BACKGROUND: Previously, we reported that @entity1 race was associated with disagreement between research and clinical diagnoses. To extend this work, we studied whether disagreement was specifically due to associations of @entity1 race with information or criterion variance. METHOD: Ninety-nine @entity1 consecutively admitted through the University of Cincinnati Psychiatric Emergency Service (PES) for a first hospitalization for @entity716 were evaluated using the Structured Clinical Interview for DSM-III-R. Diagnoses made in the PES were compared with those obtained from the structured interview. We examined the contributions of information variance and criterion variance to the association between race and diagnostic agreement of PES and research diagnoses. RESULTS: Agreement in PES and research diagnoses was present in only 42% of @entity1 . Diagnostic agreement was less common in non-white @entity1 than white @entity1 , even after controlling for other sociodemographic and clinical variables. Information variance was the cause of diagnostic disagreement in 58% of cases and was associated with @entity1 race. Criterion variance, occurring in 42% of cases, was not associated with race. CONCLUSION: @entity1 race may contribute to the diagnostic process in the @entity146 emergency service by influencing the information obtained from @entity1 during clinical evaluations.

The effects of race and information variance on disagreement between @entity146 emergency service and research diagnoses in first-episode XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychosis'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric']
@entity716 :: (MESH:D011605,Disease) :: ['psychosis']
