Social Status and Psychopathology over the Life Course

生命历程中的社会地位和精神病理学

• 批准号: 6621465
• 负责人: Richard A Miech
• 金额: $ 7.46万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-12-01 至 2004-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6621465
• 关键词: adolescence (12-20); alcoholism /alcohol abuse; antisocial personality; anxiety; behavioral /social science research tag; career; clinical research; comorbidity; coping; depression; disease /disorder proneness /risk; education; human data; human middle age (35-64); human old age (65+); longitudinal human study; mental disorders; mental health epidemiology; physical fitness; psychopathology; quality of life; retirement; social psychology; social support network; socioeconomics; young adult human (21-34)

DESCRIPTION (provided by applicant): The proposed study will examine socioeconomic status (SES) as a risk-factor for psychopathology over the adult life course. The recent NIH call for research in this area (National Institutes of Health 1998) is well-suited for secondary data analysis because much data to address it already exists but has not yet been analyzed from a life-course perspective. The proposed project will use existing data to examine how age conditions the influence of socioeconomic status as a risk factor for the "common mental disorders" of depression, anxiety, and alcohol dependence - the most prevalent mental illnesses. Data for the investigation consist of a long-term follow-up of Epidemiologic Catchment Area Study site in Baltimore (data that is not in the public domain), the National Comorbidity Study, and the Americans' Changing Lives Study. These data encompass both DSM-criteria diagnoses of mental disorders and symptom scales that provide dimensional measures of psychopathology. The proposed analysis centers on two general research questions. First, the analysis will investigate changes in the association between SES indicators and psychopathology across adulthood, from ages 18 to 90. Life course theory and preliminary research lead to the expectation that the associations will increase with age. To test this hypothesis the analysis will use conventional OLS and logistic regressions, as well as Generalized Estimating Equations (GEE). The analysis will examine the extent to which age interacts with SES indicators in the prediction of psychopathology, using both cross-sectional and longitudinal models. Second, the analysis will investigate how the mechanisms linking SES and psychopathology change with age. Using both cross-sectional and longitudinal models, the analysis will examine the extent to which age conditions the association between SES and intervening mechanisms such as physical health, coping resources, and economic strain. In turn, the analysis will also examine ways in which age conditions the association between these mediators and psychopathology.

描述（由申请人提供）：拟议的研究将检查 社会经济地位（SES）是成人精神病理学的风险因素 生活课程。 NIH最近在该领域进行研究的呼吁（国立机构 1998年的健康非常适合二级数据分析，因为很多数据 解决它已经存在，但尚未从生命过程中进行分析 看法。拟议的项目将使用现有数据来检查年龄 条件社会经济地位作为作为风险因素的影响 抑郁，焦虑和酒精依赖的“常见精神障碍” - 最普遍的精神疾病。调查的数据由长期组成 巴尔的摩流行病学集水区研究地点的随访（数据 这不在公共领域），国家合并症研究和 美国人改变生活研究。这些数据包括两个DSM标准 精神障碍和症状量表的诊断 心理病理学的度量。 拟议的分析集中在两个一般研究问题上。首先， 分析将调查SES指标与 从18岁到90岁的成年期的心理病理学。生活课程理论和 初步研究导致人们期望协会将 随着年龄的增长而增加。 为了检验该假设，分析将使用常规的OL和Logistic 回归以及广义估计方程（GEE）。分析 将检查年龄与SES指标相互作用的程度 精神病理学的预测，使用横断面和纵向 型号。 其次，分析将研究如何联系SES和 心理病理学随着年龄的增长而变化。使用横截面和纵向 模型，分析将检查年龄条件的程度 SES与诸如身体健康等中间机制之间的关联， 应对资源和经济压力。反过来，分析还将检查 这些调解人与 心理病理学。