TY - JOUR PY - 2012// TI - Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders JO - International journal of methods in psychiatric research A1 - Green, Jennifer Greif A1 - Gruber, Michael J. A1 - Kessler, Ronald C. A1 - Lin, Julia Y. A1 - McLaughlin, Katie A. A1 - Sampson, Nancy A. A1 - Zaslavsky, Alan M. A1 - Alegria, Margarita SP - 311 EP - 320 VL - 21 IS - 4 N2 - We examine differential validity of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses assessed by the fully-structured Composite International Diagnostic Interview Version 3.0 (CIDI) among Latino, non-Latino Black, and non-Latino White adolescents in comparison to gold standard diagnoses derived from the Schedule for Affective Disorders and Schizophrenia for School-age Children (K-SADS). Results are based on the National Comorbidity Survey Replication Adolescent Supplement, a national US survey of adolescent mental health. Clinicians re-interviewed 347 adolescent/parent dyads with the K-SADS. Sensitivity and/or specificity of CIDI diagnoses varied significantly by ethnicity/race for four of ten disorders. Modifications to algorithms sometimes reduced bias in prevalence estimates, but at the cost of reducing individual-level concordance. These findings document the importance of assessing fully-structured diagnostic instruments for differential accuracy in ethnic/racial subgroups.
Language: en
LA - en SN - 1049-8931 UR - http://dx.doi.org/10.1002/mpr.1371 ID - ref1 ER -