Abstract

Fifty-four patients hospitalized with primary affective disorder (depression) were compared with eighteen patients hospitalized with secondary affective disorder (depression). Primary affective disorder was defined as an affective illness occurring in a patient who had no previous psychiatric history other than that compatible with affective illness. Secondary affective disorder was defined as a depression occurring in a patient with a pre-existing, non-affective, psychiatric illness. The distribution and prevalence of affective symptoms in the current episode of illness was found to be the same among the two groups. This investigation indicates that the cross-sectional picture does not serve to distinguish primary from secondary affective disorders among hospitalized patients.

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