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Brief Reports   |    
Inadequate Treatment of Black Americans With Bipolar Disorder
Kaja R. Johnson, M.A.; Sheri L. Johnson, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201200590
View Author and Article Information

Both authors are with the Department of Psychology, University of California, Berkeley (e-mail: kjohnson@berkeley.edu).

Copyright © 2014 by the American Psychiatric Association

Abstract

Objective  This study examined disparity in bipolar disorder treatment for black and white Americans.

Methods  The sample included 167 respondents to the National Comorbidity Survey Replication who had lifetime type I or II bipolar disorder. Treatment adequacy and potential correlates were assessed.

Results  No black respondent received minimally adequate mood-stabilizing treatment, and blacks were less likely than whites to have taken a mood stabilizer in the prior year. Service use, sociodemographic characteristics, and symptom expression did not explain this disparity.

Conclusions  There was substantial racial inequality in bipolar disorder treatment. Issues guiding this disparity may be unique to this disorder, and clarification of the source of disparity is needed.

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Anchor for Jump
Table 1Unweighted means for manic and depressive symptom severity and functional interference for persons with bipolar disorder, by racea
Table Footer Note

a Possible scores range from 1 to 5 for each manic symptom and 1 to 4 for each depressive symptom, with higher scores indicating greater severity. Analyses included only the National Comorbidity Survey Replication respondents who had experienced a manic (N=82) or depressive (N=90) episode in the prior year.

Table Footer Note

b Possible scores range from 1 to 10, with higher values indicating greater interference of symptoms.

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References

Wang  PS;  Lane  M;  Olfson  M  et al:  Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication.  Archives of General Psychiatry 62:629–640, 2005
[CrossRef] | [PubMed]
 
Snowden  LR:  Barriers to effective mental health services for African Americans.  Mental Health Services Research 3:181–187, 2001
[CrossRef] | [PubMed]
 
Gonzalez  JM;  Thompson  P;  Escamilla  M  et al:  Treatment characteristics and illness burden among European Americans, African Americans, and Latinos in the first 2,000 patients of the systematic treatment enhancement program for bipolar disorder.  Psychopharmacology Bulletin 40:31–46, 2007
[PubMed]
 
Kessler  RC;  Ustün  TB:  The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).  International Journal of Methods in Psychiatric Research 13:93–121, 2004
[CrossRef] | [PubMed]
 
Kessler  RC;  Akiskal  HS;  Angst  J  et al:  Validity of the assessment of bipolar spectrum disorders in the WHO CIDI 3.0.  Journal of Affective Disorders 96:259–269, 2006
[CrossRef] | [PubMed]
 
American Psychiatric Association:  Practice guideline for the treatment of patients with bipolar disorder (revision).  American Journal of Psychiatry 159(Apr suppl):1–50, 2002
 
Young  RC;  Biggs  JT;  Ziegler  VE  et al:  A rating scale for mania: reliability, validity and sensitivity.  British Journal of Psychiatry 133:429–435, 1978
[CrossRef] | [PubMed]
 
Chapman  EN;  Kaatz  A;  Carnes  M:  Physicians and implicit bias: how doctors may unwittingly perpetuate health care disparities.  Journal of General Internal Medicine 28:1504–1510, 2013
[CrossRef] | [PubMed]
 
Cuellar  AE;  Snowden  LM;  Ewing  T:  Criminal records of persons served in the public mental health system.  Psychiatric Services 58:114–120, 2007
[PubMed]
 
Pettit  B;  Western  B:  Mass imprisonment and the life course: race and class inequality in US incarceration.  American Sociological Review 69:151–169, 2004
[CrossRef]
 
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