ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2021
Racial Implicit Associations in Psychiatric Diagnosis, Treatment, and Compliance Expectations.
Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 61 citations in OpenAlex.
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- Racial disparities with PRN medication usage in inpatient psychiatric treatment.Schizophrenia (Heidelberg, Germany) · 2024Article
- Racial disparities in the diagnosis of disruptive behavior disorders: a U.S. national inpatient sample analysis.Frontiers in psychiatry · 2024Article
- Unconscious Bias among Health Professionals: A Scoping Review.International journal of environmental research and public health · 2023Article
- Cultural Pragmatism: In search of alternative thinking about cultural competence in mental health.Journal of theoretical and philosophical psychology : journal of Division 24 · 2023Article
- Social Determinants of Cardiovascular Health in US Adolescents: National Health and Nutrition Examination Surveys 1999 to 2014.Journal of the American Heart Association · 2022Article
- Implicit and explicit ethnic biases in multicultural primary care: the case of trainee general practitioners.BMC primary care · 2022Article
- Understanding Healthcare Students' Experiences of Racial Bias: A Narrative Review of the Role of Implicit Bias and Potential Interventions in Educational Settings.International journal of environmental research and public health · 2021Review
- Patient oriented research in mental health: matching laboratory to life and beyond in Canada.Research involvement and engagement · 2021Article
- The Need for Psychedelic-Assisted Therapy in the Black Community and the Burdens of Its Provision.Frontiers in psychiatry · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveRacial and ethnic disparities are well documented in psychiatry, yet suboptimal understanding of underlying mechanisms of these disparities undermines diversity, inclusion, and education efforts. Prior research suggests that implicit associations can affect human behavior, which may ultimately influence healthcare disparities. This study investigated whether racial implicit associations exist among medical students and psychiatric physicians and whether race/ethnicity, training level, age, and gender predicted racial implicit associations.
methodsParticipants completed online demographic questions and 3 race Implicit Association Tests (IATs) related to psychiatric diagnosis (psychosis vs. mood disorders), patient compliance (compliance vs. non-compliance), and psychiatric medications (antipsychotics vs. antidepressants). Linear and logistic regression models were used to identify demographic predictors of racial implicit associations.
resultsThe authors analyzed data from 294 medical students and psychiatric physicians. Participants were more likely to pair faces of Black individuals with words related to psychotic disorders (as opposed to mood disorders), non-compliance (as opposed to compliance), and antipsychotic medications (as opposed to antidepressant medications). Among participants, self-reported White race and higher level of training were the strongest predictors of associating faces of Black individuals with psychotic disorders, even after adjusting for participant's age.
conclusionsRacial implicit associations were measurable among medical students and psychiatric physicians. Future research should examine (1) the relationship between implicit associations and clinician behavior and (2) the ability of interventions to reduce racial implicit associations in mental healthcare.
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