Social and Economic Factors in Late-Life Depression

晚年抑郁症的社会和经济因素

• 批准号: 6359761
• 负责人: Jeffrey S Harman
• 金额: $ 7.49万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-18 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6359761
• 关键词: behavioral /social science research tag; clinical depression; clinical research; counseling; data collection methodology /evaluation; functional ability; health care policy; health care service utilization; health economics; health insurance; health services research tag; health surveys; human data; human old age (65+); human subject; interview; mental disorder chemotherapy; mental health information system; mental health services; population survey; psychotherapy; quality of life; social status; social support network; socioeconomics

DESCRIPTION (provided by applicant): Although health care for older persons is a major policy concern and the impact of depression on social and physical functioning, quality of life, and health care costs for elderly persons is severe, and effective treatments for depression exist, under-treatment and non-treatment is common. More needs to be known about the factors associated with the use of mental health services by elderly persons, yet there are very few researchers examining these issues. In addition, the data that are currently available for analyses were not designed for geriatric mental health services research, and all have significant limitations for this type of research. The applicant has a strong background of academic and research training in health economics, statistics, econometrics, health policy, and utilization of mental health services, but needs further training to become an effective geriatric mental health services researcher. The applicant is requesting. five years of funding through the Mentored Career Development Award (KO 1) program to improve his knowledge of geriatric psychiatry and medical sociology and obtain methodological skills in survey design and administration to become a geriatric mental health services researcher. These activities will take place within the NIMH supported Intervention Research Center for Late-Life Mood Disorders at the University of Pittsburgh, with Charles F. Reynolds serving as mentor, and Linda George, Martha Bruce, Herbert C. Schulberg, Judy Lage, Richard Schulz, and Scott Beach serving as consultants. The applicant will then use this training to create a pilot database, combining survey and claims data, that can be used to examine the relative role of social and economic factors on the utilization of mental health services for the treatment of late-life depression. By determining the relative role of social and economic factors on the use of mental health services by elderly persons, health policy and other interventions can be designed that can improve rates of recognition and treatment of depression in this population. The research plan for this award involves the collection of pilot survey data that will be linked to Medicare HMO encounter data. The survey will collect information on economic and social factors related to the use of mental health services, as well as information on mental and physical health status, physical functioning, and medical and psychiatric history. This survey data will then be linked to respondents' HMO encounter data. Information from this pilot database, such as reliability and validity of measures, response rates, and effect sizes, will be used to develop an RO1 application to create a large, longitudinal, and comprehensive database that can be used for geriatric mental health services research.

描述（由申请人提供）：虽然老年人的医疗保健是 主要政策关注点以及抑郁症对社会和身体的影响 老年人的功能、生活质量和医疗保健费用 存在严重且有效的抑郁症治疗方法，但治疗不足和 不治疗是很常见的。需要更多地了解相关因素 随着老年人使用心理健康服务，但仍存在很多问题 很少有研究人员研究这些问题。此外，数据是 目前可用于的分析并非针对老年心理健康而设计 服务研究，并且对于此类研究都有很大的局限性 研究。申请人具有较强的学术和研究背景 卫生经济学、统计学、计量经济学、卫生政策等方面的培训 利用心理健康服务，但需要进一步培训才能成为 有效的老年心理健康服务研究员。申请人是 要求。通过指导职业发展奖提供五年资助 (KO 1) 提高老年精神病学和医学知识的计划 社会学并获得调查设计和管理的方法技能 成为一名老年心理健康服务研究员。这些活动将 在 NIMH 支持的晚年干预研究中心内进行 匹兹堡大学的情绪障碍，与查尔斯·雷诺兹 (Charles F. Reynolds) 合作 担任导师，还有 Linda George、Martha Bruce、Herbert C. Schulberg、Judy Lage、Richard Schulz 和 Scott Beach 担任顾问。申请人 然后将利用这次培训创建一个试点数据库，结合调查和 索赔数据，可用于检查社会和 影响利用精神卫生服务进行治疗的经济因素 晚年抑郁症。通过确定社会和社会的相对作用 影响老年人使用心理健康服务的经济因素， 可以设计能够提高患病率的卫生政策和其他干预措施 对这一人群中抑郁症的认识和治疗。研究计划 该奖项涉及收集将链接起来的试点调查数据 医疗保险 HMO 遭遇数据。该调查将收集有关经济的信息 与使用心理健康服务相关的社会因素，以及 有关精神和身体健康状况、身体机能的信息，以及 病史和精神病史。该调查数据随后将链接到 受访者的 HMO 遭遇数据。来自该试点数据库的信息，例如 措施的可靠性和有效性、响应率和效果大小将 用于开发 RO1 应用程序来创建大型、纵向和 可用于老年心理健康服务的综合数据库 研究。