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The Short-Term Outcome of Neurotic Disorders in the Community: The Relation of Remission to Clinical Factors and to ‘Neutralizing’ Life Events

Published online by Cambridge University Press:  29 January 2018

Christopher Tennant ,
Paul Bebbington  and
Jane Hurry
Christopher Tennant
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Paul Bebbington
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Jane Hurry
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Summary

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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.

Type
Papers
Information
The British Journal of Psychiatry , Volume 139 , Issue 3 , September 1981 , pp. 213 - 220
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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