PMID- 25130249 OWN - NLM STAT- MEDLINE DCOM- 20160706 LR - 20211203 IS - 1548-6869 (Electronic) IS - 1049-2089 (Print) IS - 1049-2089 (Linking) VI - 25 IP - 3 DP - 2014 Aug TI - Race/ethnicity and other social determinants of psychological well-being and functioning in mental health clinics. PG - 1418-31 LID - 10.1353/hpu.2014.0138 [doi] AB - Significant racial and ethnic differences exist in the receipt of psychiatric care and help-seeking. We examined the relationship between race/ethnicity and psychological well-being and functioning in psychiatric outpatients. We analyzed intake data for 8,697 adult patients in psychiatry clinics in New England between 2008 and 2010. Patients rated psychological wellbeing using the Schwartz Outcome Scale (SOS-10); clinicians rated the Global Assessment of Functioning (GAF). In an analysis of variance with covariates, race/ethnicity exhibited a small but statistically significant association with GAF (F(4,8481)=17.902, p<.001) and SOS-10 scores (F(4,8165)=7.271, p<.001). However, after adjustment for physical health and socioeconomic variables, these differences became insignificant or were reversed. Our findings suggest that the relationship between race/ethnicity and mental health may be confounded by other socioeconomic or health differences and may be small compared with the effect of those variables. Future studies on race and psychological well-being should take social determinants of health into consideration. FAU - Chang, Trina E AU - Chang TE FAU - Weiss, Anthony P AU - Weiss AP FAU - Marques, Luana AU - Marques L FAU - Baer, Lee AU - Baer L FAU - Vogeli, Christine AU - Vogeli C FAU - Trinh, Ha T AU - Trinh HT FAU - Clain, Alisabet J AU - Clain AJ FAU - Blais, Mark A AU - Blais MA FAU - Fava, Maurizio AU - Fava M FAU - Yeung, Albert S AU - Yeung AS LA - eng GR - T32 MH019126/MH/NIMH NIH HHS/United States GR - UL1 RR025758/RR/NCRR NIH HHS/United States GR - MH- 19126/MH/NIMH NIH HHS/United States GR - UL1 RR 025758/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Health Care Poor Underserved JT - Journal of health care for the poor and underserved JID - 9103800 SB - IM MH - Adult MH - *Ethnicity MH - Female MH - Humans MH - Male MH - *Mental Health MH - Middle Aged MH - New England MH - Outpatient Clinics, Hospital MH - Psychiatric Status Rating Scales MH - *Racial Groups MH - *Social Determinants of Health PMC - PMC5672902 MID - NIHMS674044 EDAT- 2014/08/19 06:00 MHDA- 2016/07/07 06:00 PMCR- 2017/11/06 CRDT- 2014/08/19 06:00 PHST- 2014/08/19 06:00 [entrez] PHST- 2014/08/19 06:00 [pubmed] PHST- 2016/07/07 06:00 [medline] PHST- 2017/11/06 00:00 [pmc-release] AID - S1548686914300340 [pii] AID - 10.1353/hpu.2014.0138 [doi] PST - ppublish SO - J Health Care Poor Underserved. 2014 Aug;25(3):1418-31. doi: 10.1353/hpu.2014.0138.