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Naturalistic change after 2 years in neurotic depressive disorders (RDC categories)
Journal article   Peer reviewed

Naturalistic change after 2 years in neurotic depressive disorders (RDC categories)

James E. Barrett
Comprehensive psychiatry, v 25(4), pp 404-418
Jul 1984
PMID: 6467920
url
https://doaj.org/article/52ce9af666ef41368121dfba36f7a88eView
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Abstract

Follow-up data over a 2-year period were obtained for 169 persons with a diagnosed depressive disorder (RDC categories) and who were not in or planning to enter treatment. Clinical outcome data is reported separately for nine depressive disorder categories separated into episodic disorders only, characterologic disorders only, and episodic disorders superimposed on characterologic disorders (“double diagnoses”). The subjects with the best outcome (100% improved) were those with major depressive disorder; those with the worst outcome (100% no change or worse) were those with a chronic depression with a superimposed major depression. Othe diagnostic groupings showed intermediate outcomes. Fifty-three percent sought some treatment during the 2 years; in general there was little or no relationship between the treatments received and outcome, although it is emphasized that the design of this study does not permit assessment of treatment efficacy. The results stress the importance of paying attention to diagnosis—specific diagnostic categories and “double diagnosis”—as a predictor variable in outcome studies.

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Psychiatry
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