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The risk of minor depression before age 65: results from a community survey

Published online by Cambridge University Press:  09 July 2009

Paul Bebbington ,
Randy Katz ,
Peter McGuffin ,
Christopher Tennant  and
Jane Hurry
Paul Bebbington*
Affiliation:
MRC Social Psychiatry Unit and Genetics Unit, Institute of Psychiatry, London; Department of Psychological Medicine, University of Wales College of Medicine, Cardiff; and Royal North Shore Hospital, St. Leonards, NSW, Australia
Randy Katz
Affiliation:
MRC Social Psychiatry Unit and Genetics Unit, Institute of Psychiatry, London; Department of Psychological Medicine, University of Wales College of Medicine, Cardiff; and Royal North Shore Hospital, St. Leonards, NSW, Australia
Peter McGuffin
Affiliation:
MRC Social Psychiatry Unit and Genetics Unit, Institute of Psychiatry, London; Department of Psychological Medicine, University of Wales College of Medicine, Cardiff; and Royal North Shore Hospital, St. Leonards, NSW, Australia
Christopher Tennant
Affiliation:
MRC Social Psychiatry Unit and Genetics Unit, Institute of Psychiatry, London; Department of Psychological Medicine, University of Wales College of Medicine, Cardiff; and Royal North Shore Hospital, St. Leonards, NSW, Australia
Jane Hurry
Affiliation:
MRC Social Psychiatry Unit and Genetics Unit, Institute of Psychiatry, London; Department of Psychological Medicine, University of Wales College of Medicine, Cardiff; and Royal North Shore Hospital, St. Leonards, NSW, Australia
*
1Address for correspondence: Dr Paul Bebbington, MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.
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Synopsis

Data from a general population survey of psychiatric disorder in Camberwell were used to calculate the risk of a CATEGO-defined depressive episode before the age of 65, using a modification of Strömgren's method.

Current depression was defined as cases within the relevant categories of the CATEGO program and at threshold level or above on the Index of Definition (Wing et al. 1978). A past history of depression was elicited using key symptoms such as persistent tearfulness and depressed mood, already enquired after in the course of the PSE, to identify potential episodes, followed by questions to determine accessory symptoms, duration, and degree of social impairment. Clinical judgement was then used to decide whether the disturbance constituted a significant depressive episode.

Risk under one set of assumptions was 46 % for men and 72 % for women. Using another method based on (untenably) conservative assumptions, it became 16 % and 30 % respectively. The status and implications of these high values are discussed, particularly for genetic studies.

Type
Research Article
Information
Psychological Medicine , Volume 19 , Issue 2 , May 1989 , pp. 393 - 400
Copyright
Copyright © Cambridge University Press 1989

