The World Mental Health Composite International Diagnostic Interview
The World Mental Health Survey Initiative
National Comorbidity Survey
World Health Organization Health and Work Performance Questionaire
ICPE Studies
Table of Contents

I. EUROPE BELGIUM 1.1 Regional; Brabant Province; F. Baro, M.O. Wagenfeld
1.2 Regional; Ličge Province; M. Ansseau, J. Reggers
GERMANY 2.1 Regional; Munich; H.-U. Wittchen
NETHERLANDS 3.1 National; R. Bijl, G. van Zessen
NORTHERN IRELAND 4.1 Regional; Belfast; F.A. O'Neill
Pending Studies
II. ASIA ISRAEL 1.1 National; Y. Harel
JAPAN 2.1 Regional; Gifu Perfecture; N. Kawakami
TURKEY 3.1 National; C. Kilic; N. Kawakami
Pending Studies
III. AFRICA Pending Studies
IV. AUSTRALIA l.l National; G. Andrews
V. NORTH AMERICA CANADA 1.1 Regional; Ontario Province; D. Dewit, D. Offord
1.2 Regional; Toronto; R. Jay Turner
MEXICO 2.1 Regional; Mexico City; J.J. Caraveo-Anduago
2.2 Regional; Tialpan and Xochilmilco; M.E. Medina-Mora
PUERTO RICO 3.1 National; M. Alegria
3.2 Regional; San Juan; M. Alegria
USA 4.1. Regional; Fresno County, CA, Mexican Americans; S. Aguilar-Gaxiola, W.A. Vega, B. Kolody
4.2 Regional; Detroit, MI; N. Breslau
4.3 National; R. Kessler
4.4 Regional; Native Americans; S. Manson, J. Beals
4.5 Regional; Native American Vietnam Veterans; S. Manson, J. Beals, D. Gurley
4.6 Regional; Connecticut; K. Merikangas
4.7 Regional; Los Angeles, County, CA, Chinese Americans; D.T. Takeuchi
4.8 Regional; North Central, IA; R. Conger
VI. CENTRAL AND SOUTH AMERICA BRAZIL 1.1 Regional; Sao Paulo; L. Andrade
1.2 Regional; Vitoria; C. Viana
CHILE 2.1 Regional; Concepcion and Santiago; B. Vicente
COLOMBIA 3.1 National; I.D. Montoya


I. EUROPE

I.1.1.

Country of Study: Belgium
Representation: Regional, Flemish (Dutch-speaking) part of Brabant province, includes Brussels and Leuven. Possibility exists of a companion study in a Wallonian (French-speaking) area.
Name and Contact Information for P.I:. Franz Baro, M.D., Ph.D, UPC St. Kamillus, 3360 Bierbeek, Belgium, 32-16-452631 FAX: 32-16-463209 E-mail: in process

Morton O. Wagenfeld, Ph.D, Sociology, Western Michigan University, Kalamazoo, Ml 49008, (616)387-5292, FAX: (616)387-2882, E-mail: wagenfeld@wmich.edu

Sampling Design: As noted above, this will be a population-based survey (N=1200) in the Flemish (Dutch-speaking) part of Brabant province. A random sample will be drawn. Given the ethnic composition and urbanization, we do not plan any oversampling or exclusions. We will also be drawing a mental hospital sample. We anticipate using a single-stage survey employing face-to-face interviews.
Sample Size: 1200
Dates of Data Collection: March - September 1997
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used: UM-CIDI
Sections: Entire
Assessment: Lifetime

I.1.2

Country of Study: Belgium
Representation: Regional, Province of Liège
Name and Contact Information for P.I.: Pr. Marc Ansseau, MD, PhD, Professor and Chairman, Department of Psychiatry, University of Liège, CHU du Sart Tilman (B35), 4000 LIEGE, Belgium TEL: 32-04-366-79-603 FAX: 32-04-366-72-83 E-mail: marc.ansseau@chu.ulg.ac.be

Jean Reggers, Research Assistant, Department of Psychiatry, University of Liège, CHU du Sart Tilman (B35), 4000 LIEGE, Belgium TEL: 32-04-366-79-603 FAX: 32-04-366-72-83 E-mail: Jean.Reggers@ulg.ac.be

Sampling Design: This will be a population-based survey (n = ± 1,000) in the French (French-speaking) part of the province of Liège (n = ± 1,000,000). The survey will include non-institutionalized subjects aged from 15 years. A stratified probability cluster sample on sex, age and residential municipality will be drawn, taken from the state data base called Belgian Population National Register Data Base. The method will be based on mailed information sent to a wide sample. People would mail back their written agreement to participate. The first 1,000 responses will be used for the sample survey. The respondents will be interviewed face-to-face in their home.

The survey will include subjects aged from 15 years. In addition, persons over 45 will complete one instrument designed to detect dementia features: the Mattis Dementia Rating Scale (Monsch et al., 1995).

The psychosocial adaptation will be evaluated with the Social Adjustment Scale (Weissman & Paykel, 1974) and the quality of life with the SF-36 (Aaronson et al., 1992; McHorney et al., 1993). We will collect any professional treatment received by subjects who show psychiatric disorders.

Sample Size: 1000 
Dates of Data Collection: February-June 1997
Study Length/Timing: The study is a one-shot survey. Repeated contacts are being considered at this time.
Version of CIDI Used: CIDI 2.1 
Sections: CIDI 2.1 except sections on nicotine use disorder, somatoform and dissociative disorders, schizophrenia and other psychotic disorders, eating disorders, dementia, amnestic and other cognitive disorders. In fact, we will also use the sections about phobic and other anxiety disorders, depressive disorders and dysthymia, mania and bipolar affective disorder, alcohol use disorders, obsessive-compulsive disorder and posttraumatic stress disorder, and substance-related disorders.
Assessment: Lifetime, one-year and point.

