Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Psychiatr Serv. 2001 Sep;52(9):1216-22.

Variables associated with disparities in treatment of patients with schizophrenia and comorbid mood and anxiety disorders.

Author information

  • 1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21201, USA. ldixon@umaryland.edu

Abstract

OBJECTIVE:

The study compared self-reported comorbid affective and anxiety disorder diagnoses and treatments of African-American and Caucasian subjects in a large sample of patients who had a diagnosis of schizophrenia.

METHODS:

A total of 685 patients receiving treatment for schizophrenia were interviewed as part of the Schizophrenia Patient Outcomes Research Team study. The associations of race with past and current diagnoses and with current treatment for depression, mania, and anxiety disorders were assessed with multivariate analyses.

RESULTS:

African Americans were significantly less likely than Caucasians to report having a past or current diagnosis of depression, manic-depression, or anxiety disorder and to be receiving current treatment for these disorders. Gender, education, and marital status were also associated with presence of a comorbid diagnosis and receipt of treatment.

CONCLUSIONS:

The study suggests the possibility of racial and other disparities in the diagnosis and treatment of patients with schizophrenia and comorbid affective and anxiety disorders. Although various causal explanations are plausible, all point toward the need for enhanced cross-cultural competence at all levels of mental health care, especially in the diagnosis and treatment of comorbid psychiatric illnesses.

PMID:
11533396
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk