Follow-Up Study of 100 Patients Diagnosed as “Neurosis”

Comroe, Bernard I.

doi:10.1097/00005053-193606000-00004

Cited by 37 publications

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“…A number of studies have been excluded because of such factors as excessive inadequacy of follow-up, partial duplication of cases with others included in our table, failure to indicate type of treatment used, and other reasons which made the results useless from our point of view. Papers thus rejected are those by Thorley & Craske [37], Bennett and Semrad [2], H. I. Harris [19], Hardcastle [17], A. Harris [18], Jacobson and Wright [21], Friess and Nelson [14], Comroe [5], Wenger [38], Orbison [33], Coon and Raymond [6], Denker [8], and Bond and Braceland [3]. Their inclusion would not have altered our conclusions to any considerable degree, although, as Miles et al point out: "When the various studies are compared in terms of thoroughness, careful planning, strictness of criteria and objectivity, there is often an inverse correlation between these factors and the percentage of successful results reported" [31, p. 88].…”

Section: Effects Of Psychotherapymentioning

confidence: 99%

“…I. Harris [19], Hardcastle [17], A. Harris [18], Jacobson and Wright [21], Friess and Nelson [14], Comroe [5], Wenger [38], Orbison [33], Coon and Raymond [6], Denker [8], and Bond and Braceland [3]. Their inclusion would not have altered our conclusions to any considerable degree, although, as Miles et al point out: “When the various studies are compared in terms of thoroughness, careful planning, strictness of criteria and objectivity, there is often an inverse correlation between these factors and the percentage of successful results reported” [31, p. 88].…”

Section: Effects Of Psychotherapymentioning

confidence: 99%

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The effects of psychotherapy: An evaluation.

Eysenck¹

1992

Journal of Consulting and Clinical Psychology

152

130

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The recommendation of the Committee on Training in Clinical Psychology of the American Psychological Association regarding the training of clinical psychologists in the field of psychotherapy has been criticized by the writer in a series of papers [10,11,12]. Of the arguments presented in favor of the policy advocated by the Committee, the most cogent one is perhaps that which refers to the social need for the skills possessed by the psychotherapist. In view of the importance of the issues involved, it seemed worth while to examine the evidence relating to the actual effects of psychotherapy, in an attempt to seek clarification on a point of fact. These patients were regularly seen and treated by their own physicians with sedatives, tonics, suggestion, and reassurance, but in no case was any attempt made at anything but this most superficial type of "psychotherapy" which has always been the stock-in-trade of the general practitioner. Repeated statements, every three months or so by their physicians, as well as independent investigations by the insurance company, confirmed the fact that these people actually were not engaged in productive work during the period of their illness. During their disable-

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Section: Effects Of Psychotherapymentioning

confidence: 99%

Section: Effects Of Psychotherapymentioning

confidence: 99%

The effects of psychotherapy: An evaluation.

Eysenck¹

1992

Journal of Consulting and Clinical Psychology

152

130

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“…Questa associazione tra malattia fisica e disturbi psichici e stata osservata per la prima volta nei 1936 da Comroe (1936) il quale evidenzib che ben il 24% dei pazienti ricoverati in una Clinica di medicina generale con diagnosi di nevrosi ando incontro ad una malattia organica entro gli otto mesi successivi all'ammissione, e che spesso questa era preesistente al ricovero. Questo dato potrebbe trovare una spiegazione sulla base della conoscenza di uno dei piu efficaci meccanismi di difesa dall'ansia messo in atto nelle nevrosi: la conversione.…”

Section: Perche Muoiono I Pazienti Psichiatrici?unclassified

La mortalità e le cause di morte fra i pazienti psichiatrici

Aguglia

Pagnanelli

Clocchiatti

et al. 1994

Epidemiol Psichiatr Soc

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SummaryObjective - Gathering, comparing and, if possible, commenting on datas and experimental evidences which have emerged in the principal literary works about mortality and psychiatric patients' causes of death. Particularly finding an answer (and a possible explanation) to some of the most important questions about these matters: does a psychiatric patient die easier than a healthy man? Does a correlation exist between nosographic diagnosis and causes of death? Finally do factors of risk, which are connected with death, exist? Method - The principal bibliographies which exist in national and international literature, from the middle of the last century until present days, have been consulted. Results - Essential agreement among existing dates in literature have emerged. Psychiatric patients dies easier than healthy man: rates of mortality have fallen from 6-7 (SMR), value of the middle of 1800 to 1,5-3 which is the value of present days. Respiratory, cardiovascular and, still, infectious diseases are the most important causes of death. There is not agreement about deaths caused by cancer. Some researchers affirm the protective action of psychiatric disease against the rising and diffusion of cancer. Non natural deaths (in primis suicide and accidental deaths) are rapresented too. All diagnostic categories (from alcholism to homosexuality, from organic brain disorders to schizophrenia) have a high risk of death while affective disorders have to be studied further. Young people have the highest risk. Conclusions - The frequency of physical beside psychic disease suggests to pay more attention to patient's general conditions even by some diagnostic ascertainments (TAC, RMN, etc) which are able to identify the most disabling conditions for the prognosis (diabetes, arterial hypertension, organic cerebral syndromes, etc).

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“…Herridge (1960) found medically induced psychoses in 5 percent of his patients admitted for psychiatric treatment. In a followup study of 100 patients with diagnoses of neurosis, Conroe (1936) found that in 24 percent of the cases, "definite evidence of organic disease had become manifest since discharge" (p. 680). In seven of these cases, death occurred.…”

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confidence: 99%

Psychiatric Diagnostic Error

Scheinbaum¹

1979

Schizophrenia Bulletin

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Although the problems of distinguishing between psychogenic and somatogenic disorders are not new, they have received meager attention in the context of routine psychiatric intake procedures. Given the multitude of medical disorders that produce psychiatric symptoms, and are often confused with psychiatric illness, more sophisticated diagnostic methods are needed. This article explores some of these illnesses and methodologies for decreasing the incidence of psychiatric diagnostic error.

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Follow-Up Study of 100 Patients Diagnosed as “Neurosis”

Cited by 37 publications

References 0 publications

The effects of psychotherapy: An evaluation.

The effects of psychotherapy: An evaluation.

La mortalità e le cause di morte fra i pazienti psichiatrici

Psychiatric Diagnostic Error

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