Ethnicity and psychiatric comorbidity in a national sample: evidence for latent comorbidity factor invariance and connections with disorder prevalence

Nicholas R EATON; Katherine M KEYES; Robert F KRUEGER; Arjen NOORDHOF; Andrew E SKODOL; Kristian E MARKON; Bridget F GRANT; Deborah S HASIN

doi:10.1007/s00127-012-0595-5

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Ethnicity and psychiatric comorbidity in a national sample: evidence for latent comorbidity factor invariance and connections with disorder prevalence

Journal article

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Ethnicity and psychiatric comorbidity in a national sample: evidence for latent comorbidity factor invariance and connections with disorder prevalence

Nicholas R EATON, Katherine M KEYES, Robert F KRUEGER, Arjen NOORDHOF, Andrew E SKODOL, Kristian E MARKON, Bridget F GRANT and Deborah S HASIN

Social psychiatry and psychiatric epidemiology, Vol.48(5), pp.701-710

2013

DOI: 10.1007/s00127-012-0595-5

PMCID: PMC3562755

PMID: 23052426

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http://doi.org/10.1007/s00127-012-0595-5View

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Abstract

Purpose: Prevalence rates, and bivariate comorbidity patterns, of many common mental disorders differ significantly across ethnic groups. While studies have examined multivariate comorbidity patterns by gender and age, no studies to our knowledge have examined such patterns by ethnicity. Such an investigation could aid in understanding the nature of ethnicity-related health disparities in mental health and is timely given the likely implementation of multivariate comorbidity structures (i.e., internalizing and externalizing) to frame key parts of DSM-5. Methods: We investigated whether multivariate comorbidity of 11 common mental disorders, and their associated latent comorbidity factors, differed across five ethnic groups in a large, nationally representative sample (n = 43,093). We conducted confirmatory factor analyses and factorial invariance analyses in White (n = 24,507), Hispanic/Latino (n = 8,308), Black (n = 8,245), Asian/Pacific Islander (n = 1,332), and American Indian/Alaska Native (n = 701) individuals. Results: Results supported a two-factor internalizing-externalizing comorbidity factor model in both lifetime and 12-month diagnoses. This structure was invariant across ethnicity, but factor means differed significantly across ethnic groups. Conclusions: These findings, taken together, indicated that observed prevalence rate differences between ethnic groups reflect ethnic differences in latent internalizing and externalizing factor means. We discuss implications for classification (DSM-5 and ICD-11 meta-structure), health disparities research, and treatment.

Biological and medical sciences

Miscellaneous

Psychology. Psychoanalysis. Psychiatry

Medical sciences

Adult and adolescent clinical studies

Psychopathology. Psychiatry

Details

Title: Subtitle: Ethnicity and psychiatric comorbidity in a national sample: evidence for latent comorbidity factor invariance and connections with disorder prevalence
Creators: Nicholas R EATON - Department of Psychology, Stony Brook University, Stony Brook, NY 11794, United States
Katherine M KEYES - Columbia University, 1051 Riverside Drive #123, New York, NY 10032, United States
Robert F KRUEGER - University of Minnesota, 75 East River Road, Minneapolis, MN 55455, United States
Arjen NOORDHOF - Department of Psychology, University of Amsterdam, Weesperplein 4, 1018 XA Amsterdam, Netherlands
Andrew E SKODOL - Columbia University, 1051 Riverside Drive #123, New York, NY 10032, United States
Kristian E MARKON - The University of Iowa, Seashore Hall, Iowa City, IA 52242, United States
Bridget F GRANT - National Institute on Alcohol Abuse and Alcoholism. NIH/NIAAA, LEB, 5635 Fishers Lane, Bethesda, MD 20892, United States
Deborah S HASIN - Columbia University, 1051 Riverside Drive #123, New York, NY 10032, United States
Resource Type: Journal article
Publication Details: Social psychiatry and psychiatric epidemiology, Vol.48(5), pp.701-710
DOI: 10.1007/s00127-012-0595-5
PMID: 23052426
PMCID: PMC3562755
NLM abbreviation: Soc Psychiatry Psychiatr Epidemiol
ISSN: 0933-7954
eISSN: 1433-9285
Publisher: Springer
Language: English
Date published: 2013
Academic Unit: Psychological and Brain Sciences
Record Identifier: 9984083288802771

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