Unconscious Bias and the Diagnosis of Disruptive Behavior Disorders and ADHD in African American and Hispanic Youth
[...]of these biases, psychiatrists and trainees may judge and interpret behaviors seen in ODD, CD, and ADHD differently based on race or ethnicity, putting vulnerable populations at risk [5, 9]. In one nationally representative sample of 17,100 children, African Americans, Hispanics, and children o...
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| Veröffentlicht in: | Academic psychiatry 2020-02, Vol.44 (1), p.95-102 |
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| container_title | Academic psychiatry |
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| creator | Fadus, Matthew C. Ginsburg, Kenneth R. Sobowale, Kunmi Halliday-Boykins, Colleen A. Bryant, Brittany E. Gray, Kevin M. Squeglia, Lindsay M. |
| description | [...]of these biases, psychiatrists and trainees may judge and interpret behaviors seen in ODD, CD, and ADHD differently based on race or ethnicity, putting vulnerable populations at risk [5, 9]. In one nationally representative sample of 17,100 children, African Americans, Hispanics, and children of “other races/ethnicities” were 69% (95% CI 60%-76%), 50% (95% CI 34–62%), and 46% (95% CI 26–61%) less likely, respectively, to receive a diagnosis of ADHD compared to non-Hispanic white children [8]. [...]when assessed for other mental health conditions, 92% met criteria for either major depressive disorder, generalized anxiety disorder, PTSD, or had a history of a manic episode or panic attacks. Symptoms in disruptive behavior disorders, ADHD, and other mental health conditions may appear superficially similar. |
| doi_str_mv | 10.1007/s40596-019-01127-6 |
| format | Article |
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In one nationally representative sample of 17,100 children, African Americans, Hispanics, and children of “other races/ethnicities” were 69% (95% CI 60%-76%), 50% (95% CI 34–62%), and 46% (95% CI 26–61%) less likely, respectively, to receive a diagnosis of ADHD compared to non-Hispanic white children [8]. [...]when assessed for other mental health conditions, 92% met criteria for either major depressive disorder, generalized anxiety disorder, PTSD, or had a history of a manic episode or panic attacks. 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In one nationally representative sample of 17,100 children, African Americans, Hispanics, and children of “other races/ethnicities” were 69% (95% CI 60%-76%), 50% (95% CI 34–62%), and 46% (95% CI 26–61%) less likely, respectively, to receive a diagnosis of ADHD compared to non-Hispanic white children [8]. [...]when assessed for other mental health conditions, 92% met criteria for either major depressive disorder, generalized anxiety disorder, PTSD, or had a history of a manic episode or panic attacks. Symptoms in disruptive behavior disorders, ADHD, and other mental health conditions may appear superficially similar.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Attention Deficit and Disruptive Behavior Disorders - diagnosis</subject><subject>Attention Deficit and Disruptive Behavior Disorders - ethnology</subject><subject>Attention Deficit Hyperactivity Disorder</subject><subject>Behavior disorders</subject><subject>Bias</subject><subject>Black or African American - statistics & numerical data</subject><subject>Child</subject><subject>Child Neglect</subject><subject>Commentary</subject><subject>Female</subject><subject>Grade 10</subject><subject>Grade 5</subject><subject>Health Services Accessibility</subject><subject>Hispanic or Latino - statistics & numerical data</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical Education</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Minority & ethnic groups</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Racism</subject><subject>Risk Factors</subject><subject>Socioeconomic factors</subject><subject>United States - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Academic psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fadus, Matthew C.</au><au>Ginsburg, Kenneth R.</au><au>Sobowale, Kunmi</au><au>Halliday-Boykins, Colleen A.</au><au>Bryant, Brittany E.</au><au>Gray, Kevin M.</au><au>Squeglia, Lindsay M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unconscious Bias and the Diagnosis of Disruptive Behavior Disorders and ADHD in African American and Hispanic Youth</atitle><jtitle>Academic psychiatry</jtitle><stitle>Acad Psychiatry</stitle><addtitle>Acad Psychiatry</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>44</volume><issue>1</issue><spage>95</spage><epage>102</epage><pages>95-102</pages><issn>1042-9670</issn><issn>1545-7230</issn><eissn>1545-7230</eissn><abstract>[...]of these biases, psychiatrists and trainees may judge and interpret behaviors seen in ODD, CD, and ADHD differently based on race or ethnicity, putting vulnerable populations at risk [5, 9]. In one nationally representative sample of 17,100 children, African Americans, Hispanics, and children of “other races/ethnicities” were 69% (95% CI 60%-76%), 50% (95% CI 34–62%), and 46% (95% CI 26–61%) less likely, respectively, to receive a diagnosis of ADHD compared to non-Hispanic white children [8]. [...]when assessed for other mental health conditions, 92% met criteria for either major depressive disorder, generalized anxiety disorder, PTSD, or had a history of a manic episode or panic attacks. Symptoms in disruptive behavior disorders, ADHD, and other mental health conditions may appear superficially similar.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31713075</pmid><doi>10.1007/s40596-019-01127-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4506-0085</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Attention Deficit and Disruptive Behavior Disorders - diagnosis Attention Deficit and Disruptive Behavior Disorders - ethnology Attention Deficit Hyperactivity Disorder Behavior disorders Bias Black or African American - statistics & numerical data Child Child Neglect Commentary Female Grade 10 Grade 5 Health Services Accessibility Hispanic or Latino - statistics & numerical data Humans Longitudinal Studies Male Medical Education Medicine Medicine & Public Health Mental disorders Minority & ethnic groups Prevalence Psychiatry Racism Risk Factors Socioeconomic factors United States - epidemiology |
| title | Unconscious Bias and the Diagnosis of Disruptive Behavior Disorders and ADHD in African American and Hispanic Youth |
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