Gender disparities in mental health service use of Puerto Rican children and adolescents / José J. CABIYA in Journal of Child Psychology and Psychiatry, 47-8 (August 2006)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 47-8 (August 2006) . - p.840–848 Titre : Gender disparities in mental health service use of Puerto Rican children and adolescents Type de document : Texte imprimé et/ou numérique Auteurs : José J. CABIYA, Auteur ; Alfonso MARITINEZ-TABOAS, Auteur ; José J. BAUERMEISTER, Auteur ; Milagros BRAVO, Auteur ; Ann HOHMAN, Auteur ; Patrick SHROUT, Auteur ; Margenta ALEGRIA, Auteur ; Rafael RAMIREZ, Auteur ; Glorisa CANINO, Auteur ; Ligia CHAVEZ, Auteur Année de publication : 2006 Article en page(s) : p.840–848 Langues : Anglais (eng) Mots-clés : Service-development public-health disruptive-behavior internalizing-disorder Index. décimale : PER Périodiques Résumé : Background: Differences in service utilization indicating that boys use more mental health services than girls were analyzed to see if they could be explained by known correlates of service use. These correlates were arranged into individual (severe emotional disturbance, level of impairment and externalizing disorders), family (parental education, psychopathology and parental concern) and school factors (difficulties with school work). The objectives were to understand and identify the factors accounting for gender differences in mental health service utilization in order to develop alternatives to promote equity in service delivery. Methods: A representative sample of 1,896 children 4 to 17 years of age and their primary caretakers were interviewed for this study. Reports of service use were obtained using the Service Assessment for Children and Adolescents. Logistic regression was used to assess the relationship between gender and service use, adjusting for known correlates. Results: Our results showed that, except for impairment, other individual, family and school factors did not explain gender differences in service utilization. Males with impairment were 2.87 times more likely to receive services than impaired females (p ≤ .01), and this result continued to hold true for impaired undiagnosed boys compared to impaired diagnoses-free girls (p ≤ .001). Conclusions: Our findings showed a service disparity between impaired boys and girls who did not meet criteria for a DSM IV diagnosis, but no observed differences in service use between boys and girls who met criteria for severe emotional disturbance (SED). Continued investigations are necessary to analyze, assess and understand the different circumstances that bring boys and girls into treatment, followed by the development of appropriate intervention programs at the school and community levels. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01623.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=770 [article] Gender disparities in mental health service use of Puerto Rican children and adolescents [Texte imprimé et/ou numérique] / José J. CABIYA, Auteur ; Alfonso MARITINEZ-TABOAS, Auteur ; José J. BAUERMEISTER, Auteur ; Milagros BRAVO, Auteur ; Ann HOHMAN, Auteur ; Patrick SHROUT, Auteur ; Margenta ALEGRIA, Auteur ; Rafael RAMIREZ, Auteur ; Glorisa CANINO, Auteur ; Ligia CHAVEZ, Auteur . - 2006 . - p.840–848. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 47-8 (August 2006) . - p.840–848 Mots-clés : Service-development public-health disruptive-behavior internalizing-disorder Index. décimale : PER Périodiques Résumé : Background: Differences in service utilization indicating that boys use more mental health services than girls were analyzed to see if they could be explained by known correlates of service use. These correlates were arranged into individual (severe emotional disturbance, level of impairment and externalizing disorders), family (parental education, psychopathology and parental concern) and school factors (difficulties with school work). The objectives were to understand and identify the factors accounting for gender differences in mental health service utilization in order to develop alternatives to promote equity in service delivery. Methods: A representative sample of 1,896 children 4 to 17 years of age and their primary caretakers were interviewed for this study. Reports of service use were obtained using the Service Assessment for Children and Adolescents. Logistic regression was used to assess the relationship between gender and service use, adjusting for known correlates. Results: Our results showed that, except for impairment, other individual, family and school factors did not explain gender differences in service utilization. Males with impairment were 2.87 times more likely to receive services than impaired females (p ≤ .01), and this result continued to hold true for impaired undiagnosed boys compared to impaired diagnoses-free girls (p ≤ .001). Conclusions: Our findings showed a service disparity between impaired boys and girls who did not meet criteria for a DSM IV diagnosis, but no observed differences in service use between boys and girls who met criteria for severe emotional disturbance (SED). Continued investigations are necessary to analyze, assess and understand the different circumstances that bring boys and girls into treatment, followed by the development of appropriate intervention programs at the school and community levels. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01623.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=770