I.2.1

Country of Study: Germany
Representation: Regional (City and Surroundings of Munich)
Name and Contact Information for P.I:. Professor Dr. Hans-Ulrich Wittchen, Max Planck Institut fur Psychiatrie, 10 Kraepelinstrasse Munchen 80804 Germany TEL: 49-89-30622-546/566 FAX: 49-89-30622-544 E-mail: wittchen@mpipsykl.mpg.de
Sampling Design: The study is called EDSP (Early Developmental Stages of Psychopathology Study), designed to produce data on the prevalence, risk factors, comorbidity and the course of mental disorders. The EDSP is prospective and includes three waves of investigations in approximately 15 months.
Sample Size: 3021 subjects, aged 14-25 were personally interviewed in wave 1. Data were collected in face-to-face, in-home interviews from a stratified, simple random sample of persons 14-24 years of age from the official population registry living in the greater Munich (rural and city) area. Since the younger age groups were small in the population distribution, persons 14-15 years of age were oversampled. The response rate of wave 1 was 71.1%. Additionally, partial information is available from 4% of subjects, who either did not complete the full interview or were so disturbed that no systematic inquiry could take place for various reasons.
Dates of Data Collection: March - June 1995
Study Length/Timing: Three waves in approximately 15 months
Version of CIDI Used: The CAPI version of M-CIDI
Sections: All
Assessment: Lifetime and twelve-month

I.3.1.

 
Country of Study:  Netherlands
Representation: National
Name and Contact Information for P.I.: Netherlands Mental Health Survey and Incidence Study (NEMESIS): Rob Bijl, Ph.D, Department of Crime Prevention and Sanctions, Research and Documentation Center (WODC), Ministry of Justice, P.O. Box 20301, 2500 EH The Hague, The Netherlands; TEL: 31 70 370 7768 , FAX: 31 70 370 7948 E-mail: r.v.bijl@minjus.nl
Sampling Design: In NEMESIS, one national random sample of adults (18-64 yrs) is interviewed three times: baseline in 1996, T1=baseline+12 months, T2=baseline+36 months. The sample is based on a sample of households within a sample of 90 municipalities (a multistage stratified random sampling procedure). Per household, one individual is interviewed (the one who most recently has his/her birthday). Age and severe language problems are the only exclusion criteria. There is no oversampling of certain groups. The CIDI 1.1 auto-version is administered in a face-to-face interview in the homes of the respondents. Each wave covers 11 months (February- December) to control for seasonal fluctuations. Non-responders are asked to fill in the GHQ-12. Measures are taken to catch selected respondents who are temporarily absent (hospital, detention, travel) later in the fieldwork year. Respondents are not paid. Only in cases where the interviewer feels the potential respondent cannot be convinced by arguments, money is offered (the equivalent of $30). For more information, see: Bijl, RV et al. (1998) The Netherlands Mental Health Survey and Incidence Study (NEMESIS): objectives and design. Soc Psychiatry Psychiatr Epidemiol 33:581-586.
Sample Size:  The baseline net sample size is 7147. Net sample size at T1 is 5618. The third wave is in 1999 (estimated response is 85%).
Dates of Data Collection:  First wave -- Feb-Dec. 1996, Second -- 1997, Third -- 1999.
Study Length/Timing: Prospective, three waves, as described above.
8. Version of CIDI Used:  CIDI 1.1 auto 
Sections: B (tobacco), C (somatoform, dissociative disorders), P (psychosexual) excluded. 
Assessment: First wave, lifetime. Second wave, twelve-month.

I.4.1.

Country of Study: Northern Ireland
Representation: Regional
Name and Contact Information for P.I.: Francis Anthony O'Neill, 21-23 Alexandra Gardens Belfast BT15 3LJ Northern Ireland 44 01232 773311 FAX: 44 01232 741342 E-mail: tony.oneill@qub.ac.uk
Sampling Design: The sample will be an epidemiologically derived subsample of North Belfast, taken from electoral registrar. There will be oversampling of areas exposed to civil violence over the last 25 years. The sample size aimed at is 3000 face-to-face interviews.
Sample Size: 3000.
Dates of Data Collection: October, 1996 - October, 1999.
Study Length/Timing: Initially once off interviews.
Version of CIDI Used: CIDI 2.1
Sections: Entire CIDI, with expanded emphasis on posttraumatic stress disorder.
Assessment: Lifetime and recent 

I.5 European Pending Studies

In addition to the above studies that are already included in the ICPE, we are in contact with groups in the Czech Republic, France, Italy, and Lithuania about additional surveys. The French and Italian surveys are already funded, while it is unclear whether funding will be available for Czech and Lithuanian surveys.

II. ASIA

II.1.1

Country of Study: Israel
Representation: National
Name and Contact Information for P.I.:  Yossi Harel, Ph.D. Director, Graduate Program in Medical Sociology Bar-Ilam University Ramat-Gan 52900 ISRAEL; TEL: 972-3-5318967, FAX: 972-3-6350995 E-mail: harelyo@ashur.cc.biu.ac.il
Sampling Design: A face-to-face interview with a representative sample of approximately 3,500 respondents will be carried out. We intend to use an ecological method to sample households. This method is based on the assumption that there is a relationship between living areas and socio-demographic characteristics of the population. Therefore, the ecological sampling is a stratum sampling method in which the criteria for the definition of a stratum are based on the characteristics of the place of residence of the individuals in the population: (1) Geographical area: the Jerusalem area, Beer-Sheva and the South, Tel- Aviv and the Central area of the country, Haifa and the North. (2) Type of place of residence (according to the Central Bureau of Statistics): Definition of the type of place of residence is determined by number of residents (large cities, rural villages, etc.). (3) Year of establishment (Before or after the establishment of the State of Israel in 1948). 

For sampling reasons, all the residential places in the country are divided into stratum that are defined by the interaction of these 3 characteristics. Each of the 4 large cities are considered as individual stratum. Each stratum in the sample is represented by the appropriate proportion of its weight in the population.

Sample Size:  3500
Dates of Data Collection:  Fall-Winter 1996/7
Study Length/Timing: Funds requested for first baseline survey. Intentions are to repeat periodically as a monitoring system.
Version of CIDI Used: CIDI 2.1
Sections:  Entire
Assessment: Lifetime and twelve-month

Note: Funding for the Israeli Survey is still pending final approval from the Ministry of Health.

