The validity and usefulness of the diagnostic category transient
situational disturbance were evaluated by studying the course and outcome
for 2,078 hospitalized naval personnel. The condition was found to be less
severe and disabling than other major psychiatric disorders in terms of
chronicity, length of hospitalization, and disposition. Outcomes in terms
of rehospitalization rates and work effectiveness also were relatively
favorable. Based on three or more years of follow- up, a substantial
proportion of patients originally diagnosed as having a transient
situational disturbance subsequently manifested personality disorder
problems. The results suggest that clearer criteria are needed to define
situational disturbances operationally and to identify patients with
underlying personality disorders.Abstract Teaser