Summary
We examined clinical features in 877 in- und outpatients affected by depression who were enrolled in psychopharmacological trials, subdivided according to Hollingshead's method into five social classes. The results showed that social class correlated significantly with the subtypes of mood disorders, with bipolar disorder being more frequent amongst the upper than the lower social classes. Furthermore, as already reported in other countries, social class appeared to influence the psychopathological pattern of depressive symptoms: somatization and anxiety were more frequent amongst the lower social classes, while psychic and cognitive symptoms were more common amongst the upper classes.
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References
Schwab J, Molzer GE, Warhett GJ (1973) Depressive symptomatology and age. Psychosomatics 14: 135–141
Fabrega H (1973) Problems implicit in the cultural and social study of depression. Psychosom Med 36: 377–398
Sartorius N (1986) Cross-cultural research on depression. Psychopathology 19 [Suppl 2]: 6–11
Akiskal HS, Webb WL (1983) Affective disorders: I. Recent advances in clinical conceptualization. Hosp Community Psychiatry 34: 695–701
Klerman GL (1979) Affective disorders. In: Nicholi AM (ed) Harvard guide to modern psychiatry. Belknap Press of Harvard University Press, Cambridge
Warheit GJ, Holzer CE, Schwab JJ (1974) An analysis of social class and racial differences in depressive symptomatology. A community study. J Health Soc Behav 14: 291–293
Uhlenhuth EW, Lipmann RS, Balter MB, Stern M (1974) Symptom intensity and life stress in the city. Arch Gen Psychiatry 31: 759–764
Brown GW, Ni Bhrolchain M, Harris TO (1975) Social class and psychiatric disturbance among women in an urban population. Sociology 9: 225–254
Comstock GW, Helsing KJ (1976) Symptoms of depression in two communities. Psychol Med 6: 551–563
Steele RE (1978) Relationship of race, sex, social class, and social mobility to depression in normal adults. J Soc Psychology 104: 37–47
Weismann MM, Myers JK (1978) Affective disorders in a United States urban community: the use of research diagnostic criteria in an epidemiological survey. Arch Gen Psychiatry 35: 1304–1314
Crandell DL, Dohrenwend BP (1967) Some relations among psychiatric symptoms, organic illness and social class. Am J Psychiatry 123: 1527–1538
Weismann MM, Myers JK (1978) Rates and risks of depressive symptoms in a United States urban community. Acta Psychiatr Scand 57: 219–231
Frerichs RR, Anesthensel CS, Clark VA (1981) Prevalence of depression in Los Angeles County. Am J Epidemiol 113: 691–699
Bebbington PE (1978) The epidemiology of depressive disorder. Cult Med Psychiatry 2: 297–341
Hirschfeld RMA, Cross CK (1982) Epidemiology of affective disorders: psychological risk factors. Arch Gen Psychiatry 39: 35–46
Kleinman AM, Good B (1985) Culture and depression: studies in the anthropology and cross-cultural psychiatry of affect and disorder. University of California Press, Berkeley
Sartorius N, Davidian H, Ernberg G, Fenton FR, Fujii I, Gastpar M, Gulbinat W, Jablensky A, Kielholz P, Lehmann HE, Naraghi M, Shimizu M, Shinfuku N, Takahashi R (1983) Depressive disorder in different cultures. World Health Organization, Geneva
Saxena S, Nepal MK, Mohan D (1988) DSM III Axis I diagnosis of Indian psychiatric patients with somatic symptoms. Am J Pschiatry 145: 8
Marsella A, Sartorius N, Jablensky A, Fenton FR (1985) Crosscultural studies of depressive disorders: an overview. In: Klemman AM, Good B (eds) Culture and depression. University of Califormia Press, Berkeley
Guy W (1976) ECDEU assessment manual for psychopharmacology. U.S. Department of Health, Education and Welfare, Washington, DC
Hollingshead AB (1965) Two-factor index of social position. Yale Station, New Haven, Connecticut
SPSS Inc. (1990) SPSS for the Macintosh 4.0. SPSS Inc., Chicago Illinois
Prudo R, Brown GH, Harris T, Dowland J (1981) Psychiatric disorders in a rural and an urban population. 2. Sensitivity to loss. Psychol Med 11: 601–616
Winokur G, Cadoret R (1977) Genetic studies in depressive disorders. In: Burrow GD (ed) Handbook of studies on depression. Excerpta Medica, pp 69–77
Kellner R (1987) Hypochondriasis and somatization. JAMA 258: 2718–2722
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Lenzi, A., Lazzerini, F., Marazziti, D. et al. Social class and mood disorders: clinical features. Soc Psychiatry Psychiatr Epidemiol 28, 56–59 (1993). https://doi.org/10.1007/BF00802092
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DOI: https://doi.org/10.1007/BF00802092