Ethnicity and reporting of schizophrenic symptoms.
Eighty-one clinically diagnosed (DSM-III) Hispanic and Anglo schizophrenic subjects were evaluated with a structured diagnostic interview, the National Institute of Mental Health Diagnostic Interview Schedule (NIMH-DIS), and a battery of rating instruments (Brief Psychiatric Rating Scale, Clinical Global Impressions, Global Assessment Scale, and Hopkins Symptom Checklist 90 [SCL-90]). The authors examined: a) consistency in reporting of symptoms across different instruments administered in different formats and b) the importance of ethnic background in consistency of responses to the different instruments. A subgroup of patients (23% of total) "denied" lifetime schizophrenic symptoms in the lay interviewer-administered structured interview ("DIS negative" schizophrenic subjects). The proportion of DIS negative subjects was very similar across the two ethnic groups. However, responses by DIS negative schizophrenic subjects to a self-rating instrument (SCL-90) were significantly different for Hispanic and Anglo subjects. A subgroup of Anglo subjects denied symptoms in the DIS, but volunteered them in the self-rating instrument. Responses of Hispanic subjects were consistent regardless of format.
D000069:Acculturation; D000328:Adult; D005006:Ethnicity; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008370:Manuals as Topic / Q000592:standards; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012559:Schizophrenia / Q000175:diagnosis*; D012565:Schizophrenic Psychology