Psychiatric diagnosis – is it universal or relative to culture? / Glorisa CANINO in Journal of Child Psychology and Psychiatry, 49-3 (March 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.237-250 Titre : Psychiatric diagnosis – is it universal or relative to culture? Type de document : Texte imprimé et/ou numérique Auteurs : Glorisa CANINO, Auteur ; Margenta ALEGRIA, Auteur Année de publication : 2008 Article en page(s) : p.237-250 Langues : Anglais (eng) Mots-clés : Child-psychiatric-diagnosis cultural-differences universalist-approach relativistic-approach Index. décimale : PER Périodiques Résumé : Background: There is little consensus on the extent to which psychiatric disorders or syndromes are universal or the extent to which they differ on their core definitions and constellation of symptoms as a result of cultural or contextual factors. This controversy continues due to the lack of biological markers, imprecise measurement and the lack of a gold standard for validating most psychiatric conditions. Method: Empirical studies were used to present evidence in favor of or against a universalist or relativistic view of child psychiatric disorders using a model developed by Robins and Guze to determine the validity of psychiatric disorders. Results: The prevalence of some of the most common specific disorders and syndromes as well as its risk and protective factors vary across cultures, yet comorbid patterns and response to treatments vary little across cultures. Cross-cultural longitudinal data on outcomes is equivocal. Conclusions: The cross-cultural validity of child disorders may vary drastically depending on the disorder, but empirical evidence that attests for the cross-cultural validity of diagnostic criteria for each child disorder is lacking. There is a need for studies that investigate the extent to which gene–environment interactions are related to specific disorders across cultures. Clinicians are urged to consider culture and context in determining the way in which children's psychopathology may be manifested independent of their views. Recommendations for the upcoming classificatory system are provided so that practical or theoretical considerations are addressed about how culture and ethnic issues affect the assessment or treatment of specific disorders in children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01854.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336 [article] Psychiatric diagnosis – is it universal or relative to culture? [Texte imprimé et/ou numérique] / Glorisa CANINO, Auteur ; Margenta ALEGRIA, Auteur . - 2008 . - p.237-250. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.237-250 Mots-clés : Child-psychiatric-diagnosis cultural-differences universalist-approach relativistic-approach Index. décimale : PER Périodiques Résumé : Background: There is little consensus on the extent to which psychiatric disorders or syndromes are universal or the extent to which they differ on their core definitions and constellation of symptoms as a result of cultural or contextual factors. This controversy continues due to the lack of biological markers, imprecise measurement and the lack of a gold standard for validating most psychiatric conditions. Method: Empirical studies were used to present evidence in favor of or against a universalist or relativistic view of child psychiatric disorders using a model developed by Robins and Guze to determine the validity of psychiatric disorders. Results: The prevalence of some of the most common specific disorders and syndromes as well as its risk and protective factors vary across cultures, yet comorbid patterns and response to treatments vary little across cultures. Cross-cultural longitudinal data on outcomes is equivocal. Conclusions: The cross-cultural validity of child disorders may vary drastically depending on the disorder, but empirical evidence that attests for the cross-cultural validity of diagnostic criteria for each child disorder is lacking. There is a need for studies that investigate the extent to which gene–environment interactions are related to specific disorders across cultures. Clinicians are urged to consider culture and context in determining the way in which children's psychopathology may be manifested independent of their views. Recommendations for the upcoming classificatory system are provided so that practical or theoretical considerations are addressed about how culture and ethnic issues affect the assessment or treatment of specific disorders in children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01854.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336

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