COMORBID MENTAL DISORDERS AMONG THE POVERTY POPULATION

这篇论文的研究旨在调查美国成年穷人中单项和共病精神障碍以及物质依赖的患病率。其次，它确定了社会、行为和环境应激源和社会资源，这些应激源和社会资源调解了单项和共病的可诊断精神障碍的表达。可诊断的重度抑郁发作、广泛性焦虑症和物质依赖是被检查的精神残疾。从社会压力范式出发，本研究将通过考察多个水平的压力源(个人、社会和环境)、社会资源(个人、家庭、环境和社会项目)和心理健康结果之间的复杂关系，为贫困和心理健康的经验知识基础做出贡献。现有关于贫困的研究记录了普遍存在的精神残疾，但没有集中努力查明穷人所使用的压力源或社会资源。确定直接影响心理健康结果的关键压力源和社会资源，对于对治疗方式感兴趣的公共社会项目可能很重要，以更好地帮助穷人获得经济利益。这项拟议的研究将使用全国药物滥用家庭调查(NHSDA)1994年b、1995年和1996年的联合横断面数据。为了记录趋势和全球影响，将分别和合并分析数据集。选定进行分析的样本总数为38,501个。这项研究提供了重要的信息，有助于理解单一和并存的精神健康问题的模式，包括穷人的物质依赖，以便用于有针对性的干预。由于贫困政策的大部分注意力都回到了有就业能力的穷人身上，因此越来越有必要为努力保持有就业能力的穷人提供信息，并帮助失业穷人进入劳动力大军。随着人们对改善穷人的工作准备情况重新产生兴趣，社会服务的提供再次成为人口特征的条件。通过研究压力源和社会资源使用之间的关系，这项研究独特地记录了那些经历共病的人对服务的需求。一旦确定了可改变的压力源和社会资源，结果可以帮助发展相关的社会服务、干预措施，并产生新的研究调查。

This dissertation research aims to examine prevalence rates for singular and comorbid mental disabilities and substance dependence among America's adult poor. Secondly, it identifies social, behavioral, and environmental stressors and social resources mediating the expression of singular and comorbid diagnosable mental disabilities. Diagnosable major depressive episode, generalized anxiety disorder, and substance dependence serve as the examined mental disabilities. Drawing from the Social Stress paradigm, this study will contribute to the empirical knowledge base about poverty and mental health by examining the complex relationship between multiple levels of stressors (individual, social, and environmental), social resources (individual, familial, environmental, and social programs), and mental health outcomes. Existing research on poverty documents the prevalence of mental disabilities in general without focused efforts on identifying the stressors or social resources used by the poor. Identifying the critical stressors and social resources directly affecting mental health outcomes may be important to the public social programs interested in treatment modalities to better assist poor people with gaining economically. The proposed study will use combined cross-sectional 1994b, 1995, and 1996 waves of the National Household Survey on Drug Abuse (NHSDA). To document trends and global effects, the datasets will be analyzed both separately and combined. The sub-sample selected for analysis totaled 38,501. The research provides information important for understanding the patterns of singular and comorbid mental health problems, including substance dependence among the poor for use in targeted interventions. Since much of poverty policy attention returned toward the employable poor, there is an increased need to inform efforts to keep the employable poor working and to assist the unemployed poor into the work force. Along with the renewed interest in improving the poors' work-readiness, the provision of social services again becomes conditioned on the population characteristics. By examining the relationships between stressors and use of social resources, the study uniquely documents the need for services among those experiencing comorbid illnesses. Once modifiable stressors and social resources are determined, the results can aid in the development of relevant social services, interventions, and generate new research investigations.