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Psychiatrische Epidemiologie und Bevölkerungsmedizin

Prinzipien der Versorgungsforschung

Psychiatric epidemiology and public health medicine

Principles of health service research

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Zusammenfassung

Psychische Erkrankungen gehören zu den häufigsten Erkrankungen weltweit und stellen eine hohe globale Krankheitslast (DALYs) dar. Die psychiatrische Epidemiologie vermittelt wesentliche Erkenntnisse zur Krankheitshäufigkeit und deren Risikofaktoren. Zusätzlich zur Krankheitshäufigkeit hängt der Versorgungs- und Behandlungsbedarf psychischer Erkrankungen von einer Reihe weiterer Faktoren ab. Die psychiatrische Versorgungsforschung beschäftigt sich einerseits mit der Frage, wodurch der Versorgungsbedarf bei psychischen Störungen bedingt ist und andererseits wird die Frage analysiert, ob eine Unter-, Fehl- und Überversorgung vorliegt. Kosten- und Effektivitätsanalysen spielen eine zunehmende Rolle in der psychiatrischen Versorgungsforschung.

Summary

Psychiatric illnesses are among the most common diseases in the general population and contribute significantly to the global disease burden. Psychiatric epidemiology yields scientific estimations of the incidence and prevalence of psychiatric diseases and their associated risk factors. It has also been found that treatment needs are determined by several factors. Health service research analyses treatment needs and whether they are met. The analysis of direct and indirect health care costs and effectiveness are gaining importance in mental health service research.

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Literaturverzeichnis

  1. World Bank (1993) World Development Report 1993: investing in Health. Oxford University Press, Oxford

    Google Scholar 

  2. World Health Organization (1996) Investing in Health research and Development: report of the Ad Hoc Committee on Health Research Relating to Future Intervention Options. World Health Organization, Geneva

    Google Scholar 

  3. Bland RC (1996) International health and psychiatry. Can J Psychiatry 41:11–15

    CAS  PubMed  Google Scholar 

  4. Srole L (1962) Mental health in the metropolis: the midtown Manhattan study. McGraw-Hill, New York

    Google Scholar 

  5. Pasamanick BA (1959) The epidemiology of mental disorder. American Association for the Advancement of Science, Washington DC

  6. Weissman MN, Myers JK, Harding PS (1978) Psychiatric disorders in a U.S. urban community: 1975–1976. Am J Psychiatry 135:459–462

    CAS  PubMed  Google Scholar 

  7. President’s Commission on Mental Health (1978) Report to the President from the President’s Commission on Mental Health (Vol 4). Superintendent of Documents, U.S. Government Printing Office, Washington, DC

  8. Robins LN, Regier DA (eds) (1991) Psychiatric disorders in America: the epidemiologic catchment area study. Free Press, New York

    Google Scholar 

  9. Meyer C, Rumpf HJ, Hapke U et al. (2000) Lifetime prevalence of mental disorders in general adult population. Results of TACOS study. Nervenarzt 71:535–542

    Article  CAS  PubMed  Google Scholar 

  10. Lethinen V, Joukamaa M, Jyrkinen E et al. (1990) Need for mental health services of the adult population in Finland: results from the Mini Finland Health Survey. Acta Psychiatr Scand 81:426–431

    PubMed  Google Scholar 

  11. Regier DA, Narrow WE, Rupp A et al. (1993) The de facto US mental and addictive disorders service system. Epidemiologic Catchment Area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry 50:85–94

    CAS  PubMed  Google Scholar 

  12. Regier DA, Kaelber CT, Rae DS et al. (1998) Limitations of diagnostic criteria and assessment instruments for mental disorders: implications for research and policy. Arch Gen Psychiatry 55:109–115

    Article  CAS  PubMed  Google Scholar 

  13. Bebbington PE (2000) The need for psychiatric treatment in the general population. In: Andrews G, Henderson S (eds) Unmet need in psychiatry. problems, resources, responses. Cambridge University Press, Cambridge, pp 85–96

  14. Dilling H, Weyerer S, Castell R (1984) Psychische Erkrankungen in der Bevölkerung: eine Felduntersuchung zur psychiatrischen Morbidität und zur Inanspruchnahme ärztlicher Institutionen in 3 kleinstädtisch-ländlichen Gemeinden des Landkreises Traunstein/Oberbayern. In: Glatzel J, Krüger H, Scharfetter C (Hrsg) Forum der Psychiatrie. Enke-Verlag, Stuttgart

  15. Regier DA, Burke JDJ, Manderscheid RW et al. (1985) The chronically mentally ill in primary care. Psychol Med 15:265–273

    CAS  PubMed  Google Scholar 

  16. Murray CJL, Lopez AD (1997) Global mortality, disability, and the contribution of risk factors: global burden of disease study. Lancet 349:1436–1442

    Article  CAS  PubMed  Google Scholar 

  17. Üstün TB, Sartorius N (1995) Mental illness in general health care: an international study. Wiley, Chichester

