Abstract

During the next phase of the project we propose two studies. The first duty assesses the relationship between psychiatric disorders and labor force participation focusing on employment and income. The study uses data from both the New Haven ECA and the four other ECA sites. The strategy is to estimate the effects of current and past disorder on current outcomes (employment and income), while making explicit the relationships of past effects on educational attainment, occupational choice, and previous work history. The second study assesses vital (whether or not an individual is alive) and cause of death for individuals originally interviewed in the New Haven area in 1980. In addition to examining the relationships between psychiatric status and mortality, the study determines factors that mediate this effect. In addition, the relationship between fluctuations in psychiatric status and mortality and unsupervised use of psychotropic medication and mortality are examined. These analyses have important implications for understanding the etiology of psychiatric disorders and for developing public policy to mediate the negative effects of these disorders.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
7R01MH040603-05
Application #
3378877
Study Section
Epidemiologic and Services Research Review Committee (EPS)
Project Start
1986-03-01
Project End
1993-04-30
Budget Start
1991-09-30
Budget End
1993-04-30
Support Year
5
Fiscal Year
1991
Total Cost
Indirect Cost

  Institution

Name
Johns Hopkins University
Department
Type
Schools of Public Health
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Weissman, M M; Greenwald, S; Nino-Murcia, G et al. (1997) The morbidity of insomnia uncomplicated by psychiatric disorders. Gen Hosp Psychiatry 19:245-50
Horwitz, S M; Bruce, M L; Hoff, R A et al. (1996) Depression in former school-age mothers and community comparison subjects. J Affect Disord 40:95-103
Bruce, M L; Hoff, R A; Jacobs, S C et al. (1995) The effects of cognitive impairment on 9-year mortality in a community sample. J Gerontol B Psychol Sci Soc Sci 50:P289-96
Bruce, M L; Hoff, R A (1994) Social and physical health risk factors for first-onset major depressive disorder in a community sample. Soc Psychiatry Psychiatr Epidemiol 29:165-71
Bruce, M L; Leaf, P J; Rozal, G P et al. (1994) Psychiatric status and 9-year mortality data in the New Haven Epidemiologic Catchment Area Study. Am J Psychiatry 151:716-21
Bruce, M L; McNamara, R (1992) Psychiatric status among the homebound elderly: an epidemiologic perspective. J Am Geriatr Soc 40:561-6
Krystal, J H; Leaf, P J; Bruce, M L et al. (1992) Effects of age and alcoholism on the prevalence of panic disorder. Acta Psychiatr Scand 85:77-82
Bruce, M L; Kim, K M (1992) Differences in the effects of divorce on major depression in men and women. Am J Psychiatry 149:914-7
Bruce, M L; Takeuchi, D T; Leaf, P J (1991) Poverty and psychiatric status. Longitudinal evidence from the New Haven Epidemiologic Catchment Area study. Arch Gen Psychiatry 48:470-4
Bruce, M L; Kim, K; Leaf, P J et al. (1990) Depressive episodes and dysphoria resulting from conjugal bereavement in a prospective community sample. Am J Psychiatry 147:608-11

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