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Table 2 Item Response Differences between African Americans Correctly and Incorrectly Diagnosed for OCD using the SCID-I

From: Missed diagnoses in African Americans with obsessive-compulsive disorder: the structured clinical interview for DSM-IV Axis I disorders (SCID-I)

SCID-OCD Section

Diagnosed Responses

Misdiagnosed Responses

SCID Screener

 Screen #8- Obsessions

No: 34.7%

 

Yes: 65.3%

No: 16.0%

 

Yes: 84.0%

 Screen #9- Compulsions*

No: 4.1%

 

Yes: 95.9%

No: 20.0%

 

Yes: 80.0%

SCID-OCD Section

 F84a Screen #8 Prompts*

No: 26.5%

 

Yes: 65.3%

No: 8.0%

 

Yes: 88.0%

 F85 Thoughts and Marked Distress

1: 4.1%

2: 6.1%

3:77.6%

1: 8.0%

 

3: 64.0%

 F86 Thoughts not Excessive Worries

1: 8.2%

2: 2.0%

3:67.3%

1: 12.0%

2: 8.0%

3: 52.0%

 F87 Attempt to Ignore/Suppress

1: 10.2%

2: 4.1%

3:63.3%

1: 20%

2: 4.0%

3: 48.0%

 F88 Thoughts not Own

1: 6.1%

2: 2.0%

3:67.3%

1: 8%

 

3: 64%

 F88a Screen #9 Prompts

No: 4.1%

 

Yes: 89.8%

No: 12.0%

 

Yes: 84.0%

 F89 Repetitive Behaviors

  

3: 89.8%

1: 12.0%

 

3: 52.0%

 F90 Acts Reduce Distress

1: 4.1%

 

3: 85.7%

1: 8.0%

2: 8.0%

3: 44.0%

 F91 Neither OBS or COMP

No: 100%

  

No: 96%

  

 F92 Excessive or Unreasonable

1: 4.1%

2: 2%

3: 87.8%

1: 12.0%

 

3: 40.0%

 F93 Poor Insight

?: 93.9%

1: 4.1%

3: 2.0%

?: 88.0%

 

1: 4.0%

 F94 Symptom Interference (<1 h)

1: 2.0%

2: 2.0%

3: 91.8%

1: 20.0%

 

3: 20.0%

 F95 Axis I Disorder: OBS/ COMP Unrelated

1: 4.1%

 

3: 83.7%

1: 4.0%

2: 4.0%

3: 8.0%

 F96 Not Due to Substance Use or Medical

1: 4.1%

 

3: 83.7%

  

3: 16.0%

 F97 OCD Criteria A, B, C, D and E are Coded 3

100.0%

  

4.0%

  

 F98 Met Criteria for OCD in Past Month

1: 4.1%

 

3: 69.4%

1: 4.0%

 

3: 12.0%

  1. “?” = inadequate information, 1 = absent or false, 2 = subthreshhold, 3 = threshold or true; percents may not add up to 100 due to missing data. *p < .05 significance level