Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-22T07:29:44.987Z Has data issue: false hasContentIssue false
  • English
  • Français

The Influence of Social Factors on Common Mental Disorders

Destabilisation and Restitution

Published online by Cambridge University Press:  02 January 2018

David Goldberg ,
Keith Bridges ,
Diane Cook ,
Barbara Evans  and
David Grayson
David Goldberg*
Affiliation:
Mental Illness Research Unit, University of Manchester
Keith Bridges
Affiliation:
Manchester Royal Infirmary, Manchester
Diane Cook
Affiliation:
NH and MRC Social Psychiatry, Canberra, Australia
Barbara Evans
Affiliation:
University of Manchester
David Grayson
Affiliation:
NH and MRC Social Psychiatry Research Unit, Canberra, Australia, now Department of Psychology, University of Sydney
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

This study distinguishes between processes that cause individuals to experience symptoms – destabilisation – and those that are associated with loss of symptoms over time – restitution. It is shown that different clinical, social, and personality variables are associated with each of these processes. Where destabilisation is concerned, it is shown that different variables were associated with the development of symptoms of anxiety and those of depression. Different variables were associated with restitution, and they did not show the same relationship with the symptom dimensions of anxiety and depression as those which were associated with destabilisation.

Type
Lecture
Information
The British Journal of Psychiatry , Volume 156 , Issue 5 , May 1990 , pp. 704 - 713
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Brodaty, H. (1983) Brief Psychotherapy in General Practice: A Controlled Prospective Intervention Trial. Unpublished MD Thesis, University of New South Wales.Google Scholar
Brown, G. W. (1990) A psychosocial view of depression. In Community Psychiatry (eds Bennett, D. & Freeman, H.). London: Churchill, Livingstone (in press).Google Scholar
Brown, G. W., Davidson, S., Harris, T., et al (1977) Psychiatric disorder in London and North Uist. Social Science and Medicine, 11, 367–377.CrossRefGoogle ScholarPubMed
Clare, A. W. & Cairns, V. E. (1978) Design, development and use of a standardised interview to assess maladjustment and dysfunction in community studies. Psychological Medicine, 8, 589–604.CrossRefGoogle ScholarPubMed
Costello, C. G. (1982) Social factors associated with depression: a retrospective community study. Psychological Medicine, 12, 329–339.CrossRefGoogle ScholarPubMed
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 142, 247–256.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970) Psychiatric illness in general practice. British Medical Journal, ii, 439–443.Google Scholar
Goldberg, D. P. & Bridges, K. (1987) Screening for psychiatric illness in general practice: the general practitioner versus the screening questionnaire. Journal of the Royal College of General Practitioners, 37, 15–19.Google ScholarPubMed
Goldberg, D. P., Bridges, K. Duncan-Jones, P., et al (1987) Dimensions of neuroses seen in primary care settings. Psychological Medicine, 17, 461–470.Google Scholar
Goldberg, D. P. & Huxley, P. (1980) Mental Illness in the Community. The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Grayson, D., Bridges, K., Duncan-Jones, P., et al (1987) The relationship between symptoms and diagnosis of minor psychiatric disorder in general practice. Psychological Medicine, 17, 933–942.Google Scholar
Grayson, D., Goldberg, D. P., Bridges, K., et al (1990) The validity of diagnostic systems for common mental disorders. Psychological Medicine (in press).CrossRefGoogle Scholar
Huxley, P. J., Goldberg, D. P., Maguire, G. P., et al (1979) The prediction of the course of minor psychiatric disorders. British Journal of Psychiatry, 135, 535–543.Google Scholar
Hyman, H. H. (1972) Secondary Analysis of Sample Surveys. Principles, Procedures and Potentialities. New York: John Wiley & Sons.Google Scholar
Ingham, J. G., Kreitman, N. B., Miller, P. McC., et al (1987) Self-appraisal, anxiety and depression in women: a prospective enquiry. British Journal of Psychiatry, 150, 643–651.Google Scholar
Jenkins, R., Mann, A. H. & Belsey, E. (1981) Design and use of a short interview to assess social stress and support in research and clinical settings. Social Science and Medicine, 15E, 195–203.Google Scholar
Johnstone, A. & Shepley, M. (1986) The outcome of hidden neurotic illness treated in general practice. Journal of the Royal College of General Practitioners, 36, 413–415.Google ScholarPubMed
Kendler, K. S., Heath, A. C., Martin, N. G., et al (1987) Symptoms of anxiety and symptoms of depression. Same genes, different environments? Archives of General Psychiatry, 1224, 451–457.CrossRefGoogle Scholar
Kleinman, A. (1988) Rethinking Psychiatry. London: The Free Press.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., et al (1983) Psychiatric disorder in women from an Edinburgh community. British Journal of Psychiatry, 142, 238–246.CrossRefGoogle ScholarPubMed
Tyrer, P. (1985) Neurosis divisible? Lancet, i, 685–688.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.