Evidence for Differential Predictive Performance of the Prime Screen Between Black and White Help-Seeking Youths

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dc.contributor.authorMillman, Zachary B.
dc.contributor.authorRouhakhtar, Pamela Rakhshan
dc.contributor.authorDeVylder, Jordan E.
dc.contributor.authorSmith, Melissa E.
dc.contributor.authorPhalen, Peter L.
dc.contributor.authorWoods, Scott W.
dc.contributor.authorWalsh, Barbara C.
dc.contributor.authorParham, Brittany
dc.contributor.authorReeves, Gloria M.
dc.contributor.authorSchiffman, Jason
dc.date.accessioned2021-02-08T19:03:19Z
dc.date.available2021-02-08T19:03:19Z
dc.date.issued2019-07-16
dc.description.abstractObjective: Self-report screening instruments for emerging psychosis have the potential to improve early detection efforts by increasing the number of true positives among persons deemed to be at “clinical high risk” of the disorder, but their practical utility depends on their validity across race. This study sought to examine whether a commonly used self-report screening tool for psychosis risk performed equally among black and white youths in its ability to predict clinical high-risk status. Methods: Black (N=58) and white (N=50) help-seeking individuals ages 12–25 (61% female) were assessed with the Prime Screen and the Structured Interview for Psychosis-Risk Syndromes (SIPS). A logistic regression model estimated race differences in the strength of the relation between Prime Screen scores and SIPS-defined risk status. Results: Higher Prime Screen scores significantly predicted clinical high-risk status among white (p<.01) but not black participants. Among black youths without clinical high risk, self-reported Prime Screen scores more closely resembled scores for youths (black or white) with clinical high risk than scores of white peers who were also without clinical high risk. Conclusions: Results suggest that consideration of race or ethnicity and associated cultural factors is important when screening for clinical high-risk status. Findings support the need to develop culturally valid early psychosis screening tools to promote appropriately tailored early intervention efforts.en_US
dc.description.sponsorshipThis work was funded by the National Institute of Mental Health (NIMH) Grants R01-MH112612 and R34-MH110506, and the Maryland Department of Health and Mental Hygiene, Behavioral Health Administration through the Center for Excellence on Early Intervention for Serious Mental Illness, OPASS# 14–13717G/M00B4400214 (to J. Schiffman).en_US
dc.description.urihttps://ps.psychiatryonline.org/doi/10.1176/appi.ps.201800536en_US
dc.format.extent16 pagesen_US
dc.genrejournal articlesen_US
dc.genrepostprints
dc.identifierdoi:10.13016/m2eign-ywvy
dc.identifier.citationMillman, Zachary B.; Rouhakhtar, Pamela J. Rakhshan; DeVylder, Jordan E.; Smith, Melissa E.; Phalen, Peter L.; Woods, Scott W.; Walsh, Barbara C.; Parham, Brittany; Reeves, Gloria M.; Schiffman, Jason; Evidence for Differential Predictive Performance of the Prime Screen Between Black and White Help-Seeking Youths; Psychiatr Services 2019; 70(10): 907–914; https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201800536en_US
dc.identifier.urihttps://doi.org/10.1176/appi.ps.201800536
dc.identifier.urihttp://hdl.handle.net/11603/20980
dc.language.isoen_USen_US
dc.publisherAmerican Psychiatric Associationen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.rightsThis 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.
dc.rights©American Psychological Association, 2019. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at : https://doi.org/10.1176/appi.ps.201800536.
dc.titleEvidence for Differential Predictive Performance of the Prime Screen Between Black and White Help-Seeking Youthsen_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0001-8008-3552

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