Gender Bias in Mental Health and Cardiovascular Care Quiz
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Questions and Answers

Which bias in clinical practice is associated with the impact of socio-cultural factors on psychological disorders?

  • Criterion Bias
  • Sampling Bias
  • Assessment Bias
  • Etiological Gender Bias (correct)

What is the primary focus of the DSM definition of mental disorder?

  • Biological dysfunction
  • Present distress or disability
  • Clinically significant behavioral or psychological syndrome (correct)
  • Culturally sanctioned response

In clinical practice, which bias is associated with the overdiagnosis of certain personality disorders in women vs. men?

  • Diagnostic Gender Bias (correct)
  • Sampling Bias
  • Criterion Bias
  • Assessment Bias

What is the impact of gender discrimination on depression rates, as per Stepanikova (2020)?

<p>Women facing gender discrimination have higher depression rates (D)</p> Signup and view all the answers

What is the focus of feminist critiques regarding Borderline Personality Disorder?

<p>It being an adaptive coping response to abuse (C)</p> Signup and view all the answers

What contributes to the diagnostic challenges in women regarding cardiovascular care?

<p>Biological differences, atypical symptoms, and lower exercise capacity (C)</p> Signup and view all the answers

What is a negative consequence of 'Personality Disorder' according to the text?

<p>Blaming the victim and ineffective treatment (D)</p> Signup and view all the answers

What does the research investigate in the diagnosis of older women who experienced gender-based violence?

<p>Biases in the diagnosis (C)</p> Signup and view all the answers

What is the main focus of the study on sex/gender bias in the management of chest pain in ambulatory care?

<p>Gender disparities in cardiovascular care (B)</p> Signup and view all the answers

What contributes to higher mortality rates in women according to the text?

<p>Gender disparities in cardiovascular care (C)</p> Signup and view all the answers

What do recommendations for improving clinical practice include?

<p>Expanding mental health screening and cultural diversity training (C)</p> Signup and view all the answers

What is explored through case analogue studies and structured interviews?

<p>Race and gender biases in mental health diagnoses (C)</p> Signup and view all the answers

What is the focus of the social construction of diagnosis and illness according to the text?

<p>Challenges to the definition of specific disorders (C)</p> Signup and view all the answers

Despite higher CVD prevalence in men, what is higher among women?

<p>Mortality from CVD (C)</p> Signup and view all the answers

What are men 2-3 times more likely to be referred to in ambulatory care?

<p>A cardiologist (B)</p> Signup and view all the answers

What do gender disparities in cardiovascular care contribute to?

<p>Higher mortality rates in women (A)</p> Signup and view all the answers

What statistical analysis tool was used in the study?

<p>Chi-square (C)</p> Signup and view all the answers

What was the prevalence of Borderline Personality Disorder (BPD) diagnosis in the entire sample?

<p>20.93% (B)</p> Signup and view all the answers

What was used as the referent group in the comparison of BPD diagnosis prevalence?

<p>Heterosexual patients (C)</p> Signup and view all the answers

What assessment modality did not influence the discrepancies in BPD diagnosis between sexual orientations?

<p>PID-5 BF (A)</p> Signup and view all the answers

What clinical correlate was BPD diagnosis associated with across sexual orientations?

<p>Higher PID-5 BF domain scores (D)</p> Signup and view all the answers

What was a limitation of the study's data?

<p>Relatively small sample sizes for lesbian/gay and bisexual subgroups (D)</p> Signup and view all the answers

What did the study suggest about the utility of the BPD diagnosis?

<p>It raised questions about its utility, especially when assessing individuals with chronic exposure to stigma, discrimination, and marginalization (D)</p> Signup and view all the answers

What was used as a proxy for trauma experience in the study?

<p>PTSD diagnosis (B)</p> Signup and view all the answers

What was the primary objective of the study?

<p>To investigate potential bias in the diagnosis of Borderline Personality Disorder (BPD) based on sexual orientation (B)</p> Signup and view all the answers

What were the most evident disparities in BPD diagnosis?

<p>Disparities were most evident for bisexual patients (D)</p> Signup and view all the answers

What was associated with gender differences in BPD diagnosis?

<p>Age (C)</p> Signup and view all the answers

What did the study emphasize about the need for further research?

