Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-22T18:00:44.640Z Has data issue: false hasContentIssue false

The Bearing of Treatment on the Classification of the Affective Disorders

Published online by Cambridge University Press:  29 January 2018

Kurt Schapira
Affiliation:
Psychological Medicine Research Unit, University of Newcastle upon Tyne

Extract

The relationship between anxiety state and depressive illness has been debated for many years. On clinical grounds, Mapother (1926) and Lewis (1966) expressed the view that the various forms of anxiety and depressive states merge imperceptibly into one another, while Garmany (1956, 1958) and Stenback (1963) considered that they were fundamentally different disorders. Gurney, Roth and Garside (1970) showed that the two conditions differ significantly in respect of a large number of biographical, personality and clinical indices. They also demonstrated that the disorders could be separated by means of a discriminant function analysis and that the distribution of the patients' scores was clearly bimodal. In a four year follow-up study of the same group of patients, Kerr, Gurney, Schapira and Roth (1970) showed that depressive illnesses carry a significantly better prognosis. Moreover, physiological evidence based on forearm blood-flow measurements has also given tentative support to the differentiation of the disorders (Kelly and Walter, 1969).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1970 

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

Garmany, G. (1956). ‘Anxiety states.’ Brit. med. J., i, 943–6.Google Scholar
Garmany, G. (1958). ‘Depressive states: their aetiology and treatment.’ ibid., ii, 341–4.Google Scholar
Gurney, C., Roth, M., and Garside, R. F. (1970). ‘The use of statistical techniques in the classification of affective disorders.’ Proc. Roy. Soc. Med., In Press.Google Scholar
Hordern, A., Burt, C. G., and Holt, N. F. (1965). Depressive States: a Pharmacotherapeutic Study. Springfield, Illionois: Thomas.Google Scholar
Kelly, D., and Walter, C. J. S. (1969). ‘A clinical and physiological relationship between anxiety and depression.’ Brit. J. Psychiat., 115, 401–6.CrossRefGoogle ScholarPubMed
Kerr, T. A., Gurney, C., Schapira, K., and Roth, M. (1970). ‘The measurement and prediction of outcome in the affective disorders.’ Proc. Roy. Soc. Med., In Press.Google Scholar
Kiloh, L. G., Ball, J. R. B., and Garside, R. F. (1962). ‘Prognostic factors in treatment of depressive states with imipramine.’ Brit. med. J., i, 1225–7.Google Scholar
King, A. (1962). ‘Phenelzine treatment of Roth's Calamity Syndrome.’ Med. J. Austral., 49, 879–83.Google Scholar
Lewis, A. J. Sir (1966). In: Price's Textbook of the Practice of Medicine. Ed. Bodley Scott, R. London.Google Scholar
Mapother, E. (1926). ‘Discussion on manic-depressive psychosis.’ Brit. med. J., ii, 872–6.Google Scholar
Sargant, W. (1961). ‘Drugs in the treatment of depression.’ Brit. med. J., i, 225–7.Google Scholar
Sargant, W. and Slater, E. (1963). Physical Methods of Treatment in Psychiatry. 4th edn. Edinburgh and London: Livingstone.Google Scholar
Stenback, A. (1963). ‘On involutional and middle age depressions.’ Acta psychiat. Scand., 39 Suppl. 169, 1432.CrossRefGoogle Scholar
West, E. D., and Dally, P. J. (1959). ‘Effects of iproniazid in depressive syndromes.’ Brit. med. J., i, 1491–4.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.