Abstract
The prevalence of most adult psychiatric disorders varies across racial/ethnic groups and has important implications for prevention and intervention efforts. Research on racial/ethnic differences in the prevalence of internalizing and externalizing symptoms and disorders in adolescents has been less consistent or generally lacking. The current study examined the prevalence of these symptom groups in a large sample of sixth, seventh, and eighth graders in which the three major racial/ethnic groups in the U.S. (White, Black, and Hispanic/Latino) were well-represented. Hispanic females reported experiencing higher levels of depression, anxiety, and reputational aggression than other groups. Black males reported the highest levels of overtly aggressive behavior and also reported higher levels of physiologic anxiety and disordered eating than males from other racial/ethnic groups. Hispanic females also exhibited higher levels of comorbidity than other racial/ethnic groups.
Similar content being viewed by others
Notes
For the remainder of the paper, the term White will be used to refer to Caucasian individuals or individuals of European descent, the term Black will be used to refer to African-American individuals and other Black individuals of African or Caribbean origin, and the term Hispanic will be used to refer to individuals of Latin American origin including those from Mexican, Puerto-Rican, Cuban, and Central or South American backgrounds.
When the Social Anxiety subscale of the MASC was analyzed, the results mirrored those found using the SPAI-C as the dependent variable.
References
Andres-Hyman, R. C., Ortiz, J., Anez, L. M., Paris, M., & Davidson, L. (2006). Culture and clinical practice: Recommendations for working with Puerto Ricans and other Latinas(os) in the United States. Professional Psychology: Research and Practice, 37, 694–701.
Austin, A. A., & Chorpita, B. F. (2004). Temperament, anxiety, and depression: Comparisons among five ethnic groups of children. Journal of Clinical Child and Adolescent Psychology, 33, 216–226.
Barr, S. I., Petit, M. A., Vigna, Y. M., & Prior, J. C. (2001). Eating attitudes and habitual calcium intake in peripubertal girls are associated with initial bone mineral content and its change over 2 years. Journal of Bone and Mineral Research, 16, 940–947.
Beidel, D. C., Turner, S. M., Hamlin, K., & Morris, T. L. (2000). The Social Phobia and Anxiety Inventory for Children (SPAI-C): External and discriminant validity. Behavior Therapy, 31, 75–87.
Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new inventory to assess childhood social anxiety and phobia: The social phobia and anxiety inventory for children. Psychological Assessment, 7, 73–79.
Beidel, D. C., Turner, M. W., & Trager, K. N. (1994). Test anxiety and childhood anxiety disorders in African-American and White school children. Journal of Anxiety Disorders, 8, 169–179.
Bellmore, A. D., Witkow, M. R., Graham, S., & Juvonen, J. (2005). From beliefs to behavior: The mediating role of hostile response selection in predicting aggression. Aggressive Behavior, 31, 453–472.
Bird, H. R. (1996). Epidemiology of childhood disorders in a cross-cultural context. Journal of Child Psychology and Psychiatry, 37, 35–49.
Blazer, D. G., Kessler, R. C., McGonagle, K. A., & Swartz, M. S. (1994). The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. American Journal of Psychiatry, 151, 979–986.
Breton, J.-J., Bergeron, L., Valla, J.-P., Berthiaume, C., Gaudet, N., Lambert, J., et al. (1999). Quebec child mental health survey: Prevalence of DSM-III-R mental health disorders. Journal of Child Psychology and Psychiatry, 40, 375–384.
Broidy, L. M., Nagin, D. S., Tremblay, R. W., Bates, J. E., Brame, B., Dodge, K. A., et al. (2003). Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: A six-site, cross-national study. Developmental Psychology, 39, 222–245.
Brown, D. R., Eaton, W. W., & Sussman, L. (1990). Racial differences in prevalence of phobic disorders. Journal of Nervous and Mental Disease, 178, 434–441.
Buka, S. L., Stichick, T. L., Birdthistle, I., & Earls, F. J. (2001). Youth exposure to violence: Prevalence, risks, and consequences. American Journal of Orthopsychiatry, 71, 298–310.