II.2.1

 
Country of Study: Japan
Representation: Regional
Name and Contact Information for P.I.: Norito Kawakami, M.D., D.M.Sc., Okayama University Medical School, Department of Hygiene and Longevity Sciences, 700-8558,
Okayana, 2-5-1 Shikata-cho, Japan;
TEL: 81-58-267-2247 FAX: 81-58-265-9020 E-mail: norito@md.okayama-u.ac.jp
Sampling Design: A random sample will be selected from residents of an urban city in the Gifu Perfecture in Japan, using a voter's list. A simple random sampling from people aged 20+ or a stratified random sampling of the same number of people from those was used. An upper limit for the age range is not fixed. Face-to-face interviews were conducted at the homes of respondents. The final response rate was 57%.
Sample Size: 1030 respondents
Dates of Data Collection: August 1997-May 1999
Study Length/Timing: The study is a one-shot survey. A subsample of the respondents may be interviewed one or two years later.
Version of CIDI Used: UM-CIDI 1.1
Sections:  Generalized anxiety disorder, major depression, dysthymia, mania, and alcohol/drug dependence
Assessment: Lifetime 

II.3.1

Country of Study: Turkey
Representation:  National
Name and Contact Information for P.I.:  Cengiz Kilic, M.D., Assistant Professor of Psychiatry, Hacettepe University Medical School, Department of Psychiatry, Ankara, Turkey 06100 TEL: 90-312-3108693 FAX: 90-312-3101938 E-mail: hutfp_o@tr-net.net.tr 

This study is undertaken by the Ministry of Health. Dr. Kilic is the study director and an advisor to the ministry in the use and training of the CIDI and in the analysis of data and preparing a report of the results. The Ministry has approved Dr. Kilic's membership in the ICPE Consortium.

Sampling Design: The sample is a multistage, stratified, clustered probability sample. The total population was stratified using two criteria: region and size and type of settlement. 21 out of a total of 79 provinces were selected. Out of each province, district centers and villages were randomly selected and clusters of 20 households were again randomly selected among those selected settlements.
Sample Size: Total sample size is 4000 households; since we included adults in the study (ages 18 or over), the number of subjects are around 6095. The selection of settlements was based on the national census; for selection of clusters (households) household records kept by the Ministry of Health were used. These records are kept in the primary care units and updated every year, so they are quite sensitive to changes in the population under study. 

The interviewers were general practitioners practicing at primary care units in the selected centers. A total of 100 GPs were trained in Ankara in the use of CIDI 1.0 (a revised version of PPGHC version of WHO). The interviews were done face-to-face, at the selected house, interviewing every eligible adult in the household. No exclusion criteria were applied; those younger than 18 and those with serious communication problems (unable to express oneself or understand the questions) were excluded.

Dates of Data Collection: November 1995 - December 1996
Study Length/Timing: No additional interviews are planned.
Version of CIDI Used: WHO-CIDI 1.0. We added sections of social and simple phobia, eating disorders and OCD sections from CIDI 1.1.
Sections: Somatization, hypochondriasis, neurasthenia, current anxiety, panic/agoraphobia, social phobia, simple phobia, depression, eating disorders, alcohol use, obsessive compulsive disorder, memory.
Assessment: Lifetime for most. Twelve-Month -- Alcohol and Hypochondriasis. Last Month -- Anxiety and Neurasthenia. Last Month and Lifetime -- Depression and Somatization sections.

II.4 Asian Pending Studies

In addition to the above studies that are already included in the ICPE, we are working with groups in China and India and Dr. Kessler has been contacted by a group in Taiwan about additional surveys. However, none of these surveys is currently funded.

III. AFRICA

III.1 African Pending Studies

We have been in contact with groups in Morocco and South Africa about additional surveys and we are exploring opportunities for other surveys in Africa. However, neither of the two groups with whom we have been in contact is currently funded.

IV. AUSTRALIA

IV.1.1

Country of Study: Australia
Representation: National
Name and Contact Information for P.I.:  Professor Gavin Andrews 299 Forbes St., Darlinghurst, Sydney, NSW, Australia; TEL: 61 28 382 1720, FAX: 61 28 382 1721, E-mail: gavina@crufad.unsw.edu.au
Sampling Design: Household survey, cluster sampling, ages 18 plus, face to face CAPI.
Sample Size:  10,000
Dates of Data Collection: April - June 1997
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used:  CIDI 2.1
Sections:  Anxiety (D&K), depression, mania, alcohol, drugs, cognitive impairment if over 65, plus risk factors, neurasthenia, disablement, health service utilization, perceived health need, general symptoms, well-being.
Assessment: Twelve-month

V. NORTH AMERICA

V.1.1

Country of Study: Canada
Representation: Regional, Province of Ontario
Name and Contact Information for P.I.:  David J. DeWit, Ph.D, Social and Evaluation Research Dept., Addiction Research Foundation, The Gordon J. Mogenson Building, Suite 200, 100 Collip Circle, U.W.O. Research Park, London, Ontario N6G 4X8 (TEL: (519)858-5000 ext. 2004 FAX: (519)858-5199 E-Mail: ddewit@uwo.ca

Dr. David R. Offord, Director, Canadian Centre for Studies of Children at Risk, McMaster University and Hamilton Health Sciences Corporation, Patterson Building, Suite 2, PO Box 2000, Station APO Box 2000, Station A, Hamilton, Ontario L8N 3Z5 TEL: (905)521-2100 ext.77358, FAX: (905)574-6665 E-mail: offord@fhs.mcmaster.ca

Sampling Design: Ontario Mental Health Supplement Survey is a stratified, multi-state, area probability sample of the Ontario household population age 15 and over. Oversampling occurred for the age group 15 to 24. Excluded from the survey are residents of remote areas, aboriginals living on reserves, long-term patients of psychiatric institutions and inmates of correctional facilities. A response rate of 76.5% was achieved. Face-to-face interviews were conducted in the home.
Sample Size: 9953
Dates of Data Collection: December, 1990 to March, 1991
Study Length/Timing: The study is cross-sectional
Version of CIDI Used:  UM-CIDI, accompanying computer program.
Sections:  All
Assessment: Lifetime and twelve-month.

