One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population
Objective: To examine the incidence of psychiatric disorders in the Quebec older adult population. Method: Data from the Enquěte sur la Santé des Aînés (ESA) study conducted in 2005 to 2008 using a representative sample (n = 2784) of community-dwelling adults aged 65 years and older were used. Resul...
Gespeichert in:
| Veröffentlicht in: | Canadian journal of psychiatry 2010-07, Vol.55 (7), p.449-457 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 457 |
|---|---|
| container_issue | 7 |
| container_start_page | 449 |
| container_title | Canadian journal of psychiatry |
| container_volume | 55 |
| creator | Préville, Michel Boyer, Richard Vasiliadis, Helen-Maria Grenier, Sébastien Voyer, Philippe Hudon, Carol Streiner, David L Cairney, John Brassard, Joëlle |
| description | Objective:
To examine the incidence of psychiatric disorders in the Quebec older adult population.
Method:
Data from the Enquěte sur la Santé des Aînés (ESA) study conducted in 2005 to 2008 using a representative sample (n = 2784) of community-dwelling adults aged 65 years and older were used.
Results:
The ESA study's results indicate that 12.0% of the respondents met the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, criteria for depression, mania, anxiety disorders, or benzodiazepine drug dependency at the baseline interview. Our results also indicate that the 12-month rate of incident cases of DSM-IV disorders was 6.2%. The proportion of incident cases was higher for the depression group (3.4%) than for the anxiety disorders group (2.3%). The results showed that the probability to develop an incident psychiatric condition after 1 year of follow-up, compared with the noncases group, varied according to sex (OR 2.18; 95% CI 1.39 to 3.44). Our results also showed that the number of chronic health problems (OR 1.20; 95% CI 1.09 to 1.33) and the change in the number of chronic health problems reported between the baseline and the second interview (OR 1.14; 95% CI 1.01 to 1.30) increased the probability to be an incident case at Time 2. The results indicated that social support did not influence the probability to develop a psychiatric disorder.
Conclusion:
These results indicate that sex and physical health status have an impact on the incidence of DSM-IV disorders in the elderly. This finding underscores the need for improved recognition and treatment of psychiatric disorders associated with physical illness in the older population. |
| doi_str_mv | 10.1177/070674371005500708 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_748946826</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_070674371005500708</sage_id><sourcerecordid>748946826</sourcerecordid><originalsourceid>FETCH-LOGICAL-c443t-21aadca3cd2fc2f31d42cfb630d9f1274847b0bc1f632ea79453eefd17086b7b3</originalsourceid><addsrcrecordid>eNp90E1LwzAYB_AgipvTL-BBgiA71eWtTXsc820gboIePJU0eaIdXTuT9rBvb8amAwVzCUl-efLkj9A5JdeUSjkikiRScEkJiWMSVukB6lORyYgQGh-i_gZEG9FDJ94vSBiMpceox8KJkJL10dOshugNlMPTWpcGag24sXju1_qjVK0rNb4pfeMMOI_LGj93UIAeejyrwhYem65q8bxZdZVqy6Y-RUdWVR7OdvMAvd7dvkweosfZ_XQyfoy0ELyNGFXKaMW1YVYzy6kRTNsi4cRkljIpUiELUmhqE85AyUzEHMAaGv6YFLLgAzTc1l255rMD3-bL0muoKlVD0_k8VMhEkrIkyMtfctF0rg7NBSRImvKYBcS2SLvGewc2X7lyqdw6pyTfZJ3_zTpcuthV7oolmJ8r3-EGcLUDymtVWadCxH7veEYzlm3caOu8eod9e_88_QWvLpIv</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>744088352</pqid></control><display><type>article</type><title>One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Préville, Michel ; Boyer, Richard ; Vasiliadis, Helen-Maria ; Grenier, Sébastien ; Voyer, Philippe ; Hudon, Carol ; Streiner, David L ; Cairney, John ; Brassard, Joëlle</creator><creatorcontrib>Préville, Michel ; Boyer, Richard ; Vasiliadis, Helen-Maria ; Grenier, Sébastien ; Voyer, Philippe ; Hudon, Carol ; Streiner, David L ; Cairney, John ; Brassard, Joëlle ; Scientific Committee of the ESA Study ; Study Scientific Committee of the ESA</creatorcontrib><description>Objective:
To examine the incidence of psychiatric disorders in the Quebec older adult population.
Method:
Data from the Enquěte sur la Santé des Aînés (ESA) study conducted in 2005 to 2008 using a representative sample (n = 2784) of community-dwelling adults aged 65 years and older were used.
Results:
The ESA study's results indicate that 12.0% of the respondents met the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, criteria for depression, mania, anxiety disorders, or benzodiazepine drug dependency at the baseline interview. Our results also indicate that the 12-month rate of incident cases of DSM-IV disorders was 6.2%. The proportion of incident cases was higher for the depression group (3.4%) than for the anxiety disorders group (2.3%). The results showed that the probability to develop an incident psychiatric condition after 1 year of follow-up, compared with the noncases group, varied according to sex (OR 2.18; 95% CI 1.39 to 3.44). Our results also showed that the number of chronic health problems (OR 1.20; 95% CI 1.09 to 1.33) and the change in the number of chronic health problems reported between the baseline and the second interview (OR 1.14; 95% CI 1.01 to 1.30) increased the probability to be an incident case at Time 2. The results indicated that social support did not influence the probability to develop a psychiatric disorder.
Conclusion:
These results indicate that sex and physical health status have an impact on the incidence of DSM-IV disorders in the elderly. This finding underscores the need for improved recognition and treatment of psychiatric disorders associated with physical illness in the older population.</description><identifier>ISSN: 0706-7437</identifier><identifier>EISSN: 1497-0015</identifier><identifier>DOI: 10.1177/070674371005500708</identifier><identifier>PMID: 20704772</identifier><identifier>CODEN: CJPSDF</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult and adolescent clinical studies ; Age Factors ; Aged ; Anxiety ; Biological and medical sciences ; Chi-Square Distribution ; Children & youth ; Confidence Intervals ; Female ; Health Status ; Humans ; Incidence ; Male ; Marital Status ; Medical research ; Medical sciences ; Mental Disorders - epidemiology ; Miscellaneous ; Odds Ratio ; Older people ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quebec - epidemiology ; Risk Factors ; Sex Factors ; Socioeconomic Factors ; Studies</subject><ispartof>Canadian journal of psychiatry, 2010-07, Vol.55 (7), p.449-457</ispartof><rights>2010 Canadian Psychiatric Association</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Canadian Psychiatric Association Jul 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-21aadca3cd2fc2f31d42cfb630d9f1274847b0bc1f632ea79453eefd17086b7b3</citedby><cites>FETCH-LOGICAL-c443t-21aadca3cd2fc2f31d42cfb630d9f1274847b0bc1f632ea79453eefd17086b7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/070674371005500708$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/070674371005500708$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23919292$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20704772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Préville, Michel</creatorcontrib><creatorcontrib>Boyer, Richard</creatorcontrib><creatorcontrib>Vasiliadis, Helen-Maria</creatorcontrib><creatorcontrib>Grenier, Sébastien</creatorcontrib><creatorcontrib>Voyer, Philippe</creatorcontrib><creatorcontrib>Hudon, Carol</creatorcontrib><creatorcontrib>Streiner, David L</creatorcontrib><creatorcontrib>Cairney, John</creatorcontrib><creatorcontrib>Brassard, Joëlle</creatorcontrib><creatorcontrib>Scientific Committee of the ESA Study</creatorcontrib><creatorcontrib>Study Scientific Committee of the ESA</creatorcontrib><title>One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population</title><title>Canadian journal of psychiatry</title><addtitle>Can J Psychiatry</addtitle><description>Objective:
To examine the incidence of psychiatric disorders in the Quebec older adult population.
