DEPRESSION & ANXIETY DISORDER IN OLDER AFRICAN AMERICANS

沮丧

• 批准号: 2675281
• 负责人: CARL I. COHEN
• 金额: $ 33.25万
• 依托单位: SUNY DOWNSTATE MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-07-01 至 2000-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2675281
• 关键词: African American; Caribbean; aging; anxiety disorders; attitude; behavior prediction; belief; caucasian American; coping; depression; health behavior; health care service utilization; human middle age (35-64); human old age (65+); human subject; interview; mental health epidemiology; model design /development; psychological models; psychological stressor; questionnaires; racial /ethnic difference; social support network

This study aims to examine 3 groups of older (age 55 and over) African Americans--native-born, English Caribbean, French/Creole Caribbean--and a Caucasian comparison group, in order to: 1) Develop a model of factors that foster and moderate depression and anxiety among various aging African-American ethnic groups; 2) Develop a model of factors that predict utilization of formal and informal sources of mental health assistance among aging African-Americans with clinical psychiatric disorders who come from different ethnic groups; 3) Obtain prevalence data on the rates of depression and anxiety disorders with various African American ethnic groups in the community; 4) Determine if there are factors within each ethnic group that may influence the prevalence rates of depressive and anxiety disorders; 5) Obtain data on symptom presentation of depression and anxiety among various African American ethnic groups; 6) Determine if there are any factors within each ethnic group that may affect symptom and treatment patterns; 7) Examine potential biases in clinical screening instruments and to modify such instruments so that they are valid for use with the various Afro-American ethnic groups under examination. The study stresses the socio-cultural heterogeneity that is inherent in the African American populations, deliberately making use of within-group variability as a means of understanding differential risk and as a means of exploring naturally-occurring buffers to mental illness. The study draws on the fact that SUNY Health Science Center is situated in the heart of Brooklyn; the latter has a large Afro-American population, including the largest Afro-Caribbean population in the United States. Recent research indicates that there may be more within-group differences than between-group differences in the characteristics used to differentiate the races, and that earlier work has failed to identify the specific aspects of culture and related variable that are thought to influence behavior. The present project looks at structural variables such as income, education, and occupation, as well as variable most permeable to cultural influence namely, 1) patterns of affiliation and 2) cognitive dimensions such as beliefs and attitudes. Respondents come from both community and hospitals and mental health clinics in order to compare users and non- users of mental health resources, and thus can answer questions as to what are the formal and informal resources that affect mental illness among native-born and Caribbean-born elderly Afro-Americans. A total of 1000 community residents and 400 in- and out-patients, divided equally among the three Afro-American and the Caucasian comparison groups, will receive a 2-hour interview comprising 143 instruments. The project will be completed over a 5-year period. The findings will have important implications for health providers and policy-makers.

本研究旨在调查 3 组老年（55 岁及以上）非洲人 美国人——土生土长的、加勒比英国人、加勒比海法国人/克里奥尔人——以及 白种人对照组，目的是： 1) 建立因素模型 促进和缓解各种老年人的抑郁和焦虑 非裔美国人族群； 2) 开发预测因素模型 利用正式和非正式的心理健康援助来源 在患有临床精神疾病的老年非裔美国人中 来自不同种族； 3) 获取患病率数据 不同非洲裔美国人的抑郁症和焦虑症 社区内的团体； 4）确定每个因素内是否存在因素 可能影响抑郁症和抑郁症患病率的种族群体 焦虑症； 5) 获取抑郁症症状表现的数据 以及非洲裔美国各族裔群体的焦虑； 6) 确定是否 每个种族群体中都有可能影响症状和症状的因素 治疗模式； 7) 检查临床筛查中的潜在偏差 文书并修改此类文书，使其可以有效使用 与接受审查的各个非裔美国族裔群体。 该研究强调了社会文化固有的异质性 非裔美国人，故意利用群体内部 可变性作为理解差异风险的一种手段并作为一种手段 探索自然发生的精神疾病缓冲剂。 研究 纽约州立大学健康科学中心位于市中心 布鲁克林；后者拥有大量非裔美国人，包括 美国最大的非洲裔加勒比人人口。 最近的 研究表明，群体内的差异可能比群体内的差异更大。 用于区分群体的特征的组间差异 种族，并且早期的工作未能确定具体方面 被认为影响行为的文化和相关变量。 目前的项目着眼于结构性变量，例如收入、 教育、职业以及文化最容易渗透的变量 影响，即 1) 归属模式和 2) 认知维度 例如信念和态度。 受访者来自社区和 医院和心理健康诊所，以便比较用户和非用户 心理健康资源的用户，因此可以回答以下问题： 影响精神疾病的正式和非正式资源 本土出生和加勒比出生的老年非裔美国人。 共 1000 个 社区居民和400名住院和门诊病人，平均分配 三个非裔美国人和白人比较组将收到 为期 2 小时的采访，包含 143 种乐器。 该项目将是 历时5年完成。 研究结果将具有重要意义 对卫生服务提供者和政策制定者的影响。