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Longitudinal records of anxiety and depression in general practice: the Second National Morbidity Survey

Published online by Cambridge University Press:  09 July 2009

Graham Dunn*
Affiliation:
General Practice Research Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr Graham Dunn, Biometrics Unit, Institute of Psychiatry, Dc Crespigny Park, Denmark Hill, London SE5 8AF.

Synopsis

This paper analyses patterns of episodes of anxiety and depression as recorded by 22 general practices which took part in the Second National Morbidity Survey (RCGP, 1980). The data comprise 6 years′ records. Simple Markov chains are fitted to each age-group of men and women, and the inter-practice variation in the resulting parameter estimates are compared, using Andrews′ plots and principal components plots. The implications for the presentation and interpretation of data from large-scale morbidity surveys are discussed.

Type
Preliminary Communication
Copyright
Copyright © Cambridge University Press 1983

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References

Ashford, J. R. (1972). Patient contacts in general practice in the National Health Service. The Statistician 21, 265289.CrossRefGoogle Scholar
Baker, R. S. & Nelder, S. A. (1978). The GLIM System, Release 3: Generalised Linear Interactive Modelling. Royal Statistical Society: London.Google Scholar
Clare, A. W. (1982). Problems of psychiatric classification in general practice. In Psychiatry and General Practice (ed. Clare, A. W. and Lader, M.), pp. 1525. Academic Press: London.Google Scholar
Cooper, B., Fry, J. & Kalton, G. (1969). A longitudinal study of psychiatric morbidity in a general practice population. British Journal of Preventive and Social Medicine 23, 210217.Google Scholar
Duncan-Jones, P. (1981). The natural history of neurosis: probability models. In What Is A Case? The Problem of Definition in Psychiatric Community Surveys (ed. Wing, J. K., Bebbington, P. and Robins, L. N.), pp. 161180. Grant McIntyre: London.Google Scholar
Dunn, G. (1981). The role of linear models in psychiatric epidemiology. Psychological Medicine 11, 179184.CrossRefGoogle ScholarPubMed
Dunn, G. & Skuse, D. (1981). The natural history of depression in general practice: stochastic models. Psychological Medicine 11, 755764.CrossRefGoogle ScholarPubMed
Everitt, B. S. & Dunn, G. (1983). Advanced Methods of Data Exploration and Modelling. Heinemann Educational Books: London.Google Scholar
Goldberg, D. & Blackwell, B. (1970). Psychiatric illness in general practice: a detailed study using a new method of case identification. British Medical Journal ii, 439443.CrossRefGoogle Scholar
Goldberg, D. & Kessel, N. (1975). Research in general practice. In Methods of Psychiatric Research (ed. Sainsbury, P. and Kreitman, N.), pp. 242263. Oxford University Press: London.Google Scholar
Her Majesty's Stationery Office (1974). Morbidity Statistics from General Practice: Second National Study 1970–1971. Studies on Medical and Population Subjects No. 26. HMSO: London.Google Scholar
Her Majesty's Stationery Office (1979). Morbidity Statistics from General Practice 1971–2: Second National Study. Studies on Medical and Population Subjects No. 36. HMSO: London.Google Scholar
Kedwood, H. B. & Cooper, B. (1966). Neurotic disorders in urban practice: a three-year follow-up. Journal of the Royal College of General Practitioners 12, 148163.Google Scholar
Mann, A. H., Jenkins, R. & Belsey, E. (1981). The twelve-month outcome of patients with neurotic illness in general practice. Psychological Medicine 11, 535550.CrossRefGoogle ScholarPubMed
Marks, J. N., Goldberg, D. P. & Hillier, V. F. (1979). Determinants of the ability of general practitioners to detect psychiatric illness. Psychological Medicine 9, 337353.CrossRefGoogle ScholarPubMed
Royal College of General Practitioners (1980). Second National Morbidity Survey. Journal of the Royal College of General Practitioners 30, 547550.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar