Progress in Social Psychiatry in Japan, 2012 An Approach to Psychiatric Epidemiology

?Social psychiatry is a multidisciplinary field analyzing mechanisms of mental health issues comprehensively to contribute to society using the findings.  Those findings include biological, psychological, and social aspects and they are based on psychiatry and connected with a wide variety of academic fields, including psychology, sociology, law, economics, and religious studies. Epidemiological research in psychiatry is a field of study in patients with psychiatric disorder attempting to investigate causes, to develop clinical applications of the results, and to determine applications to health services plans for individuals and/or communities. They are both foundation for understanding biopsychosocial view in psychiatry but not many comprehensive volumes covering the topic were not available until now.  This book is thus a unique, comprehensive reference with evidence-based approach to provide concise summary of researches for such as schizophrenia, affective disorders, psychiatric disorders in the general practice setting, and disaster psychiatry, especially for the case of atomic bomb diseases. The studies were mostly carried out in the region of Nagasaki, the prefecture experienced a nuclear attack at the time of World War ?. Psychiatric findings in mental health problems among atomic bomb survivors and sufferers in Nagasaki has been established and Nagasaki is the only area that fulfills the conditions of the subject of the study of psychiatric epidemiology and social psychiatry which is going to be described in this book.  This book provides a valuable resource not only for physicians and researchers in the field of psychiatry and mental health but for people who work for mental health welfare department.

​Introduction.- I. Social Psychiatry and Psychiatric Epidemiology.- 1. Definition and Historical Review of Social Psychiatry and Psychiatric Epidemiology.- 1-1. Social Psychiatry and the Japanese Society of Social Psychiatry (JSSP).- 1-2. Psychiatric Epidemiology.- 2. The Foundation of Psychiatric Epidemiology Research.- 2-1. Methodological Foundation.- 2-2. Ethics in Study Methods.- 2-3. Subjects of Epidemiological Studies in Psychiatry.- II. Findings on Social Psychiatry and Psychiatric Epidemiology in Japan.- 3. Activities of the Department of Neuropsychiatry, Nagasaki University School of Medicine, as a World Health Organization (WHO) Collaborating Center.- 4. Studies on Schizophrenia.- 4-1. Incidence Rates, Prevalence Rates, and Other Statistics.- 4-2. Findings of the WHO Collaborating Center in Nagasaki.- 4-3. Outline of Scales Used in the First Assessment for WHO/DOSMeD.- 4-4. Help-Seeking Patterns and Recognition by Family Members (Key Persons) in New Schizophrenia Cases in DOSMeD/Nagasaki.- 4-5. Subtypes of Schizophrenia.- 4-6. Psychiatric Symptoms of New Schizophrenia Cases in DOSMed/Nagasaki.- 4-7. Life Events and the Development of New Schizophrenia Cases in DOSMed/Nagasaki.- 4-8. Natural History and Outcome (in the Short and Long Term), and Associated Factors of New Schizophrenia Cases in DOSMed/Nagasaki.- 5. Studies on Affective Disorders.- 5-1. WHO World Mental Health Survey in Japan (WHO/WMH-J).- 5-2. Summary of the Study on the Standardized Assessment of Depressive Disorder (SADD).- 6. Studies on Patients with Affective Disorders in General Practice.- 6-1. Studies on Referral Rates in Patients with Depression in the General Health Care Setting.- 6-2. Studies on Medical Care in Patients with Psychological Problems in the General Health Care Setting.- 7. Development from Atomic Bomb Diseases to Survivors’ Mental Health Support: Findings on Disaster Psychiatry.- Appendix Medical Office (Ikyoku).- Epilogue Further Developments in Social Psychiatry and Psychiatric Epidemiology.