COMORBID MENTAL DISORDERS IN PERIODS OF SOCIAL DISRUPTIO

说明(申请人摘要)：本提案寻求支持以获得 年乌克兰2000-2001年具有全国代表性的数据 与世界卫生组织(WHO)世界精神卫生组织合作 (WMH2000)倡议，以研究艾滋病的终生和12个月患病率 酗酒、药物滥用和精神疾病，伴随的角色障碍 和残疾、是否有足够的治疗以及 酒精与精神障碍、精神损害、 治疗和治疗充分性。乌克兰的研究还将产生关于 极端压力在普通人群中的流行情况及其相关性。这个 世界卫生组织将使用国际肖像来提高人们对 卫生政策制定者将精神障碍和酗酒作为#年的优先领域 世界各地的公共卫生预防和干预工作。 将对5,000名18岁及以上的有代表性的人进行访谈 使用CIDI，并辅之以其他压力措施(包括材料 剥夺)，饮酒行为，社会期望，社会支持，掌握， 有酒精问题的家族史，以及自我报告的症状。五 数百名患者将接受精神科医生的重新面谈，接受扫描 以检验CIDI诊断的可靠性。乌克兰提供了一个 研究酒精中毒和精神疾病的独特流行病学实验室，以及 这项研究的过程和成果都将在那里大有裨益。而当 跨国测量问题是具有挑战性的，也不会是完美的。 在不久的将来得到解决，拟议研究产生的数据将 尽管如此，我们仍需加深对以下情况的了解 乌克兰的酗酒和精神疾病。

DESCRIPTION (Applicant's abstract): This proposal seeks support to obtain nationally representative data for Ukraine in the years 2000-2001 in conjunction with the World Health Organization's (WHO) World Mental Health (WMH2000) Initiative in order to study the lifetime and 12-month prevalence of alcoholism, substance abuse and mental illness, concomitant role impairments and disability, the availability of adequacy of treatment, and the socio-demographic correlates of alcohol and mental disorder, impairment, treatment, and treatment adequacy. The Ukraine study will also generate data on the prevalence and correlates of extreme stress in the general population. The international portrait will be used by the WHO to increase recognition among health policy makers of mental disorders and alcoholism as a priority area in public health prevention and intervention efforts throughout the world. A representative sample of 5,000 people 18 years and older will be interviewed with the CIDI, supplemented by other measures of stress (including material deprivation), drinking behavior, social desirability, social support, mastery, family history of alcohol problems, and self-report symptomatology. Five hundred individuals will be re-interviewed by psychiatrists with the SCAN in order to examine the reliability of the CIDI diagnoses. Ukraine provides a unique epidemiologic laboratory for studying alcoholism and mental illness, and both the process and fruits of this study will be of great benefit there. While the cross-national measurement issues are challenging and will not be perfectly resolved in the near future, the data generated from the proposed study will nevertheless deepen our understanding of the rates and risk factors of alcoholism and mental illness in Ukraine.