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Diagnosis and outcome: depression and anxiety in a general population

  • Jane M. Murphy (a1), Donald C. Olivier (a1), Arthur M. Sobol (a1), Richard R. Monson (a1) and Alexander H. Leighton (a1)...
Abstract
Synopsis

An assessment of the long-term outcome for depression and anxiety disorders in a general population was made as part of the Stirling County Study. Measuring outcome as a dichotomy between experiencing recurrent episodes or not during a 17-year cohort interval, it was found that 56% of the ‘cases’ had a poor prognosis. While sex, age and level of severity were not significantly related to outcome, an initial diagnosis of depression was predictive of unfavourable prognosis. Only a few of these ‘cases’ received psychiatric specialty treatment. Some disorders in the community appear, however, to be as serious as those that come to the attention of psychiatrists.

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1Address for correspondence: Dr Jane M. Murphy, Harvard Program in Psychiatric Epidemiology, Department of Psychiatry, 703 Warren Building, Massachusetts General Hospital, Boston, MA 02114, USA.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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