The Effect of Race on Clinical High-Risk Diagnosis, Attenuated Psychosis Symptoms, and Functioning in Help-Seeking Adolescents
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Date
2019-01-01
Type of Work
Department
Psychology
Program
Psychology
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Access limited to the UMBC community. Item may possibly be obtained via Interlibrary Loan thorugh a local library, pending author/copyright holder's permission.
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Access limited to the UMBC community. Item may possibly be obtained via Interlibrary Loan thorugh a local library, pending author/copyright holder's permission.
This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
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Abstract
Extensive research has demonstrated higher rates of psychotic disorders and more severe psychotic symptoms among racial minorities, particularly among Black/African-American individuals. Additionally, racial differences have emerged in patterns of functional impairment for those with psychotic disorders. Although racial disparities are well documented among individuals at later stages of psychosis, few studies have examined racial differences in the clinical high-risk (CHR) phase of illness. In a sample of socioeconomically diverse help-seeking youth (N = 111), the present study examined racial differences between Black and White youth regarding psychosis risk diagnoses and severity of attenuated positive symptoms as measured by the Structured Interview for Psychosis Risk Syndromes (SIPS). Additionally, the moderating effect of race was examined on the relation between positive symptoms and social/role functioning. No significant racial differences emerged in diagnosis rates in the total sample. Additionally, symptom severity did not differ among Black and White participants identified as CHR positive. However, race had a moderating effect on the relation between SIPS positive symptoms and social functioning for total positive symptom score (p < .001), with suspiciousness (p < .001) and hallucinations (p < .10) driving this effect. Findings further the understanding of racial differences in the CHR phase of illness among White and Black youth, and highlight limitations of the existing literature and assessment tools for diverse youth.