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Titolo:
REFERRAL PATTERNS AND RECOGNITION OF DEPRESSION AMONG AFRICAN-AMERICAN AND CAUCASIAN PATIENTS
Autore:
LEO RJ; SHERRY C; JONES AW;
Indirizzi:
SUNY BUFFALO,ERIE CTY MED CTR & LABS,SCH MED & BIOMED SCI,DEPT PSYCHIAT,462 GRIDER ST BUFFALO NY 14215
Titolo Testata:
General hospital psychiatry
fascicolo: 3, volume: 20, anno: 1998,
pagine: 175 - 182
SICI:
0163-8343(1998)20:3<175:RPAROD>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONSULTATION-LIAISON SERVICE; CHRONIC MEDICAL ILLNESS; PSYCHIATRIC-CONSULTATION; DIAGNOSING DEPRESSION; COMMUNITY SAMPLE; MAJOR DEPRESSION; WHITE AMERICANS; PRIMARY-CARE; HEALTH-CARE; BLACKS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
68
Recensione:
Indirizzi per estratti:
Citazione:
R.J. Leo et al., "REFERRAL PATTERNS AND RECOGNITION OF DEPRESSION AMONG AFRICAN-AMERICAN AND CAUCASIAN PATIENTS", General hospital psychiatry, 20(3), 1998, pp. 175-182

Abstract

A retrospective review of psychiatric consultations was conducted forAfrican-American and Caucasian patients for a 2-year period. Reasons for referral, assigned diagnoses, accuracy rates, and discordance and concordance rates were assessed. Referrals for depression comprised 24.6% of all consults for Caucasian and African-American inpatients. Only 40.3% of patients referred for depression were diagnosed with a depressive disorder; 54.4% of patients diagnosed with depressive disorderswere referred for other reasons. African-American patients were referred for evaluation of depression and diagnosed with depressive disorders significantly less often than Caucasian patients. No significant differences were obtained between African-Americans and Caucasians in the accuracy rates of patients referred for depression. Discordance and concordance rates for the two groups were comparable. Diagnoses assigned to African-Americans and Caucasians incorrectly referred for depression did not differ significantly. For depressed African-Americans andCaucasians referred for reasons other than depression, the only difference noted was in the referral rates for adjustment of psychotropics. The nonpsychiatric staff fails to recognize depression and often refer depressed patients inappropriately. Depressed patients are primarilyreferred for suicide assessment and disruptive behaviors. Referrals for depression may be a secondary concern to nonpsychiatric staff. In addition, cultural variables and racial differences between hospital staff and patients may account for the differences irt referral patterns. Awareness of the needs of African-American patients is required. (C)1998 Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 11:30:50