Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders

Citation:

Green, J. G., Gruber, M. J., Kessler, R. C., Lin, J. Y., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., et al. (2012). Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders. International Journal of Methods in Psychiatric Research , 21 (4), 311โ€“320.
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Date Published:

dec

Abstract:

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.

Last updated on 09/13/2018