The objective of this research is the continued participation in the Epidemiologic Catchment Area (ECA) Program by Duke University Medical Center. The ECA Program is a multi-site research program sponsored by the National Institute of Mental Health. Duke University has participated in the ECA program since 1/1/1981. The planned research is divided into four components. The first component, data analysis, involves the indepth analysis of with-in site and cross-site data collected at three points in time during the first phase of the ECA program. Duke has lead-site responsibility for the cross-site analysis of somatization disorder, multivariate models of health service utilization, and urban/rural comparisons. The with-in site topics for analysis include stress, social support, and psychiatric disorder; relating respondent data to medical record data; premenstrual syndrome, psychotropic drug use; mathematical models of nosology and disease classification; and statistical techniques for estimating prevalence and incidence. The second component, the elderly followback study, will collect data at three points in time from respondents aged 60 and older in order to determine the course of mental illness in late life, examine the onset of psychiatric disorder in late life, and monitor cognitive decline over time. A mortality followup of all respondents will focus on psychiatric disorder as a mortality risk factor. The third component will collect data on the characteristics of the health services delivery system. The data will be merged with respondent data to examine system effects on levels of use, amount of unmet need, and help-seeking outside the area. The final component is a test-retest reliability study of the Diagnostic Interview Schedule (DIS).

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project--Cooperative Agreements (U01)
Project #
3U01MH035386-05S1
Application #
3553840
Study Section
(EPSA)
Project Start
1981-01-01
Project End
1991-09-30
Budget Start
1987-09-30
Budget End
1991-09-30
Support Year
5
Fiscal Year
1987
Total Cost
Indirect Cost
Name
Duke University
Department
Type
Schools of Medicine
DUNS #
071723621
City
Durham
State
NC
Country
United States
Zip Code
27705
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Crum, Rosa M; Storr, Carla L; Chan, Ya-Fen et al. (2004) Sleep disturbance and risk for alcohol-related problems. Am J Psychiatry 161:1197-203
Golding, Jacqueline M; Wilsnack, Sharon C; Cooper, M Lynne (2002) Sexual assault history and social support: six general population studies. J Trauma Stress 15:187-97
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Jones, Richard N; Gallo, Joseph J (2002) Education and sex differences in the mini-mental state examination: effects of differential item functioning. J Gerontol B Psychol Sci Soc Sci 57:P548-58
Crum, R M; Brown, C; Liang, K Y et al. (2001) The association of depression and problem drinking: analyses from the Baltimore ECA follow-up study. Epidemiologic Catchment Area. Addict Behav 26:765-73
Crum, R M; Pratt, L A (2001) Risk of heavy drinking and alcohol use disorders in social phobia: a prospective analysis. Am J Psychiatry 158:1693-700
Jones, R N; Gallo, J J (2001) Education bias in the mini-mental state examination. Int Psychogeriatr 13:299-310
Amaya-Jackson, L; Davidson, J R; Hughes, D C et al. (1999) Functional impairment and utilization of services associated with posttraumatic stress in the community. J Trauma Stress 12:709-24
Swanson, J; Estroff, S; Swartz, M et al. (1997) Violence and severe mental disorder in clinical and community populations: the effects of psychotic symptoms, comorbidity, and lack of treatment. Psychiatry 60:1-22

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