The Relationship of the Syndromes Called Endogenous and Neurotic Depression

Abstract

The classification of depressive illness continues to be a subject for dispute. Studies in many areas support the view that there are two distinct forms of depression, but until techniques of multivariate analysis became available it was difficult to obtain definite support for either the unitary or the binary view.

The Relationships between Measures of General Depression and the Endogenous versus Reactive Classification

“…neurotic depression is often described in terms of what is absent in the clinical pic ture rather than what is present" (11 -p 942). Kiloh et al (7) have also noted that ". .…”

The Utility of the DSM Nosology of Mood Disorders

“…However, his melancholic and psychotic syndromes appear to be accommodated in the DSM, and it is doubtful whether the nonmelancholic categories offer more than the typologies formulated over 30 years ago by Overall and others (8), Paykel (10), and Kiloh and others (11). Indeed, in terms of whether such distinctions were clinically useful, one could even go back to the 19th century classifications of Esquirol and Billod, as referred to by Berrios (2), or to the more than 30 types of melancholia described by Tuke in 1892 (4).…”

“…Examples of the analyses Kendell overviews include the work of Overall and others (8), who used factor analysis to delineate anxious-tense depression, hostile depression, and retarded depression; Pilowsky and others (9), who defined endogenous and other depressions according to numerical taxonomy; Paykel (10), who used cluster analysis to define psychotic depressives, anxious depressives, hostile depressives, and young depressives with personality disorder; and Kiloh and others (11), who used multivariate analysis to define endogenous depression as a categorical illness and neurotic depression as a dimensional condition that included young individuals with personality disorders, those with anxiety and depression, and those who were angry and hostile.…”

Communications

“…Diagnoses were made using the Present State Examination (Wing, Cooper & Sartorius, 1974); depression was subclassified by the Newcastle scale (Kiloh, Andrews, Neilson & Bianchi, 1972); its intensity was assessed with the Hamilton scale (Hamilton, 1967).…”