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Life events do not predict symptoms: Symptoms predict symptoms
Authors:Igor Grant  Thomas Patterson  Richard Olshen  Joel Yager
Affiliation:(1) Psychiatry and Research Services, San Diego V.A. Medical Center, San Diego;(2) Department of Psychiatry, University of California at San Diego School of Medicine, 92093 La Jolla, California;(3) Department of Mathematics, University of California at San Diego, 92093 La Jolla, California;(4) Department of Psychiatry, University of California at Los Angeles School of Medicine, 90024 Los Angeles, California;(5) Psychiatry Service (116), V.A. Medical Center, 92161 San Diego, California
Abstract:
The effects of life events and previous symptoms on current symptom levels were examined in a model using data from a 3-year prospective study. Male psychiatric patients and nonpatients reported on life events and symptoms every 2 months on 18 occasions. Logistic regression analysis of these data revealed little dependence of psychiatric symptoms on preceding life events as measured by the Holmes and Rahe Schedule of Recent Experiences (SRE). The best predictor of the current symptom level was the level of previous symptoms. It is concluded that efforts to relate changes in the social environment to health must first consider the possible contribution of the antecedent symptom level to the variability in health outcome.This work was supported by Award SA 325 to Dr. I. Grant from the Medical Research Service of the Veterans Administration.
Keywords:life events  symptoms  longitudinal  prediction
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