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The relationship between symptoms and diagnoses of minor psychiatric disorder in general practice

Published online by Cambridge University Press:  09 July 2009

D. A. Grayson ,
K. Bridges ,
P. Duncan-Jones  and
D. P. Goldberg
D. A. Grayson*
Affiliation:
NH&MRC Social Psychiatry Research Unit, Australian National University, Canberra, Australia
K. Bridges
Affiliation:
NH&MRC Social Psychiatry Research Unit, Australian National University, Canberra, Australia
P. Duncan-Jones
Affiliation:
NH&MRC Social Psychiatry Research Unit, Australian National University, Canberra, Australia
D. P. Goldberg
Affiliation:
NH&MRC Social Psychiatry Research Unit, Australian National University, Canberra, Australia
*
1Address for correspondence: Dr D. A. Grayson, NH&MRC Social Psychiatry Research Unit, Australian National University, GPO Box 4, Canberra, ACT 2601, Australia.
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Synopsis

In an earlier paper (Goldberg et al. 1987) 36 common symptoms of minor psychiatric disorder in general practice were analysed using the technique of latent trait analysis. From this analysis two dimensions of illness emerged, corresponding to anxiety and depression. In the present paper, this symptom-based representation of minor psychiatric illness is used as a framework for comparing four diagnostic systems: General Practitioner (GP) diagnoses, the ID-CATEGO diagnostic system, the DSM-III system and the Bedford College diagnostic system. This analysis clarifies the reasons for disagreement among systems of diagnostic criteria and examines the practical effects of alternative diagnostic algorithms.

Type
Research Article
Information
Psychological Medicine , Volume 17 , Issue 4 , November 1987 , pp. 933 - 942
Copyright
Copyright © Cambridge University Press 1987

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References

American Psychiatric Association (1980). Diagnostic and slatistical manual of mental disorders, 3rd ed.American Psychiatric Association: Washington.Google Scholar
Barlow, D. H., Di Nardo, P. A., Vermilyear, B. B., Vermilyea, J. & Blanchard, E. B. (1986). Co-morbidity and depression among the anxiety disorders. Journal of Nervous and Mental Diseases 174, 63–72.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.CrossRefGoogle Scholar
Duncan-Jones, P., Grayson, D. A., & Moran, P. A. P. (1986). The utility of latent trait models in psychiatric epidemiology. Psychological Medicine 16, 391–405.CrossRefGoogle ScholarPubMed
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 01, 57–63.CrossRefGoogle ScholarPubMed
Finlay-Jones, R., Brown, G. W., Duncan-Jones, P, Haris, J., Murphy, E. & Prudo, R. (1980). Depression and anxiety in the community: replicating the diagnosis of a case. Psychological Medicine 10, 445–454.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Bridges, K., Duncan-Jones, P. & Grayson, D. A. (1987). Dimensions of neuroses seen in primary care settings. Psychological Medicine 17, 461–470.CrossRefGoogle ScholarPubMed
Grayson, D. A. (1986). Latent trait analysis of the Eysenck Personality Questionnaire. Journal of Psychiatric Research 20, 217–235.CrossRefGoogle ScholarPubMed
Rasch, G. (1960). Probabilistic Models for Some Intelligence and Attainment Tests. Danish Institute of Educational Research: Copenhagen.Google Scholar
Sturt, E. (1981). Hierarchical patterns in the distribution of psychiatric symptoms. Psychological Medicine 11, 783–794.CrossRefGoogle ScholarPubMed
Wing, J. K. & Sturt, E. (1978). The PSE-ID-CATEGO System Supplementary Manual. MRC Social Psychiatry Unit, Institute of Psychiatry, London.Google Scholar