Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T07:28:52.115Z Has data issue: false hasContentIssue false
  • English
  • Français

Hospital-treated and General-population Morbidity from Affective Disorders

Comparison of Prevalence and Inception Rates

Published online by Cambridge University Press:  02 January 2018

S. P. Sashidharan ,
P. G. Surtees ,
N. B. Kreitman ,
J. G. Ingham  and
P. McC. Miller
P. McC. Miller
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, Royal Edinburgh Hospital
Get access Rights & Permissions [Opens in a new window]

Abstract

In this study, we compare the rates of psychiatric disorders found among women in a random sample of the general population with those of patients referred to specialist services. Both these groups were drawn from the same geographical area. The ratio of prevalence rates is less than the ratio between inception rates in the two groups. When only those with affective disorders were considered, the results revealed that the point prevalence in the treated-disorders group was only 1% of the community-group prevalence, while the inception into care in the former group was nearly 6% of that in the latter. Single women and older women were over-represented in the hospital sample.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 4 , April 1988 , pp. 499 - 505
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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

Adelstein, A. M., Downham, D. Y., Stein, Z. & Susser, M. W. (1968) The epidemiology of mental illness in an English city. Inceptions recognised by Salford psychiatric services. Social Psychiatry, 3, 44–59.Google Scholar
De Alarcon, G. J., Sainsbury, P. & Costain, W. E. (1975) Incidence of referred mental illness in Chichester and Salisbury. Psychological Medicine, 5, 32–54.Google Scholar
Bebbington, P. E., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561–579.CrossRefGoogle ScholarPubMed
Brown, G. W., Craig, T. K. J. & Harris, T. O. (1985) Depression: distress or disease? Some epidemiological considerations. Psychological Medicine, 5, 32–54.Google Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in Edinburgh community sample. British Journal of Psychiatry, 142, 247–256.Google Scholar
Endicott, J. & Sitzer, R. L. (1978) A diagnostic interview: the schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–844.CrossRefGoogle ScholarPubMed
Goldberg, D., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565–569.CrossRefGoogle ScholarPubMed
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: the Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979) Psychiatric disorder in Canberra: a standardised study of prevalence. Acta Psychiatrica Scandinavica, 60, 355–374.Google Scholar
Larsson, T. & Sjogren, T. (1954) A methodological psychiatric and statistical study of a large Swedish rural population. Acta Psychiatrica et Neurologica Scandinavica, Suppl. 89.Google Scholar
Nielsen, J. & Nielsen, J. A. (1979) Treatment prevalence in a community mental health service with special regard to depressive disorders. Comprehensive Psychiatry, 20, 67–77.CrossRefGoogle Scholar
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981) National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389.CrossRefGoogle ScholarPubMed
Sashidharan, S. P. (1985) Definitions of psychiatric syndromes – comparison in hospital patients and general population. British Journal of Psychiatry, 47, 547–551.Google Scholar
Sorensen, A. & Stromgren, E. (1961) Frequency of depressive states within geographically delimited population groups. Prevalence (The Samso Investigation). Acta Psychiatrica Scandinavica, Suppl. 162, 62–68.Google Scholar
Spicer, C. C., Hare, E. H. & Slater, E. (1973) Neurotic and psychotic forms of depressive illness: evidence from age incidence in a national sample. British Journal of Psychiatry, 123, 535–541.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 773–782.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., Miller, P. McC. & Sashidharan, S. P. (1983) Psychiatric disorders in women from an Edinburgh community: association with demographic factors. British Journal of Psychiatry, 142, 238–246.CrossRefGoogle ScholarPubMed
Surtees, P. G. & Sashidharan, S. P. (1986) Psychiatric morbidity in two matched community samples: a comparison of rates and risks in Edinburgh and St. Louis. Journal of Affective Disorders, 10, 101–113.Google Scholar
Surtees, P. G. & Sashidharan, S. P. & Dean, C. (1986) Affective disorder amongst women in the general population: a longitudinal study. British Journal of Psychiatry, 148, 176–186.Google Scholar
Weissman, M. M. & Myers, J. K. (1978) Affective disorders in a U.S. urban community. The use of research diagnostic criteria in an epidemiological survey. Archives of General Psychiatry, 35, 705–712.CrossRefGoogle Scholar
Weissman, M. M. & Myers, J. K. (1980) Psychiatric disorders in a U.S. community. The application of research diagnostic criteria to a resurveyed community sample. Acta Psychiatrica Scandinavica, 62, 99–111.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wing, J. K. & Sturt, E. (1978) The PSE ID CATEGO System: Supplementary Manual. London: MRC Social Psychiatry Unit.Google Scholar
Wing, J. K., Bebbington, P., Hurry, J. & Tennant, C. (1981) The prevalence in the general population of disorders familiar to psychiatrists in hospital practice. In What is a Case? (eds Wing, J. K., Bebbington, P. & Robins, L. N.). London: Grant McIntyre.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.