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November 1924

THE PROGNOSTIC VALUE OF ARTERIAL HYPERTENSION IN THE PSYCHOSES OF LATER LIFE

Arch NeurPsych. 1924;12(5):534-536. doi:10.1001/archneurpsyc.1924.02200050049005
Abstract

In the January, 1922, number of the American Journal of Psychiatry, there appeared an article by Drs. August Hoch and John T. McCurdy, entitled, "The Prognosis of Involutional Melancholia." In this paper, a series of sixty-seven cases was reported. These cases were grouped into recovering and nonrecovering classes, and an analysis was made of the psychiatric symptoms. The conclusion reached by these investigators was that recovery took place unless there existed marked insufficiency of affect, peevish or auto-erotic behavior, or ridiculous hypochondriacal delusions usually concerned with the alimentary tract. In this report, I intend to question in no way the conclusions reached by Hoch and McCurdy, which I regard as valuable and reliable. Instead, however, of approaching the problem from the angle of the presenting psychiatric symptoms, I have studied a small group of cases in relation to a physiologic finding—the blood pressure.

METHOD  Patients over 40 years of age

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