Psychiatr Serv 60:1379-1382, October 2009
doi: 10.1176/appi.ps.60.10.1379
© 2009 American Psychiatric Association
Inconsistencies in Diagnosis and Symptoms Among Bilingual and English-Speaking Latinos and Euro-Americans
Esperanza Díaz, M.D.,
Theresa Miskemen, M.D.,
William A. Vega, Ph.D.,
Michael Gara, Ph.D.,
Daniel R. Wilson, M.D., Ph.D.,
Ira Lesser, M.D.,
Michael Escamilla, M.D.,
Harold W. Neighbors, M.D.,
Stephan Arndt, Ph.D. and
Stephen Strakowski, M.D.
Dr. Díaz is affiliated with the Department of Psychiatry, Yale University School of Medicine, Hispanic Clinic, 34 Park St., New Haven, CT 06519 (e-mail: esperanza.diaz{at}yale.edu). Dr. Miskemen and Dr. Gara are with the Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Piscataway. Dr. Vega is with the Department of Family Medicine and Dr. Lesser is with the Department of Psychiatry, both at the University of California, Los Angeles. Dr. Wilson is with the Department of Anthropology, Creighton University, Omaha, Nebraska. Dr. Escamilla is with the Health Science Center, University of Texas, San Antonio. Dr. Neighbors is with the Department of Public Health Institute for Social Research, University of Michigan, Ann Arbor. Dr. Arndt is with the Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City. Dr. Strakowski is with the Department of Psychiatry, University of Cincinnati, Cincinnati, Ohio.
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.
Related Articles:
-
October 2009: This Month's Highlights
Psychiatr Serv 2009 60: 1294.
[Full Text]
[PDF]
-
Race-Ethnicity as a Predictor of Attitudes Toward Mental Health Treatment Seeking
- Ruth S. Shim, Michael T. Compton, George Rust, Benjamin G. Druss, and Nadine J. Kaslow
Psychiatr Serv 2009 60: 1336-1341.
[Abstract]
[Full Text]
[PDF]
-
Complementary and Alternative Medicine for Mental Disorders Among African Americans, Black Caribbeans, and Whites
- Amanda T. Woodward, Kai M. Bullard, Robert J. Taylor, Linda M. Chatters, Raymond E. Baser, Brian E. Perron, and James S. Jackson
Psychiatr Serv 2009 60: 1342-1349.
[Abstract]
[Full Text]
[PDF]
-
Racial and Ethnic Differences in Substance Abuse Service Needs, Utilization, and Outcomes in California
- Noosha Niv, Rhoda Pham, and Yih-Ing Hser
Psychiatr Serv 2009 60: 1350-1356.
[Abstract]
[Full Text]
[PDF]
-
Outcomes for Youths From Racial-Ethnic Minority Groups in a Quality Improvement Intervention for Depression Treatment
- Victoria K. Ngo, Joan R. Asarnow, Jane Lange, Lisa H. Jaycox, Margaret M. Rea, Christopher Landon, Lingqi Tang, and Jeanne Miranda
Psychiatr Serv 2009 60: 1357-1364.
[Abstract]
[Full Text]
[PDF]
-
Disparities in Adequate Mental Health Care for Past-Year Major Depressive Episodes Among Caucasian and Hispanic Youths
- Pierre K. Alexandre, Silvia S. Martins, and Patrick Richard
Psychiatr Serv 2009 60: 1365-1371.
[Abstract]
[Full Text]
[PDF]
-
Effect of Racial and Ethnic Composition of Neighborhoods in San Francisco on Rates of Mental Health-Related 911 Calls
- Eric R. Kessell, Jennifer Alvidrez, William A. McConnell, and Martha Shumway
Psychiatr Serv 2009 60: 1376-1378.
[Abstract]
[Full Text]
[PDF]
-
Preferences for Psychiatric Advance Directives Among Latinos: Views on Advance Care Planning for Mental Health
- Richard A. Van Dorn, Jeffrey W. Swanson, and Marvin S. Swartz
Psychiatr Serv 2009 60: 1383-1385.
[Abstract]
[Full Text]
[PDF]
-
Service Utilization Patterns of Maltreated and Nonmaltreated Children From Low-Income, African-American Families
- Chaundrissa Oyeshiku Smith, Martie P. Thompson, Kenia Johnson, Allison M. Nitsche, and Nadine J. Kaslow
Psychiatr Serv 2009 60: 1386-1389.
[Abstract]
[Full Text]
[PDF]
-
From Psychiatric Advance Directives to the Joint Crisis Plan
- Claire Henderson, Rufina Lee, Daniel Herman, and Dianna Dragatsi
Psychiatr Serv 2009 60: 1390-1391.
[Full Text]
[PDF]
Get information about faster international access.
Privacy Policy
Copyright © 2009
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
