The Effect of Interview Language on the Evaluation of Psychopathology in Spanish-American Schizophrenic Patients

Marcos, Luis R.; Alpert, Murray; Urcuyo, Leonel; Kesselman, Martin S.

doi:10.1176/ajp.130.5.549

Cited by 142 publications

(83 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…African Americans and Asians are more likely to somatize psychological distress than Whites (Robins and Regier, 1991;Heurtin-Roberts et al, 1997;Tseng, 1975;Chun et al, 1996). Screening instruments used to detect mental disorders in Latinos may measure distress more than disorder (Vega and Rumbaut, 1991;Cho et al, 1993) and predict the presence of a disorder differently when the patient is interviewed in English as opposed to Spanish (Marcos et al, 1973;Malgady and Costantino, 1998). Cooper and Roter (2001) in a detailed study of physician-patient interactions find communication around depression is worse for minorities than for Whites.…”

Section: Miscommunication Leads To Disparitiesmentioning

confidence: 99%

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

Balsa

McGuire

2003

Journal of Health Economics

268

194

View full text Add to dashboard Cite

Section: Miscommunication Leads To Disparitiesmentioning

confidence: 99%

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

Balsa

McGuire

2003

Journal of Health Economics

268

194

View full text Add to dashboard Cite

“…16 Others have shown that a psychiatric rater's frame of reference is not directly applicable to persons from other cultures. 17 The MMPI judgments of the control cases showed 14 per cent disorders among whites and 42 per cent among blacks. The psychiatric ratings did not show a similar interracial pattern, which suggests that the MMPI and/or the psychiatric interview had subculture-based biases, leading to discrepancies.…”

Section: Discussionmentioning

confidence: 94%

Follow-up study of patients treated by X-ray epilation for tinea capitis: psychiatric and psychometric evaluation.

Omran¹,

Shore²,

Markoff³

et al. 1978

Am J Public Health

View full text Add to dashboard Cite

To investigate the late effects of radiation to the head upon subclinical mental disorders, a psychiatric and psychometric evaluation was performed on 177 cases treated 10-29 years earlier for ringworm of the scalp by X-ray therapy (N: 109) or, by chemotherapy (N : 68). Analyses which controlled for educational level and family psychiatric disorders showed that, among whites, the irradiated group manifested more psychiatric symptoms and more deviant This study is part of an investigation of the nature and magnitude of long-term radiation effects in children treated by X-radiation for ringworm of the scalp. 1-3 Treatment for tinea capitis by X-ray epilation was used extensively between 1910 and 1959, and MMPI (Minnesota Multiphasic Personality Inventory) scores. They were also judged more maladjusted from their MMPI profiles, and more frequently had a history of treated psychiatric disorders; however, the psychiatrist's overall rating of current psychiatric status showed only a borderline difference between the two groups. There were no significant differences between irradiated and chemotherapy treated blacks. (Am. J. Public Health 68: [561][562][563][564][565][566][567] 1978) as substitutes for X-ray therapy for ringworm of the scalp. Both the irradiated and topically treated cases (henceforth called controls) were briefly observed for immediate effects of therapy. No long term follow-up was done until this study was initiated in 1962 as a retrospective-prospective cohort study.1 One feature of this study is the availability of control cases of tinea capitis, so that selection biases for the disease or possible long-term effects of the disease process can be ruled out as biasing factors. Such controls are lacking in a number of radiation injury studies.The study consisted of: 1) location of the former patients (85 per cent of the irradiated and 79 per cent of the controls were successfully located); 2) an evaluation of posttreatment experience by means of mailed questionnaire (almost all those located responded) with diagnostic confirmation obtained from physicians and hospitals for the period ending in 1968.1 A resurvey of the located former patients was made for the period [1968][1969][1970][1971][1972][1973], using the same procedures,3 and information was obtained on 96 per cent of the irradiated and 95 per cent of the controls; 3) a direct evaluation of current medical status of subgroups of the irradiated and control groups by clinical and laboratory examinations;2 and 4) dosimetric studies of the radiation exposure to various structures of the head associated with the Adamson-Kienbock epilation procedure5' 6 have been carried out.In our study the irradiated and control groups were all matched for age, sex, race, and social class and have been followed as epidemiologic cohorts. The average age (+ one standard deviation) at treatment for the irradiated group was 7.8 ± 3.7 years, and for the control group 7.5 ± 4.4 years.

