Diagnosis-Specific Mortality: Primary Unipolar Depression and Briquet's Syndrome (Somatization Disorder)

doi:10.1001/archpsyc.1981.01780330097012

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Vol. 38 No. 8, August 1981

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Diagnosis-Specific Mortality

Primary Unipolar Depression and Briquet's Syndrome (Somatization Disorder)

William Coryell, MD

Arch Gen Psychiatry. 1981;38(8):939-942.

Abstract

• A 42-year follow-up of 76 women with Briquet's syndromerevealed no evidence of excess mortality. A carefully matchedgroup of patients with primary unipolar depression had excessmortality in comparison both with the Briquet's syndrome groupand with the Iowa population. Although one of the 30 patientswith Briquet's syndrome with available death certificates diedby suicide, the rate of death due to unnatural causes in theBriquet's syndrome group was not greater than that predictedby relevant population figures. These findings suggest thatsome psychiatric illnesses involve excess mortality while othersdo not. Reasons for this excess likewise may vary by diagnosis.

Author Affiliations

From the Department of Psychiatry, University of Iowa College of Medicine, Iowa City.

Footnotes

Accepted for publication March 30, 1981.

Reprint requests to Department of Psychiatry, University ofIowa College of Medicine, 500 Newton Rd, Iowa City, IA 52242(Dr Coryell).

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