Method:
Data from the Enquěte sur la Santé des Aînés (ESA) study conducted in 2005 to 2008 using a representative sample (n = 2784) of community-dwelling adults aged 65 years and older were used.
Results:
The ESA study's results indicate that 12.0% of the respondents met the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, criteria for depression, mania, anxiety disorders, or benzodiazepine drug dependency at the baseline interview. Our results also indicate that the 12-month rate of incident cases of DSM-IV disorders was 6.2%. The proportion of incident cases was higher for the depression group (3.4%) than for the anxiety disorders group (2.3%). The results showed that the probability to develop an incident psychiatric condition after 1 year of follow-up, compared with the noncases group, varied according to sex (OR 2.18; 95% CI 1.39 to 3.44). Our results also showed that the number of chronic health problems (OR 1.20; 95% CI 1.09 to 1.33) and the change in the number of chronic health problems reported between the baseline and the second interview (OR 1.14; 95% CI 1.01 to 1.30) increased the probability to be an incident case at Time 2. The results indicated that social support did not influence the probability to develop a psychiatric disorder.
Conclusion:
These results indicate that sex and physical health status have an impact on the incidence of DSM-IV disorders in the elderly. This finding underscores the need for improved recognition and treatment of psychiatric disorders associated with physical illness in the older population.</description><subject>Adult and adolescent clinical studies</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Children & youth</subject><subject>Confidence Intervals</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Marital Status</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Mental Disorders - epidemiology</subject><subject>Miscellaneous</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quebec - epidemiology</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><issn>0706-7437</issn><issn>1497-0015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90E1LwzAYB_AgipvTL-BBgiA71eWtTXsc820gboIePJU0eaIdXTuT9rBvb8amAwVzCUl-efLkj9A5JdeUSjkikiRScEkJiWMSVukB6lORyYgQGh-i_gZEG9FDJ94vSBiMpceox8KJkJL10dOshugNlMPTWpcGag24sXju1_qjVK0rNb4pfeMMOI_LGj93UIAeejyrwhYem65q8bxZdZVqy6Y-RUdWVR7OdvMAvd7dvkweosfZ_XQyfoy0ELyNGFXKaMW1YVYzy6kRTNsi4cRkljIpUiELUmhqE85AyUzEHMAaGv6YFLLgAzTc1l255rMD3-bL0muoKlVD0_k8VMhEkrIkyMtfctF0rg7NBSRImvKYBcS2SLvGewc2X7lyqdw6pyTfZJ3_zTpcuthV7oolmJ8r3-EGcLUDymtVWadCxH7veEYzlm3caOu8eod9e_88_QWvLpIv</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Préville, Michel</creator><creator>Boyer, Richard</creator><creator>Vasiliadis, Helen-Maria</creator><creator>Grenier, Sébastien</creator><creator>Voyer, Philippe</creator><creator>Hudon, Carol</creator><creator>Streiner, David L</creator><creator>Cairney, John</creator><creator>Brassard, Joëlle</creator><general>SAGE Publications</general><general>Canadian Psychiatric Association</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M3G</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population</title><author>Préville, Michel ; Boyer, Richard ; Vasiliadis, Helen-Maria ; Grenier, Sébastien ; Voyer, Philippe ; Hudon, Carol ; Streiner, David L ; Cairney, John ; Brassard, Joëlle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-21aadca3cd2fc2f31d42cfb630d9f1274847b0bc1f632ea79453eefd17086b7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Children & youth</topic><topic>Confidence Intervals</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Marital Status</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Mental Disorders - epidemiology</topic><topic>Miscellaneous</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quebec - epidemiology</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Préville, Michel</creatorcontrib><creatorcontrib>Boyer, Richard</creatorcontrib><creatorcontrib>Vasiliadis, Helen-Maria</creatorcontrib><creatorcontrib>Grenier, Sébastien</creatorcontrib><creatorcontrib>Voyer, Philippe</creatorcontrib><creatorcontrib>Hudon, Carol</creatorcontrib><creatorcontrib>Streiner, David L</creatorcontrib><creatorcontrib>Cairney, John</creatorcontrib><creatorcontrib>Brassard, Joëlle</creatorcontrib><creatorcontrib>Scientific Committee of the ESA Study</creatorcontrib><creatorcontrib>Study Scientific Committee of the ESA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Préville, Michel</au><au>Boyer, Richard</au><au>Vasiliadis, Helen-Maria</au><au>Grenier, Sébastien</au><au>Voyer, Philippe</au><au>Hudon, Carol</au><au>Streiner, David L</au><au>Cairney, John</au><au>Brassard, Joëlle</au><aucorp>Scientific Committee of the ESA Study</aucorp><aucorp>Study Scientific Committee of the ESA</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population</atitle><jtitle>Canadian journal of psychiatry</jtitle><addtitle>Can J Psychiatry</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>55</volume><issue>7</issue><spage>449</spage><epage>457</epage><pages>449-457</pages><issn>0706-7437</issn><eissn>1497-0015</eissn><coden>CJPSDF</coden><abstract>Objective:
To examine the incidence of psychiatric disorders in the Quebec older adult population.