show abstract

“…Adding insult to injury, interviews of Hispanic patients in English or across their language barrier usually result in their being judged more symptomatic and dysfunctional than when interviews are conducted in their mother tongue (11,12). Without culturally based guidelines to assess stressors, clinicians may under-or overidentify their type, number, and severity, especially across cultural divides.…”

Section: Nih Public Accessmentioning

confidence: 99%

Assessing Psychosocial Stressors Among Hispanic Outpatients: Does Clinician Ethnicity Matter?

Torres¹,

Cabassa²,

Zayas³

et al. 2008

View full text Add to dashboard Cite

Objective-Psychosocial and environmental stressors are a well-documented factor in the etiology, progression, and maintenance of psychiatric disorders. Clear guidelines on identifying them are lacking. When the patient and provider are of different cultures, the clinician may not properly understand and identify stressors. This study explored clinician ethnicity and identification of stressors.Methods-A total of 88 adult Hispanic outpatients in a community clinic were separately evaluated by pairs of clinicians (Hispanic and non-Hispanic) drawn from a pool of 47, as part of a larger study. Axis IV data are reported here.Results-Clinicians identified few psychosocial stressors. Non-Hispanic clinicians identified significantly more problems related to the primary support group and educational problems than Hispanic clinicians.Conclusions-Clinician ethnicity played a role in identification of psychosocial and environmental problems. Because stressors often affect the presenting problem and course of treatment, failure to properly identify and address them in treatment may influence service outcomes.Attending to culture, race, and ethnicity has become a major priority in U.S. psychiatric practice as high rates of growth of ethnic minority groups, coupled with new waves of (ltorres@wust1.edu). DisclosuresThe authors report no competing interests. However, even though there is evidence that unique stressors affect individuals from minority groups and immigrants (5,6), comprehensive criteria on the objective assessment of stressors are lacking. Also lacking are guidelines on how to consider race, culture, language, ethnicity, or other background characteristics as they relate to stressors (7). Racism, discrimination, oppression, and exclusion are experienced by persons from minority groups in both flagrant and covert ways and in the interpersonal "microaggressions" of everyday life (8,9). Furthermore, research suggests that patients from minority groups and those from majority groups differentially reconstruct and narrate their illness experiences (10). NIH Public AccessAdding insult to injury, interviews of Hispanic patients in English or across their language barrier usually result in their being judged more symptomatic and dysfunctional than when interviews are conducted in their mother tongue (11,12). Without culturally based guidelines to assess stressors, clinicians may under-or overidentify their type, number, and severity, especially across cultural divides.Given the lack of guidance, it is no surprise that stressors are often relegated to the background. Although sociocultural factors may be crucial to both diagnosis and treatment, the "medical model" nature of the psychiatric interview often leads to an exclusionary bias in their identification (13). Stressors are often not mentioned in patients' charts and are ignored in formulations and treatment recommendations (14).The purpose of our pilot study was to examine the impact of clinician ethnicity on the psychiatric diagnosis of Hispanic patients. We ...

show abstract

The Effect of Interview Language on the Evaluation of Psychopathology in Spanish-American Schizophrenic Patients

Cited by 142 publications

References 2 publications

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

Follow-up study of patients treated by X-ray epilation for tinea capitis: psychiatric and psychometric evaluation.

Assessing Psychosocial Stressors Among Hispanic Outpatients: Does Clinician Ethnicity Matter?

Contact Info

Product

Resources

About