title: Contextual factors and anxiety in minority and European American youth presenting for treatment across two urban university clinics.
abstract: The current study compared ethnic minority and European American clinically-referred anxious youth (N=686; 2-19 years) on internalizing symptoms (i.e., primary anxiety and comorbid depression) and neighborhood context. Data were provided from multiple informants including youth, parents, and teachers. Internalizing symptoms were measured by the Multidimensional Anxiety Scale for Children, Child Depression Inventory, Child Behavior Checklist and Teacher Report Form. Diagnoses were based on the Anxiety Disorders Interview Schedule for Children. Neighborhood context was measured using Census tract data (i.e., owner-occupied housing, education level, poverty level, and median home value). Ethnic minority and European American youth showed differential patterns of diagnosis and severity of anxiety disorders. Further, ethnic minority youth lived in more disadvantaged neighborhoods. Ethnicity and neighborhood context appear to have an additive influence on internalizing symptoms in clinically-referred anxious youth. Implications for evidence-based treatments are discussed.
authors.affiliation: University of Pennsylvania, Department of Psychiatry, Philadelphia, PA 19104, United States. rbeidas@upenn.edu
authors.forename: Rinad S
authors.initials: RS
authors.lastname: Beidas
authors.forename: Liza
authors.initials: L
authors.lastname: Suarez
authors.forename: David
authors.initials: D
authors.lastname: Simpson
authors.forename: Kendra
authors.initials: K
authors.lastname: Read
authors.forename: Chiaying
authors.initials: C
authors.lastname: Wei
authors.forename: Sucheta
authors.initials: S
authors.lastname: Connolly
authors.forename: Philip
authors.initials: P
authors.lastname: Kendall
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology; D001008:Anxiety Disorders / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D001213:Asian / Q000523:psychology; D002641:Chicago / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000523:psychology*; D015143:Philadelphia / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012572:School Health Services / Q000706:statistics & numerical data; D013333:Student Health Services / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology; D044465:White People / Q000523:psychology*; D055815:Young Adult