Ethnicity and Mental Health Treatment Utilization by Patients With Personality Disorders

Donna S. Bender, Andrew E. Skodol, Ingrid R. Dyck, John C. Markowitz, M. Tracie Shea, Shirley Yen, Charles A. Sanislow, Anthony Pinto, Mary C. Zanarini, Thomas H. McGlashan, John G. Gunderson, Maria T. Daversa, Carlos M. Grilo

Research output: Contribution to journalArticle

Abstract

The authors examined the relationship between ethnicity and treatment utilization by individuals with personality disorders (PDs). Lifetime and prospectively determined rates and amounts of mental health treatments received were compared in over 500 White, African American, and Hispanic participants with PDs in a naturalistic longitudinal study. Minority, especially Hispanic, participants were significantly less likely than White participants to receive a range of outpatient and inpatient psychosocial treatments and psychotropic medications. This pattern was especially pronounced for minority participants with more severe PDs. A positive support alliance factor significantly predicted the amount of individual psychotherapy used by African American and Hispanic but not White participants, underscoring the importance of special attention to the treatment relationship with minority patients. These treatment use differences raise complex questions about treatment assessment and delivery, cultural biases of the current diagnostic system, and possible variation in PD manifestation across racial/ethnic groups. Future studies need to assess specific barriers to adequate and appropriate treatments for minority individuals with PDs.

Original languageEnglish (US)
Pages (from-to)992-999
Number of pages8
JournalJournal of Consulting and Clinical Psychology
Volume75
Issue number6
DOIs
StatePublished - Dec 1 2007
Externally publishedYes

Fingerprint

Personality Disorders
Mental Health
Hispanic Americans
African Americans
Therapeutics
Ethnic Groups
Psychotherapy
Longitudinal Studies
Inpatients
Outpatients

Keywords

  • ethnicity
  • personality disorders
  • race
  • treatment utilization

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Bender, D. S., Skodol, A. E., Dyck, I. R., Markowitz, J. C., Shea, M. T., Yen, S., ... Grilo, C. M. (2007). Ethnicity and Mental Health Treatment Utilization by Patients With Personality Disorders. Journal of Consulting and Clinical Psychology, 75(6), 992-999. https://doi.org/10.1037/0022-006X.75.6.992

Ethnicity and Mental Health Treatment Utilization by Patients With Personality Disorders. / Bender, Donna S.; Skodol, Andrew E.; Dyck, Ingrid R.; Markowitz, John C.; Shea, M. Tracie; Yen, Shirley; Sanislow, Charles A.; Pinto, Anthony; Zanarini, Mary C.; McGlashan, Thomas H.; Gunderson, John G.; Daversa, Maria T.; Grilo, Carlos M.

In: Journal of Consulting and Clinical Psychology, Vol. 75, No. 6, 01.12.2007, p. 992-999.

Research output: Contribution to journalArticle

Bender, DS, Skodol, AE, Dyck, IR, Markowitz, JC, Shea, MT, Yen, S, Sanislow, CA, Pinto, A, Zanarini, MC, McGlashan, TH, Gunderson, JG, Daversa, MT & Grilo, CM 2007, 'Ethnicity and Mental Health Treatment Utilization by Patients With Personality Disorders', Journal of Consulting and Clinical Psychology, vol. 75, no. 6, pp. 992-999. https://doi.org/10.1037/0022-006X.75.6.992
Bender, Donna S. ; Skodol, Andrew E. ; Dyck, Ingrid R. ; Markowitz, John C. ; Shea, M. Tracie ; Yen, Shirley ; Sanislow, Charles A. ; Pinto, Anthony ; Zanarini, Mary C. ; McGlashan, Thomas H. ; Gunderson, John G. ; Daversa, Maria T. ; Grilo, Carlos M. / Ethnicity and Mental Health Treatment Utilization by Patients With Personality Disorders. In: Journal of Consulting and Clinical Psychology. 2007 ; Vol. 75, No. 6. pp. 992-999.
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