V.1.2

 
Country of Study: Canada
Representation: Regional, the Greater Toronto Metropolitan Area
Name and Contact Information for P.I.:  R. Jay Turner, Ph.D, Florida State University, 617 Bellamy Building,
Tallahassee, FL 32306;
TEL: (850)644-3108, FAX: (850)644-8818, E-mail: jturnerja@fsu.edu
Sampling Design: The sampling process was aided by a 1989 household enumeration conducted by Statistic Canada to develop a sampling frame for the Ontario Health Study. We were able to contract with Statistics Canada to draw for us a non-overlapping representative sample of dwellings in the Greater Toronto Area. They developed their sampling frame using a two-stage sampling method. At the first stage, 1986 Census Enumeration Areas (EAs) were selected proportional to size (in terms of the number of occupied dwellings). Selected EAs were then enumerated to obtain an up-to-date listing of addresses. A representative sample of addresses selected in proportion to their 1986 census population was provided. Specifically, we began with 3,415 dwelling addresses drawn from 59,518 dwellings contained within 200 enumerated EAs, sampled from a total of 3,088 EAs that comprised the six boroughs of the city of Toronto. Random selection of individuals from within sampled households was achieved utilizing the Kish method. 

The population surveyed was defined as all persons 18 to 55 years of age living in their principal residence, who were fluent in English, and physically and mentally capable of responding to the interview. Response rate: wave 1 -- 76%; wave II -- 87%.

Sample Size: N=1393 (wave II=1206)v
Dates of Data Collection: Wave I: October, 1990 - June, 1991, Wave II: October, 1991 - June, 1992
Study Length/Timing: Two waves of interviews spaced approximately one year apart.
Version of CIDI Used: UM-CIDI
Sections: Panic disorders, generalized anxiety disorder, dysthymia, major depression, alcohol abuse/dependence, drug abuse/dependence, and antisocial personality disorder.
Assessment: Lifetime and twelve-month assessment.

V.2.1

 
Country of Study: Mexico
Representation: Regional (Mexico City)
Name and Contact Information for P.I.: Jorge J. Caraveo-Anduaga, Psych, MPH Instituto Mexicano de Psiquiatria Division de Investigaciones Epidemiologicas y Sociales Calzada Mexico-Xochimilco, # 101 Sn. Lorenzo Huipulco. CP 14370, Mexico D.F. 52-5655-2811 ext. 154(voice) FAX: 52-5513-3446 or 655-0411 or 513-3309 E-mail: caraveoj@imp.edu.mx
Sampling Design: This is a household survey restricted to the Mexico City area, excluding the rest of the metropolitan area. The target population were adults aged 18 to 64 years old living permanently or temporarily in private dwellings in the 16 political division areas of the city. The sampling design was polietapic and stratified by sex and availability of mental health services in the political divisions of the city. Two domains were defined based on the existence of mental health services: 8 political divisions with them and 8 without them. 

The primary unit for sampling corresponded to the geostatistic basic area (AGEB) defined for the XI General Population and Household Census in 1990. Independently, in each domain 48 AGEBs were selected with proportional probability relative to the size defined as the number of dwellings in each AGEB in accordance to the 1990 census. Finally 96 urban AGEBs were selected. 

On the second sampling stage, for each selected AGEB a map showing numbered blocks of houses bounded on every side by a street was obtained; these represented the second unit for sampling within each selected AGEB. Six blocks were selected with equal probability from each AGEB, obtaining a total of 288 for each domain. 

A detailed sketch of each selected block was done clearly identifying private dwellings. These were grouped in segments of approximately 7 dwellings as a mean. These segments represented the third unit for sampling. A systematic sampling was carried out in order to select a total of 576 segments in each domain. The selection probability in the third stage results in a self-weighted segment sample within each domain. Also during the raising of the homes questionnaires, a census of all households within each selected segment was carried out; thus the selection probability of each household is equal to the segment obtaining a self-weighted sample within each domain. 

The last sampling stage selected one subject in each dwelling looking for an equal number of females and males within the selected dwellings. Values for factor expansion were obtained at the end of the field work. 

Also, during the interviews which were done face-to-face at the households by trained lay personnel, whenever the interviewed reported to have children between 4 and 16 years old, information was obtained about all of them; the Report Questionnaire for Children, and selected items from the CBCL-P were asked.

Sample Size: The sample size estimated to be representative of the population between 18-64 taking into account the correction factor of the design was 384 x 2=768. Nevertheless as precision was established for a 5% error, with parameters between 10% and 25% and 95% level of confidence for the four specific subgroups of the population (males and females, mental health services available or not), the corrected sample size was 3072. Considering 25% rate of non-response, the estimated sample size became around 4000.
Dates of Data Collection:  First phase -- April 10 - May 11, 1995. Second phase -- June 28 - October 31.
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used: Fresno-CIDI. Non-clinical sections incorporated NCS and GHQ-12.
Sections: Anxiety disorders, depressive disorders, mania, alcohol, drugs and medicines and health. Obsessions-compulsions adapted from WHO-CIDI 1.1.
Assessment: Lifetime and twelve-month.

V.2.2

Country of Study: Mexico
Representation: Regional
Name and Contact Information for P.I.: Maria Elena Medina-Mora Icaza (Head) Division of Epidemiology and Social Sciences Mexican Institute of Psychiatry Calzada Mexico Xochimilco N 101 San Lorenzo Huipulco Mexico, D.F.,14370 52-5655-28-11 ext. 152 FAX: 52-5513-34-46 E-mail: medinam@imp.edu.mx

Shoshana Baum Gorn (Assistant Research) Division of Epidemiology and Social Sciences Mexican Institute of Psychiatry Calzada Mexico Xochimilco N 101 San Lorenzo Huipulco Mexico, D.F.,14370 52-5655-28-11 ext. 198 FAX: 52-5513-34-46 E-mail: beren@cenids.ssa.gob.mx

Elsa K. Lopez Lugo (Assistant Research) Division of Epidemiology and Social Sciences Mexican Institute of Psychiatry Calzada Mexico Xochimilco N 101 San Lorenzo Huipulco Mexico, D.F.,14370 52-5655-28-11 ext. 156 FAX: 52-5513-34-46 E-mail: lopez@cenids.ssa.gob.mx

