Primary unipolar depression and the prognostic importance of delusions.
A consecutive series of inpatients with primary unipolar depression was categorized by the presence or absence of delusions as noted in the charts. The systematically obtained follow-up material contained in these charts showed that delusional patients had a relatively poor short-term outcome regardless of whether they received somatic treatment. Recovery rate increased with longer follow-up periods in both groups. In accord with this, a 40-year follow-up revealed no differences between delusional and nondelusional groups in terms of marital, residential, or occupational status, psychiatric symptoms, a final diagnosis of bipolar disorder, or death by suicide.
D000928:Antidepressive Agents / Q000627:therapeutic use; D003295:Convulsive Therapy; D003702:Delusions / Q000175:diagnosis*; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D004565:Electroconvulsive Therapy; D005260:Female; D005500:Follow-Up Studies; D006212:Hallucinations / Q000175:diagnosis; D006760:Hospitalization; D006801:Humans; D008297:Male; D008393:Marriage; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D012111:Residence Characteristics; D013405:Suicide / Q000523:psychology
D000928:Antidepressive Agents