The Effect of Race on Clinical High-Risk Diagnosis, Attenuated Psychosis Symptoms, and Functioning in Help-Seeking Adolescents

dc.contributor.advisorSchiffman, Jason
dc.contributor.authorRakhshan Rouhakhtar, Pamela Jayne
dc.contributor.departmentPsychology
dc.contributor.programPsychology
dc.date.accessioned2021-01-29T18:12:38Z
dc.date.available2021-01-29T18:12:38Z
dc.date.issued2019-01-01
dc.description.abstractExtensive 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.
dc.formatapplication:pdf
dc.genretheses
dc.identifierdoi:10.13016/m2ulby-x1h5
dc.identifier.other11976
dc.identifier.urihttp://hdl.handle.net/11603/20729
dc.languageen
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Theses and Dissertations Collection
dc.relation.ispartofUMBC Graduate School Collection
dc.relation.ispartofUMBC Student Collection
dc.sourceOriginal File Name: RakhshanRouhakhtar_umbc_0434M_11976.pdf
dc.subjectPsychosis-Risk
dc.subjectRace
dc.titleThe Effect of Race on Clinical High-Risk Diagnosis, Attenuated Psychosis Symptoms, and Functioning in Help-Seeking Adolescents
dc.typeText
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