EPIDEMIOLOGY OF CHILD PSYCHOPATHOLOGY IN RURAL MAINE

这份申请是对一项为期三年的 以人群为基础的4至11岁儿童队列前瞻性研究 住在缅因州的乡下。目标有两个方面：i)研究 临床和亚临床的患病率、持久性和发病率 农村儿童样本中的精神病理学；2)检查模式和 农村非农人口中服务使用的预测因素。 研究队列将被选为2300个概率样本 来自东部儿童心理健康规划区的家庭 缅因州按乡村(即城镇规模、密度和接近程度)分层 城市地区)，美国原住民家庭样本过多 保留地和人烟稀少的小村庄。人口将会是 为期三年，每年对父母、孩子和 老师们。现有数据来自康涅狄格州早先对1,697人进行的农村调查 父母也将被用于分析，以探索关于 人口密度和城市化对服务利用和服务质量的影响 精神变态学。 调查的广泛目标是为稀少的 关于农村儿童心理健康的科学知识基础 在美国。这项研究的主要公共卫生目标将 将向州和地方儿童机构提供其他 缺乏规划农村儿童心理健康的信息 服务。 此应用程序响应以下NIMH计划公告：PA- 农村人群精神障碍研究；PA-91-46- 国家儿童青少年研究计划的实施 以及严重精神障碍研究的公众-学术联系(PAL) 精神障碍。

This application is a revision of a proposal to conduct a three-year prospective study of a population-based cohort of children ages 4 to 11 living in rural Maine. The objectives are two pronged: I) to study the prevalence, persistence, and incidence of clinical and sub-clinical psychopathology in a sample of rural children; 2) to examine patterns and predictors of service use in a rural non-farm population. The study cohort will be selected as a probability sample of 2,300 households from a children's mental health planning region in eastern Maine stratified by rurality (i.e. town size, density, and propinquity to urban areas), with an over-sample of households in Native American reservations and sparsely populated hamlets. The population will be followed for three years with annual assessments of parents, children, and teachers. Extant data from an earlier rural Connecticut survey of 1,697 parents will also be used in analyses to explore hypotheses concerning the influence of population density and urbanization upon service use and psychopathology. The broad aims of the investigation are to contribute to the sparse scientific knowledge-base concerning the mental health of rural children in the United States. The study's principal public health objective will be to provide State and local children's agencies with otherwise unavailable information for planning children's rural mental health services. This application responds to the following NIMH program announcements: PA- 91-52- Research on Mental Disorders in Rural Populations; PA-91-46- Implementation of the National Plan for Research on Child and Adolescent Disorders; and the Public-Academic Liaison (PAL) for Research on Serious Mental Disorders.