ArticlePsychiatric services (Washington, D.C.)2012
Interviewer-perceived honesty as a mediator of racial disparities in the diagnosis of schizophrenia.
Article in Psychiatric services (Washington, D.C.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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Who cites it
18 citing papers in PubMed, 68 citations in OpenAlex.
- "It's Tough to Be a Black Man with Schizophrenia": Randomized Controlled Trial of a Brief Video Intervention to Reduce Public Stigma.Schizophrenia bulletin · 2024Trial
- Relationships between smartphone social behavior and relapse in schizophrenia: A preliminary report.Schizophrenia research · 2019Trial
- Racial and Ethnic Variations in a Multi-Channel Psychiatric Emergency Services Program.Community mental health journal · 2026Article
- Differences in schizophrenia treatments by race and ethnicity-analysis of electronic health records.Schizophrenia (Heidelberg, Germany) · 2024Article
- Racial and Ethnic Disparities in the Diagnosis and Early Treatment of First-Episode Psychosis.Schizophrenia bulletin open · 2024Article
- Examining racial disparity in psychotic disorders related ambulatory care visits: an observational study using national ambulatory medical care survey 2010-2015.BMC psychiatry · 2023Observational
- Racial and gender-based disparities and trends in common psychiatric conditions in liver cirrhosis hospitalizations: A ten-year United States study.World journal of hepatology · 2023Article
- Using focus groups to inform a brief video intervention to reduce public stigma toward Black youth living with psychosis.Frontiers in psychiatry · 2023Article
- Review of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United States.Frontiers in psychiatry · 2023Review
- Treating immigrant patients in psychiatric emergency rooms.Transcultural psychiatry · 2021Article
- Racial Implicit Associations in Psychiatric Diagnosis, Treatment, and Compliance Expectations.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2021Article
- Implicit bias of encoded variables: frameworks for addressing structured bias in EHR-GWAS data.Human molecular genetics · 2020Review
- Racial and Ethnic Disparities in Serious Psychological Distress Among Those With Alzheimer's Disease and Related Dementias.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Article
- Discovery of rare variants implicated in schizophrenia using next-generation sequencing.Journal of translational genetics and genomics · 2019Article
- Serious mental illness and medical comorbidities: Findings from an integrated health care system.Journal of psychosomatic research · 2017Article
- An Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002-2005 Versus 2010-2011.The journal of behavioral health services & research · 2017Article
- Racial-Ethnic Differences in Psychiatric Diagnoses and Treatment Across 11 Health Care Systems in the Mental Health Research Network.Psychiatric services (Washington, D.C.) · 2016Article
- Racial disparities in psychotic disorder diagnosis: A review of empirical literature.World journal of psychiatry · 2014Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveAfrican Americans are disproportionately diagnosed as having schizophrenia, and the factors that contribute to this disparity are poorly understood. This study utilized data from the 1995 MacArthur Violence Risk Assessment Study to examine the impact of racial differences in sociodemographic characteristics, clinical presentation, and perceived honesty on disparities in the diagnosis of schizophrenia among African Americans.
methodsResearchers using structured assessments of diagnostic, sociodemographic, and clinical measures interviewed African Americans (N=215) and whites (N=537) receiving inpatient care for a severe mental illness. The impact of interviewers' perceptions of the participants' honesty on racial disparities in the diagnosis of schizophrenia was assessed.
resultsAfrican Americans (45%) were more than three times as likely as whites (19%) to be diagnosed as having schizophrenia. Disparities in sociodemographic and clinical characteristics modestly contributed to disparities in diagnostic rates. In contrast, interviewer-perceived honesty proved to be a significant predictor of racial disparities in schizophrenia diagnoses. After adjustment for perceived honesty, diagnostic disparities between African Americans and whites were substantially reduced. Mediator analyses confirmed that interviewer-perceived honesty was the only consistent mediator of the relationship between race and schizophrenia diagnosis.
conclusionsInterviewers' perceptions of honesty among African-American participants are important contributors to disparities in the diagnosis of schizophrenia. Clinicians' perceptions of dishonesty among African-American patients may reflect poor patient-clinician relationships. Methods of facilitating a trusting relationship between patients and clinicians are needed to improve the assessment and treatment of persons from minority groups who are seeking mental health care. (Psychiatric Services 63:875-880, 2012; doi: 10.1176/appi.ps.201100388).
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