Abstract:
BACKGROUND:Psychological literature and clinical lore suggest that there may be systematic differences in how various demographic groups experience depressive symptoms, particularly somatic symptoms. The aim of the current study was to use methods based on item response theory (IRT) to examine whether, when equating for levels of depression symptom severity, there are demographic differences in the likelihood of reporting DSM-IV depression symptoms. METHOD:We conducted a secondary analysis of a subset (n=13 753) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) dataset, which includes a large epidemiological sample of English-speaking Americans. We compared data from women and men, Hispanics and non-Hispanic Whites, African Americans and Whites, Asian Americans and Whites, and American Indians and Whites. RESULTS:There were few differences overall, although the differences that we did find were primarily limited to somatic symptoms, and particularly appetite and weight disturbance. CONCLUSIONS:For the most part, individuals responded similarly to the criteria used to diagnose major depression across gender and across English-speaking racial and ethnic groups in the USA.
journal_name
Psychol Medjournal_title
Psychological medicineauthors
Uebelacker LA,Strong D,Weinstock LM,Miller IWdoi
10.1017/S0033291708003875subject
Has Abstractpub_date
2009-04-01 00:00:00pages
591-601issue
4eissn
0033-2917issn
1469-8978pii
S0033291708003875journal_volume
39pub_type
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