  18. Klerman GL, Olfson M, Leon AC et al. (1992) Measuring the need for mental health care. Health Aff 11:23–33

    Article  CAS  Google Scholar 

  19. Knapp M, Beecham J, Fenyo A et al. (1995) Community mental health care for former hospital in-patients. Predicting costs from needs and diagnoses. Br J Psychiatry 27 [Suppl]:10–18

    Google Scholar 

  20. Üstün TB (1996) A new paradigm—assessment of functioning and the WHO>s ICIDH (editorial). S Afr Med J 86 [Suppl 12]:1575

  21. Gater R, de Almeida, Sousa B et al. (1991) The pathways to psychiatric care: a cross cultural study. Psychol Med 21:761–774

    CAS  PubMed  Google Scholar 

  22. Ormel J, Von Korff M, Üstün TB et al. (1994) Common mental disorders and disability across cultures. Results from the WHO collaborative study on psychological problems in general health care. JAMA 272:1741–1748

    Article  CAS  PubMed  Google Scholar 

  23. Von Korff M, Üstün TB, Ormel J (1996) Self-report disability in an international primary care study of psychological illness. J Clin Epidemiol 49:297–303

    Article  PubMed  Google Scholar 

  24. Üstün TB (1994) WHO Collaborative Study: an epidemiological survey of psychological problems in general health care in 15 centers worldwide. Int Rev Psychiatry 6:357–363

    Google Scholar 

  25. Üstün TB, Sartorius N (1995) Mental illness in general health care: an international study. Wiley, Chichester

  26. Häfner H (1977) Epidemiologically based needs assessment. Springer, Berlin Heidelberg New York

  27. Kessler RC, McGonagle KA, Zhao S et al. (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry 51:8–19

    CAS  PubMed  Google Scholar 

  28. Regier DA, Narrow WE, Rae DS et al. (1993) The de facto US mental and addictive disorders service system: epidemiologic catchment area prospective study 1-year prevalence rates of disorders and services. Arch Gen Psychiatry 50:85–94

    CAS  PubMed  Google Scholar 

  29. World Health Organization (1997) International Classification of impairments, activities and participation. A manual of dimensions of disablement and functioning. Beta-1 draft for field trials. World Health Organization, Geneva, pp 1–272

  30. Goering P, Linn E, Campbell D et al. (1996) Psychiatric disability in Otario. Can J Psychiatry 41:564–571

    CAS  PubMed  Google Scholar 

  31. Kessler R, McGonagel K, Schwartz M et al. (1993) Sex and depression in the National Comorbidity Survey I: lifetime prevalence, chronicity, and recurrence. J Affect Disord 29:85–96

    Article  CAS  PubMed  Google Scholar 

  32. Fawcett J (1993) The morbidity and mortality of clinical depression. Int Clin Psychopharmacol 8:217–220

    CAS  PubMed  Google Scholar 

  33. Livingston BM, Leaf P, Rozal G et al. (1994) Psychiatric status and 9-year mortality data in the New Haven epidemiological catchment area study. Am J Psychiatry 151:716–721

    PubMed  Google Scholar 

  34. Bushnell JA, Bowie RD (1995) Costs of depression. In: Joyce PR, Romans SE, Ellis PM et al. (eds) Affective disorders. University of Otago, Christchurch

  35. Murphy JM, Olivier DC, Monson RR et al. (1991) Depression and anxiety in elation to social status. Arch Gen Psychiatry 48:223–229

    CAS  PubMed  Google Scholar 

  36. Murray CJL, Lopez AD (1996) Global Burden of Disease. World Health Organization, Geneva

  37. Murray CJL, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990–2020: global burden of disease study. Lancet 349:1498–1504

    Article  CAS  PubMed  Google Scholar 

  38. Hirschfield R, Keller M, Panico S et al. (1997) The National Depressive and Manic-Depressive Association consensus statement on the undertreatment of depression. JAMA 277:333–340

    Article  PubMed  Google Scholar 

  39. Tiemens BG, Ormel J, Simon GE (1996) Occurrence, recognition, and outcome of psychological disorders in primary care. Am J Psychiatry 153:636–644

    CAS  PubMed  Google Scholar 

  40. Bebbington PE, Marsden L, Brewin CR (1997) The need for psychiatric treatment in the general population: the Camberwell Needs for Care Survey. Psychol Med 27:821–834

    Article  CAS  PubMed  Google Scholar 

  41. Goldberg D, Bridges K, Duncan-Jones P et al. (1988) Detecting anxiety and depression in general medical settings. BMJ 297:897–899

    CAS  PubMed  Google Scholar 

  42. Wittchen HU, Pittrow D (2002) Prevalence, recognition and management of depression in primary care in Germany: the Depression 2000 study. Hum Psychopharmacol 17 [Suppl 1]:S1–S11

  43. Parker G, Hadzi-Pavlovic D (1996) Melancholia: a disorder of movement and modd. Cambridge University Press, Cambridge

  44. Grant BF (1997) Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Stud Alcohol 58:365–371

    CAS  PubMed  Google Scholar 

  45. Regier DA, Farmer ME, Rae DS et al. (1990) Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) study. JAMA 264:2511–2518

