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Psychosomatic Medicine 34:199-206 (1972)
© 1972 American Psychosomatic Society

The Study of the Psychiatric Symptoms of Systemic Lupus Erythematosus

A Critical Review

BARRY J. GURLAND MB, MRCP, DPM1, VIVIAN HOFF GANZ MA1, JOSEPH L. FLEISS PhD1, and JOSEPH ZUBIN PhD1

1 Biometrics Research, New York State Department of Mental Hygiene and the Department of Psychiatry, Columbia University

Address for reprint requests: Dr. B. J. Gurland, Biometrics Research, 722 West 168 Street, New York, NY 10032.

This paper critically reviews studies of psychiatric symptoms in systemic lupus erythematosus. Reported findings vary by chronologic order of publication, clinical orientation of the author, mode of selecting cases and method of examination. This variation in findings reflects errors of method, the most common of which are biased selection of subjects, lack of comparison groups, unreliable recording of observations on the patient and inconsistent presentation of data. Suggestions are made for reducing these errors, including the use of structured interviews and matched comparison groups.

Submitted on March 15, 1971
Revised on August 27, 1971




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