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References

Bebbington, P. E. (1986). Depression: distress or disease? British Journal of Psychiatry 148, 479.CrossRefGoogle ScholarPubMed
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981). The epidemiology of mental disorders in Camberwell. Psychological Medicine 11, 561–580.CrossRefGoogle ScholarPubMed
Bebbington, P. E., Sturt, E., Tennant, C. & Hurry, J. (1984). Misfortune and resilience: a community study of women. Psychological Medicine 14, 347–364.CrossRefGoogle ScholarPubMed
Bebbington, P., Brugha, T., MacCarthy, B., Potter, J., Sturt, E., Wykes, T., Katz, R. & McGuffin, P. (1988). The Camberwell Collaborative Depression Study. I. The investigation of depressed probands. British Journal of Psychiatry 152, 754–765.CrossRefGoogle Scholar
Brown, G. W. & Harris, T. O. (1978). Social Origins of Depression. Tavistock: London.Google ScholarPubMed
Brown, G. W., Craig, T. J. K. & Harris, T. O. (1985). Depression: distress or disease: Some epidemiological considerations. British Journal of Psychiatry 147, 612–622.CrossRefGoogle ScholarPubMed
Carey, G., Gottesman, I.I. & Robins, E. (1980). Prevalence rates for the neuroses: pitfalls in the evaluation of familiality. Psychological Medicine 10, 437–443.CrossRefGoogle ScholarPubMed
Gershon, E., Hamovit, J. H., Guroff, J. J. & Nurnberger, J. I. (1987). Birth cohort changes in manic and depressive disorders in relatives of bipolar and schizoaffective patients. Archives of General Psychiatry 44, 314–319.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Huxley, P. (1980). Mental Illness in the Community: The Pathway to Psychiatric Care. Tavistock: London.Google Scholar
Klerman, G. L., Lavori, P. W., Rice, J., Reich, T., Endicott, J., Andreason, N.C., Keller, M. B. & Hirschfeld, R. M. A. (1985). Birth-cohort trends in rates of major depressive disorder among relatives of patients with affective disorder. Archives of General Psychiatry 421, 689–693.CrossRefGoogle Scholar
McGuffin, P., Katz, R. & Aldrich, J. (1986). Past and Present State Examination: the assessment of ‘lifetime ever’ psychopathology. Psychological Medicine 16, 461–466.CrossRefGoogle ScholarPubMed
McGuffin, P., Katz, R., Aldrich, J. & Bebbington, P. E. (1988). The Camberwell Collaborative Depression Study. II. The investigation of family members. British Journal of Psychiatry 152, 766–774.CrossRefGoogle ScholarPubMed
Myers, J. K., Weissman, M M., Tischler, G. L., Holzer, C. E., Leaf, P. J., Orvaschel, H., Anthony, J.C, Boyd, J. H., Burke, J. D., Kramer, M. & Stolzman, R. (1984). Six month prevalence of psychiatric disorders in three communities: 1980–1982. Archives of General Psychiatry 41, 959–967.CrossRefGoogle Scholar
Slater, E. & Cowie, V. (1971). The Genetics of Mental Disorder. Oxford University Press: London.Google Scholar
Sturt, E, Bebbington, P. E., Hurry, J. & Tennant, C. (1981). The Present State Examination used by interviewers from a Survey Agency: Report from the Camberwell Community Survey. Psychological Medicine 11, 185–192.CrossRefGoogle ScholarPubMed
Sturt, E. S., Kumakura, N. & Der, G. (1984). How depressing life is: lifelong risk of depression in the general population. Journal of Affective Disorders!, 109–122 CrossRefGoogle Scholar
Thompson, W. D. & Weissman, M. M. (1981). Quantifying lifetime risk of psychiatric disorder. Journal of Psychiatric Research 2, 113–126.CrossRefGoogle Scholar
Weissman, M. M. & Myers, J (1978). Rates and risks of depressive symptoms in a United States urban community. Acta Psychiatrica Scandinavica 57, 219–231 CrossRefGoogle Scholar
Wing, J. K. & Sturt, E. (1978). The PSE-ID-CATEGO System: A Supplementary Manual. Institute of Psychiatry: London (mimeo).Google Scholar
Wing, J. K., Cooper, J. E. & Sartonus, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978). The concept of a case in psychiatric population surveys. Psychological Medicine 8, 203–217.CrossRefGoogle ScholarPubMed
Wing, J. K., Bebbington, P., Hurry, J. & Tennant, C. (1981). The prevalance in the general population of disorders familiar to psychiatrists in hospital practice. In What is a Case? (ed. Wing, J. K., Bebbington, P. and Robins, L.N.), pp. 45–61. Grant MacIntyre Ltd: London.Google Scholar
Wing, J. K. & Bebbington, P. E. (1985). The Epidemiology of Depression. In Depression: Treatment, Assessment and Research (ed. Beckham, E. E. and Leber, W. R.), pp. 765–794. The Dorsey Press: Homewood, Illinois. Google Scholar
World Health Organization. (1974). Glossary of Mental Disorders and Guide to their Classification, for Use in Conjunction with the International Classification of Diseases, 8th Revision. WHO: Geneva.Google Scholar