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Psychiatric epidemiology now: some achievements and prospects

Published online by Cambridge University Press:  28 February 2012

A. S. Henderson*
Affiliation:
The Australian National University, Canberra Hospital, Garran, A.C.T 2605, Australia
*
*Address for Correspondence: A. S. Henderson. Department of Psychiatry, The Australian National University, Canberra Hospital, Garran, A.C.T 2605, Australia (Email: ashenderson@netspace.net.au)

Abstract

Aims.

It is timely to ask what epidemiology has brought to our knowledge about mental illness and what information is proving of particular value. In this task, the first step is to identify the truly fundamental questions that the epidemiology of mental disorders should be expected to answer. This review is selectively directed at four such questions.

Methods.

A small number of significant publications were identified.

Results.

The extent to which some major questions in epidemiology have been answered is examined.

Conclusions.

When considered alongside epidemiological knowledge elsewhere in medicine, psychiatric epidemiology has indisputably proved to be a powerful tool. Descriptive studies have been particularly useful for advocacy and policy, while analytic studies of aetiology have yielded some valuable clues. There are now signs that linkage with neuroscience will bring further progress in understanding the causes of mental disorders.

Type
Special Article
Copyright
Copyright © Cambridge University Press 2012

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References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn.American Psychiatric Press: Washington, DC.Google Scholar
Andrews, G, Henderson, S (2000). Unmet Need in Psychiatry: Problems, Resources, Responses. Cambridge University Press: Cambridge.Google Scholar
Andrews, G, Henderson, S, Hall, W (2001). Prevalence, comorbidity disability and service utilization. Overview of the Australian National Mental Health Survey. British Journal of Psychiatry 17, 145153.Google Scholar
Compton, WM, Conway, KP, Stinson, FS, Grant, BF (2006). Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991–1992 and 2001–2002. American Journal of Psychiatry 163, 21412147.CrossRefGoogle ScholarPubMed
Danese, A (2008). Genetic opportunities for psychiatric epidemiology: on life stress and depression. Epidemiologia e Psychiatria Sociale 17, 201210.CrossRefGoogle ScholarPubMed
Eaton, WW, Hall, ALF, Macdonald, R, Mckibben, J (2007). Case identification in psychiatric epidemiology: a review. International Review of Psychiatry 19, 497507.Google Scholar
Fergusson, DM (2010). Is there a causal linkage between cannabis use and increased risk of psychotic symptoms? Addiction 105, 13361337.CrossRefGoogle Scholar
Fergusson, DM, Horwood, LJ, Boden, JM (2009). Abortion and mental health. British Journal of Psychiatry 194, 377378.CrossRefGoogle ScholarPubMed
Goldberg, DP, Williams, PA (1988). User's Guide to the GHQ. NFER Nelson: Windsor.Google Scholar
Gruenberg, EM (1966). Epidemiology of mental illness. International Journal of Psychiatry 2, 78134.Google Scholar
Henderson, AS, Andrews, G (2008). The yield from national surveys of mental health. International Psychiatry 5, 1618.CrossRefGoogle ScholarPubMed
Kessel, N (1965) Are international comparisons timely? Milbank Memorial Fund Quarterly 2, 199212.Google Scholar
Kessler, R (2007). Psychiatric epidemiology: challenges and opportunities. International Review of Psychiatry 19, 509521.Google Scholar
Kessler, RC, Andrews, G, Colpe, LJ, Hiripi, E, Mroczek, DK, Normand, SL, Walters, EE, Zaslavsky, AM (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine 32, 959976.Google Scholar
Kilbride, JB, Scoriels, L (2009). Review of the 6th symposium for the search for the causes of schizophrenia, Sao Paulo, Brazil, 3–6 February 2009. European Archives of Psychiatry and Clinical Neuroscience 259, 505509.Google Scholar
Krueger, RF, Markon, KE (2006). Reinterpreting comorbidity: a model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology 2, 111133.CrossRefGoogle ScholarPubMed
Lewis, G, Pelosi, AJ, Araya, R, Dunn, G (1992). Measuring psychiatric disorder in the community: a standardised assessment for lay interviewers. Psychological Medicine 22, 465–86.Google Scholar
Maj, M (2005). ‘Psychiatric comorbidity’: an artifact of current diagnostic systems? British Journal of Psychiatry 186, 182184.CrossRefGoogle Scholar
McManus, S, Meltzer, H, Brugha, T, Bebbington, P, Jenkins, R (2009). Adult Psychiatric Morbidity in England, 2007: Results of a Household Survey. NHS Information Centre for Health and Social Care: London.Google Scholar
Moffitt, TE, Caspi, A, Taylor, A, Kokaua, J, Milne, BJ, Polanczyk, G, Poulton, R (2010). How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment. Psychological Medicine 40, 899909.Google Scholar
Morris, JN (1964). Uses of Epidemiology. Williams & Wilkins: Baltimore, MD.Google Scholar
Nathan, PE, Gorman, JM (1998). Treatments that Work. Oxford University Press: New York.Google Scholar
Regier, DA, Kuhl, EA, Narrow, WE, Kupfer, DJ (2011). Research planning for the future of psychiatric diagnosis. European Psychiatry doi: 10.1016/j.europsy.2009.11.013.Google Scholar
Rose, G (1993). Mental disorder and the strategies of prevention. Psychological Medicine, 23, 553555.CrossRefGoogle ScholarPubMed
Slade, T, Watson, D (2006). The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population. Psychological Medicine 36, 15931600.Google Scholar
Slade, T, Grove, R, Burgess, P (2011). Kessler Psychological Distress Scale: normative data from the 2007 Australian Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry 45, 308316.Google Scholar
Spataro, J, Mullen, PE, Burgess, PM, Wells, DL, Moss, SA (2004). Impact of child sexual abuse on mental health: prospective study in males and females. British Journal of Psychiatry 184, 416421.Google Scholar
Srole, L, Sanger, T, Michael, S, Opler, MK, Rennie, TAC (1962). Mental Health in the Metropolis: The Midtown Manhattan Study. McGraw: New York.Google Scholar
Taylor, L, Chave, S (1964). Mental Health and Environment. Longmans: London.Google Scholar
van Os, J, Kenis, G, Rutten, BPF (2010). The environment and schizophrenia. Nature 468, 203212.CrossRefGoogle ScholarPubMed
Wing, JK, Babor, T, Brugha, T, Burke, J, Cooper, JE, Giel, R, Jablenski, A, Regier, D, Sartorius, N (1990). SCAN: Schedules for Clinical Assessment in Neuropsychiatry. Archives of General Psychiatry 47, 589593.CrossRefGoogle ScholarPubMed
World Health Organization (1990). Composite International Diagnostic Interview (CIDI), Version 1.0. World Health Organization: Geneva.Google Scholar
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Diagnostic Criteria for Research. World Health Organization: Geneva.Google Scholar
World Mental Health Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Journal of the American Medical Association, 291, 2581–2290.CrossRefGoogle Scholar