Fabrega H, Mezzich J, Ulrich R F
Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, PA 15213-2593.
Compr Psychiatry. 1988 May-Jun;29(3):285-97. doi: 10.1016/0010-440x(88)90051-x.
The study was conducted in a psychiatric setting that services a large metropolitan population. It relied on the semi-structured Initial Evaluation Form which is completed by expert trained clinicians and which is geared to a comprehensive evaluation along the lines stipulated in DSM-III. The symptoms of a large sample of white and black patients are compared. The study relied on an Analysis of Variance (ANOVA) procedure which controlled for age, gender and education and concentrated exclusively on ethnic differences in clinically homogenous subgroups. The sample was partitioned into relatively pure groups of DSM-III diagnoses that are frequent in the population, including schizophrenia, affective and anxiety disorders, dementia, paranoid and manic disorders. Prominent black/white differences in psychopathology were noted, but in only a few instances included items generally thought of as typical of a specific disorder. Some differences appeared to be due to selection factors and others raised the question of alternate expressions of psychopathology among blacks as versus whites. The significance of the results obtained is discussed together with questions requiring further research. Some of the issues involved in the study of black/white differences in psychopathology are critically analyzed.
该研究在一个为大都市大量人口提供服务的精神科环境中进行。它依赖于由受过专家培训的临床医生填写的半结构化初始评估表，该表旨在按照《精神疾病诊断与统计手册》第三版（DSM - III）规定的方式进行全面评估。对大量白人和黑人患者的症状进行了比较。该研究采用方差分析（ANOVA）程序，对年龄、性别和教育程度进行了控制，并专门关注临床同质亚组中的种族差异。样本被划分为在人群中常见的相对纯粹的DSM - III诊断组，包括精神分裂症、情感和焦虑障碍、痴呆、偏执和躁狂障碍。注意到了黑人和白人在精神病理学方面的显著差异，但只有少数情况涉及通常被认为是特定障碍典型症状的项目。一些差异似乎是由于选择因素造成的，而其他差异则引发了黑人与白人在精神病理学方面是否存在不同表现形式的问题。对所得结果的意义以及需要进一步研究的问题进行了讨论。对精神病理学中黑人和白人差异研究中涉及的一些问题进行了批判性分析。
