The proposed project requests additional resources to complete the analyses of the survey. The projct also contemplates expanding the scope of the psychiatric epidemiologic data obtained by adding to its survey protocol three additional schedules of the DIS not previously used in Puerto Rico. The first year involves a pilot study. During this period the Spanish translation of the Structured Clinical Interview for DSM-III (SCID) will be tested for inter-rater reliability and content validity and three new schedules of the DIS will be translated and validated using SCID diagnoses as an external criterion. The methodology of the field study will be evaluated. The proposed second wave will revisit the representative sample of 1,551 subjects to assess the consistency of DIS/DSM-III diagnoses over time. Furthermore, it will involve a validation of these DIS diagnoses in a community sample by conducting a second stage study on approximately 700 subjects (positives as well as negatives) utilizing as an external criterion diagnoses obtained through the use of an independent measure, the SCID. This will permit a more precise adjustment of the prevalence rates obtained. Correlates of psychopathology will also be evaluated. The results will provide scientific data relevant to the field of psychiatric epidemiologic research. It will be of practical utility in the planning of mental health facilities and services in Puerto Rico.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH036230-04
Application #
3375835
Study Section
(SRCM)
Project Start
1982-09-28
Project End
1988-03-31
Budget Start
1986-04-01
Budget End
1987-03-31
Support Year
4
Fiscal Year
1986
Total Cost
Indirect Cost
Name
University of Puerto Rico Med Sciences
Department
Type
Schools of Medicine
DUNS #
City
San Juan
State
PR
Country
United States
Zip Code
00936
Guarnaccia, P J; Canino, G; Rubio-Stipec, M et al. (1993) The prevalence of ataques de nervios in the Puerto Rico disaster study. The role of culture in psychiatric epidemiology. J Nerv Ment Dis 181:157-65
Guarnaccia, P J (1993) Ataques de nervios in Puerto Rico: culture-bound syndrome or popular illness? Med Anthropol 15:157-70
Shrout, P E; Canino, G J; Bird, H R et al. (1992) Mental health status among Puerto Ricans, Mexican Americans, and non-Hispanic whites. Am J Community Psychol 20:729-52
Canino, I A; Rubio-Stipec, M; Canino, G et al. (1992) Functional somatic symptoms: a cross-ethnic comparison. Am J Orthopsychiatry 62:605-12
Bravo, M; Canino, G J; Rubio-Stipec, M et al. (1991) A cross-cultural adaptation of a psychiatric epidemiologic instrument: the diagnostic interview schedule's adaptation in Puerto Rico. Cult Med Psychiatry 15:1-18
Bravo, M; Canino, G; Rubio-Stipec, M et al. (1991) [Importance of the family as a resource in social support in Puerto Rico] P R Health Sci J 10:149-56
Bravo, M; Rubio-Stipec, M; Canino, G J et al. (1990) The psychological sequelae of disaster stress prospectively and retrospectively evaluated. Am J Community Psychol 18:661-80
Hohmann, A A; Richeport, M; Marriott, B M et al. (1990) Spiritism in Puerto Rico. Results of an island-wide community study. Br J Psychiatry 156:328-35
Solomon, S D; Canino, G J (1990) Appropriateness of DSM-III-R criteria for posttraumatic stress disorder. Compr Psychiatry 31:227-37
Guarnaccia, P J; Rubio-Stipec, M; Canino, G (1989) Ataques de nervios in the Puerto Rican Diagnostic Interview Schedule: the impact of cultural categories on psychiatric epidemiology. Cult Med Psychiatry 13:275-95

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