Of 100 inpatients with depressive illness, fifty-three had evidence of depressed mood prior to their hypochondriacal symptoms, sixteen had the opposite sequence of development and thirty-one had no hypochondriacal symptoms. Comparison of the three groups revealed some differences that would suggest a less severe depressed mood in association with hypochondriacal symptoms. Whether hypochondriasis preceded or followed depressed mood did not make any other difference to the total clinical picture. This should not be taken to imply that treatment and prognosis are the same in hypochondriacal and nonhypochondriacal depressions.
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References
1.
PilowskyI., Dimensions of Hypochondriasis, British Journal of Psychiatry, 113, pp. 89–93, 1967.
2.
Fisher-HombergerE., Hypochondriasis, in Handbook of Psychiatry, ShepherdM. and ZangwillQ. (eds.), Cambridge University Press, London, 1, pp. 46–48, 1983.
3.
SternbachR. A., Pain and Depression, in Somatic Manifestations of Depressive Disorders, KievA. (ed.), Excerpta Medica, Amsterdam, pp. 107–119, 1974.
4.
McCarnicE. J., Hypochondrial Neurosis, Psychosomatics, 20, pp. 11–15, 1979.
5.
BlumerD. and HeilbronnM., Chronic Pain as a Variant of Depressive Disorders, Journal of Nervous Mental Disorders, 172, pp. 405–407, 1982.
6.
BianchiG. N., Patterns of Hypochondriasis: A Principal Components Analysis, British Journal of Psychiatry, 122, pp. 541–548, 1973.
7.
SartoriusN., Depressive Disorders in Different Cultures, World Health Organization, Geneva, 1983.
8.
WilsonJ. M. G. and JungnerG., Principles and Practice of Screening for Disease, World Health Organization, Geneva, Public Health Paper 34, 1968.
9.
KenyonF. E., Hypochondriacal States, British Journal of Psychiatry, 129, 1–14, 1976.
10.
De AlarconR., Hypochondriasis and Depression in the Aged, Gerontologia Clinica, 6, pp. 266–277, 1964.
11.
El-IslamM. F., Transcultural Aspects of Psychiatric Patients in Qatar, Comparative Medicine East and West, 1, pp. 33–36, 1978.
12.
El-IslamM. F., Assessment of Depression in Kuwait by Principal Component Analysis, Journal of Affective Disorders (1989) in press.
13.
BakerB. and MerskeyH., Classification and Associations of Hypochondriasis in Patients from a Psychiatric Hospital, Canadian Journal of Psychiatry, 28, pp. 629–634, 1983.
14.
KreitmanN.SainsburyP. K., and CostainW. R., Hypochondriasis and Depression in Outpatients at a General Hospital, British Journal of Psychiatry, 111, pp. 607–615, 1965.
15.
PayneB. and NorfleetA., Chronic Pain and the Family: A Review, Pain, 26, pp. 1–22, 1986.
16.
MerskeyH., Pain, Medicine (2nd series) 10, pp. 424–426, 1975.
17.
MohamedS. N.WeiszG. M., and WaringE. M., The Relationship of Chronic Pain to Depression, Marital Adjustment, and Family Dynamics, Pain, 5, pp. 285–292, 1978.
18.
MerskeyH. and BoydD., Emotional Adjustment and Chronic Pain, Pain, 5, pp. 173–178, 1978.
19.
ViolonA. and GiurgeaD., Familial Models for Chronic Pain, Pain, 18, pp. 199–203, 1984.
20.
MooreJ. and ChaneyE., Outpaitent Group Treatment of Chronic Pain: Effects of Spouse Involvement, Journal of Consulting and Clinical Psychology, 53, pp. 326–334, 1985.
21.
WinokurG., Familial (genetic) Subtypes of Pure Depressive Disease, American Journal of Psychiatry, 136, pp. 911–913, 1979.
22.
HussainM. K., A Summary of the History of Arabian Medicine and Pharmacy, Arabian Educational Scientific and Cultural Organization, Cairo 84 (in Arabic), 1980.
23.
WaringE. M., The Role of the Family in Symptom Selection and Perpetuation in Psychosomatic Illness, Psychotherapy and Psychosomatics, 28, pp. 253–259, 1977.
24.
MerskeyH. and WatsonC. D., The Lateralization of Pain, Pain, 7, pp. 271–280, 1979.
25.
GarveyM. J.SchafferC. B., and TuasonV. B., Relationship of Headaches to Depression, British Journal of Psychiatry, 143, pp. 544–547, 1983.
26.
CarneyM. W. P.RothM., and GarsideR. F., The Diagnosis of Depressive Syndromes and the Prediction of ECT Response, British Journal of Psychiatry, 111, pp. 659–674, 1965.
27.
KellnerR., Prognosis of Treated Hypochondriasis; A Clinical Study, Acta Psychiatrica Scandinavica, 67, pp. 69–79, 1983.
