Socioeconomic status (SES) and psychiatric disorders. Are the issues still compelling?
Socioeconomic status (SES) and psychiatric disorders. Are the issues still compelling?
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社会经济地位（SES）和精神疾病。
DOI：
10.1007/bf00789069
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发表时间：
1990
影响因子：
4.4
通讯作者：
Dohrenwend,BP
中科院分区：
文献类型：
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作者：
Dohrenwend,BP
1980 年之前精神病学流行病学最一致的发现之一是，社会经济地位 (SES) 与近期各种重要类型疾病的流行呈负相关。研究结果提出并再次提出了关于逆境在这些疾病中的作用的重大问题。然而，近年来，人们对这些问题的研究兴趣一直在下降。与此同时，用于流行病学研究的病例识别和诊断程序也发生了显着变化。在本文中，我探讨了诊断概念和方法的这些变化是否导致了“事实”的变化，从而引发了有关 SES 作用的问题。我特别依赖我们在以色列正在进行的流行病学研究和美国国家心理健康研究所 (NIMH) 流行病学领域 (ECA) 研究的结果，重新评估对 SES 作用的研究的转变，并为未来的研究提供建议。
One of the most consistent findings in psychiatric epidemiology prior to 1980 has been that socioeconomic status (SES) was inversely related to the recent prevalence of a variety of important types of disorder. The findings raised and re-raised major issues about the role of adversity in these disorders. In recent years, however, research interest in these issues has been declining. At the same time, marked changes have been taking place in the case identification and diagnostic procedures available for epidemiological research. In this paper, I inquire into whether these changes in diagnostic concepts and methods have led to a change in the “facts” that gave rise to the issues about the role of SES. I rely particularly on results from our on-going epidemiological research in Israel and from the National Institute of Mental Health (NIMH) Epidemiological Catchment Area (ECA) studies in the United States, reevaluate the shift away from research on the role of SES, and offer suggestions for future research.