A. & Gurney, C. (1972) The prognosis of affective disorders: the differentiation of anxiety states from depressive illnesses. British Journal of Psychiatry, 121, 175–183.CrossRefGoogle ScholarPubMed
Sheehan, D. V., Ballenger, J. & Jacobsen, G. (1980) Treatment of endogenous anxiety with phobic, hysterical and hypochondriacal symptoms. Archives of General Psychiatry, 37, 51–59.CrossRefGoogle ScholarPubMed
Sims, A. C. P. (1973) Importance of a high tracing rate in long-term medical follow-up studies. The Lancet, ii, 433–435.CrossRefGoogle Scholar
Tyrer, P. (1984) Classification of anxiety. British Journal of Psychiatry, 144, 78–83.CrossRefGoogle ScholarPubMed
Tyrer, P. (1985) Neurosis divisible? Lancet, ii, 685–688.CrossRefGoogle Scholar
Tyrer, P. (1986) New rows of neurosis; are they an illusion? Integrative Psychiatry, 4, 25–31.Google Scholar
Tyrer, P. & Remington, M. (1979) Controlled comparison of day-hospital and out-patient treatment for neurotic disorders. The Lancet, ii, 1014–1016.CrossRefGoogle Scholar
Vaughan, P. J. (1985) Developments in psychiatric day care. British Journal of Psychiatry, 147, 1–4.CrossRefGoogle ScholarPubMed
Websman, M. M., Klerman, G. L., Paykel, E. S., Prusoff, B. & Hanson, B. (1974) Treatment effects on the social adjustment of depressed patients. Archives of General Psychiatry, 30, 771.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The measurement and classification of psychiatric symptoms. London: Cambridge University Press.Google Scholar
World Health Organization (1967) Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 1965 revision (8th ed.) (ICD-8). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.