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One‐Year Prospective Replication Study of an Untreated Sample of Community Dysthymia Subjects

 

作者: JAMES McCULLOUGH,   KATHLEEN McCUNE,   ARTHUR KAYE,   JAMES BRAITH,   ROXANNE FRIEND,   W. ROBERTS,   SUSAN BELYEA-CALDWELL,   SARAH NORRIS,   CHRISTLANNE HAMPTON,  

 

期刊: The Journal of Nervous and Mental Disease  (OVID Available online 1994)
卷期: Volume 182, issue 7  

页码: 396-401

 

ISSN:0022-3018

 

年代: 1994

 

出版商: OVID

 

数据来源: OVID

 

摘要:

This study replicates an earlier naturalistic-prospective investigation of nontreatment, community DSM-III-R dysthymia subjects. Major goals were to determine spontaneous remission rates and monitor the stability of psychosocial functioning levels over time. Twenty-four dysthymia subjects were followed for 1 year. Three remissions (13%) were diagnosed at the final interview. At a 4-year diagnostic follow-up contact with the remitters only, one remitter had relapsed and two remained in remission. Subjects were monitored for depressive symptom intensity, personality functioning, general medical distress, cognitive functioning, coping stylistics, interpersonal functioning, quality of their social support resources, and general family functioning. Stable levels of psychosocial functioning were maintained across all measures over the 1-year period. Current psychometric findings confirm the conclusions of the earlier nontreatment prospective study that dysthymia is a chronic mood disorder with stable psychosocial features and is unlikely to remit spontaneously over time.

 

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