Sampling Design: Regional sample. The sample was selected on random basis; thus every member of the population has an equal chance of appearing in the sample. The steps of the sampling were as follows: 1. Selection of the neighborhoods or localities to be included in the study. The zones near the Mexican Institute of Psychiatry which fulfilled the selection criteria of economic income were detected through census data. The selected neighborhoods are in Tialpan: Isidro Fabela, San Pedro Martir and Topilejo; in Xochimilco: San Marcos and San Pedro. 2. Within each neighborhood 50 blocks were selected through systematic sampling. The selection was independent for each zone. An average of 6 households per block were selected and one person from 15 to 80 years old from each household was interviewed.
Sample Size: 1486
Dates of Data Collection:  October 16, 1995 to December 8, 1995
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used: CIDI version 1.1
Sections: Panic disorder, generalized anxiety disorder, phobic disorders, major depression and dysthymia, manic episode, schizophrenic and schizophreniform disorders.
Assessment: Lifetime
 

V.3.1

 
Country of Study: Puerto Rico
Representation: National
Name and Contact Information for P.I.: Dr. Margarita Alegria, Cambridge Health Alliance, 120 Beacon Street, 4th floor, Somerville, MA 02143, TEL: 617 503 8447,
FAX 617 503 8430,
E-mail: malegria@charesearch.org
Sampling Design: Three waves of data were collected on a random sample of adults (ages 18-69 in 1992) living in low-income areas of Puerto Rico. A multistage probability sample was designed to be large enough to permit precise estimates of the prevalence of common mental disorders and the utilization of mental health services. The sampling frame consists of clusters of housing units identified in the Census of Population and Housing Segments, selected from areas identified as poor by the Puerto Rico Department of Labor and Human Resources. After all eligible adults were enumerated in a household, one was selected using standard Kish Selection methods. The study achieved a 90.6% interview rate, which yielded 3,504 completed interviews at baseline (1992-1993). The next two waves of data collection were based on the 3,504 individuals interviewed in Wave I. The study team also attempted to re-interview 67 individuals who were not contacted in Wave I. In Wave II, a total of 3,263 were re-interviewed, for a response rate of 92.2%, after excluding Wave I loss to follow-up and deaths. In Wave III, a total of 2,928 individuals were re-interviewed. Again those individuals who were not at home or lost in Wave II, along with selected not at homes and lost in Wave I, were targeted for re-interview. This yielded an overall response rate for the three waves of 81.5% after excluding deaths.
Sample Size: 3,504 (Wave I); 3,263 (Wave II); 2,928 (Wave III)
Dates of Data Collection: Wave I: 10/1992-6/1993; Wave II: 10/1993- 6/1994; Wave III: 6/1996-3/1998
Study Length/Timing: Repeated contacts
Version of CIDI Used: CIDI 1.0
Sections: Major depression, dysthymia, alcohol abuse/dependence.
Assessment: Lifetime and twelve-month 

V.3.2

Country of Study:  Puerto Rico
Representation: Regional
Name and Contact Information for P.I.:  Dr. Margarita Alegria, Cambridge Health Alliance, 120 Beacon Street, 4th floor, Somerville, MA 02143, TEL: 617 503 8447,
FAX 617 503 8430,
E-mail: malegria@charesearch.org
Sampling Design: The study is a longitudinal research project of drug and non-drug using inner city women. Women were interviewed at baseline (T1) and at two follow-ups (T2, T3) with 12 months between data collection periods. Data collection for T3 is in progress. The sample design for the study includes two groups of women ages 18-34: a sample of drug purchasers or users in copping areas and a community sample from blocks containing the copping areas. A sample of female drug users were selected from among drug purchasers or users at copping areas (specific points within the communities where drugs are sold and where related services are provided to drug users) in the San Juan Metropolitan Area (775 sq. miles). Since several studies suggest that the lifetime prevalence of drug use among women of the general population seems to be low, 4.8% (Canino et al.,1993), copping areas are places where recruiting female drug users will be more efficient.

The identification of copping areas for the selection of women who use crack/cocaine or injecting drugs was based on a sampling frame developed by Robles, Colón and Freeman (1993). This method required the development of controlled lists of specific points within metropolitan San Juan where drugs are sold, such as crack houses, shooting galleries, and spots where needles and other drug equipment can be purchased.

A list of 64 copping areas in the inner city low-income communities (public housing and slum areas) of the municipalities of San Juan, Bayamón, Carolina, Cataño, Guaynabo, and Trujillo Alto were identified. We randomly selected one copping area without replacement per week for a maximum of 4 to 5 copping areas per month. In cases when the selected areas were impacted by police operations, and because of the threat this represented to our personnel, we randomly selected a different area. The recruitment at each copping area depended on the operational hours that the dealers in these areas worked; it was not a random time or day. This way we were able to recruit the female costumers at these copping areas more conveniently. Ten to twelve entry moments were chosen per month for each copping area. A maximum of 15 women from one copping area were recruited per week. The interview process for Wave I ended with a drug-user sample of 276 participants and an overall response rate of 81.4%.

We also obtained a community sample of women (n=443) who were similar in socioeconomic characteristics to the drug users. To achieve this we selected our samples from the blocks containing the copping areas. We selected the census blocks containing the copping areas already identified and prepared a list of all housing units within that block. All housing units in the blocks of the copping areas were listed using standard listing techniques previously used in our studies. At each household, an adult female was contacted and told the purpose of the project. Information about eligible respondents in the household was obtained. Only one woman per household was selected. If there was a household with more than one eligible woman, the Kish (Kish, 1965) random probability selection table was used. Our community sampling design was based on high risk areas. Data was collected by a face-to-face interview.

