Ethnicity and diagnosis in patients with affective disorders

• Published in: The journal of clinical psychiatry Vol. 64; no. 7; p. 747
• Main Authors: Strakowski, Stephen M, Keck, Jr, Paul E, Arnold, Lesley M, Collins, Jacqueline, Wilson, Rodgers M, Fleck, David E, Corey, Kimberly B, Amicone, Jennifer, Adebimpe, Victor R
• Format: Journal Article
• Language: English
• Published: United States 01.07.2003
• Subjects: Adult; African Americans - psychology; Culture; Diagnosis, Differential; Diagnostic and Statistical Manual of Mental Disorders; Diagnostic Errors; European Continental Ancestry Group - psychology; Female; Humans; Logistic Models; Male; Mood Disorders - diagnosis; Mood Disorders - ethnology; Mood Disorders - psychology; Psychotic Disorders - diagnosis; Psychotic Disorders - ethnology; Psychotic Disorders - psychology; Schizophrenia - diagnosis; Schizophrenia - ethnology; Schizophrenic Psychology; Severity of Illness Index; Socioeconomic Factors; Surveys and Questionnaires

Clinically, African American psychiatric patients are disproportionately diagnosed with schizophrenia compared with white patients. Why this occurs is unknown. Extending prior work, the authors hypothesized that first-rank symptoms distract clinicians so that they fail to identify affective disorder...