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Obsessive-compulsive disorder among African Americans and blacks of Caribbean descent: results from the National Survey of American Life.
Depress Anxiety. 2008; 25(12):993-1005.DA

Abstract

BACKGROUND

There is limited research regarding the nature and prevalence of obsessive-compulsive disorder (OCD) among various racial and ethnic subpopulations within the United States, including African Americans and blacks of Caribbean descent. Although heterogeneity within the black population in the United States has largely been ignored, notable differences exist between blacks of Caribbean descent and African Americans with respect to ethnicity, national heritage, and living circumstances. This is the first comprehensive examination of OCD among African Americans and blacks of Caribbean descent.

METHODS

Data from the National Survey of American Life, a national household probability sample of African Americans and Caribbean blacks in the United States, were used to examine rates of OCD among these groups.

RESULTS

Lifetime and 12-month OCD prevalence estimates were very similar for African Americans and Caribbean blacks. Persistence of OCD and rates of co-occurring psychiatric disorders were very high and also similar between African American and Caribbean black respondents. Both groups had high levels of overall mental illness severity and functional impairment. Use of services was low for both groups, particularly in specialty mental health settings. Use of anti-obsessional medications was also rare, especially among the Caribbean black OCD population.

CONCLUSIONS

OCD among African Americans and Caribbean blacks is very persistent, often accompanied by other psychiatric disorders, and is associated with high overall mental illness severity and functional impairment. It is also likely that very few blacks in the United States with OCD are receiving evidence-based treatment and thus considerable effort is needed to bring treatment to these groups.

Authors+Show Affiliations

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan 48109-5763, USA. himlej@umich.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18833577

Citation

Himle, Joseph A., et al. "Obsessive-compulsive Disorder Among African Americans and Blacks of Caribbean Descent: Results From the National Survey of American Life." Depression and Anxiety, vol. 25, no. 12, 2008, pp. 993-1005.
Himle JA, Muroff JR, Taylor RJ, et al. Obsessive-compulsive disorder among African Americans and blacks of Caribbean descent: results from the National Survey of American Life. Depress Anxiety. 2008;25(12):993-1005.
Himle, J. A., Muroff, J. R., Taylor, R. J., Baser, R. E., Abelson, J. M., Hanna, G. L., Abelson, J. L., & Jackson, J. S. (2008). Obsessive-compulsive disorder among African Americans and blacks of Caribbean descent: results from the National Survey of American Life. Depression and Anxiety, 25(12), 993-1005. https://doi.org/10.1002/da.20434
Himle JA, et al. Obsessive-compulsive Disorder Among African Americans and Blacks of Caribbean Descent: Results From the National Survey of American Life. Depress Anxiety. 2008;25(12):993-1005. PubMed PMID: 18833577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Obsessive-compulsive disorder among African Americans and blacks of Caribbean descent: results from the National Survey of American Life. AU - Himle,Joseph A, AU - Muroff,Jordana R, AU - Taylor,Robert Joseph, AU - Baser,Raymond E, AU - Abelson,Jamie M, AU - Hanna,Gregory L, AU - Abelson,James L, AU - Jackson,James S, PY - 2008/10/4/entrez PY - 2008/10/4/pubmed PY - 2009/3/12/medline SP - 993 EP - 1005 JF - Depression and anxiety JO - Depress Anxiety VL - 25 IS - 12 N2 - BACKGROUND: There is limited research regarding the nature and prevalence of obsessive-compulsive disorder (OCD) among various racial and ethnic subpopulations within the United States, including African Americans and blacks of Caribbean descent. Although heterogeneity within the black population in the United States has largely been ignored, notable differences exist between blacks of Caribbean descent and African Americans with respect to ethnicity, national heritage, and living circumstances. This is the first comprehensive examination of OCD among African Americans and blacks of Caribbean descent. METHODS: Data from the National Survey of American Life, a national household probability sample of African Americans and Caribbean blacks in the United States, were used to examine rates of OCD among these groups. RESULTS: Lifetime and 12-month OCD prevalence estimates were very similar for African Americans and Caribbean blacks. Persistence of OCD and rates of co-occurring psychiatric disorders were very high and also similar between African American and Caribbean black respondents. Both groups had high levels of overall mental illness severity and functional impairment. Use of services was low for both groups, particularly in specialty mental health settings. Use of anti-obsessional medications was also rare, especially among the Caribbean black OCD population. CONCLUSIONS: OCD among African Americans and Caribbean blacks is very persistent, often accompanied by other psychiatric disorders, and is associated with high overall mental illness severity and functional impairment. It is also likely that very few blacks in the United States with OCD are receiving evidence-based treatment and thus considerable effort is needed to bring treatment to these groups. SN - 1520-6394 UR - https://www.unboundmedicine.com/medline/citation/18833577/Obsessive_compulsive_disorder_among_African_Americans_and_blacks_of_Caribbean_descent:_results_from_the_National_Survey_of_American_Life_ L2 - https://doi.org/10.1002/da.20434 DB - PRIME DP - Unbound Medicine ER -