Sample Size: 719 women ages 18-34
Dates of Data Collection: 5/1997-7/1998; 7/1998-7/1999; 8/1999-present
Study Length/Timing: Repeated contacts
Version of CIDI Used: CIDI 2.1
Sections: Major depression, dysthymia, drug abuse/dependence.
Assessment: Lifetime and twelve-month

V.4.1

 
Country of Study: USA
Representation: Regional, Fresno County, California
Name and Contact Information for P.I.: William A. Vega, Ph.D. Professor of Psychiatry, Robert Wood Johnson Medical School, UMDNJ, 335 George Street, Liberty Plaza, 3rd floor, New Brunswick, NJ 08901; TEL: 732 235 9281, FAX 732 235 9293, E-mail: vegawa@cmhc.umdnj.edu

Sergio Aguilar-Gaxiola, M.D., Ph.D., Professor of Internal Medicine and Director, University of California -- Davis, CRISP Building, 2921 Stockton Blvd., Suite 1400, Sacremento, CA 95835; TEL 916 703 9114, FAX 916 703 9116, E-mail: sergio.aguilar-gaxiola@ucdmc.ucdavis.edu

Sampling Design: The MHUMA project includes a comprehensive household survey of mental health services utilization patterns and prevalence rates of 15 mental disorders in a sample of N = 4,000 rural and urban Mexican American and Mexican origin adults between 18 and 59 years of age who are residing in Fresno County, California. The study is using a multi-stage, stratified, probability cluster sample which provides complete coverage of the Mexican American and Mexican origin community population of Fresno County (N=667,500). The sample is stratified on place of residence and sex and is being drawn from four strata: urban males (N=500) and females (N=500); town/village males (N=500) and females (N=500); rural males (N=500) and females (N=500); and, seasonally-employed farm migrant males (N=500) and females (N=500). 

The study involves face-to-face interviews primarily conducted in the homes of respondents. Data collection is currently underway and will be completed in March, 1997. A preliminary estimate of the designated respondent response rate for the urban stratum is 88%. Since data collection is still underway, response rates for the other strata are unavailable.

Sample Size: 4000
Dates of Data Collection: May, 1995 - March, 1997.
Study Length/Timing: The study is a one-shot survey. Repeated contacts are being considered at this time.
Version of CIDI Used:  CIDI-Fresno version, adapted UM-CIDI tailored for use in Mexican Americans and Mexican origin adults.
Sections: Mood disorders (major depressive episode, manic episode, dysthymia); anxiety disorders (panic, agoraphobia, social phobia, simple phobia, generalized anxiety disorder); substance use disorders (alcohol abuse, alcohol dependence, drug abuse, drug dependence); nonaffective psychosis; and somatization disorder. In addition, and similar to the NCS study, the MHUMA study includes antisocial personality disorder.
Assessment: Lifetime and twelve-month.

V.4.2

Country of Study: USA
Representation: Regional, Detroit, MI
Name and Contact Information for P.I.:  Naomi Breslau, Department of Epidemiology, Michigan State University, 4660 Hagadom Road, East Lansing, MI, 48823, TEL 517 353 8623, E-mail: breslau@epi.msu.edu
Sampling Design: A sample identified by a RDD survey of 4500 persons, 25-55 years of age, from the tri-county Detroit area. A stratified sample will be selected on the basis of information from the larger survey: 500 with history of migraine headache, 350 with history of other severe headache, and 500 controls.
Sample Size: 1350
Dates of Data Collection:  June, 1996 - May, 1997; June 1998 - May, 1999 
Study Length/Timing: The study is prospective, 2 waves.
Version of CIDI Used:  UM-CIDI 2.0
Sections: All
Assessment: Lifetime and twelve-month

V.4.3

 
Country of Study: USA
Representation:  National
Name and Contact Information for P.I.: Ronald C. Kessler, Ph.D. Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115-5899 (617) 432-3587 FAX: (617) 432-3588 E-mail: kessler@hcp.med.harvard.edu
Sampling Design: The NCS is a nationally representative probability survey of the U.S. household population in the age range 15-54 in the coterminous U.S. The survey was designed to study the prevalence and correlates of DSM-III-R disorders and patterns and correlates of service utilization for these disorders. The NCS was fielded in September, 1990 and completed in March, 1992. A total of 8098 respondents were interviewed during the time interval face-to-face in their homes. The response rate was 82.4%. The same was highly dispersed, with over 1000 sampling segments (equivalent blocks) in 174 Counties in 34 States. The survey featured a supplemental sample of students living in campus group housing and a nonrespondent survey. A great many publications from the NCS exist. A complete list of NCS publications, study documentation and interview schedules can be obtained directly from the NCS Home Page by using the URL: http://www.hcp.med.harvard.edu./ncs/. A public use NCS data file can also be reached through: http://www.icpsr.umich.edu/org.
Sample Size: 8098
Dates of Data Collection: Fall, 1990 to Spring, 1992
Study Length/Timing: Cross-sectional survey, with plans for a ten-year reinterview survey and a new cross-sectional survey in the year 2000.
Version of CIDI Used: UM-CIDI
Sections: All
Assessment: Lifetime and recent
 

V.4.4

Country of Study: USA
Representation: Regional -- American Indian (ages 15 - 54), Northern Plains and Southwest
Name and Contact Information for P.I.: Spero Manson and Jan Beals, National Center for American Indian and Alaska Native Mental Health Research, P.O. Box A011-13, 4455 East Twelfth St., Denver, CO 80220 Spero: TEL: (303)372-3232 FAX: (303)372-3579 E-mail: spero.manson@uchsc.edu; Jan: TEL: (303)372-3229 FAX: (303)372-3579 E-mail: jan.beals@uchsc.edu
Sampling Design: The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Fractors Project (AI--SUPERPFP) was designed to allow comparisons to the National Comorbidity Study (Kessler, et al., 1995) and represents the first comprehensive psychiatric epidemiology study with well-defined community-based samples of American Indians. 

The SUPERPFP sample will be based on tribal enrollment records of two tribal groups in the Western United States (Northern Plains and Southwest). From the tribal enrollment records, random samples of those between the ages of 15 and 54 will be selected for location and interview. Once selected for interview, potential respondents are located and recruited to participate in the interview. The interviews are conducted face-to-face by lay interviewers with computer-assisted interviewing techniques.

In addition to the lay interview, approximately 10% of the samples are being reinterviewd using the SCID. The clinical sample is comprised of about 100 with a CIDI diagnosis of alcohol dependence, 100 with PTSD, 100 with depression/dysthymia, and about 100 with no diagnosis but a range of symptoms.

