Predictive Variables In Diagnoses And The Global Assessment Of Functioning Scores For African Americans, Asians, Hispanics, And Caucasians.

Overview

Differences in psychiatric diagnoses have been noted in adults and children among different ethnic groups (e.g., Minsky, Vega, Miskimen, Gara, & Escobar, 2003). Epidemiological data reported that up to 20% of adolescents suffer from mental illness, with half of all cases of mental disorders beginning by age 14 (National Institute of Mental Health; NIMH, 2007). Despite the significant numbers of people of color in the United States, there have only been a few studies conducted to examine ethnic differences ...
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Overview

Differences in psychiatric diagnoses have been noted in adults and children among different ethnic groups (e.g., Minsky, Vega, Miskimen, Gara, & Escobar, 2003). Epidemiological data reported that up to 20% of adolescents suffer from mental illness, with half of all cases of mental disorders beginning by age 14 (National Institute of Mental Health; NIMH, 2007). Despite the significant numbers of people of color in the United States, there have only been a few studies conducted to examine ethnic differences when evaluating mental disorders. Another factor to consider with regard to ethnic disparities in psychiatric diagnoses is an individual's level of global functioning. There was a limited amount of information available on general global functioning. The purpose of the study was to determine how well ethnicity predicted clinical diagnoses and Child Global Assessment Scale (CGAS) scores for children and adolescents. The analyses included a discriminant function analysis for the diagnoses outcomes and a multiple regression when prediction of CGAS scores was under consideration. The predictors of all three outcomes included Axis IV information from the clinical records along with three demographic variables, self-reported ethnicity, gender, and age. The results of the discriminant analysis indicated that certain Axis IV environmental stressors were most predictive of adolescents who received a clinical diagnosis versus those who did not receive a clinical diagnosis. In addition, gender and social problems were predictive factors. The results of the multiple regression indicated each independent variable was a significant predictor for CGAS with the exception of gender. The findings suggest that ethnicity was not a leading predictor of clinical diagnosis. With regard to limitations, the range of clinical expertise and training/experience of mental health professionals working with different cultural groups varied. Clinician training and experience could not be specified. As a result, the attribution of clinical diagnosis and CGAS were dependent on the clinicians' ability to accurately identify presenting symptoms. The findings indicated the need for additional research to determine what factors impact clinical diagnoses and CGAS in children and adolescents.
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Product Details

  • ISBN-13: 9781244076525
  • Publisher: BiblioLabsII
  • Publication date: 9/11/2011
  • Pages: 100
  • Product dimensions: 7.44 (w) x 9.69 (h) x 0.21 (d)

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