The Short-Term Outcome of Neurotic Disorders in the Community: The Relation of Remission to Clinical Factors and to ‘Neutralizing’ Life Events
The Short-Term Outcome of Neurotic Disorders in the Community: The Relation of Remission to Clinical Factors and to ‘Neutralizing’ Life Events
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社区神经症的短期结果：缓解与临床因素和“中和”生活事件的关系
DOI：
10.1192/bjp.139.3.213
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发表时间：
1981
影响因子：
10.5
通讯作者：
J. Hurry
中科院分区：
文献类型：
--
作者：
C. Tennant;P. Bebbington;J. Hurry
一项关于社区神经症的纵向研究表明，在第一次访谈中发现的一半病例在一个月后缓解。缓解显着相关的四个变量：发病和高峰期的障碍，最近发生的威胁生命的事件和随后的“中和”生活事件的发生。先验地将中和事件定义为中和早期威胁生命事件或困难的影响的事件。三分之一的缓解是由这种事件引起的。疾病的缓解与人口统计学变量、症状严重程度、综合征类型、医疗咨询或精神药物处方无显著相关。在社会上的神经症障碍的影响进行了讨论，特别是它与生活事件和有利的结果，在没有治疗。
Summary A longitudinal study of neurotic disorder in the community showed that half the cases identified at first interview had remitted one month later. Remission was significantly related to four variables: recency of onset and of peak of the disorder, the occurrence of recent threatening life events and the occurrence of subsequent ‘neutralizing’ life events. A neutralizing event was defined a priori as one which neutralized the impact of an earlier threatening life event or difficulty. One third of all remissions were caused by such an event. Remission of disorder was not significantly related to demographic variables, symptom severity, syndrome type, medical consultation or psychotropic drug prescription. The implications for neurotic disorder in the community are discussed, in particular its relation to life events and the favourable outcome in the absence of treatment.