Furthermore, approximately 96 are being interviewed by ethnographers to assess the cultural validity to DSM diagnoses and to articulate local idioms of distress and hierarchies of resort.

Sample Size: 3200 (1600 Northern Plains + 1600 Southwest)
Dates of Data Collection: 1997-1999
Study Length/Timing: Cross-sectional interview
Version of CIDI Used: UM-CIDI adapted for use in Indian communities.
Sections: Major depression, dysthymia, generalized anxiety disorder, panic disorder, posttraumatic stress disorder, alcohol and drug dependence and abuse, antisocial personality disorder.
Assessment: Both lifetime and twelve-month assessment.

V.4.5

Country of Study: USA
Representation: Regional, American Indian Vietnam Theater Veterans, Northern Plains and Southwestern
Name and Contact Information for P.I.:  Spero Manson and Jan Beals, National Center for American Indian & Alaska Native Mental Health Research, P.O. Box A011-13 4455 East Twelfth St., Denver, CO 80220 TEL: (303)372-3232 FAX: (303)372-3579 E-mail: spero.manson@uchsc.edu E-mail: jan.beals@uchsc.edu
Sampling Design: The American Indian Vietnam Veterans Project (AIVVP) was designed as a replication of the National Vietnam Veterans Readjustment Study (NVVRS) (Kulka et al., 1990). In the earlier effort, higher rates of PTSD found for Hispanics, and to a lesser degree for Blacks, when compared to Whites led to increased services for Hispanic and Black veterans. AIVVP was part of a congressionally-mandated effort to collect data on other, high risk ethnic minority veterans. 

The AIVVP sample was based on tribal enrollment records of four tribes in the Western United States (3 from the Northern Plains and 1 from the Southwest). From the tribal enrollment records, men were located and veteran status was determined. The sample was restricted to: 1) male, 2) tribal members, 3) who served in or around Vietnam between 1964 and 1975 and, 4) who were currently living on or near their reservations. In order to insure sufficient power to make comparisons in PTSD prevalence to the NVVRS, a target sample size for each tribe of 300 was set. In the Northern Plains group this implied that all living male Vietnam theater veterans were to be located and interviewed; in the Southwest the sample of 300 represented between 10% and 15% of eligible theater veterans. 

Random samples of living men born between 1930 and 1958 (which, based on the NVVRS, encompasses over 95% of men serving in Vietnam) were selected from the tribal enrollment records. Wherever possible, secondary data sources such as state and regional veteran records were used to identify those most likely to be Vietnam theater veterans- however, veteran status and current locale of residence were determined for every man selected from the rolls. Location rates at this phase were in excess of 90%. Once eligible, veterans were located, and recruitment was initiated by local Vietnam veterans. Once the veteran agreed to participate, a lay interview (with a non-Vietnam veteran) was conducted. The recruitment rate for eligible participants who were successfully located also exceeded 90%, yielding an overall response rate of over 80%.

Sample Size:  621 (305 Northern Plains, 316 Southwest)
Dates of Data Collection: April 1993 - January 1995
Study Length/Timing: Cross-sectional interview
Version of CIDI Used: UM-CIDI adapted for use in Indian communities. 
Sections: Entire except for mania and psychotic screen.
Assessment: Lifetime and twelve-month assessment.

V.4.6

 
Country of Study: USA
Representation: Regional, Connecticut
Name and Contact Information for P.I.:  Kathleen Ries Merikangas, National Institute of Mental Health, 15K North Drive, MSC #2670, Bethesda, MD 20892-2670; TEL 301 496 2536, FAX 301 480 2915
E-mail: kathleen.merikangas@nih.gov
Sampling Design: The key features of the sample design include a family study methodology, (incorporating the effects of biological/genetic vulnerability and the role of familial environment in conferring protection or enhancement of vulnerability), a high risk sample (to maximize the probability of incident and prevalent cases of emotional and behavioral problems in children), and a longitudinal component (to elucidate the direction of the effects of risk and protective factors on drug abuse and psychopathology). The sample of 150 probands self- identified as "African American" or "Black," with offspring between the ages of 8 and 17 years, will be recruited from 2 sources: treatment facilities and the community. The total sample will be comprised of 100 African American probands with a lifetime history of substance abuse/dependence, and 50 African American controls (with affective disorder, anxiety disorder, and abuse/dependence). The regional sample sites will be located in the following urban communities in CT: Hartford, Bridgeport, Waterbury, New Haven. Affected probands, with alcoholism, drug abuse, and anxiety/affective disorders will be groups targeted for oversampling within the treatment sample. The community sample will be used as the base sample, comprised of 50 cases with alcoholism/drug abuse, and 50 psychiatric and normal controls. This sample will be screened, via household survey, from selected neighborhoods (using census tracts) with sociodemographic characteristics comparable to those of the aggregate group of probands enrolled from the treatment settings. Offspring will also receive a face-to-face interview at the initiation of the study and be followed at 2-year intervals.
Sample Size: 497; 347 total relatives, 150 probands; (88 spouses, 22 ex-spouses; 29 offspring>17, 120 offspring <17)
Dates of Data Collection: September, 1996 - September, 2000
Study Length/Timing: The study is repeated interviews at 2-year intervals
Version of CIDI Used: UM-CIDI and 2.0
Sections: All
Assessment: Lifetime and recent

V.4.7

Country of Study: USA
Representation: Regional, Los Angeles County
Name and Contact Information for P.I.: David T. Takeuchi, Ph.D, University of Washington, Department of Social Work, Box 354900, 4101 15th Avenue, NE, Seattle, WA 98195; TEL 206 546 5133, FAX 206 221 1228, E-mail: dt5@u.washington.edu
Sampling Design: The first wave of the Chinese American Psychiatric Epidemiological Study (CAPES) was conducted in Los Angeles County census tracts with at least 6% Chinese-Americans, according to the 1990 U.S. census data. Based on this criteria, a total of 36 census tracts were included in the study that ranged from 6 to 72% Chinese-American. Respondents were selected using a multi-stage sampling design. Within each census tract, 6 to 12 logical blocks were randomly selected, and within each eligible household, one eligible member was randomly selected. Eligible respondents ranged in age from 18 through 65. A total of 16,916 households were visited and screened in order to obtain 1,747 completed interviews. The response rate was 82%. Wave 2 consisted of a follow-up survey initiated 15 months after the first interview.
Sample Size: 1747 for Wave I and 1503 for Wave 2.
Dates of Data Collection: April 1993-August 1994; July 1994-December 1995.
Study Length/Timing: Two-waves of data collection, 15 months apart, 60% of the measures were repeated.
Version of CIDI Used: UM-CIDI mostly, CIDI 1.0 for alcohol
Sections: Affective and anxiety disorders sections, and the alcohol section.
Assessment: Lifetime and twelve-month

