The applicant proposes to extend and develop her current program of epidemiologic research by examining geographic variation in rates of in psychiatric disorders in child and adult populations in contrasting settings (rural, small town, and urban). Two complementary studies are described in the application: (1) a rural-urban study of child psychiatric disorders, utilizing data of the applicant's recently completed urban survey in conjunction with a proposed child survey in a rural-small town administrative health region of Connecticut; and (2) analysis of rural-urban differences in adult anxiety and depression, employing the extant databases of the Stirling County study and the urban replication survey used for her thesis work, the Queensbrook study. As in prior research, efforts to quantify population rates of disorders and their socio-environmental correlates will be wedded with essential methodological work in psychiatric assessment, and will have direct public health applications in service planning.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
1K01MH000745-01
Application #
3068810
Study Section
Research Scientist Development Review Committee (MHK)
Project Start
1988-09-01
Project End
1993-08-31
Budget Start
1988-09-01
Budget End
1989-08-31
Support Year
1
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Yale University
Department
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520
Fitzmaurice, G M; Laird, N M; Zahner, G E et al. (1995) Bivariate logistic regression analysis of childhood psychopathology ratings using multiple informants. Am J Epidemiol 142:1194-203
Zahner, G E; Jacobs, J H; Freeman Jr, D H et al. (1993) Rural-urban child psychopathology in a Northeastern U.S. state: 1986-1989. J Am Acad Child Adolesc Psychiatry 32:378-87
Stubbe, D E; Zahner, G E; Goldstein, M J et al. (1993) Diagnostic specificity of a brief measure of expressed emotion: a community study of children. J Child Psychol Psychiatry 34:139-54
Zahner, G E; Pawelkiewicz, W; DeFrancesco, J J et al. (1992) Children's mental health service needs and utilization patterns in an urban community: an epidemiological assessment. J Am Acad Child Adolesc Psychiatry 31:951-60
Zahner, G E (1991) The feasibility of conducting structured diagnostic interviews with preadolescents: a community field trial of the DISC. J Am Acad Child Adolesc Psychiatry 30:659-68
Zahner, G E; Murphy, J M (1989) Loss in childhood: anxiety in adulthood. Compr Psychiatry 30:553-63