Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-29T01:04:22.742Z Has data issue: false hasContentIssue false

The ‘well control’ artefact in case/control studies of specific psychiatric disorders

Published online by Cambridge University Press:  09 July 2009

Sharon Schwartz*
Affiliation:
New York State Psychiatric Institute and Columbia University, New York, USA
Bruce G. Link
Affiliation:
New York State Psychiatric Institute and Columbia University, New York, USA
*
1Address for correspondence: Dr Sharon Schwartz, Social Psychiatry Research Unit, Columbia University, 100 Haven Avenue, Tower III 19E, New York, New York 10032, USA.

Synopsis

An appropriate choice of controls in case/control studies of specific psychiatric disorders is crucial for valid risk-factor assessment. One suggested approach to control-group selection, the use of a well control group, is the focus of this paper. While using well controls has intuitive appeal, this paper shows that such a procedure can lead to ambiguous and biased results.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1989

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

Axelson, O. (1985). The ‘case control’ study, valid selection of subjects. Journal of Chronic Diseases 38, 553555.CrossRefGoogle Scholar
Brown, G. & Harris, T. (1978). Social Origins of Depression: A Study of Psychiatric Disorder in Women. Free Press: N.Y.Google Scholar
Brown, G., Sklair, F., Harris, T. & Birley, J. (1973). Life events and psychiatric disorders I. Some methodological issues. Psychological Medicine 3, 7487.CrossRefGoogle ScholarPubMed
Cole, P. (1979). The evolving case-control study. Journal of Chronic Diseases 32, 1527.CrossRefGoogle ScholarPubMed
Coryell, W., Endicott, J., Andreasen, N., Keller, M., Clayton, P., Hirschfeld, R., Scheftner, W. & Winokur, G. (1988). Depression and panic attacks: the significance of overlap as reflected in followup and family study data. American Journal of Psychiatry 145, 293295.Google ScholarPubMed
Davidson, J., Upper, S., Kilts, C., Mahorney, S. & Hemmett, E. (1985). Platelet MAO activity in posttraumatic stress disorder. American Journal of Psychiatry 142, 13411343.Google ScholarPubMed
Dohrenwend, B. P., Shrout, P., Egri, P. & Mendelsohn, F. (1980). Nonspecific psychological distress and other dimensions of psychopathology: measures for use in the general population. Archives of General Psychiatry 37, 12291236.CrossRefGoogle ScholarPubMed
Dohrewend, B. P., Shrout, P., Link, B., Martin, J. & Skodol, A. (1986). Overview and initial results from a risk factor study of depression and schizophrenia. In Mental Disorders in the Community (ed. Barrett, J. E. and Rose, R. M.), pp. 184214. Guilford Press: New York.Google Scholar
Feinstein, A. (1979). Methodological problems and standards in case-control research. Journal of Chronic Diseases 32, 3541.CrossRefGoogle ScholarPubMed
Feinstein, A. (1985). The case control study: valid selection of subjects. Journal of Chronic Diseases 38, 551552.CrossRefGoogle ScholarPubMed
Gerner, R. & Wilkins, J. (1983). CSF cortisol in patients with depression, mania, or anorexia nervosa and in normal subjects. American Journal of Psychiatry 140, 9294.Google ScholarPubMed
Grayson, D., Bridges, K., Duncan-Jones, P. & Goldberg, D. (1987). The relationship between symptoms and diagnoses of minor psychiatric disorder in general practice. Psychological Medicine 17, 933944.CrossRefGoogle ScholarPubMed
Ibrahim, M. & Spitzer, W. (1979). The case control study: the problem and the prospect. Journal of Chronic Diseases 32, 139144.CrossRefGoogle ScholarPubMed
Kelsey, J., Thompson, D. W. & Evans, A. S. (1986). Methods in Observational Epidemiology. Oxford University Press: N.Y.Google Scholar
Koslow, S., Stokes, P., Mendels, J., Ramsey, A. & Casper, R. (1982). Insulin tolerance test: human growth hormone response and insulin resistance in primary unipolar depressed, bipolar depressed and control subjects. Psychological Medicine 12, 4555.CrossRefGoogle ScholarPubMed
Lilienfeld, A. & Lilienfeld, D. (1979). A century of case control studies: progress? Journal of Chronic Diseases 32, 513.CrossRefGoogle ScholarPubMed
Link, B. G. & Dohrenwend, B. P. (1980). Hypotheses concerning the relationship of treated to true rates of psychological disorder. In Mental Illness in the United States (ed. Dohrenwend, B. P, Dohrenwend, B. S., Gould, M., Link, B., Neugebauer, R. and Wunsch-Hitzig, R.), pp. 133149. Praeger: New York.Google Scholar
Miettinen, O. (1985). The ‘case-control’ study: valid selection of subjects. Journal of Chronic Diseases 38, 543548.CrossRefGoogle ScholarPubMed
Pellegrini, D., Kosisky, S., Nackman, D., Cytryn, L., McKnew, D., Gershon, E., Hamouvit, J. & Cammuso, K. (1986). Personal and social resources in children of patients with bipolar affective disorder and children of normal control subjects. American Journal of Psychiatry 143, 856861.Google ScholarPubMed
Poole, C. (1987). Critical appraisal of the exposure-potential restriction rule. American Journal of Epidemiology 125, 179183.CrossRefGoogle ScholarPubMed
Reich, J., Black, D. W. & Jarjoua, D. (1987). Architecture of research in psychiatry, 1953 to 1983. Archives of General Psychiatry 44, 311313.CrossRefGoogle ScholarPubMed
Rothman, K. J. (1986). Modern Epidemiology. Little Brown: Boston.Google Scholar
Roy, A., Pickar, D., Douillet, P., Karoum, F. & Linnoila, M. (1986). Urinary monoamines and monoamine metabolites in subtypes of unipolar depressive disorder and normal controls. Psychological Medicine 16, 541546.CrossRefGoogle ScholarPubMed
Roy, A., Pickar, D., Paul, S., Doran, A., Chrousos, G. & Gold, P. (1987). CSF corticotropin-releasing hormone in depressed patients and normal control subjects. American Journal of Psychiatry 114, 641645.Google Scholar
Sackett, D. L. (1979). Bias in analytic research. Journal of Chronic Diseases 32, 5163.CrossRefGoogle ScholarPubMed
Schlesselmann, J. (1982). Case Control Studies: Design, Conduct and Analysis. Oxford University Press: New York.Google Scholar
Schlesselmann, J. (1985). Valid selection of subjects in case-control studies. Journal of Chronic Diseases 38, 549550.CrossRefGoogle Scholar
Schlesselmann, J. & Stadel, B. (1987). Exposure opportunity in epidemiologic studies. American Journal of Epidemiology 125, 174178.CrossRefGoogle Scholar
Shapiro, S., Skinner, E., Kessler, L., VonKorff, M., German, P., Tischler, G., Leaf, P., Benham, L., Cottler, L. & Regier, D. (1984). Utilization of health and mental health services: three epidemiologic catchment area sites. Archives of General Psychiatry 41, 971978.CrossRefGoogle ScholarPubMed
Skodol, A. & Spitzer, R. (1987). An Annotated Bibliography of DSM III. Washington D.C.: American Psychiatric Press.Google Scholar
Spitzer, W. (1985). Ideas and words: two dimensions for debates on case controlling. Journal of Chronic Diseases 38, 541542.CrossRefGoogle ScholarPubMed