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August 1, 1936

Current Comment

JAMA. 1936;107(5):358. doi:10.1001/jama.1936.02770310036016

END RESULTS OF DIAGNOSIS OF NEUROSIS  The term neurosis is still frequently applied purely as a diagnosis of exclusion. The adequacy of this method is, however, open to serious question. In an attempt to throw more light on this problem, Comroe1 has recently reported a follow-up study of 250 cases diagnosed as neurosis. Satisfactory replies were obtained from 100, or 40 per cent, of the series. Of the 100 cases in which a diagnosis of neurosis had been made without important accompanying physical diagnosis, definite improvement or symptomatic cure in forty had followed hospital or dispensary care. In thirty-four the condition had remained in statu quo, two were definitely symptomatically worse, and in twenty-four definite evidence of organic disease had become manifest since discharge. Of the latter group the time interval between the patient's previous discharge from the hospital and the discovery of the organic pathologic changes was never