Dohrenwend B S, Dohrenwend B P, Link B, Levav I
Arch Gen Psychiatry. 1983 Nov;40(11):1174-82. doi: 10.1001/archpsyc.1983.01790100020002.
Most cases in epidemiologic surveys of community populations have never been treated by mental health professionals. We studied how community cases and patients may be similar or different with respect to their social functioning in such areas as work, marriage, and parenting. There are grounds for two contrasting hypotheses: the universal hypothesis (disorder is accompanied by disability independently of treatment status) and the patient-specific hypothesis (disorder is accompanied by disability only for cases who become patients). We investigated these hypotheses using data from symptom scales and social functioning scales that are part of the Psychiatric Epidemiology Research interview. The sample consisted of 205 adults from the general population and 204 psychiatric patients from Jerusalem. The results provided some support for each hypothesis depending on the types of symptoms and functioning and disorder involved; however, the relationship between symptoms and social functioning in patients as well as cases from the community was weaker than had been supposed.
在社区人群的流行病学调查中，大多数病例从未接受过心理健康专业人员的治疗。我们研究了社区病例和患者在工作、婚姻和育儿等社会功能方面可能存在的异同。有理由提出两种截然不同的假设：普遍假设（疾病伴有残疾，与治疗状态无关）和患者特异性假设（疾病仅在成为患者的病例中伴有残疾）。我们使用来自精神疾病流行病学研究访谈中的症状量表和社会功能量表的数据来研究这些假设。样本包括205名来自普通人群的成年人和204名来自耶路撒冷的精神科患者。根据所涉及的症状类型、功能和疾病，结果为每种假设提供了一些支持；然而，患者以及社区病例中症状与社会功能之间的关系比预期的要弱。
