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A Longitudinal Study

Eugene S. Paykel, MD, MRCP, MRCPsych; Myrna M. Weissman, MSW

Arch Gen Psychiatry. 1973;28(5):659-663.

Abstract
Social and interpersonal maladjustments found in depressed women were reassessed over an eight-month follow-up and compared with normal controls. Overall, there was considerable improvement in social adjustment, but it occurred more slowly than that for symptoms and left some residual deficits. Symptomatic relapse was accompanied by rapid social worsening. Differential patterns were found in six factor-analytically derived dimensions of adjustment. Impaired work performance and anxious rumination, reflecting instrumental performance and subjective distress respectively, related most closely to symptomatic illness with greatest initial disturbance, rapid remission, and worsening on relapse.

Author Affiliations
London; New Haven, Conn

From St. George's Hospital, London (Dr. Paykel), and the Yale University School of Medicine, Connecticut Mental Health Center, New Haven (Mrs. Weissman).

Footnotes
Accepted for publication Jan 18, 1973.

Reprint requests to Department of Psychiatry, St. George's Hospital, London SW 17 (Dr. Paykel).

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