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Research directions in psychiatric epidemiology1

Published online by Cambridge University Press:  09 July 2009

Alexander H. Leighton*
Affiliation:
Departments of Psychiatry and Preventive Medicine, Dalhousie University, Halifax, Canada
*
Address of correspondence: Professor Alexander H. Leighton, Department of Preventive Medicine, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada B3H 4H7.

Synopsis

A sufficient number of studies of geographically defined populations have now been done so as to make it clear that when all the various kinds of mental illnesses are lumped together, the total prevalence rates commonly amount to 20% or more. These findings imply major challenges to theory, policy, administration, and practice in the health field, and point to a need for vastly more information and understanding. This article sketches some of the directions such investigations might take.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1979

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Footnotes

1

Based on a paper presented at the Aubrey Lewis Memorial Meeting of the Royal College of Psychiatrists, 18 November 1976.

References

Anderson, F. H. (ed.) (1960). Francis Bacon The New Organon and Related Writings. The Liberal Arts Press: New York.Google Scholar
Arthur, R. J. (1978). Reflections on military psychiatry. American Journal of Psychiatry 135, Supplement, 27.Google ScholarPubMed
Barker, R. G. & Gump, P. (1964). Big School Small School. Stanford University Press: Stanford.Google Scholar
Barker, R. G. & Schoggen, P. (1973). Qualities of Community Life. Jossey-Bass: San Francisco.Google Scholar
Bassuk, E. L. & Gerson, S. (1978). Deinstitutionalization and mental health services. Scientific American 238 (2), 4853.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C., Mendelson, M., Mock, J. & Erbaugh, J. (1962). Reliability of psychiatric diagnoses: 2. A study of consistency of clinical judgments and ratings. American Journal of Psychiatry 119, 351357.CrossRefGoogle ScholarPubMed
Beiser, M. (1971). A study of personality assets in a rural community. Archives of General Psychiatry 24, 244254.CrossRefGoogle Scholar
Block, J. (1961). The Q-Sort Method in Personality Assessment and Psychiatric Research. Charles C. Thomas: Springfield, Illinois.CrossRefGoogle Scholar
Bott, E. (1957). Family and Social Networks. Tavistock: London.Google Scholar
Bradburn, N. M. (1969). The Structure of Psychological Well-Being. Aldine: Chicago.Google Scholar
Bremer, J. (1951). A social psychiatric investigation of a small community in northern Norway. Acta Psychiatrica et Neurologica Scandinavica, Supplement 62.Google Scholar
Caplan, G. (1974). Support Systems and Community Mental Health. Behavioral Publications: New York.Google Scholar
Comstock, G. W. & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine 6 (4), 551563.CrossRefGoogle ScholarPubMed
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L. & Copeland, J. R. M. (1972). Psychiatric Diagnosis in New York and London. Oxford University Press: London.Google Scholar
Cowdry, R. W. & Goodwin, F. K. (1978). Amine neurotransmitter studies and psychiatric illness: toward more meaningful diagnostic concepts. In Critical Issues in Psychiatric Diagnosis (ed. Spitzer, R. L. and Klein, D. F.), pp. 297298. Raven Press: New York.Google Scholar
Essen-Möller, E. (1956). Individual traits and morbidity in a Swedish rural population. Acta Psychiatrica et Neurologica Scandinavica, Supplement 100.Google Scholar
Fugelli, P. (1975). Mental health and living conditions in a fishing community in northern Norway. In Social, Somatic and Psychiatric Studies of Geographically Defined Populations (ed. Andersen, T., Astrup, C. and Forsdahl, A.). Acta Psychiatrica Scandinavica, Supplement 263.Google Scholar
Gajdusek, D. C. (1977). Unconventional viruses and the origin and disappearence of Kuru. Science 197, 4307.CrossRefGoogle ScholarPubMed
Gottesman, I. I. & Golden, R. R. (1978). Exploring psychiatric taxa and their validity with genetic family studies. In Critical Issues in Psychiatric Diagnoses (ed. Spitzer, R. L. and Klein, D. F.), p. 246. Raven Press: New York.Google Scholar
Gunderson, J. G. & Singer, M. T. (1975). Defining borderline patients: an overview. The American Journal of Psychiatry 132 (1), 110.Google ScholarPubMed
Guze, S. (1975). The validity and significance of the clinical diagnosis of hysteria (Briquet's syndrome). The American Journal of Psychiatry 132 (2), 138141.Google ScholarPubMed
Hagnell, O. (1966). A Prospective Study of the Incidence of Mental Disorder. Svenska Bokforlaget, Norsteds-Bonniers: Stockholm.Google Scholar
Helgason, T. (1964). Epidemiology of mental disorders in Iceland. A psychiatric and demographic investigation of 5395 Icelanders. Acta Psychiatrica Scandinavica 40, Supplement 173.Google ScholarPubMed
