Journal article
Inconsistencies in Diagnosis and Symptoms Among Bilingual and English-Speaking Latinos and Euro-Americans
Psychiatric services (Washington, D.C.), Vol.60(10), pp.1379-1382
10/01/2009
DOI: 10.1176/ps.2009.60.10.1379
PMID: 19797380
Abstract
Objective: Little information is available about accuracy of diagnoses in clinical care for affective and other major mental disorders experienced by Latino patients. This study addressed two central research questions: Do Latinos have disproportionate rates of clinical diagnoses of major depression based on structured diagnostic interviews? Are diagnostic patterns consistent with patient profiles and medical record information? Methods: A total of 259 bilingual Latino, monolingual English-speaking Latino, and Euro-American patients aged 18 to 45 years with a history of severe depression or psychotic symptoms were compared across three clinical sites by using structured interviews. Results: Compared with Euro-Americans, bilingual Latinos had significantly higher rates of major depression and significantly lower levels of mania. No significant differences were found between monolingual English-speaking Latinos and Euro-Americans. Conclusions: Results suggest that the diagnostic process is affected by an apparent association with cultural-linguistic influences, notably speaking English as a second language. (Psychiatric Services 60: 1379-1382, 2009)
Details
- Title: Subtitle
- Inconsistencies in Diagnosis and Symptoms Among Bilingual and English-Speaking Latinos and Euro-Americans
- Creators
- Esperanza Diaz - Yale UniversityTheresa Miskemen - Univ Med & Dent New Jersey, Dept Psychiat, Piscataway, NJ 08854 USAWilliam A. Vega - University of California, Los AngelesMichael Gara - Univ Med & Dent New Jersey, Dept Psychiat, Piscataway, NJ 08854 USADaniel R. Wilson - Creighton UniversityIra Lesser - University of California, Los AngelesMichael Escamilla - The University of Texas Health Science Center at San AntonioHarold W. Neighbors - University of MichiganStephan Arndt - Univ Iowa, Dept Psychiat, Carver Coll Med, Iowa City, IA USAStephen Strakowski - University of Cincinnati
- Resource Type
- Journal article
- Publication Details
- Psychiatric services (Washington, D.C.), Vol.60(10), pp.1379-1382
- DOI
- 10.1176/ps.2009.60.10.1379
- PMID
- 19797380
- NLM abbreviation
- Psychiatr Serv
- ISSN
- 1075-2730
- eISSN
- 1557-9700
- Publisher
- Amer Psychiatric Publishing, Inc
- Number of pages
- 4
- Grant note
- R01-MH068801 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) R01MH068801 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Language
- English
- Date published
- 10/01/2009
- Academic Unit
- Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
- Record Identifier
- 9985132187702771
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