ECONOMIC DECLINE AND PSYCHOSOCIAL IMPAIRMENT

本研究的两个主要目的是：1）开发和 测试一个综合模型，将当地经济条件与 抑郁症，酗酒，社会角色的损害 关于这些障碍，并帮助寻求行为;（2） 经济变量影响方式的城乡差异模型 心理社会功能 研究数据将来自 现有的两波小组研究内布拉斯加州的心理健康和从 建议增加第三波面板数据和时间- 县级经济指标系列与精神卫生系统 利用率。 分析将使用结构方程 模型技术和已经开发的时间序列方法， 适用于时间序列和横截面数据集的组合。 研究结果预计将 回答 关于本地界面的重要理论问题 经济状况和个人压力/痛苦过程， 酒精滥用与抑郁症之间的因果关系，作用 社会支持在缓冲经济困境方面的作用， 在标准的社区调查抑郁量表和抑郁症之间， 诊断访谈时间表（DIS）。 结果 还将提供关于流行率的重要基本信息， 农村地区心理社会障碍的情况以及 需要精神卫生保健的社区经历经济 下降 与心理健康规划者特别相关的是， 分析估计需要与 服务（基于综合安全分遣队）。 结果还将提供重要的基础 关于儿童心理社会障碍患病率的资料， 农村地区以及对精神卫生保健需求的变化 在经济衰退的社区。 特别 与心理健康规划者的相关性将是对 服务需求估计数（根据综合信息系统）、 治疗的病例、个人求助（包括 所寻求的服务的数量和类型）以及是否有正式的 支持系统。 结果将在农村和 城市背景。

The two major aims of the proposed research are: 1) to develop and test a comprehensive model that links local economic conditions to depression, alcohol abuse, impairments of social roles brought about by these disorders, and help seeking behavior; and (2) to model rural/urban differences in the way economic variables affect psychosocial functioning. Data for the study will come from an existing two-wave panel study of Nebraskans' mental health and from the proposed addition of a third-wave of panel data and a time- series of county-level economic indicators and mental health system utilization rates. Analyses will make use of structural equation model techniques and the time-series methods that have been devel- oped for combined time-series and cross-sectional data sets. Findings from the study can be expected to answer important theoretical questions regarding the interface of local economic conditions and individual stress/distress processes, the causal relationship between alcohol abuse and depression, the role of social support in buffering economic distress, and the linkage between standard community survey depression scales and depression, as identified by the Diagnostic Interview Schedule (DIS). Results will also provide important basic information about the prevalence of psychosocial impairment in rural areas and about changes in the need for mental health care in communities undergoing economic decline. Of particular relevance to mental health planners will be analyses of the relationships between estimated need for services (based on DIS). Results will also provide important basic information about the prevalence of psychosocial impairment in rural areas and about changes in the need for mental health care in communities undergoing economic decline. Of particular relevance to mental health planners will be analyses of the relationships between estimated need for services (based on DIS), treated cases, individual help seeking (including indicators of the amount and types of services sought) and the availability of formal support systems. Results will be explicated in both a rural and urban context.