Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T07:23:19.315Z Has data issue: false hasContentIssue false

The Prognosis of Affective Disorders: the Differentiation of Anxiety States from Depressive Illnesses

Published online by Cambridge University Press:  29 January 2018

Kurt Schapira
Affiliation:
University of Newcastle upon Tyne, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP
Martin Roth
Affiliation:
University of Newcastle upon Tyne, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP
T. A. Kerr
Affiliation:
University of Newcastle upon Tyne, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP
Clair Gurney
Affiliation:
Psychological Medicine Research Unit

Extract

That a distinction may be made on clinical grounds between anxiety states and depressive illnesses has been affirmed by some authors (Garmany, 1956, 1958; Stenbäck, 1963), and rejected by others (Mapother, 1926; Conrad, 1958; Ey, 1963; Lewis, 1950–1966). This problem is also of interest from a biological point of view in that anxiety neuroses represent in an exaggerated form an emotion that is ‘directly serviceable’ (Cannon, 1928) and one which has potential survival value for the organism. Moreover, analogous conditions can be reproduced experimentally in animals, while no convincing models have so far been described of states akin to depressive illnesses (McKinney and Bunney, 1969).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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

Bebring, E. (1953). ‘The mechanism of depression,’ in Affective Disorders (ed. P. Greenacre). New York: International Universities Press.Google Scholar
Cannon, W. B. (1928). ‘Feelings and amotions.’ The Wittenberg Symposium, Worcester (Mass.).Google Scholar
Conrad, K. (1958). ‘Die nosologischen Einheiten in der Psychiatrie.’ Zentralblatt fur die gesamte Neurologie und Psychiatrie, 150, 8.Google Scholar
Ey, H. (1963). Manuel de Psychiatrie. 2me ed. Paris: Masson et Cie.Google Scholar
Garmany, G. (1956). ‘ Anxiety states.’ British Medical Journal, i, 943–6.Google Scholar
Garmany, G. (1958). ‘Depressive states: their aetiology and treatment.’ British Medical Journal, ii, 341–4.Google Scholar
Gurney, C., Roth, M., Kerr, T. A., and Schapira, K. (1970). ‘The bearing of treatment on the classification of affective disorders.’ British Journal of Psychiatry, 117, 251–5.CrossRefGoogle ScholarPubMed
Gurney, C., Roth, M., Kerr, T. A. Garside, R. F., Kerr, T. A., and Schapira, K. (1972). ‘Studies in the classification of affective disorders: The relationship between anxiety states and depressive illnesses—II.’ British Journal of Psychiatry, 121, 162–66.Google Scholar
Hamilton, M. (1960). ‘A rating scale for depression.’ Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
Hordern, A., Burt, G. C., and Holt, N. F. (1965). Depressive States: a Pharmacotherapeutic Study. Springfield, Illinois: Thomas.Google Scholar
Kelly, D., and Walter, C. J. S. (1969). ‘A clinical and physiological relationship between anxiety and depression.’ British Journal of Psychiatry, 115, 401–6.CrossRefGoogle ScholarPubMed
Kerr, T. A., Roth, M., Schapira, K., and Gurney, C. (1972). ‘The assessment and prediction of outcome in affective disorders.’ British Journal of Psychiatry, 121, 167–74.Google Scholar
Kerr, T. A. Schapira, K., and Roth, M. (1969). ‘The relationship between premature death and affective disorders.’ British Journal of Psychiatry, 115, 1277–82.Google Scholar
Kerr, T. A. Gurney, C., Schapira, K., and Roth, M. (1970). ‘Measurement and prediction of outcome in affective disorders.’ Proceedings of the Royal Society of Medicine, 63, 235–8.Google Scholar
Kerr, T. A., Schapira, K., Roth, M., and Garside, R. F. (1970). ‘The relationship between the Maudsley Personality Inventory and the course of affective disorders.’ British Journal of Psychiatry, 116, 1119.CrossRefGoogle ScholarPubMed
Kolb, L. C. (1965). ‘Psychopathology of depressions,’ in Aspects of Depressive Illness (ed. D. Maddison and G. M. Duncan). London: Livingstone.Google Scholar
Kraepelin, E. (1921). Manic Depressive Insanity and Paranoia. Trans, by Barclay, R. M. Edinburgh: Livingstone.CrossRefGoogle Scholar
Lewis, Sir A. J. (1950–1966). In: Price's Textbook of the Practice of Medicine. London: O.U.P.Google Scholar
McKinney, W. T., and Bunney, W. E. (1969). ‘Animal model of depression.’ Archives of General Psychiatry, 21, 240–8.Google Scholar
Mapother, E. (1926). ‘Discussion on manic-depressive psychosis.’ British Medical Journal, ii, 872–6.Google Scholar
Roth, M. (1959). ‘The phobic anxiety-depersonalization syndrome.’ Proceedings of the Royal Society of Medicine, 52, 587–95.Google Scholar
Roth, M. Gurney, C., Garside, R. F., and Kerr, T. A. (1972). ‘Studies in the classification of affective disorders: The relationship between anxiety states and depressive illnesses—I.’ British Journal of Psychiatry, 121, 147–61.Google Scholar
Schneider, K. (1955). Klinische Psychopathologie (4th edn). Stuttgart: Thieme.Google Scholar
Slater, E., and Shields, J. (1969). ‘Genetical aspects of anxiety,’ in Studies in Anxiety (ed. M. H. Lader). British Journal of Psychiatry Special Publication No. 3.Google Scholar
Spitzer, R. L., Fliess, J. L., Endicott, J., and Cohen, J. (1967). ‘Mental status schedule.’ Archives of General Psychiatry, 16, 479–93.Google Scholar
Stenbäck, A. (1963). ‘On involutional and middle age depressions.’ Acta Psychiatrica Scandinavica, 39 Suppl., 169, 1432.Google Scholar
Woolf, B. (1964). ‘On estimating the relation between blood groups and disease.’ Annals of Human Genetics, 19, 251–3.Google Scholar
Zetzel, E. (1953). ‘The depressive position,’ in Affective Disorders (ed. P. Greenacre). New York: International Universities Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.