Hinkle, L. (1959). Physical health, mental health and the social environment. Some characteristics of healthy and unhealthy people. In Recent Contributions of Biological and Psychological Investigation to Preventive Psychiatry (ed. Ojeman, R. J.). State University of Iowa: Iowa City.Google Scholar
Hornabrook, R. W. (1968). Kuru – a subacute cerebellar degeneration, the natural history and clinical features. Brain 91.CrossRefGoogle Scholar
Jahoda, M. (1958). Current Concepts of Mental Health. Basic Books: New York.CrossRefGoogle Scholar
Katz, M., Cole, J.O. & Lowery, H. A. (1969). Studies of the diagnostic process: the influence symptom perception, past experience, and ethnic background on diagnostic decisions. American Journal of Psychiatry 125, 937947.CrossRefGoogle Scholar
Kramer, M., Pollack, E. S., Redick, R. & Locke, B. Z. (1972). Mental Disorders Suicide, p. 75. Harvard University Press: Cambridge, Mass.CrossRefGoogle Scholar
Leighton, A. H. (1959). My Name is Legion. Basic Books: New York.Google Scholar
Leighton, A. H. (1967). Is social environment a cause of psychiatric disorder? Psychiatric Epidemiology and Mental Health Planning, Psychiatric Research Report No. 22, Chapter xv. American Psychiatric Association: Washington D.C.Google Scholar
Leighton, A. H. (1974). The erosion of norms. Australian and New Zealand Journal of Psychiatry 8, 223.CrossRefGoogle ScholarPubMed
Leighton, A. H., Lambo, A. T., Hughes, C. C., Leighton, D. C., Murphy, J. M. & Macklin, D. B. (1963). Psychiatric Disorder Among the Yoruba, A Report from the Cornell-Aro Mental Health Research Project in the Western Region, Nigeria. Cornell University Press: Ithaca.Google Scholar
Leighton, D. C., Harding, J. S., Macklin, D. B., Macmillan, A. M. & Leighton, A. H. (1963). The Character of Danger, Psychiatric Symproms in Selected Communities, Volume III, The Stirling County Study of Psychiatric Disorder and Sociocultural Environment. Basic Books: New York.Google Scholar
Lewis, Sir A. (1967). The State of Psychiatry, Essays and Addresses, p. 129. Science House: New York.Google Scholar
Lin, T.-Y., Rin, H., Yeh, E.-K., Hsu, C.-C. & Chu, H.-M. (1969). Mental disorders in Taiwan. Fifteen years later: a preliminary report. In Mental Health Research in Asia and the Pacific (ed. Caudill, W. and Lin, T.-Y.), pp. 6691. East–West Center Press: Honolulu.CrossRefGoogle Scholar
Mitchell, J. C. (ed) (1969). Social Networks in Urban Situations. Manchester University Press: Manchester.Google Scholar
Murphy, J. M. (1972). A cross-cultural comparison of psychiatric disorder: Eskimos of Alaska, Yorubas of Nigeria, and Nova Scotians of Canada. In Transcultural Research in Mental Health (ed. Lebra, W. P.), pp. 213226. University Press of Hawaii: Honolulu.CrossRefGoogle Scholar
Murphy, J. M. (1976). Psychiatric labelling in cross-cultural perspective. Science 191, 10191028.CrossRefGoogle ScholarPubMed
Murphy, J. M. (1977). War stress and civilian Vietnamese, a study of psychological effects. Acta Psychiatrica Scandinavica 56, 92108.CrossRefGoogle ScholarPubMed
Myers, J. K., Lindenthall, J. J. & Pepper, M. P. (1972). Life events and mental status: a longitudinal study. Journal of Health and Social Behavior 13, 398406.CrossRefGoogle ScholarPubMed
Phillips, D. (1967). Mental health status, social participation and happiness. Journal of Health and Social Behavior 8.CrossRefGoogle ScholarPubMed
Rutter, M., Shaffer, D. & Shepherd, M. (1975). A Multi-Axial Classification of Child Psychiatric Disorders. World Health Organization: Geneva.Google Scholar
Sartorius, N. (1977). Priorities for research likely to contribute to better provision of mental health care. Social Psychiatry 12, 171184.CrossRefGoogle Scholar
Smith, M. B. (1965). Socialization for competence. Items 19, 1723.Google Scholar
Smith, M. B. (1968). Competence and mental health: problems in conceptualizing human effectiveness. In The Definition and Measurement of Mental Health (ed. Sells, S. B.). U.S. Department of Health, Education and Welfare, Health Services and Mental Health Administration, National Center for Health Statistics.Google Scholar
Spitzer, R. L. & Klein, D. F. (eds.) (1978). Critical Issues in Psychiatric Diagnosis. Raven Press: New York.Google Scholar
Srole, L. (1975). Measurement and classification in sociopsychiatric epidemiology: Midtown Manhattan Study (1954) and Midtown Manhattan Restudy (1974). Journal of Health and Social Behavior 16, 347364.CrossRefGoogle ScholarPubMed
Srole, L., Langner, T. S., Michael, S. T., Opler, M. K. & Rennie, T. A. C. (1962). Mental Health in the Metropolis. McGraw-Hill: New York.Google Scholar
Temerlin, M. K. (1968). Suggestion effects in psychiatric diagnosis. Journal of Nervous and Mental Disease 147, 349353.CrossRefGoogle ScholarPubMed
Weissman, M. M. & Klerman, G. L. (1977). Sex differences and the epidemiology of depression. Archives of General Psychiatry 34 (1), 98111.CrossRefGoogle ScholarPubMed
Winters, E. E. (ed.) (1951), The Collected Papers of Adolf Meyer, Volume 3, pp. 40, 262–264, 441. The Johns Hopkins Press: Baltimore.Google Scholar