Am J Psychiatry 123:1527-1538, June 1967
doi: 10.1176/appi.ajp.123.12.1527
© 1967 American Psychiatric Association
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Some Relations Among Psychiatric Symptoms, Organic Illness, and Social Class
DEWITT L. CRANDELL M.D.1, and
BRUCE P. DOHRENWEND PH.D.2
1 Associate in Psychiatry, College of Physicians and Surgeons of Columbia University, 128 Fort Washington Avenue, New York, N. Y. 10032
2 Associate Professor of Social Science, College of Physicians and Surgeons of Columbia University, 128 Fort Washington Avenue, New York, N. Y. 10032
Two major investigations of the prevalence of psychiatric disorder in community groups, the Midtown and Stirling County studies, relied heavily on symptoms the researchers considered psychophysiological. Both found the highest rates of psychiatric disorder in the lowest status groups. The present study of a sample of 1,710 adults in Washington Heights, New York City, indicates that the previous findings are in part a function of a distinct tendency for lower-class groups to express psychological distress in physiological terms. The present results also suggest that the higher rates are confounded with organic illness.
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