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Further Evidence for Increased Medical Morbidity and Impairment of Social Functioning

Gerald L. Klerman, MD
From the Department of Psychiatry, Cornell University Medical College, New York, NY.

Arch Gen Psychiatry. 1989;46(9):856-858.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Readers of the ARCHIVES are aware of the extent to which depression has been a major focus of clinical interest and research investigations in American psychiatry in the past three decades. Epidemiological research has documented the high prevalence of depressive disorders in the community,¹ and studies of the natural history of depressed patients being treated in psychiatric settings indicate high rates of chronicity relapse and recurrence.²

In 1978, Regier et al³ described the "de facto" mental health system. Extrapolating from a number of data services, they reached the surprising conclusion that the majority of patients with mental illness were being treated in the general health sector rather than in specialized mental health services. This finding has been replicated for most diagnoses, including depression. Psychiatrists and other mental health specialists are consulted by only a fraction of patients with depressive disorders. Information about similarities and differences in the characteristics . . . [Full Text PDF of this Article]

Footnotes
Annnnnnnccepted for publication June 29, 1989.

Reprint requests to New York Hospital-Cornell Medical Center, Pane Whitney Clinic, 525 E 68th St, New York, NY 10021 (Ms Lorraine Lubin). '

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