Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I)
Abstract Background Research on the utility of structured interviews in assessing OCD is scarce, and even more so, in its use for OCD in African Americans. The purpose of this study was to examine the utility of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) in detecting OCD...
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doaj-9790f000ff0e40afab04ff3fda583bba2020-11-24T21:56:32ZengBMCBMC Psychiatry1471-244X2017-07-0117111010.1186/s12888-017-1422-zMissed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I)Gregory S. Chasson0Monnica T. Williams1Darlene M. Davis2Jessica Y. Combs3Department of Psychology, Illinois Institute of TechnologyDepartment of Psychological Sciences, University of ConnecticutCenter for Mental Health Disparities, Department of Psychological & Brain Sciences, University of LouisvilleDepartment of Psychology, Spalding UniversityAbstract Background Research on the utility of structured interviews in assessing OCD is scarce, and even more so, in its use for OCD in African Americans. The purpose of this study was to examine the utility of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) in detecting OCD in African Americans when used by well-trained, culturally competent clinicians. Methods Seventy-four African American adults with OCD were assessed with the SCID-I and additional measures of OCD. Results Results revealed the poor diagnostic utility of the SCID OCD section (SCID-OCD), with 66.2% (N = 49) correctly identified and 33.8% (N = 25) incorrectly diagnosed. Participants receiving the correct diagnosis were more likely to endorse compulsive behaviors, specifically ordering compulsions, and experience greater symptom severity. Conclusion The lack of sensitivity for identification of OCD is discussed as the SCID-OCD seems to often miss a true diagnosis of OCD in African Americans.http://link.springer.com/article/10.1186/s12888-017-1422-zObsessive-compulsive disorderAfrican Americans: AssessmentRaceStructured interviews |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gregory S. Chasson Monnica T. Williams Darlene M. Davis Jessica Y. Combs |
spellingShingle |
Gregory S. Chasson Monnica T. Williams Darlene M. Davis Jessica Y. Combs Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) BMC Psychiatry Obsessive-compulsive disorder African Americans: Assessment Race Structured interviews |
author_facet |
Gregory S. Chasson Monnica T. Williams Darlene M. Davis Jessica Y. Combs |
author_sort |
Gregory S. Chasson |
title |
Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) |
title_short |
Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) |
title_full |
Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) |
title_fullStr |
Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) |
title_full_unstemmed |
Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I) |
title_sort |
missed diagnoses in african americans with obsessive-compulsive disorder: the structured clinical interview for dsm-iv axis i disorders (scid-i) |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2017-07-01 |
description |
Abstract Background Research on the utility of structured interviews in assessing OCD is scarce, and even more so, in its use for OCD in African Americans. The purpose of this study was to examine the utility of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) in detecting OCD in African Americans when used by well-trained, culturally competent clinicians. Methods Seventy-four African American adults with OCD were assessed with the SCID-I and additional measures of OCD. Results Results revealed the poor diagnostic utility of the SCID OCD section (SCID-OCD), with 66.2% (N = 49) correctly identified and 33.8% (N = 25) incorrectly diagnosed. Participants receiving the correct diagnosis were more likely to endorse compulsive behaviors, specifically ordering compulsions, and experience greater symptom severity. Conclusion The lack of sensitivity for identification of OCD is discussed as the SCID-OCD seems to often miss a true diagnosis of OCD in African Americans. |
topic |
Obsessive-compulsive disorder African Americans: Assessment Race Structured interviews |
url |
http://link.springer.com/article/10.1186/s12888-017-1422-z |
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