The article you requested is
Dr Ruggero and Colleagues Reply
J Clin Psychiatry 2012;73(4):538 [letter]
Copyright 2012 Physicians Postgraduate Press, Inc.
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Letter to the Editor
Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.
Our original article found that the diagnosis of major depressive disorder (MDD) with psychosis had low consistency across 10 years. One reason for this finding was that some patients who started the study with MDD shifted to a schizophrenia spectrum disorder at follow-up assessments. In fact, this happened twice as often as shifts from MDD to bipolar disorder.