Method:
Data from the Enquěte sur la Santé des Aînés (ESA) study conducted in 2005 to 2008 using a representative sample (n = 2784) of community-dwelling adults aged 65 years and older were used.
Results:
The ESA study's results indicate that 12.0% of the respondents met the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, criteria for depression, mania, anxiety disorders, or benzodiazepine drug dependency at the baseline interview. Our results also indicate that the 12-month rate of incident cases of DSM-IV disorders was 6.2%. The proportion of incident cases was higher for the depression group (3.4%) than for the anxiety disorders group (2.3%). The results showed that the probability to develop an incident psychiatric condition after 1 year of follow-up, compared with the noncases group, varied according to sex (OR 2.18; 95% CI 1.39 to 3.44). Our results also showed that the number of chronic health problems (OR 1.20; 95% CI 1.09 to 1.33) and the change in the number of chronic health problems reported between the baseline and the second interview (OR 1.14; 95% CI 1.01 to 1.30) increased the probability to be an incident case at Time 2. The results indicated that social support did not influence the probability to develop a psychiatric disorder.
Conclusion:
These results indicate that sex and physical health status have an impact on the incidence of DSM-IV disorders in the elderly. This finding underscores the need for improved recognition and treatment of psychiatric disorders associated with physical illness in the older population.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20704772</pmid><doi>10.1177/070674371005500708</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0706-7437 |
| ispartof | Canadian journal of psychiatry, 2010-07, Vol.55 (7), p.449-457 |
| issn | 0706-7437 1497-0015 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_748946826 |
| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult and adolescent clinical studies Age Factors Aged Anxiety Biological and medical sciences Chi-Square Distribution Children & youth Confidence Intervals Female Health Status Humans Incidence Male Marital Status Medical research Medical sciences Mental Disorders - epidemiology Miscellaneous Odds Ratio Older people Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quebec - epidemiology Risk Factors Sex Factors Socioeconomic Factors Studies |
| title | One-Year Incidence of Psychiatric Disorders in Quebec's Older Adult Population |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T23%3A35%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=One-Year%20Incidence%20of%20Psychiatric%20Disorders%20in%20Quebec's%20Older%20Adult%20Population&rft.jtitle=Canadian%20journal%20of%20psychiatry&rft.au=Pr%C3%A9ville,%20Michel&rft.aucorp=Scientific%20Committee%20of%20the%20ESA%20Study&rft.date=2010-07-01&rft.volume=55&rft.issue=7&rft.spage=449&rft.epage=457&rft.pages=449-457&rft.issn=0706-7437&rft.eissn=1497-0015&rft.coden=CJPSDF&rft_id=info:doi/10.1177/070674371005500708&rft_dat=%3Cproquest_cross%3E748946826%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=744088352&rft_id=info:pmid/20704772&rft_sage_id=10.1177_070674371005500708&rfr_iscdi=true |