Mental health care utilization in individuals with high levels of psychosis-like experiences

Associations with race and potentially traumatic events

Datos Bibliográficos

ID12474643
AutoresEmily Petti (0000-0003-4825-1688, University of Maryland, Baltimore, autor de correspondencia), Mallory J Klaunig (0000-0002-9271-3547, University of Maryland, Baltimore), M E Smith (0000-0003-3855-516X), Miranda A Bridgwater (0000-0002-3812-9382, University of Maryland, Baltimore), Caroline Roemer (0000-0003-1234-5252, University of Maryland, Baltimore), Nicole D Andorko (0000-0002-1828-6735, University of Maryland, Baltimore), Doha Chibani (0000-0002-7937-2848, University of Maryland, Baltimore), Joseph S Deluca (0000-0002-5958-7219, Icahn School of Medicine at Mount Sinai), Steven C Pitts (0000-0003-3611-0386, University of Maryland, Baltimore), Jason Schiffman (0000-0002-1363-4497, University of Maryland, Baltimore), Pamela Rakhshan Rouhakhtar (0000-0001-8008-3552, University of Maryland, Baltimore)
Año2021
Volumen29
Número3
Páginas302-315
Fecha de publicación2021-11-22
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaCultural Diversity & Ethnic Minority Psychology (JOURNAL)
Identificadores de la revistaISSN: 1099-9809 • E-ISSN: 1939-0106
EditorialAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/cdp0000500
PMID34807672
OpenAlexW3216658770
IdiomaEN
Citas recibidas1

Objective: Racial inequities in mental health care utilization (MHCU) are well documented. Marginalized racial groups are more likely to report psychosis-like experiences (PLEs) and are at elevated risk for racial discrimination and trauma, impacting PLE severity. Little is known about how factors associated with race impact treatment seeking among individuals reporting PLEs. The present study examined associations between race, trauma, discrimination, PLEs, and MHCU among people endorsing high levels of PLEs. Method: Participants were Asian/Asian American, Black/African American, or White/European American college students ages 18-25 years meeting PLE self-report measure cutoff scores ( N = 177). Binary logistic and multiple linear regressions were used to examine associations between past, current, and prospective MHCU and race, potentially traumatic events, discrimination, and PLEs. Results: Participants endorsing more PLEs were more likely to report past and current treatment and to be considering future services. Asian/Asian American and Black/African American participants were less likely to endorse past, current, and prospective future mental health care. Potentially traumatic events predicted increased utilization of past treatment. Conclusions: Results suggest service differences among participants, such that Black/African American and Asian/Asian American young adults reporting PLEs were less likely than White/European American counterparts to seek treatment even when accounting for traumatic events and discrimination. These findings highlight the need to further elucidate MHCU among marginalized racial groups experiencing psychosis-like symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Asian americans · Ethnic group · MEDLINE · Mental health · Psychiatry · Psychosis · PsycINFO · Race (biology · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Mental Health Treatment and Access · Psychology