Document Detail


Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders.
MedLine Citation:
PMID:  23148026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We examine differential validity of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses assessed by the fully-structured Composite International Diagnostic Interview Version 3.0 (CIDI) among Latino, non-Latino Black, and non-Latino White adolescents in comparison to gold standard diagnoses derived from the Schedule for Affective Disorders and Schizophrenia for School-age Children (K-SADS). Results are based on the National Comorbidity Survey Replication Adolescent Supplement, a national US survey of adolescent mental health. Clinicians re-interviewed 347 adolescent/parent dyads with the K-SADS. Sensitivity and/or specificity of CIDI diagnoses varied significantly by ethnicity/race for four of ten disorders. Modifications to algorithms sometimes reduced bias in prevalence estimates, but at the cost of reducing individual-level concordance. These findings document the importance of assessing fully-structured diagnostic instruments for differential accuracy in ethnic/racial subgroups.
Authors:
Jennifer Greif Green; Michael J Gruber; Ronald C Kessler; Julia Y Lin; Katie A McLaughlin; Nancy A Sampson; Alan M Zaslavsky; Margarita Alegria
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-13
Journal Detail:
Title:  International journal of methods in psychiatric research     Volume:  21     ISSN:  1557-0657     ISO Abbreviation:  Int J Methods Psychiatr Res     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-04     Completed Date:  2013-11-15     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  9111433     Medline TA:  Int J Methods Psychiatr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-20     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 John Wiley & Sons, Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Algorithms
Diagnostic and Statistical Manual of Mental Disorders*
Ethnic Groups*
Female
Humans
Interview, Psychological / methods
Male
Mental Disorders / classification,  diagnosis*,  epidemiology,  ethnology*
Psychiatric Status Rating Scales
Questionnaires
ROC Curve
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Grant Support
ID/Acronym/Agency:
K01 MH085710/MH/NIMH NIH HHS; K01-MH085710/MH/NIMH NIH HHS; R01 DA016558/DA/NIDA NIH HHS; R01 MH066627/MH/NIMH NIH HHS; R01 MH069864/MH/NIMH NIH HHS; R01 MH070884/MH/NIMH NIH HHS; R01 MH077883/MH/NIMH NIH HHS; R01-DA016558/DA/NIDA NIH HHS; R01-MH069864/MH/NIMH NIH HHS; R01-MH070884/MH/NIMH NIH HHS; R01-MH077883/MH/NIMH NIH HHS; R01-MH66627/MH/NIMH NIH HHS; R03-TW006481/TW/FIC NIH HHS; R13 MH066849/MH/NIMH NIH HHS; R13-MH066849/MH/NIMH NIH HHS; RC1 MD004588/MD/NIMHD NIH HHS; RC1MD004588/MD/NIMHD NIH HHS; U01 MH060220/MH/NIMH NIH HHS; U01-MH60220/MH/NIMH NIH HHS
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