The effects of race and comorbidity on clinical diagnosis in patients with psychosis.

摘要: Background For several years, studies have indicated that schizophrenia is overdiagnosed in nonwhite patients with psychosis. Whether these reports altered racial diagnostic patterns clinical settings remains uncertain. We hypothesized the overdiagnosis of persists public sector. Further, we explored whether differences between races secondary (comorbid) diagnoses contribute to discrepancies primary diagnoses. Method Data were obtained by retrospective chart reviews 173 psychotic disorders discharged during a recent 7-month period from large state psychiatric hospital. Demographic and variables medical records. All information had been recorded treatment teams without knowledge this study. Only black white subgroups represented sample. Results Black significantly more likely be diagnosed than (odds ratio = 5.1), men women 1.9). This pattern was observed even subgroup hospitalized for first time 7.0). Neither type nor frequency comorbid differed races. Additionally, received higher doses antipsychotic medication. Conclusion psychosis are similar may reflect underdiagnosis affective illness patients. Additionally medication alter presentation discrepancy diagnosis.