Disparities in psychosocial functioning in a diverse sample of adults with anxiety disorders |
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| Affiliation: | 1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, USA;2. Department of Psychiatry, Columbia University and New York State Psychiatric Institute, 1051 Riverside Drive, Unit 69, New York, NY 10032, USA;3. Pacific Institute for Research and Evaluation, 1005 Main Street, Unit 8120, Pawtucket, RI 02860, USA;4. Department of Family Medicine, Alpert Medical School of Brown University, USA;1. Institute of Digital Media and Communications, Taiyuan University of Science and Technology, 66 Waliu Road, Taiyuan, Shanxi, China;2. Institute of Image Processing, University of Electronic Science and Technology of China, 2006 Xiyuan Avenue, Hi-Tech (West) Zone, Chengdu, Sichuan, China;1. Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Corso Duca degli Abruzzi, 24, 10129 Turin, Italy;2. Google, 1667 Plymouth Street, Mountain View, CA 94043, USA;1. Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States;2. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States;3. Center for Anxiety and Related Disorders, Boston University, Boston, MA, United States;1. University of Texas at Austin, United States;2. Baylor University Medical Center, United States;3. Southern Methodist University, United States;4. UT Southwestern Medican Center, United States;5. Baylor Scott & White Health, United States;1. DaVita Clinical Research, Minneapolis, MN;2. DaVita Institute for Patient Safety, Denver, CO |
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| Abstract: | Anxiety disorders are associated with psychosocial functional impairments, but no study has compared how these impairments might vary by ethno-racial status. We examined whether minority status was uniquely associated with functional impairments in 431 adults with anxiety disorders. Functioning was measured in the rater-assessed domains of: Global Assessment of Functioning (GAF); global psychosocial functioning; work, relationship, and recreational functioning; and, self-reported: life satisfaction, mental health functioning, physical functioning, and disability status. After controlling for demographic and clinical variables, results revealed evidence of disparities, whereby African Americans (AAs), particularly those with low income, had worse GAF, worse global psychosocial functioning, and were more likely to be disabled compared to non-Latino Whites. Latinos, particularly those with low income, had worse global psychosocial functioning than non-Latino Whites. Results suggest AAs and Latinos are at increased risk for functional impairments not better accounted for by other demographic or clinical variables. |
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| Keywords: | Anxiety disorders Psychosocial functioning Minorities Risk factors |
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