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Psychiatric Epidemiology
It’s Not Just About Counting Anymore
Arch Gen Psychiatry. 2005;62:590-592.
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Over the past 2 decades, the National Institute of Mental Health supported ambitious population-based efforts in psychiatric epidemiology. The landmark 5-site Epidemiological Catchment Area (ECA) study of the 1980s provided the first comprehensive picture of the prevalence of DSM-III mental disorders in the United States.1 A decade later, the National Comorbidity Survey (NCS) was the first study to estimate the prevalence of DSM-III-R mental disorders in a nationally representative US sample.2 These studies established the methods of modern psychiatric epidemiology in the United States, including the use of reliable lay-administered structured diagnostic assessment tools to ascertain standardized diagnostic criteria,3-4 the comparison of clinical interviews with lay interviews to evaluate diagnostic validity,5-7 and the application of sampling strategies to identify nationally representative samples. Combined with earlier and richly informative international studies in psychiatric epidemiology,8-10 the ECA, NCS, and related surveys demonstrated that mental disorders were highly prevalent in the general population . . . [Full Text of this Article]
AUTHOR INFORMATION
Thomas R. Insel, MD;
Wayne S. Fenton, MD
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