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Psycology » Psychiatry and psychotherapy » Neurosis: Part I » Forecast neuroses

This section is devoted to general factors affecting the prognosis of all types of neurosis, it will be also on the outcome of individual neurotic disorders discussed in this chapter.


Weather conditions as groups neuroses should be considered depending upon the level at which they are present health care system. Approximately 50% of persons aged 20-50 years who have neuroses were found in the survey population in certain regions will recover within three months (Hagnell 1970; Tennant et al. 1981a). Among patients with neuroses observed by general practitioners, about half recovery occurs throughout the year (Mann et al. 1981), other state remains unchanged for many more months. Among patients referred for outpatient or inpatient psychiatric treatment, even after four years of satisfactory adaptation reach only about 50% (Greer, Cawley 1966). Having considered the problem on the other hand, Goldberg and Huxley (1980, p. 104) based on data Harvey Smith and Cooper (1970) have estimated that the circulation of fresh cases observed in general practice, is 70% and 3% in chronic year. The mortality rate ranges from 1.5 to 2.0 among outpatients neuroses and increases to 2.0-3.0 in hospitalized patients (Sims 1978). The main reasons smertisuitsid or accident, but other causes are more common than one would expect, perhaps because of the fact that from the very beginning was missed diagnosis of primary medical illness that causes emotional distress secondary.
Of all neurotic disorders discussed in this chapter, Acute stress reactions Are, by definition, the most short-lived, and they contribute significantly to the high turnover of the above cases. Adaptation disorders By definition, in general also have a good prognosis; продолжительностьнесколько their usual weeks or months, although sometimes more. Do Post-traumatic stress disorder For similar, cases of prolonged flow are a minority, but their share is significant enough. At Small affective disorders Almost half of the patients improvement occurs within three months, in three quarters of cases within six months (Catalan et al. 1984).
Predict the outcome for each individual patient neurosis is not easy, but we must bear in mind that with a tendency to be associated collaterals forecast the following: symptoms, expressed severe from the outset; sustainable social problems without the prospect of a change for the better, the lack of social support and friendships (Huxley et al. 1979; Cooper et al. 1969), the presence of personality pathology (Mann et al. 1981).


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