Race bias and gender bias in the diagnosis of psychological disorders

This article provides (a) a methodological critique of studies on race bias and gender bias in diagnosis and (b) a narrative review of results from studies with good internal validity. The results suggest that race bias occurs for the diagnosis of conduct disorder, antisocial personality disorder, comorbid substance abuse and mood disorders, eating disorders, posttraumatic stress disorder, and the differential diagnosis of schizophrenia and psychotic affective disorders. Other results suggest that gender bias occurs for the diagnosis of autism spectrum disorder, attention deficit hyperactivity disorder, conduct disorder, and antisocial and histrionic personality disorders. The way that symptoms are expressed (e.g., Black cultural expressions of depression) appears to have a significant effect on diagnoses. It may be possible to decrease bias by expanding the use of (a) mental health screening, (b) self-report measures including some psychological tests, (c) structured interviews, and (d) statistical prediction rules. Finally, evidence exists that (a) the diagnosis of personality disorders should be made using dimensional ratings and (b) training in cultural diversity and debiasing strategies should be provided to mental health professionals.PMID:34655834 | DOI:10.1016/j.cpr.2021.102087
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Source Type: research

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This article provides (a) a methodological critique of studies on race bias and gender bias in diagnosis and (b) a narrative review of results from studies with good internal validity. The results suggest that race bias occurs for the diagnosis of conduct disorder, antisocial personality disorder, comorbid substance abuse and mood disorders, eating disorders, posttraumatic stress disorder, and the differential diagnosis of schizophrenia and psychotic affective disorders. Other results suggest that gender bias occurs for the diagnosis of autism spectrum disorder, attention deficit hyperactivity disorder, conduct disorder, a...
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Source Type: research
Conclusion: Fun seeking on the BAS and frustration intolerance should be considered as targets in prevention and intervention programs for IA among adolescents with ADHD.IntroductionThe negative effects of internet addiction (IA) have become a concern in the past decades. IA is characterized by persistent internet use despite negative consequences, loss of control, preoccupation with internet use, increasing amounts of time spent online, and withdrawal symptoms (1). Internet gaming disorders are listed in the “Conditions for Further Study” section in the Fifth Edition of Diagnostic and Statistical Manual of Men...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Understanding how psychiatric illness is transmitted across families and generations holds tremendous importance for both identifying and treating people who may develop a mental disorder, while also helping to understand the evolutionary trajectory of mental illness. A study published yesterday in JAMA Psychiatry has offered a clue in this regard, suggesting that people with psychiatric conditions are more likely to pair up with others who have psychiatric conditions.Researchers from Karolinska Institutet in Sweden and the University of Carolina at Chapel Hill relied on population registers from Sweden to determine the na...
Source: Psychiatr News - Category: Psychiatry Tags: assortive mating family history genetics heritability nonrandom mating Source Type: research
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