Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Psychiatr Serv. 2009 Oct;60(10):1379-82. doi: 10.1176/appi.ps.60.10.1379.

Inconsistencies in diagnosis and symptoms among bilingual and English-speaking Latinos and Euro-Americans.

Author information

  • 1Department of Psychiatry, Yale University School of Medicine, Hispanic Clinic, New Haven, CT 06519, USA. esperanza.diaz@yale.edu

Abstract

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.

PMID:
19797380
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

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