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社会经济地位(SES)与精神疾病。这些问题仍然具有说服力吗?

Socioeconomic status (SES) and psychiatric disorders. Are the issues still compelling?

作者信息

Dohrenwend B P

机构信息

New York State Psychiatric Institute, Social Psychiatry Research Unit, Columbia University, New York.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1990 Jan;25(1):41-7. doi: 10.1007/BF00789069.

Abstract

One of the most consistent findings in psychiatric epidemiology prior to 1980 has been that socioeconomic status (SES) was inversely related to the recent prevalence of a variety of important types of disorder. The findings raised and re-raised major issues about the role of adversity in these disorders. In recent years, however, research interest in these issues has been declining. At the same time, marked changes have been taking place in the case identification and diagnostic procedures available for epidemiological research. In this paper, I inquire into whether these changes in diagnostic concepts and methods have led to a change in the "facts" that gave rise to the issues about the role of SES. I rely particularly on results from our on-going epidemiological research in Israel and from the National Institute of Mental Health (NIMH) Epidemiological. Catchment Area (ECA) studies in the United States, reevaluate the shift away from research on the role of SES, and offer suggestions for future research.

摘要

1980年以前,精神疾病流行病学领域最一致的发现之一是,社会经济地位(SES)与多种重要类型疾病的近期患病率呈负相关。这些发现不断引发关于逆境在这些疾病中所起作用的重大问题。然而,近年来,对这些问题的研究兴趣一直在下降。与此同时,用于流行病学研究的病例识别和诊断程序也发生了显著变化。在本文中,我探究这些诊断概念和方法的变化是否导致了那些引发关于社会经济地位作用问题的“事实”发生了改变。我特别依据我们在以色列正在进行的流行病学研究结果以及美国国立精神卫生研究所(NIMH)的流行病学集水区(ECA)研究结果,重新评估对社会经济地位作用研究的转向,并为未来研究提供建议。

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