<p>It emphasized the need for further research to understand the sources of diagnostic bias in sexual minority patients (C)</p> Signup and view all the answers

Flashcards

Etiological Gender Bias

A bias in clinical practice associated with socio-cultural factors affecting psychological disorders.

DSM Mental Disorder Definition

Clinically significant behavioral or psychological syndrome defining mental disorders.

Diagnostic Gender Bias

A bias leading to overdiagnosis of personality disorders in women compared to men.

Gender Discrimination and Depression

Women facing gender discrimination have higher rates of depression.

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Feminist Critique of BPD

BPD viewed as an adaptive coping response to abuse according to feminist critiques.

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Diagnostic Challenges for Women

Challenges arise from biological differences, atypical symptoms, and lower exercise capacity in women.

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Negative Consequence of Personality Disorder

Blaming the victim and leading to ineffective treatment for those diagnosed.

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Biases in Diagnosis of Older Women

Research investigates biases in diagnosing older women who experienced gender-based violence.

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Gender Disparities in Cardiovascular Care

The main focus on gender disparities in managing chest pain in ambulatory care.

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Higher Mortality in Women

Gender disparities in cardiovascular care contribute to higher mortality rates in women.

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Clinical Practice Recommendations

Include expanding mental health screening and cultural diversity training.

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Case Analogue Studies

Explore race and gender biases in mental health diagnoses through structured interviews.

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Social Construction of Diagnosis

Focuses on challenges to defining specific disorders within a social context.

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CVD Mortality Gender Data

Despite higher CVD prevalence in men, mortality is higher among women.

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Referral to Cardiologists

Men are 2-3 times more likely to be referred to a cardiologist in ambulatory care.

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Chi-square Analysis Tool

Statistical analysis tool used in the study.

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BPD Prevalence Rate

The prevalence of Borderline Personality Disorder in the study sample is 20.93%.

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Referent Group for BPD

Heterosexual patients served as the referent group in BPD diagnosis comparison.

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PID-5 BF Assessment

An assessment modality that did not affect discrepancies in BPD diagnosis across sexual orientations.

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Clinical Correlate of BPD

Higher PID-5 BF domain scores are associated with BPD diagnosis across sexual orientations.

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Study Limitation

Relatively small sample sizes for lesbian/gay and bisexual subgroups were a limitation of the study.

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BPD Utility Questions

The study raised questions about the utility of the BPD diagnosis, especially for stigmatized individuals.

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PTSD as Trauma Proxy

PTSD diagnosis was used as a proxy for trauma experience in the study.

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Study Primary Objective

The study aimed to investigate potential bias in diagnosing Borderline Personality Disorder based on sexual orientation.

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Disparities in BPD Diagnosis

Most evident disparities in BPD diagnosis were found for bisexual patients.

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BPD Diagnosis and Age

Gender differences in BPD diagnosis were associated with age.

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Need for Further Research

The study emphasized the need for more research to understand diagnostic bias sources in sexual minority patients.

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Study Notes

Gender Bias in Mental Health Diagnoses and Care

  • Borderline Personality Disorder associated with intense relationships, unstable self, impulsivity, and emotional instability
  • Feminist critiques suggest behavior may be adaptive coping responses to abuse
  • Research investigates biases in the diagnosis of older women who experienced gender-based violence
  • Negative consequences of 'Personality Disorder' include blaming the victim and ineffective treatment
  • Social construction of diagnosis and illness challenges the definition of specific disorders
  • Study on sex/gender bias in the management of chest pain in ambulatory care involving 672 patients
  • Despite higher CVD prevalence in men, mortality from CVD is higher among women
  • Men 2-3 times more likely to be referred to a cardiologist than women in ambulatory care
  • Biological differences, atypical symptoms, and lower exercise capacity in women contribute to diagnostic challenges
  • Gender disparities in cardiovascular care contribute to higher mortality rates in women
  • Race and gender biases in mental health diagnoses explored through case analogue studies and structured interviews
  • Recommendations for improving clinical practice include expanding mental health screening and cultural diversity training

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Description

Explore the impact of gender bias on mental health diagnoses and care in this quiz. Delve into feminist critiques, research on diagnosis biases in older women, and the social construction of illness. Learn about gender disparities in cardiovascular care and recommendations for improving clinical practice.

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