A community study of emotional distress in Jerusalem.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to I Levav.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Most cases in epidemiologic surveys of community populations have never been treated by mental health professionals. We studied how community cases and patients may be similar or different with respect to their social functioning in such areas as work, marriage, and parenting. There are grounds for two contrasting hypotheses: the universal hypothesis (disorder is accompanied by disability independently of treatment status) and the patient-specific hypothesis (disorder is accompanied by disability only for cases who become patients). We investigated these hypotheses using data from symptom scales and social functioning scales that are part of the Psychiatric Epidemiology Research interview. The sample consisted of 205 adults from the general population and 204 psychiatric patients from Jerusalem. The results provided some support for each hypothesis depending on the types of symptoms and functioning and disorder involved; however, the relationship between symptoms and social functioning in patients as well as cases from the community was weaker than had been supposed.
General practitioners are important to the delivery of mental health care because they perform three important functions, as an identifier, as a referral agent and as a caregiver. This study investigates the importance of the attitudes G.P.s hold on their performance of two of these functions, screening and referring. Relying on items developed in previous investigations, four measures of attitudinal dimensions are developed using factor analysis: Belief in Psychogenesis, Psychiatric Fatalism, Referral Reluctance and G.P. as Caregiver. These attitude dimensions are then related to the functions of screening and referral. Three major findings emerge from the results. First, the attitudinal dimensions uncovered are empirically distinct, suggesting that no single pro-to-anti psychiatry is present. Second, attitudes play a role in the screening of cases. A G.P. is more likely to identify cases if he believes in the psychogenesis of physical disorders, and is not concerned that identification and referral will lead to negative consequences for the patient. Third and finally, attitudes do not play a strong role in the referral of cases once they have been identified as such. The findings are presented and interpreted by referring to the sensitive position G.P.s occupy between the public and the psychiatrist.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The authors explore the stress of war by reporting some selected epidemiological aspects of the psychiatric combat reactions among Israeli troops during a period of intensive hostilities in the Yom Kippur War of 1973. They examined the distribution of these casualties according to intensity of fire, age, rank, sociopsychological grading, and military assignment and measured treatment outcome at the end of the war and 18 months later.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Two shortened versions of the Cornell Medical Index (CMI) were tested for concurrent validity using two reference groups. Sensitivity, specificity and relative liability were computed and found to be of relatively low value. The usefulness of the questionnaires for screening the emotionally disturbed was found to be affected by respondents' sociodemographic characteristics such as age and sex and, in particular, educational level and ethnicity.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
This is a report on a psychiatric epidemiological census conducted in six Israeli villages. The method of case identification relied on data extracted from medical cards and the use of two shortened versions of the CMI. The results showed a distribution affected by sex, age, ethnicity, education, and "status consumer". A comparison with other Israeli studies is made.
Explore the source record for details and available documents.
Explore the source record for details and available documents.