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Schizophrenia, Bipolar Disorder and Depression a Discriminant Analysis, using ‘Lifetime’ Psychopathology Ratings

Published online by Cambridge University Press:  02 January 2018

I. F. Brockington*
Affiliation:
Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Birmingham B15 2QZ
A. Roper
Affiliation:
City of Birmingham Social Services
J. Copas
Affiliation:
University of Birmingham
M. Buckley
Affiliation:
University of Birmingham
C. E. Andrade
Affiliation:
Department of Psychiatry, Rio de Janeiro Federal University
P. Wigg
Affiliation:
Queen Elizabeth Hospital
A. Farmer
Affiliation:
West Midlands Regional Health Authority
C. Kaufman
Affiliation:
Welsh National School of Medicine
R. Hawley
Affiliation:
Welsh National School of Medicine
*
Correspondence

Abstract

Discriminant and canonical variate analyses were performed using 302 patients, on whom ratings of lifetime psychopathology and course of illness had been made. DSM–III diagnoses were used to form the criterion groups. Bipolar disorder emerged as a distinct grouping, but there are reasons for dissatisfaction with its definition. The remaining patients formed a ‘schizodepressive continuum’, but this also had a tendency to bimodality. It is possible that the distinction between schizophrenia and depression was obscured by inadequacies in the data and the inclusion of excessive numbers of patients with schizoaffective depression in this study.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM—III). Washington, DC: APA.Google Scholar
Bertelsen, A., Harvald, B. & Hauge, M. (1977) A Danish twin study of manic-depressive disorders. British Journal of Psychiatry, 130, 330351.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E. & Leff, J. P. (1978) Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine, 8, 387398.CrossRefGoogle ScholarPubMed
Brockington, I. F. & Leff, J. P. (1979) Schizoaffective psychosis: definitions and incidence. Psychological Medicine, 9, 9199.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E., Wainwright, S., et al (1979) The distinction between the affective psychoses and schizophrenia. British Journal of Psychiatry, 135, 243248.CrossRefGoogle Scholar
Brockington, I. F., Kendell, R. E. & Wainwright, S. (1980) Depressed patients with schizophrenic or paranoid symptoms. Psychological Medicine, 10, 665675.CrossRefGoogle ScholarPubMed
Brockington, I. F., Cernik, K. F., Schofield, E. M., et al (1981) Puerperal psychosis: phenomena and diagnosis. Archives of General Psychiatry, 38, 829833.CrossRefGoogle ScholarPubMed
Brockington, I. F., Winokur, G. & Dean, C. (1982) Puerperal psychosis. In Motherhood and Mental Illness (eds Brockington, I. F. & Kumar, R.). London: Academic Press.Google Scholar
Brockington, I. F. & Meltzer, H. Y. (1983) The nosology of schizoaffective psychosis. Psychological Developments, 1, 317338.Google ScholarPubMed
Brown, G. W. & Harris, T. (1978) Social Origins of Depression. London: Tavistock.Google ScholarPubMed
Cloninger, C. R., Martin, R. L., Guze, S. B., et al (1985) Diagnosis and prognosis in schizophrenia. Archives of General Psychiatry, 42, 1525.CrossRefGoogle ScholarPubMed
Hays, P. (1978) Taxonomic map of the schizophrenias. British Medical Journal, iii, 755757.CrossRefGoogle Scholar
Kendell, R. E. & Gourlay, J. (1970) The clinical distinction between the affective psychoses and schizophrenia. British Journal of Psychiatry, 117, 261266.CrossRefGoogle ScholarPubMed
Kendler, K. S. & Hays, P. (1981) Paranoid psychosis (delusional disorder) and schizophrenia. Archives of General Psychiatry, 38, 547551.CrossRefGoogle Scholar
Nib, N. H., Hadlai Hull, C., Jenkins, J. G., et al (1975) Statistical Package for the Social Sciences, edition 2. New York: McGraw-Hill.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 773782.CrossRefGoogle ScholarPubMed
Wing, J. K., Birley, J. L. T., Cooper, J. E., et al (1967) Reliability of a procedure for measuring and classifying ‘present psychiatric state’. British Journal of Psychiatry, 113, 499515.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E., Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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