Paroxetine Response and Tolerability Among Ethnic Minority Patients With Mood or Anxiety Disorders

Roy‐Byrne, Peter; Perera, Philip; Pitts, Cornelius D.; Christi, Jacquie A.

doi:10.4088/jcp.v66n1004

Cited by 42 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by Roy-Byrne [40] examined the effects of paroxetine among ethnic minority patients with mood and anxiety disorders, including major depression, panic disorder, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, or premenstrual dysphoric disorder. The authors pooled data from 14,875 adults who participated in 104 double-blind, placebo-controlled paroxetine clinical trials from March 1984 through March 2002.…”

Section: Cross-cultural Differences In Treatment Responsementioning

confidence: 99%

Cultural aspects in social anxiety and social anxiety disorder

2010

View full text Add to dashboard Cite

To examine cultural aspects in social anxiety and social anxiety disorder (SAD), we reviewed the literature on the prevalence rates, expressions, and treatments of social anxiety/SAD as they relate to culture, race, and ethnicity. We further reviewed factors that contribute to the differences in social anxiety/SAD between different cultures, including individualism/collectivism, perception of social norms, self-construal, gender roles, and gender role identification. Our review suggests that the prevalence and expression of social anxiety/SAD depends on the particular culture. Asian cultures typically show the lowest rates, whereas Russian and US samples show the highest rates, of SAD. Taijin kyofusho is discussed as a possible culture-specific expression of social anxiety, although the empirical evidence concerning the validity of this syndrome has been mixed. It is concluded that the individual's social concerns need to be examined in the context of the person's cultural, racial, and ethnic background in order to adequately assess the degree and expression of social anxiety and social anxiety disorder. This has direct relevance for the upcoming DSM-V.The defining feature of social anxiety disorder (SAD) is the fear of negative evaluation by others. Therefore, SAD is directly linked to social standards and role expectations, which are culture dependent. Recognizing the intricate interplay between culture and social anxiety, some research has focused on psychopathologic manifestations of SAD across cultures [1], while in other studies the focus has been on comparing disorder-typical symptoms across cultures [2]. It should be noted that most of the studies on cultural differences in SAD have examined Eastern (especially Japanese, Korean, and Chinese) and Western (US American and European) samples.The following is a review of the evidence pertaining to the validity of the DSM-IV-TR criteria for social anxiety disorder (SAD) as it relates to culture, race, and ethnicity. We use the term "race" when we refer to broad differentiations based on physiognomy (e.g., White), "ethnicity" when we refer to "common descent" and affiliation with a historically continuous community (e.g., Latino), and "culture" when we refer to social groups with specific or homogenous attributes. We particularly concentrate on culture as a source for the nosological revisions to explore whether certain cognitive/ behavioral elements (e.g., interpretations of illness; patterned reactions to stressors) affect the development or expression of psychiatric syndromes.The search methods for the current review entailed a thorough computer search using the Pubmed and PsychInfo databases for articles published since the publication of the DSM-IV in 1994. Specifically, key words relevant to SAD (i.e., "social phobia" or "social anxiety disorder") were combined with the terms "culture", "ethnic*", and "race". This approach

show abstract

Section: Cross-cultural Differences In Treatment Responsementioning

confidence: 99%

Cultural aspects in social anxiety and social anxiety disorder

2010

View full text Add to dashboard Cite

show abstract

“…Based on previous literature showing a correlation between patient engagement and outcomes [28–30], we surmise that the racial differences that we detected may contribute to the documented racial/ethnic differences in the mental health treatment [31–34]. Our findings suggest that differences in office visit communication can appear in subtle ways, such as whether a physician demonstrates more empathy or allocates more time for patients to speak when the conversation changes, for example, from hypertension to depression.…”

Section: Discussionmentioning

confidence: 98%

Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care

Foo

Frankel

McGuire

et al. 2017

Journal of Ambulatory Care Management

View full text Add to dashboard Cite

This study investigated racial differences in patient-physician communication around mental health versus biomedical issues. Data were collected from audiorecorded periodic health exams of adults with mental health needs in the Detroit area (2007--2009). Patients and their primary care physicians conversed for twice as long and physicians demonstrated greater empathy during mental health topics compared to biomedical topics. This increase varied by patient and physician race. Patient race predicted physician empathy, but physician race predicted talk time. Interventions to improve mental health communication could be matched to specific populations based on the separate contributions of patient and physician race.

show abstract

“…Our analyses, controlling for both of these factors, identified economic conditions as significant modifiers of the intervention, consistent with the demonstrated importance of economic conditions to the mental health of older adults. 42 Aside from this trial, there are few studies that have addressed the issue of inqualities in treatment outcomes in the context of a randomized controlled trial, 43-45 which provides the strongest design for determining whether treatments for depression work equally well for all groups. For example, Arean et al investigated the relative effectiveness of a primary care-based intervention for late-life depression according to income, and reported that all income groups benefited equally from the intervention.…”

Section: Discussionmentioning

confidence: 99%

Economic Inequalities in the Effectiveness of a Primary Care Intervention for Depression and Suicidal Ideation

Gilman

Fitzmaurice²,

Bruce³

et al. 2013

Epidemiology

View full text Add to dashboard Cite

Background Economic disadvantage is associated with depression and suicide. We sought to determine whether economic disadvantage reduces the effectiveness of depression treatments received in primary care. Methods We conducted differential-effects analyses of the Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT), a primary care-based randomized, controlled trial for late-life depression and suicidal ideation conducted between 1999 and 2001, which included 514 patients with major depression or clinically significant minor depression. Results The intervention effect, defined as change in depressive symptoms from baseline, was stronger among persons reporting financial strain at baseline (differential effect size= −4.5 Hamilton Depression Rating Scale points across the study period; 95% confidence interval = −8.6 to −0.3). We found similar evidence for effect modification by neighborhood poverty, although the intervention effect weakened after the initial 4 months of the trial for participants residing in poor neighborhoods. There was no evidence of substantial differences in the effectiveness of the intervention on suicidal ideation and depression remission by economic disadvantage. Conclusions Economic conditions moderated the effectiveness of primary care-based treatment for late-life depression. Financially strained individuals benefitted more from the intervention; we speculate this was because of the enhanced treatment management protocol, which lead to a greater improvement in the care received by these persons. People living in poor neighborhoods experienced only temporary benefit from the intervention. Thus, multiple aspects of economic disadvantage affect depression treatment outcomes; additional work is needed to understand the underlying mechanisms.

show abstract

Paroxetine Response and Tolerability Among Ethnic Minority Patients With Mood or Anxiety Disorders

Cited by 42 publications

References 0 publications

Cultural aspects in social anxiety and social anxiety disorder

Cultural aspects in social anxiety and social anxiety disorder

Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care

Economic Inequalities in the Effectiveness of a Primary Care Intervention for Depression and Suicidal Ideation

Contact Info

Product

Resources

About