Inconsistencies in diagnosis and symptoms among bilingual and English-speaking Latinos and Euro-Americans.
Inconsistencies in diagnosis and symptoms among bilingual and English-speaking Latinos and Euro-Americans.
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双语和英语拉丁美洲人和欧美人的诊断和症状不一致。
DOI：
10.1176/ps.2009.60.10.1379
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Strakowski,Stephen
中科院分区：
文献类型：
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作者：
Díaz,Esperanza;Miskemen,Theresa;Vega,WilliamA;Gara,Michael;Wilson,DanielR;Lesser,Ira;Escamilla,Michael;Neighbors,HaroldW;Arndt,Stephan;Strakowski,Stephen
Ira Lesser, MD Michael Escamilla, MD Harold W. Neighbors, MD Stephan Arndt, Ph. D. Stephen Strakowski, MD schizophrenia who responded bilingually (that is, in both English and Spanish) during a diagnostic interview had the most severe symptom ratings, followed by those who spoke only Spanish and then by those who spoke only English (10). Latino clinicians rated symptoms more severely than did Anglo clinicians (10). A more recent study reported that Englishspeaking clinicians reported higher confidence in their assessments of Latino patients when interpreters (Spanish to English) were used (11). Without interpreters, English-speaking clinicians reported that patient diagnoses and functioning would have been assessed as less severe or the same. Notwithstanding a tendency toward less severe symptom reports when English-speaking clinicians diagnose Spanish-speaking patients, the evidence remains inconclusive. Noncomparability of designs, inconsistent use of research diagnostic interviewing, and the very small samples used in some of the cited studies undermine firm conclusions. An implication from previous research is that many diagnostic issues remain unresolved because findings are contradictory regarding language effects on the diagnostic process. This study compared independent research diagnostic assessments of Latinos and Euro-Americans that were conducted by research interviewers who had good interrater reliability. The analyses focused on bilingual Latinos, Latinos who spoke only English, and non-Latino Euro-Americans. The study addressed two central research questions: Are previous findings of disproportionate rates of clinical diagnoses of major depression among Latinos replicated when structured diagnoses are applied? Are diagnostic patterns consistent with symptomatology, functioning, and other information among the same patients?