V.4.8

Country of Study: USA
Representation: Regional
Name and Contact Information for P.I.:  Rand Conger, Professor, Department of Sociology, Iowa State University Ames, IA 50011 (515) 294-8599 FAX: (515) 294-3613 E-mail: RCONGER@IASTATE.EDU
Sampling Design: The sample includes approximately 500 rural youth ranging from 18 to 20 years of age. Participants come from one of eight counties in North Central Iowa. All subjects come from rural places with a population of 6,500 or less. Interviews were conducted in-person using the UM-CIDI. All subjects were white as this is the only ethnic group with any significant representation in this area of Iowa. Subjects were drawn from the cohort of all children attending the seventh grade in the selected counties in 1989. They were first interviewed in 1989 and followed through 1994 when the CIDI was first administered. Original recruitment success was 78%, 90% of the subjects continue in the sample.
Sample Size: 500
Dates of Data Collection: Winter/Spring 1994 for CIDI, information on carrier functioning 1989-1993
Study Length/Timing: Repeated interviews are planned with the CIDI
Version of CIDI Used: UM-CIDI
Sections: Anxiety disorders, depressive and dysthymic disorders, alcohol disorders, and antisocial personality disorder.
Assessment: Lifetime and twelve-month 

VI. CENTRAL AND SOUTH AMERICA

VI.1.1

 
Country of Study: Brazil
Representation: Regional
Name and Contact Information for P.I.: Laura Andrade, M.D., Ph.D., Instituto de Psiquiatria, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Rua Dr Ovida Pires de Campos, Caixa Postal 8091, CEP 05403-010, Sao Paulo, Brazil; TEL: 55-11-387-28649, FAX: 55-11-386-59062, E-mail: lhsgandr@usp.br
Sampling Design: Regional sample (catchment area of a university-based hospital) in Sao Paulo. Household survey, with an oversampling of 18-25 year and old ages subjects (more than 65 years old). No restrictions in age or ethnic groups. Face to face interviews in the home of respondents. One-stage survey. Clinical reassessment using SCAN (Schedule for Clinical Assessment in Neuropsychiatry) in 395 subjects. Response rate of 76.8%.
Sample Size: 1464
Dates of Data Collection: 12/1994 - 3/1996
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used: CIDI 1.1
Sections: Entire
Assessment: Lifetime, twelve- and one-month

VI.1.2

Country of Study: Brazil
Representation: Regional, Vitoria
Name and Contact Information for P.I.: Carmen Viana, Ph.D., Departmento de Medicina Social, Universidade Federal do Espirito Santo, Ave. Marechal Campos, 1468 29040-091 Vitoria, ES-Brazil, TEL: 55-27-333-43565, FAX: 55-27-322-56654, E-mail mcviana@uol.com.br
Sampling Design: A community sample of Vitoria
Sample Size: 1000
Dates of Data Collection:  September - December 1997.
Study Length/Timing: This is a one-shot needs assessment survey.
Version of CIDI Used: CIDI 2.1
Sections: All
Assessment: Lifetime, twelve-month and point

VI.2.1

Country of Study: Chile
Representation: Regional
Name and Contact Information for P.I.: Benjamin Vicente, M.D,. Ph.D,. University of Concepcion, Department of Psychiatry and Mental Health, Casilla 160-C Concepcion, - Chile, TEL: 56 41 20 4299, FAX: 56 41 31 27 99, E-mail: bvicente@mail.udec.cl
Sampling Design: Both studies (Concepcion and Santiago) covered samples of regional representation. We undertook a household survey excluding people in institutions, no oversampling was considered. The sample covered urban and rural population aged 15 and more. The interviews were made face-to-face in the homes of respondents, no screening was used. Response rate: 86.5% in Concepcion and 90.86% Santiago.
Sample Size: Concepcion 800, Santiago 1,363.
Dates of Data Collection: Concepcion, 1990-1991; Santiago 1992-1993.
Study Length/Timing: We hope to revisit Concepcion sample if funding is available.
Version of CIDI Used: CIDI 1.0
Sections: CIDI 1.0 without sections on eating disorders and obsessive compulsive disorders. Added two sections from DIS: antisocial personality disorder and posttraumatic stress disorder and utilization of health services.
Assessment: Lifetime 

VI.3.1

Country of Study: Colombia
Representation: National
Name and Contact Information for P.I.: Ivan D. Montoya, M.D., M.P.H,. Clinical Director, Medications Research Grants Branch (MRGB), Division of Pharmacotherapies & Medical Consequences of Drug Abuse, National Institute on Drug Abuse, 6001 Executive Boulevard, Room 4123, MSC 9551, Bethesda, MD 20892-9551; TEL: 301-443-1428, FAX: 301-443-2599, E-mail: imontoya@mail.nih.gov
Sampling Design: The study is currently in the data collection phase. It includes a sample of 14,654 individuals, representative of the country and each state. 12 years and older. Subjects are being interviewed face-to-face in their homes. 

The study also has a sample of 1,067 individuals residing in mental health institutions and gerontology centers. They are also interviewed face-to-face at their place of residence.

Sample Size: Total sample size: 15,721 The sample size was calculated based on the prevalence of mental disorders of 10.2% found in the First National Mental Health Study conducted in 1993. The maximum error is 2.25% with 95% confidence intervals.
Dates of Data Collection:  Data collection will continue until September, 1996.
Study Length/Timing: The study is a one-shot survey.
Version of CIDI Used: CIDI-2 in Spanish, adapted to Colombia.
Sections: Substance abuse section was excluded.
Assessment: Lifetime and twelve-month assessments are being done.