Ethnic differences in the reliability and validity of a Panic Disorder Screen.
Ethnic differences in the reliability and validity of a Panic Disorder Screen.
复制标题
恐慌症筛查的可靠性和有效性存在种族差异。
DOI：
10.1080/13557850701235069
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发表时间：
2007
影响因子：
3.1
通讯作者：
Santos,Alberto
中科院分区：
文献类型：
--
作者：
Johnson,MichaelR;Hartzema,AbrahamG;Mills,TerryL;DeLeon,JessicaM;Yang,Mark;Frueh,Christopher;Santos,Alberto
目的：本研究的目的是比较简明惊恐障碍筛查（BPDS）在非裔美国人和高加索美国人初级保健patients.Methods样本中的可靠性和有效性。惊恐障碍诊断的存在或不存在是在与精神科医生的临床访谈中确定的。的可靠性（内部一致性）和有效性（标准有效性）的措施进行了比较两个种族subgroup.Findings.The BPDS表现出更大的可靠性和有效性，为白种人比非洲裔美国人。即使在控制了关键人口统计学变量的组间差异后，这种效应仍然存在。种族之间的差异是明显的，在那些与和那些没有惊恐障碍（PD）。患有PD的非裔美国人的BPDS应答表现出非常低的内部一致性，而高假阳性PD诊断率与无PD的非裔美国人中高于预期的BPDS评分相关，特别是在经历呼吸急促或心悸时所感受到的恐惧水平上。讨论。这些发现支持了这样的观点，即与焦虑症相关的语言和意义的文化差异有助于焦虑症的发生。在初级保健人群中准确诊断PD的难度。需要更多的研究来更好地了解焦虑体验的文化方面。这样的研究将有助于开发更好的筛查工具，为少数民族的初级保健人群的恐慌和其他焦虑症。
Purpose.The purpose of this study was to compare the reliability and validity of the Brief Panic Disorder Screen (BPDS) in samples of African American and Caucasian American primary care patients.Methods.The BPDS was administered to 295 patients scheduled to visit a primary care clinic for medical reasons. The presence or absence of a panic disorder diagnosis was established during a clinical interview with a psychiatrist. Measures of reliability (internal consistency) and validity (criterion validity) were compared between the two ethnic subgroups.Findings.The BPDS demonstrated greater reliability and validity for Caucasians than African Americans. This effect was maintained even after controlling for group differences in key demographic variables. Differences between ethnic groups were apparent in both those with and those without panic disorder (PD). BPDS responses of African Americans with PD demonstrated very low internal consistency whereas a high rate of false positive PD diagnoses was related to higher than expected BPDS scores among African Americans without PD, particularly on the level of fear felt when experiencing shortness of breath or heart palpitations.Discussion.These findings support the notion that cultural differences in the language and meaning associated with anxiety disorders contribute to the difficulty of accurately diagnosing PD in primary care populations. Additional research is needed to provide a better understanding of the cultural aspects of the anxiety experience. Such research would facilitate the development of better screening tools for panic and other anxiety disorders for ethnic minority primary care populations.