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Eberhard H. Uhlenhuth, MD; Eugene S. Paykel, MD, MRCP, MRC Psych

Arch Gen Psychiatry. 1973;28(4):473-477.

Abstract
Inpatients, day patients, outpatients, and nonpatients on initial clinical contact were asked to report on their symptoms over the past week and the events in their lives over the past year employing instruments that yielded quantitative indices of symptom intensity and life stress. Patients exhibited higher stress scores than nonpatients even with adjustments for other demographic variables.

Among outpatients and day patients (but not inpatients) symptom intensity was related positively to stress scores even with adjustments for other demographic variables. Women reported symptom intensities about 25% higher than men. Stress scores in the full sample were distributed among various demographic categories in close relationship to indices of psychiatric disturbance as found in previous epidemiologic studies. Differing exposures to life stress may account for demographic differences in psychiatric disturbance in a significant way.

Author Affiliations
Chicago; New Haven, Conn

From the University of Chicago Pritzker School of Medicine (Dr. Uhlenhuth) and St. George's Hospital, London, (Dr. Paykel).

Footnotes
Accepted for publication Nov 20, 1972.

Reprint requests to the Department of Psychiatry, University of Chicago, 950 E 59th St, Chicago 60637 (Dr. Uhlenhuth).

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