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Continuities in community-based psychiatric epidemiology

J M Murphy

    Archives of General Psychiatry
    |November 1, 1980
    PubMed
    Summary

    In 1952, the Stirling County Study found 20% of the population needed psychiatric care. Updated methods, inspired by DSM-III, allow continued study of mental health in the community.

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    Area of Science:

    • Psychiatry
    • Epidemiology
    • Community Mental Health

    Background:

    • The Stirling County Study, initiated in 1952, utilized the Diagnostic and Statistical Manual of Mental Disorders, Version I (DSM-I) to assess psychiatric needs in a general population.
    • Early epidemiological research adapted DSM-I, addressing community-specific needs and highlighting limitations later addressed in subsequent diagnostic manuals.

    Purpose of the Study:

    • To evaluate the enduring relevance of the 1952 Stirling County Study's epidemiological framework.
    • To propose an updated research model for Stirling County, integrating advancements from the Diagnostic and Statistical Manual of Mental Disorders, Version III (DSM-III).

    Main Methods:

    • Re-evaluation of 1952 data using adapted DSM-I criteria for community-based epidemiology.
    • Comparison of early study methodologies with the framework provided by DSM-III.

    Main Results:

    • The 1952 study estimated 20% of the general population required psychiatric attention.
    • Adaptations made to DSM-I for the Stirling County Study demonstrated foresight, with similarities to later DSM-III features.

    Conclusions:

    • The foundational approach of the 1952 Stirling County Study remains relevant for contemporary mental health research.
    • Adopting a DSM-III-informed framework can enhance future longitudinal and population-based studies in Stirling County, ensuring continuity with historical data.

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