%0 Journal Article %J International Journal of Methods in Psychiatric Research %D 2012 %T Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM-IV disorders %A Green, Jennifer Greif %A Gruber, Michael J. %A Ronald C. Kessler %A Lin, Julia Y. %A McLaughlin, Katie A. %A Sampson, Nancy A. %A Zaslavsky, Alan M. %A Alegria, Margarita %K Adolescent %K Algorithms %K Diagnostic and Statistical Manual of Mental Disorders %K Ethnic Groups %K Female %K Humans %K Interview %K Male %K Mental Disorders %K Psychiatric Status Rating Scales %K Psychological %K Reproducibility of Results %K Retrospective Studies %K ROC Curve %K Sensitivity and Specificity %K Surveys and Questionnaires %X 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. %B International Journal of Methods in Psychiatric Research %V 21 %P 311–320 %8 dec %G eng %N 4 %R 10.1002/mpr.1371