Trierweiler Steven J, Neighbors Harold W, Munday Cheryl, Thompson Estina E, Jackson James S, Binion Victoria J
Institute for Social Research, University of Michigan, Ann Arbor, 48106, USA.
Am J Orthopsychiatry. 2006 Apr;76(2):154-60. doi: 10.1037/0002-9432.76.2.154.
The authors examined clinician race differences in symptom attribution patterns in diagnosing psychiatric inpatients from a low-income, African American community. Different decision models were applied to patients based on clinician race. African American clinicians diagnosed schizophrenia with higher odds than non-African American clinicians when they believed hallucinations were present and avoided that diagnosis with lower odds when they considered substance abuse issues. Non-African American clinicians usually related the attribution of negative symptoms to the diagnosis of schizophrenia while African American clinicians did not make this linkage. The study highlights the need for more detailed examination of cultural influences on diagnostic judgments.
作者研究了来自低收入非裔美国人社区的精神科住院患者诊断中，临床医生在症状归因模式上的种族差异。根据临床医生的种族，对患者应用了不同的决策模型。当非裔美国临床医生认为存在幻觉时，他们诊断精神分裂症的几率高于非非裔美国临床医生，而当他们考虑药物滥用问题时，诊断该疾病的几率则较低。非非裔美国临床医生通常将阴性症状的归因与精神分裂症的诊断联系起来，而非裔美国临床医生则没有这种关联。该研究强调需要更详细地考察文化对诊断判断的影响。
