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Depression: Inside and Outside the Hospital Setting

Published online by Cambridge University Press:  29 January 2018

I. Pilowsky
Affiliation:
Department of Psychiatry, Royal Adelaide Hospital, Adelaide, 5000, Australia
N. D. Spence
Affiliation:
Department of Psychiatry, Royal Adelaide Hospital

Abstract

Twenty general practice patients selected for treatment with tricyclic antidepressants were matched with an equal number of psychiatric in-patients who had been admitted to hospital for depressive illnesses. In order to assess their depressive status, the Levine-Pilowsky (LPD) questionnaire was administered to both groups. It was found that although patients from each setting reported the same degree of depressive severity, the pattern of their LPD responses differed significantly. Twice as many hospital patients were assigned to either Class A (‘non-endogenous depression’) or Class B (‘endogenous depression) compared to the general practice patients, most of whom were classified as Class C (‘non depressed’). These results indicate the importance of distinguishing between depressive severity and depressive classification when comparing patients encountered outside the hospital setting with those who are in-patients.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Ball, J. R. B. & Kiloh, L. G. (1959) A controlled trial of imipramine in treatment of depressive states. British Medical Journal, ii, 1052–5.Google Scholar
Blashki, T. G. (1972) Depressive disorders in hospital and general practice. In Depressive Illness: Some Research Studies (eds Davies, B., Carroll, B. and Mowbray, R.). Charles Thomas.Google Scholar
Byrne, D. G. (1975) Some preliminary observations on a questionnaire technique for classifying depressive illness: its relationship with clinical diagnosis and a biological technique for depressive classification. Australian and New Zealand Journal of Psychiatry, 9, 25–9.CrossRefGoogle Scholar
Costello, C. G., Christensen, S. J. & Rogers, T. B. (1974) The relationships between measures of general depression and the endogenous versus reactive classification. Canadian Psychiatric Association Journal, 19, 259–65.Google Scholar
Deykin, E. Y. & Dimascio, A. (1972) Relationship of patient background characteristics to efficacy of pharmacotherapy in depression. Journal of Nervous and Mental Disease, 155, 209–15.Google Scholar
Fry, J. (1954) The psychoneurotic in general practice. Medical World, 80, 657–66.Google Scholar
Hamilton, M. & White, J. (1959) Clinical syndromes in depressive states. Journal of Mental Science, 105, 985–98.Google Scholar
Izard, C. E. (1972) Patterns of Emotions. New York: Academic Press.Google Scholar
Levine, S. (1975) A controlled comparison of maprotiline (Ludiomil) with imipramine avoiding observer bias. Journal of International Medical Research, 3, Supplement 2, 75–8.Google Scholar
Paykel, E. S. (1971) Classification of depressed patients: a cluster analysis derived grouping. British Journal of Psychiatry, 118, 275–88.Google Scholar
Paykel, E. S. (1972) Depressive typologies and response to amitriptyline. British Journal of Psychiatry, 120, 147–56.Google Scholar
Pilowsky, I., Levine, S. & Boulton, D. M. (1969) The classification of depression by numerical taxonomy. British Journal of Psychiatry, 115, 937–45.CrossRefGoogle ScholarPubMed
Pilowsky, I. & Boulton, D. M. (1970) Development of a questionnaire-based decision rule for classifying depressed patients. British Journal of Psychiatry, 116, 647–50.Google Scholar
Pilowsky, I. & MgGrath, M. D. (1970) Effect of ECT on responses to a depression questionnaire: implications for taxonomy. British Journal of Psychiatry, 117, 685–8.Google Scholar
Pilowsky, I. & Spalding, D. (1972) A method for measuring depression: validity studies on a depression questionnaire. British Journal of Psychiatry, 121, 411–16.Google Scholar
Popoff, L. M. (1969) A simple method for diagnosis of depression by the family physician. Clinical Medicine, 76, 24–9.Google Scholar
Raskin, A., Schulterbrand, J. G., Reatig, N., Chase, C. & McKeon, J. J. (1970) Differential response to chlorpromazine, imipramine, and placebo. Archives of General Psychiatry, 23, 164–73.Google Scholar
Shapiro, M. B. (1975) The single variable approach to assessing the intensity of the feeling of depression. European Journal of Behavioural Analysis and Modification, 1, 6270.Google Scholar
Watts, C. (1956) The incidence and prognosis of endogenous depression. British Medical Journal, i, 1392–7.Google Scholar
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