Absence of bias in clinician ratings of everyday functioning among African American, Hispanic and Caucasian patients with schizophrenia

Samir Sabbag, Davide Prestia, Belinda Robertson, Pedro Ruiz, Dante Durand, Martin T Strassnig, Philip D Harvey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A substantial research literature implicates potential racial/ethnic bias in the diagnosis of schizophrenia and in clinical ratings of psychosis. There is no similar information regarding bias effects on ratings of everyday functioning. Our aims were to determine if Caucasian raters vary in their ratings of the everyday functioning of schizophrenia patients of different ethnicities, to find out which factors determine accurate self-report of everyday functioning in different ethnic groups, and to know if depression has similar effects on the way people of different ethnicities self-report their current functionality. We analyzed data on 295 patients with schizophrenia who provided their self-report of their everyday functioning and also had a Caucasian clinician rating their functionality. Three racial/ethnic groups (African American (AA), Hispanic and Caucasian) were studied and analyzed on the basis of neurocognition, functional capacity, depression and real-world functional outcomes. No differences based on racial/ethnic status in clinician assessments of patients' functionality were found. Differences between racial groups were found in personal and maternal levels of education. Severity of depression was significantly correlated with accuracy of self-assessment of functioning in Caucasians, but not in AAs. Higher scores on neurocognition and functional capacity scales correlated with reduced overestimation of functioning in AAs, but not in Hispanics. This data might indicate that measurement of everyday functionality is less subject to rater bias than measurement of symptoms of schizophrenia.

Original languageEnglish (US)
Pages (from-to)347-352
Number of pages6
JournalPsychiatry Research
Volume229
Issue number1-2
DOIs
StatePublished - Sep 30 2015

Fingerprint

Hispanic Americans
African Americans
Schizophrenia
Self Report
Depression
Ethnic Groups
Racism
Psychotic Disorders
Mothers
Education
Research

Keywords

  • Clinician bias
  • Ethnicity
  • Functional capacity
  • Latinos
  • Minorities
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Absence of bias in clinician ratings of everyday functioning among African American, Hispanic and Caucasian patients with schizophrenia. / Sabbag, Samir; Prestia, Davide; Robertson, Belinda; Ruiz, Pedro; Durand, Dante; Strassnig, Martin T; Harvey, Philip D.

In: Psychiatry Research, Vol. 229, No. 1-2, 30.09.2015, p. 347-352.

Research output: Contribution to journalArticle

@article{dab7f51f03de4439908fbe6df92eea1e,
title = "Absence of bias in clinician ratings of everyday functioning among African American, Hispanic and Caucasian patients with schizophrenia",
abstract = "A substantial research literature implicates potential racial/ethnic bias in the diagnosis of schizophrenia and in clinical ratings of psychosis. There is no similar information regarding bias effects on ratings of everyday functioning. Our aims were to determine if Caucasian raters vary in their ratings of the everyday functioning of schizophrenia patients of different ethnicities, to find out which factors determine accurate self-report of everyday functioning in different ethnic groups, and to know if depression has similar effects on the way people of different ethnicities self-report their current functionality. We analyzed data on 295 patients with schizophrenia who provided their self-report of their everyday functioning and also had a Caucasian clinician rating their functionality. Three racial/ethnic groups (African American (AA), Hispanic and Caucasian) were studied and analyzed on the basis of neurocognition, functional capacity, depression and real-world functional outcomes. No differences based on racial/ethnic status in clinician assessments of patients' functionality were found. Differences between racial groups were found in personal and maternal levels of education. Severity of depression was significantly correlated with accuracy of self-assessment of functioning in Caucasians, but not in AAs. Higher scores on neurocognition and functional capacity scales correlated with reduced overestimation of functioning in AAs, but not in Hispanics. This data might indicate that measurement of everyday functionality is less subject to rater bias than measurement of symptoms of schizophrenia.",
keywords = "Clinician bias, Ethnicity, Functional capacity, Latinos, Minorities, Schizophrenia",
author = "Samir Sabbag and Davide Prestia and Belinda Robertson and Pedro Ruiz and Dante Durand and Strassnig, {Martin T} and Harvey, {Philip D}",
year = "2015",
month = "9",
day = "30",
doi = "10.1016/j.psychres.2015.06.042",
language = "English (US)",
volume = "229",
pages = "347--352",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",
number = "1-2",

}

TY - JOUR

T1 - Absence of bias in clinician ratings of everyday functioning among African American, Hispanic and Caucasian patients with schizophrenia

AU - Sabbag, Samir

AU - Prestia, Davide

AU - Robertson, Belinda

AU - Ruiz, Pedro

AU - Durand, Dante

AU - Strassnig, Martin T

AU - Harvey, Philip D

PY - 2015/9/30

Y1 - 2015/9/30

N2 - A substantial research literature implicates potential racial/ethnic bias in the diagnosis of schizophrenia and in clinical ratings of psychosis. There is no similar information regarding bias effects on ratings of everyday functioning. Our aims were to determine if Caucasian raters vary in their ratings of the everyday functioning of schizophrenia patients of different ethnicities, to find out which factors determine accurate self-report of everyday functioning in different ethnic groups, and to know if depression has similar effects on the way people of different ethnicities self-report their current functionality. We analyzed data on 295 patients with schizophrenia who provided their self-report of their everyday functioning and also had a Caucasian clinician rating their functionality. Three racial/ethnic groups (African American (AA), Hispanic and Caucasian) were studied and analyzed on the basis of neurocognition, functional capacity, depression and real-world functional outcomes. No differences based on racial/ethnic status in clinician assessments of patients' functionality were found. Differences between racial groups were found in personal and maternal levels of education. Severity of depression was significantly correlated with accuracy of self-assessment of functioning in Caucasians, but not in AAs. Higher scores on neurocognition and functional capacity scales correlated with reduced overestimation of functioning in AAs, but not in Hispanics. This data might indicate that measurement of everyday functionality is less subject to rater bias than measurement of symptoms of schizophrenia.

AB - A substantial research literature implicates potential racial/ethnic bias in the diagnosis of schizophrenia and in clinical ratings of psychosis. There is no similar information regarding bias effects on ratings of everyday functioning. Our aims were to determine if Caucasian raters vary in their ratings of the everyday functioning of schizophrenia patients of different ethnicities, to find out which factors determine accurate self-report of everyday functioning in different ethnic groups, and to know if depression has similar effects on the way people of different ethnicities self-report their current functionality. We analyzed data on 295 patients with schizophrenia who provided their self-report of their everyday functioning and also had a Caucasian clinician rating their functionality. Three racial/ethnic groups (African American (AA), Hispanic and Caucasian) were studied and analyzed on the basis of neurocognition, functional capacity, depression and real-world functional outcomes. No differences based on racial/ethnic status in clinician assessments of patients' functionality were found. Differences between racial groups were found in personal and maternal levels of education. Severity of depression was significantly correlated with accuracy of self-assessment of functioning in Caucasians, but not in AAs. Higher scores on neurocognition and functional capacity scales correlated with reduced overestimation of functioning in AAs, but not in Hispanics. This data might indicate that measurement of everyday functionality is less subject to rater bias than measurement of symptoms of schizophrenia.

KW - Clinician bias

KW - Ethnicity

KW - Functional capacity

KW - Latinos

KW - Minorities

KW - Schizophrenia

UR - http://www.scopus.com/inward/record.url?scp=84939470522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939470522&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2015.06.042

DO - 10.1016/j.psychres.2015.06.042

M3 - Article

VL - 229

SP - 347

EP - 352

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

IS - 1-2

ER -