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Prediction of Outcome in Depressive Illness by the Newcastle Diagnosis Scale

Its Relationship with the Unipolar/Bipolar and DSM-III Systems

Published online by Cambridge University Press:  02 January 2018

M. W. P. Carney ,
James Edeh ,
E. H. Reynolds ,
B. K. Toone ,
C. Thomas  and
B. F. Sheffield
M. W. P. Carney*
Affiliation:
Department of Psychiatry Northwick Park Hospital and Clinical Research Centre
James Edeh
Affiliation:
Department of Psychiatry Northwick Park Hospital and Clinical Research Centre
E. H. Reynolds
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
B. K. Toone
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
C. Thomas
Affiliation:
Departments of Neurology and Psychiatry Kings College Hospital, London
B. F. Sheffield
Affiliation:
Salford District Health Authority
*
∗Department of Psychiatry, Northwick Park Hospital and Clinical Research Centre, Watford Road, Harrow, Middlesex HA1 3UJ, UK
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Abstract

The Newcastle scores of a group of 64 and subsample of 52 severely depressed inpatients were not normally distributed. Evidence for discontinuity in these distributions was adduced from the contrast in outcome between the endogenous and neurotic patients thus defined, the endogenous consistently doing better than the neurotic group. The unipolar/bipolar system failed to predict different results for endogenous and neurotic patients unless unipolar was subdivided into endogenous and neurotic subgroups. The DSM-III criteria for major depression and melancholia failed to identify subgroups of differing prognoses.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 1 , January 1987 , pp. 43 - 48
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) DSM-III. Washington, DC: Division of Public Affairs, APA.Google Scholar
Bech, P., Gram, L. F., Reisby, N. & Rafaelsen, O. J. (1980) The WHO depression scale: relationship to Newcastle Scales. Acta Psychiatrica Scandinavica 62, 140–155.Google Scholar
Carney, M. W. P. (1986) The Newcastle Scale. In Assessment of Depression (ed. N. Sartorius & T. Ban), Berlin: Springer Verlag, on behalf of WHO).Google Scholar
Carney, M. W. P. & Sheffield, B. F. (1972) Depression and Newcastle Scale. Their relationship to Hamilton's scale. British Journal of Psychiatry, 121, 35–40.Google Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of E.C.T. response. British Journal of Psychiatry, 3, 659–674.CrossRefGoogle Scholar
Carney, M. W. P., Martin, R., Bottiolieri, T., Toone, B. K., Nissenbaum, H., Reynolds, E. H. & Sheffield, B. F. (1983) The switch mechanism in affective illness and SAM. Lancet, i, 820–821.Google Scholar
Checkley, S. A. (1978) A new distinction between the euphoric and antidepressant effects of methylamphetamine. British Journal of Psychiatry, 133, 416–423.CrossRefGoogle ScholarPubMed
Coppen, A., Abou-saleh, P., Miller, P., Metcalf, M., Harwood, J. & Bailey, J. (1983) Dexamethasone Suppression Test in depression and other psychiatric illness. British Journal of Psychiatry, 142, 498–504.Google Scholar
Davidson, J., Strickland, R., Turnbull, C., Belyea, M. & Miller, R. D. (1984) The Newcastle Endogenous Depression Diagnostic Index: validity and reliability. Acta Psychiatrica Scandinvica, 69, 220–230.CrossRefGoogle ScholarPubMed
Garside, R. F. (1973) Depressive illness in late life. British Journal of Psychiatry, 122, 118–119.Google Scholar
Garside, R. F. & Roth, M. (1978) Multivariate statistical methods and problems of classification in psychiatry, British Journal of Psychiatry, 133, 53–67.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1968) The problem of classification. In Recent Developments in Affective Disorders (eds A. Coppen & A. Walk), British Journal of Psychiatry Special Publication No. 1. London.Google Scholar
Kendell, R. E. (1982) The choice of diagnostic criteria for biological research. Archives of General Psychiatry, 39, 1334–1339.Google Scholar
Kiloh, L. G. & Garside, R. F. (1963) The independence of neurotic depression and endogenous depression. British Journal of Psychiatry, 109, 451–463.CrossRefGoogle ScholarPubMed
Montgomery, S. A. (1981) Measurement of serum drug levels in the assessment of antidepressants. In Methods in Clinical Pharmacology-Central Nervous System (ed. M. Lader & A. Richens), London: MacMillan.Google Scholar
Paykel, E. S. (1971) Classification of depressed patients: a cluster analysis derived grouping, British Journal of Psychiatry, 118, 275–288.CrossRefGoogle ScholarPubMed
Paykel, E. S. (1981) Have multivariate statistics contributed to classification?, British Journal of Psychiatry, 139, 357–362.Google Scholar
Post, F. (1972) The management and nature of depressive illness in later life: a follow through study. British Journal of Psychiatry, 121, 393–404.Google Scholar
Reynolds, H. H. & Stramentinou, G. (1984) S-adenosyl methionine and affective disorder. Psychological Medicine, 13, 705–710.CrossRefGoogle Scholar
Reynolds, H. H., Carney, M. W. P. & Toone, B. K. (1984). Methylation and mood. Lancet, ii, 196–198.Google Scholar
Roth, M. & Barnes, T. R. E. (1981) The classification of affective disorders: the synthesis of old and new concepts. Comprehensive Psychiatry, 22, 54–77.Google Scholar
Sandifer, M., Wilson, T. C. & Green, L. (1966) The two-type thesis of depressive disorders, American Journal of Psychiatry, 123, 93–97.CrossRefGoogle ScholarPubMed
Zimmerman, M., Pfhol, B., Stangl, D. & Coryell, W. (1986a) An American validation study of the Newcastle Diagnostic Scale. 1. Relationship with the Dexamethasone Suppression Test, British Journal of Psychiatry, (in press).Google Scholar
Zimmerman, M., Coryell, W., Pfhol, B. & Stangl, D. (1986b). The validity of our definitions of endogenous depression: II clinical, demographic, familial and psychosocial correlates, British Journal of Psychiatry, (in press).Google Scholar
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