Psychiatric Epidemiology: Challenges and Opportunities

Overview

Journal Int Rev Psychiatry

Publisher Informa Healthcare

Specialty Psychiatry

Date 2007 Sep 27

PMID 17896231

Citations 10

Authors

Ronald C Kessler

Affiliations

Soon will be listed here.

Abstract

This paper discusses challenges and prospects for increasing the clinical relevance of psychiatric epidemiological research. The discussion begins with a review of the structural determinants of the fact that current psychiatric epidemiological research has less clinical relevance than epidemiological research in other areas of medicine. The discussion then turns to ways in which the focus of psychiatric epidemiological research might be changed to increase its clinical relevance. A review is then presented of recent innovations in community psychiatric epidemiological research that were designed to increase clinical relevance. An argument is then made that the full clinical value of psychiatric epidemiology will only be realized when community epidemiology becomes better integrated with clinical epidemiology and the latter takes on a more prominent role than it currently has in psychiatric research. Existing initiatives to realize an integration of community psychiatric epidemiology with clinical epidemiology are then reviewed. Finally, an agenda is proposed for an expansion of clinical psychiatric epidemiology to include a focus on both naturalistic and quasi-experimental studies of illness course and treatment response in diverse clinical samples.

Citing Articles

Beyond Diagnosis and Comorbidities-A Scoping Review of the Best Tools to Measure Complexity for Populations with Mental Illness.

Kapustianyk G, Durbin A, Shukor A, Law S Diagnostics (Basel). 2024; 14(12).

PMID: 38928714 PMC: 11203348. DOI: 10.3390/diagnostics14121300.

Does urinary metabolite signature act as a biomarker of post-stroke depression?.

Cai W, Wang X, Wei X, Zhang J, Hu C, Ma W Front Psychiatry. 2022; 13:928076.

PMID: 36090365 PMC: 9448878. DOI: 10.3389/fpsyt.2022.928076.

Metabolomics Biomarkers for Precision Psychiatry.

Shih P Adv Exp Med Biol. 2019; 1161:101-113.

PMID: 31562625 PMC: 7141790. DOI: 10.1007/978-3-030-21735-8_10.

Defining adolescent common mental disorders using electronic primary care data: a comparison with outcomes measured using the CIS-R.

Cornish R, John A, Boyd A, Tilling K, Macleod J BMJ Open. 2016; 6(12):e013167.

PMID: 27909036 PMC: 5168670. DOI: 10.1136/bmjopen-2016-013167.

Development and feasibility of the computerized Turkish edition of the Composite International Diagnostic Interview [DIA-X/CIDI version 2.8(TR)].

Dingoyan D, Mosko M, Imamoglu Y, von Wolff A, Strehle J, Wittchen H Int J Methods Psychiatr Res. 2016; 26(3).

PMID: 27766697 PMC: 6877255. DOI: 10.1002/mpr.1533.

References

. Cross-national comparisons of the prevalences and correlates of mental disorders. WHO International Consortium in Psychiatric Epidemiology. Bull World Health Organ. 2000; 78(4):413-26. PMC: 2560724. View

Peto R, Darby S, Deo H, Silcocks P, Whitley E, DOLL R . Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies. BMJ. 2000; 321(7257):323-9. PMC: 27446. DOI: 10.1136/bmj.321.7257.323. View

Goodman R, Ford T, Richards H, Gatward R, Meltzer H . The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry. 2000; 41(5):645-55. View

Kessler R, Greenberg P, Mickelson K, Meneades L, Wang P . The effects of chronic medical conditions on work loss and work cutback. J Occup Environ Med. 2001; 43(3):218-25. DOI: 10.1097/00043764-200103000-00009. View

Gadow K, Weiss M . Attention-deficit/hyperactivity disorder in adults: beyond controversy. Arch Gen Psychiatry. 2001; 58(8):784-5. DOI: 10.1001/archpsyc.58.8.784. View

Brugha T, Jenkins R, Taub N, Meltzer H, Bebbington P . A general population comparison of the Composite International Diagnostic Interview (CIDI) and the Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Psychol Med. 2001; 31(6):1001-13. DOI: 10.1017/s0033291701004184. View

Shear M, Rucci P, Williams J, Frank E, Grochocinski V, Vander Bilt J . Reliability and validity of the Panic Disorder Severity Scale: replication and extension. J Psychiatr Res. 2001; 35(5):293-6. DOI: 10.1016/s0022-3956(01)00028-0. View

Wakefield J, Spitzer R . Lowered estimates--but of what?. Arch Gen Psychiatry. 2002; 59(2):129-30. DOI: 10.1001/archpsyc.59.2.129. View

Lenze E, Dew M, Mazumdar S, Begley A, Cornes C, Miller M . Combined pharmacotherapy and psychotherapy as maintenance treatment for late-life depression: effects on social adjustment. Am J Psychiatry. 2002; 159(3):466-8. DOI: 10.1176/appi.ajp.159.3.466. View

10.

Edlund M, Wang P, Berglund P, Katz S, Lin E, Kessler R . Dropping out of mental health treatment: patterns and predictors among epidemiological survey respondents in the United States and Ontario. Am J Psychiatry. 2002; 159(5):845-51. DOI: 10.1176/appi.ajp.159.5.845. View

11.

Frank E, Anderson B, Hlastala S, Luther J, Sherrill J, Houck P . Social rhythm disruption and stressful life events in the onset of bipolar and unipolar episodes. Psychol Med. 2002; 30(5):1005-16. DOI: 10.1017/s0033291799002706. View

12.

Kendell R, Jablensky A . Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry. 2002; 160(1):4-12. DOI: 10.1176/appi.ajp.160.1.4. View

13.

Judd L, Akiskal H . The prevalence and disability of bipolar spectrum disorders in the US population: re-analysis of the ECA database taking into account subthreshold cases. J Affect Disord. 2003; 73(1-2):123-31. DOI: 10.1016/s0165-0327(02)00332-4. View

14.

Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E . Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003; 60(2):184-9. DOI: 10.1001/archpsyc.60.2.184. View

15.

Musgrove P . Judging health systems: reflections on WHO's methods. Lancet. 2003; 361(9371):1817-20. DOI: 10.1016/S0140-6736(03)13408-3. View

16.

Wang P, Simon G, Kessler R . The economic burden of depression and the cost-effectiveness of treatment. Int J Methods Psychiatr Res. 2003; 12(1):22-33. PMC: 6878402. DOI: 10.1002/mpr.139. View

17.

Kornstein S, Sloan D, Thase M . Gender-specific differences in depression and treatment response. Psychopharmacol Bull. 2003; 36(4):99-112. View

18.

Costello E, Mustillo S, Erkanli A, Keeler G, Angold A . Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry. 2003; 60(8):837-44. DOI: 10.1001/archpsyc.60.8.837. View

19.

Andrews G, Peters L, Guzman A, Bird K . A comparison of two structured diagnostic interviews: CIDI and SCAN. Aust N Z J Psychiatry. 1995; 29(1):124-32. DOI: 10.3109/00048679509075901. View

20.

Haro J, Arbabzadeh-Bouchez S, Brugha T, de Girolamo G, Guyer M, Jin R . Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. Int J Methods Psychiatr Res. 2007; 15(4):167-80. PMC: 6878271. DOI: 10.1002/mpr.196. View