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Psychiatric disorder in a rural and an urban population: 1. Aetiology of depression

Published online by Cambridge University Press:  09 July 2009

George W. Brown  and
Ray Prudo
George W. Brown*
Affiliation:
Department of Sociology, Bedford College, University of London
Ray Prudo
Affiliation:
Department of Sociology, Bedford College, University of London
*
1 Address for correspondence: Prefessor G. W. Brown, Department of Sociology, Fraser's Lodge, Bedford College, London NWI 4NS.
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Synopsis

An earlier survey of a random sample of women in Camberwell in South London has shown that the majority of new occurrences of depressive disorders were brought about by certain kinds of life event and ongoing difficulty (provoking agent) and that the risk was increased under these circumstances by the presence of certain other social factors (vulnerability factors). Working-class women were much more likely to develop depression because they experienced more of these factors. A new survey in a rural population in the Outer Hebrides has confirmed the importance of these factors in the genesis of depression, although provoking agents occurred much less frequently in this rural setting. However, integration into the traditional way of life, rather than a middle-class status, was related to a lower chance of developing depression, and this appears to be explained by the relationship of provoking agents and vulnerability factors to such integration in the Outer Hebrides, and to social class status in Camberwell.

Type
Research Article
Information
Psychological Medicine , Volume 11 , Issue 3 , August 1981 , pp. 581 - 599
Copyright
Copyright © Cambridge University Press 1981

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References

Brown, G. W. & Harris, T. (1978). Social Origins of Depression: A Study of Psychiatric Disorder in Women. Tavistock: London.Google Scholar
Brown, G. W. & Harris, T. (1979). The sin of subjectivism: a reply to Shapiro. Behavioural Research and Therapy 17, 605–613.Google Scholar
Brown, G. W. & Harris, T. (1981). Social class and psychiatric disorder. In Culture and Psychopathology (ed. Ihsan, Al-Issa). University Park Press: Baltimore.Google Scholar
Brown, G. W., Davidson, S., Harris, T., MacLean, U., Pollock, S. & Prudo, R. (1977). Psychiatric disorder in London and North Uist. Social Science and Medicine 11, 367–377.Google Scholar
Cooper, J. E., Copeland, J. R. M., Brown, G. W., Harris, T. & Gourlay, A. J. (1977). Further studies on interviewer training and inter-rater reliability of the Present State Examination (PSE). Psychological Medicine 7, 517–523.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1969). Social Status and Psychological Disorder: A Causal Inquiry. John Wiley: New York.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1974). Psychiatric disorders in urban settings. In American Handbook of Psychiatry, Vol. 1. Child and Adolescent Psychiatry, Sociocultural and Community Psychiatry (ed. Caplan, G.), pp. 426–446. Basic Books: New York.Google Scholar
Dohrenwend, B. P., Shrout, P. E., Egri, G. & Mendelsohn, F. S. (1980). Non-specific psychological distress and other dimensions of psychopathology. Archives of General Psychiatry 37, 1239–1246.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 56–73.Google Scholar
Finlay-Jones, R. & Brown, G. W. (1981). Types of stressful life event and the onset of anxiety and depressive disorders. Psychological Medicine 11 (in the press).Google Scholar
Finlay-Jones, R., Brown, G. W., Duncan-Jones, P., Harris, T., Murphy, E. & Prudo, R. (1980). Depression and anxiety in the community: replicating the diagnosis of a case. Psychological Medicine 10, 445–454.Google Scholar
Frank, J. D. (1961), Persuasion and Healing: A Comparative Study of Psychotherapy. Johns Hopkins Press: Baltimore.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974). The Social Grading of Occupations: A New Approach and Scale. Oxford University Press: London.Google Scholar
Harris, T., Brown, G. W. & Bifulco, A. (1981). Early loss and depression.Google Scholar
Hunter, J. (1976). The Making of the Crofting Community. J. Donald: Edinburgh.Google Scholar
Leighton, D. C., Hagnell, O., Leighton, A. H., Harding, J. S., Kellert, S. R. & Danley, R. A. (1971). Psychiatric disorder in a Swedish and Canadian Community: an exploratory study. Social Science and Medicine 5, 189–209.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Left, J. P. (1977). Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine 7, 505–516.Google Scholar
Wing, J. K., Mann, S. A., Left, J. P. & Nixon, J. M. (1978). The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine 8, 203–217.Google Scholar