    Article  CAS  PubMed  Google Scholar 

  46. Anthony JC, Warner LA, Kessler RC (1994) Comparative epidemiology of dependence on tobacco, alcohol, controlled substances and inhalants: basic findings from the National Comorbidity Survey. Clin Exp Pharmacol Physiol 2:244–268

    Google Scholar 

  47. Meyer C, Rumpf HJ, Hapke U et al. (2000) Prevalence of alcohol consumption, abuse and dependence in a country with high per capita consumption: findings from the German TACOS study. Transitions in Alcohol Consumption and Smoking. Soc Psychiatry Psychiatr Epidemiol 35(12):539–547

    Article  CAS  PubMed  Google Scholar 

  48. Rumpf HJ, Hapke U, Meyer C et al. (2002) Screening for alcohol use disorders and at-risk drinking in the general population: psychometric performance of three questionnaires. Alcohol Alcohol 37(3):261–268

    PubMed  Google Scholar 

  49. Chick J, Lloyd G, Crombie E (1985) Counselling problem drinkers in medical wards: a controlled study. BMJ 290:965–967

    CAS  PubMed  Google Scholar 

  50. Wallace P, Cutler S, Haines A (1988) Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ 297:663–668

    CAS  PubMed  Google Scholar 

  51. Holder HD, Blose JO (1986) Alcoholism treatment and total health care utilization and costs: a four-year longitudinal analysis of federal employees. JAMA 256:1456–1460

    Article  CAS  PubMed  Google Scholar 

  52. Heather N, Tebbutt J (eds) (1989) An overview of the effectiveness of treatment for drug and alcohol problems. National campaign against drug abuse monograph series number 11. Australian Government Publishing Service

  53. Holder HD, Schachman RH (1987) Estimating health care savings associated with alcoholism treatment. Alcohol Clin Exp Res 11:66–73

    CAS  PubMed  Google Scholar 

  54. Walsh DC, Hingson RW, Merrigan DM et al. (1991) A randomized trial of treatment options for alcohol-abusing workers. N Engl J Med 325:775–782

    CAS  PubMed  Google Scholar 

  55. Driessen M, Veltrup C, Junghanns K et al. (1999) [Cost-efficacy analysis of clinically evaluated therapeutic programs. An expanded withdrawal therapy in alcohol dependence]. Nervenarzt 70(5):463–470

    Article  CAS  PubMed  Google Scholar 

  56. Finney JW, Hahn AC, Moos RH (1996) The effectiveness of inpatient and outpatient treatment for alcohol abuse: the need to focus on mediators and moderators of setting effects. Addiction 91:1773–1796

    Article  CAS  PubMed  Google Scholar 

  57. Mattick RP, Jarvis T (eds) (1993) An outline for the management of alcohol dependence and abuse. Quality Assurance Project. National Drug Strategy Monograph. National Drug and Alcohol Research Centre, Sydney

  58. Project Match Research Group (1997) Matching alcoholism treatments to client heterogeneity: project MATCH post-treatment drinking outcomes. J Stud Alcohol 58:7–29

    PubMed  Google Scholar 

  59. Helzer JE, Burnam A, McEvoy LT (1991) Alcohol abuse and dependence. In: Robins LN, Regier DA (eds) Psychiatric disorders in America: the epidemiologic catchment area study. Free Press, New York

  60. Kessler RC, Crum RM, Warner LA et al. (1997) Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Arch Gen Psychiatry 54:313–321

    CAS  PubMed  Google Scholar 

  61. Kessler RC, Nelson CB, McGonagle KA et al. (1996) The epidemiology of co-occurring addictive and mental disorders: implications for prevention and service utilization. Am J Orthopsychiatry 66:17–30

    CAS  PubMed  Google Scholar 

  62. Kessler RC (1995) The epidemiology of psychiatric co-morbidity. In: Tsuang M, Tohen M, Zahner G (eds) Textbook of psychiatric epidemiology. Wiley, New York

  63. Galbaud du Fort G, Newman SC, Bland RC (1993) Psychiatric comorbidity and treatment seeking. Sources of selection bias in the study of clinical populations. J Nerv Ment Dis 181:467–474

    PubMed  Google Scholar 

  64. Driessen M, Veltrup C, Wetterling T et al. (1998) Axis I and axis II co-morbidity in alcohol dependence and the two types of alcoholism. Alcohol Clin Exp Res 22(1):77–86

    CAS  PubMed  Google Scholar 

  65. Mattick RP, Oliphant DA, Bell J et al. (1996) Psychiatric morbidity in methadone maintenance patients: prevalence, effect on drug use and detection. In: Substance Use and Mental Illness: Proceedings of the Fourth Lingard Symposium. Newcastle Hunter Institute of Mental Health

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Baune, B.T., Arolt, V. Psychiatrische Epidemiologie und Bevölkerungsmedizin. Nervenarzt 76, 633–646 (2005). https://doi.org/10.1007/s00115-005-1922-9

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