This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

III. Excess Mortality Among Patients With 'Functional' Disorders

Donald W. Black, MD; Giles Warrack, PhD; George Winokur, MD

Arch Gen Psychiatry. 1985;42(1):82-88.

Abstract
• Our investigation of the pattern of mortality among former inpatients in nine diagnostic groups was based on deaths found among 4,869 former inpatients of the University of Iowa Psychiatric Hospital, Iowa City, during a ten-year period. Comparisons were made with expected values based on a relevant Iowa control population. The first two years of followup was a period of great risk but not after. Excessive mortality from "unnatural" causes was found among patients of either sex with an affective disorder, schizophrenia, alcohol or other drug abuse, and personality disorders, among men with acute schizophrenia or neuroses, and among women with depressive neuroses. Women with acute schizophrenia or a psychophysiologic disorder or special symptom were at risk for a "natural" death. These findings confirm the risk of reduced life span that patients in all nine categories share.

Author Affiliations
From the Departments of Psychiatry (Drs Black and Winokur) and Statistics (Dr Warrack), University of Iowa, Iowa City. Dr Warrack is now with the University of North Carolina, Greensboro.

Footnotes
Accepted for publication June 19, 1984.

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

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Effect of Conditional Release From Hospitalization on Mortality Risk
Segal and Burgess
Psychiatr. Serv. 2006;57:1607-1613.
ABSTRACT | FULL TEXT  

Mortality Among Discharged Psychiatric Patients in Florence, Italy
Meloni et al.
Psychiatr. Serv. 2006;57:1474-1481.
ABSTRACT | FULL TEXT  

Heart Rate Variability in Patients With Major Depression
Nahshoni et al.
Psychosomatics 2004;45:129-134.
ABSTRACT | FULL TEXT  

A continuum of premature death. Meta-analysis of competing mortality in the psychosocially vulnerable
Neeleman
Int J Epidemiol 2001;30:154-162.
ABSTRACT | FULL TEXT  

Mortality and long-term course in schizophrenia with a poor 2-year course: A study in a developing country
MOJTABAI et al.
Br. J. Psychiatry 2001;178:71-75.
ABSTRACT | FULL TEXT  

Large Medical Databases, Population-Based Research, and Patient Confidentiality
Simon et al.
Am. J. Psychiatry 2000;157:1731-1737.
ABSTRACT | FULL TEXT  

A Systematic Review of the Mortality of Depression
Wulsin et al.
Psychosom. Med. 1999;61:6-17.
ABSTRACT | FULL TEXT  

Depressive Symptoms as Predictors of Medical Outcomes in HIV Infection
Lyketsos et al.
JAMA 1993;270:2563-2567.
ABSTRACT  

Risk of Suicide Among Persons With AIDS: A National Assessment
Cote et al.
JAMA 1992;268:2066-2068.
ABSTRACT  

Excess Mortality Among 3302 Patients With 'Pure' Anxiety Neurosis
Allgulander and Lavori
Arch Gen Psychiatry 1991;48:599-602.
ABSTRACT  

Depression, the Immune System, and Health and Illness: Findings in Search of Meaning
Stein et al.
Arch Gen Psychiatry 1991;48:171-177.
ABSTRACT  

Increased Risk of Suicide in Persons With AIDS
Marzuk et al.
JAMA 1988;259:1333-1337.
ABSTRACT  

Affective Disorders and Mortality: A General Population Study
Murphy et al.
Arch Gen Psychiatry 1987;44:473-480.
ABSTRACT  

A Twin Study of Mortality in Schizophrenia and Neurosis
Kendler
Arch Gen Psychiatry 1986;43:643-649.
ABSTRACT  

Mortality in Schizophrenia: A Ten-Year Follow-up Based on the Stockholm County Inpatient Register
Allebeck and Wistedt
Arch Gen Psychiatry 1986;43:650-653.
ABSTRACT  

The Iowa Record-Linkage Study: I. Suicides and Accidental Deaths Among Psychiatric Patients
Black et al.
Arch Gen Psychiatry 1985;42:71-75.
ABSTRACT  

The Iowa Record-Linkage Study: II. Excess Mortality Among Patients With Organic Mental Disorders
Black et al.
Arch Gen Psychiatry 1985;42:78-81.
ABSTRACT  

Mortality Studies in Psychiatry: Should They Stop or Proceed?
Tsuang and Simpson
Arch Gen Psychiatry 1985;42:98-103.
ABSTRACT