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Female Physicians and Primary Affective Disorderppp-Reply

Female Physicians and Primary Affective Disorderppp-Reply Abstract In Reply.— The statements in the second paragraph of Dr Pitts' letter to the editor require clarification. First, since most patients with affective disorder have an episodic course of illness, a history of a cluster of depressive symptoms for a given period of time is the basis for a diagnosis of primary affective disorder in the absence of a preexisting psychiatric disorder. Second, the term "primary affective disorder" is preferable to "manic-depressive psychosis"1 since the presence of neither psychosis nor mania (or even depression if mania is present) is required for the establishment of the presence of an affective disorder, the cause of which is unknown.2 Third, there are no laboratory tests to confirm a diagnosis of primary affective disorder as there are for tuberculosis, where clinical findings can be supported or confirmed by such tests. Fourth, we found the prevalence of primary affective disorder among the female physicians to References 1. Feighner JP, Robins E, Guze SB, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 2. Robins E, Guze SB: Classification of affective disorders: The primary-secondary, the endogenous-reactive, and the neurotic-psychotic concepts , in Williams TA, Katz MM, Shield JA Jr (eds): Recent Advances in the Psychobiology of the Depressive Illnesses: Proceedings of a Workshop Sponsored by the National Institute of Mental Health . US Government Printing Office, 1972, p 283. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Female Physicians and Primary Affective Disorderppp-Reply

Archives of General Psychiatry , Volume 37 (1) – Jan 1, 1980

Female Physicians and Primary Affective Disorderppp-Reply

Abstract

Abstract In Reply.— The statements in the second paragraph of Dr Pitts' letter to the editor require clarification. First, since most patients with affective disorder have an episodic course of illness, a history of a cluster of depressive symptoms for a given period of time is the basis for a diagnosis of primary affective disorder in the absence of a preexisting psychiatric disorder. Second, the term "primary affective disorder" is preferable to "manic-depressive...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1980.01780140113016
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.— The statements in the second paragraph of Dr Pitts' letter to the editor require clarification. First, since most patients with affective disorder have an episodic course of illness, a history of a cluster of depressive symptoms for a given period of time is the basis for a diagnosis of primary affective disorder in the absence of a preexisting psychiatric disorder. Second, the term "primary affective disorder" is preferable to "manic-depressive psychosis"1 since the presence of neither psychosis nor mania (or even depression if mania is present) is required for the establishment of the presence of an affective disorder, the cause of which is unknown.2 Third, there are no laboratory tests to confirm a diagnosis of primary affective disorder as there are for tuberculosis, where clinical findings can be supported or confirmed by such tests. Fourth, we found the prevalence of primary affective disorder among the female physicians to References 1. Feighner JP, Robins E, Guze SB, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 2. Robins E, Guze SB: Classification of affective disorders: The primary-secondary, the endogenous-reactive, and the neurotic-psychotic concepts , in Williams TA, Katz MM, Shield JA Jr (eds): Recent Advances in the Psychobiology of the Depressive Illnesses: Proceedings of a Workshop Sponsored by the National Institute of Mental Health . US Government Printing Office, 1972, p 283.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jan 1, 1980

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