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Panic disorder among African Americans, Caribbean blacks and non-Hispanic whites

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Abstract

Introduction

This study investigated co-morbidities, level of disability, service utilization and demographic correlates of panic disorder (PD) among African Americans, Caribbean blacks and non-Hispanic white Americans.

Methods

Data are from the National Survey of American Life (NSAL) and the National Comorbidity Survey-Replication (NCS-R).

Results

Non-Hispanic whites are the most likely to develop PD across the lifespan compared to the black subgroups. Caribbean blacks were found to experience higher levels of functional impairment. There were no gender differences found in prevalence of PD in Caribbean blacks, indicating that existing knowledge about who is at risk for developing PD (generally more prevalent in women) may not be true among this subpopulation. Furthermore, Caribbean blacks with PD were least likely to use mental health services compared to African Americans and non-Hispanic whites.

Conclusion

This study demonstrates that PD may affect black ethnic subgroups differently, which has important implications for understanding the nature and etiology of the disorder.

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Acknowledgments

The data collection on which this study is based was supported by the National Institute of Mental Health (NIMH; U01-MH57716) with supplemental support from the Office of Behavioral and Social Science Research at the National Institutes of Health (NIH) and the University of Michigan.

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Authors and Affiliations

  1. University of Michigan, Ann Arbor; 500 S. State St., Ann Arbor, MI, 48109, USA

    Debra Siegel Levine, Joseph A. Himle, Robert Joseph Taylor, Jamie M. Abelson, Niki Matusko & James Jackson

  2. Boston University, 1 Silber Way, Boston, MA, 02215, USA

    Jordana Muroff

  3. 530 Church St., Ann Arbor, MI, 48109, USA

    Debra Siegel Levine

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  1. Debra Siegel Levine
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  2. Joseph A. Himle
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  3. Robert Joseph Taylor
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  4. Jamie M. Abelson
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  6. Jordana Muroff
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  7. James Jackson
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Correspondence to Debra Siegel Levine.

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Levine, D.S., Himle, J.A., Taylor, R.J. et al. Panic disorder among African Americans, Caribbean blacks and non-Hispanic whites. Soc Psychiatry Psychiatr Epidemiol 48, 711–723 (2013). https://doi.org/10.1007/s00127-012-0582-x

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  • DOI: https://doi.org/10.1007/s00127-012-0582-x

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