Cairns, R. B., Bairns, B. D., Neckerman, H. J., Ferguson, L. L., & Gariepy, J. (1989). Growth and aggression: 1. Childhood to early adolescence. Developmental Psycology, 25, 320–330.
Cambell, L. A., Brown, T. A., & Grisham, J. R. (2003). The relevance of age of onset to the psychopathology of GAD. Behavior Therapy, 34, 31–48.
Census Bureau (2000). Census 2000 Summary File 3 (SF3)-Sample Data. Downloaded from the World Wide Web on 1/11/07 at http://factfinder.census.gov/servlet/DTGeoSearchByRelationshipServlet?_ts=188322237307.
Centers for Disease Control and Prevention. (2000). Youth Risk Behavior Surveillance-United States, 1999. Morbidity and Mortality Weekly Reports, 49, 1–96.
Chorpita, B. F., Tracey, S. F., Brown, T. A., Collica, T. J., & Barlow, D. H. (1997). Assessment of worry in children and adolescents: An adaptation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 35, 569–581.
Cole, D. A., Martin, J. M., Peeke, L., Henderson, A., & Harwell, J. (1998). Validation of depression and anxiety measures in White and Black youth: Multitrait-multimethod analyses. Psychological Assessment, 10, 261–276.
Cole, P. M., Tamang, B. L., & Shrestha, S. (2006). Cultural variations in the socialization of young children’s anger and shame. Child Development, 77, 1235–1251.
Connecticut Department of Education. (2006). Strategic School Profile 2005–2006: New Britain Public Schools. Hartford, CT: Connecticut Department of Education.
Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D. L., Erkanli, A., et al. (1996). The Great Smoky Mountains Study of Youth: Goals, design, methods, and the prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 1129–1136.
Crick, N. R. (1997). Engagement in gender normative versus nonnormative forms of aggression: Links to social-psychological adjustment. Developmental Psychology, 33, 610–617.
Crockett, L. J., & Randall, B. A. (2006). Linking adolescent family and peer relationships to the quality of young adult romantic relationships: The mediating role of conflict tactics. Journal of Social and Personal Relationships, 23, 761–780.
Dodge, K. A. (2006). Translational science in action: Hostile attributional style and the development of aggressive behavior problems. Development & Psychopathology, 18, 791–814.
Doerfler, L. A., Felner, R. D., Rowlison, R. T., Raley, P. A., & Evans, E. (1988). Depression in children and adolescents: A comparative analysis of the utility and construct validity of two assessment measures. Journal of Consulting and Clinical Psychology, 56, 769–772.
Doi, Y., Roberts, R. E., Takeuchi, K., & Suzuki, S. (2001). Multiethnic comparison of adolescent major depression based on DSM-IV criteria in a US–Japan study. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1308–1315.
Douglas, J. D., & Rice, K. M. (1979). Sex differences in children’s anxiety and defensiveness measures. Developmental Psychology, 15, 223–224.
Eaton, D. K., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Harris, W.A., et al. (2006). Youth Risk Behavior Surveillance—United States 2005. Morbidity and Mortality Weekly Report, 55, 1–108.
Eccles, J. S., Midgley, C., Wigfield, A., Buchanan, C. M., Reuman, D., Flanagan, C., et al. (1993). Development during adolescence: The impact of stage-environment fit on young adolescents’ experiences in schools and in families. American Psychologist, 48, 90–101.
Fabrega, H., Ulrich, R., & Loeber, R. (1996). Adolescent psychopathology as a function of informant and risk status. Journal of Nervous and Mental Disease, 184, 27–34.
Fabrega, J., Ulrich, R. & Mezzich, J. E. (1993). Do Caucasian and black adolescents differ at psychiatric intake? Journal of the American Academy of Child and Adolescent Psychiatry, 32, 407–414.
Fitzgibbon, M. L., Spring, B., Avellone, M. E., Blackman, L. R., Pingitore, R., & Stolley, M. R. (1998). Correlates of binge eating in Hispanic, Black, and White women. International Journal of Eating Disorders, 24, 43–52.
Franko, D. L., & Striegel-Moore, R. H. (2002). The role of body dissatisfaction as a risk factor for depression in adolescent girls: Are the differences Black and White? Journal of Psychosomatic Research, 53, 975–983.
Franko, D. L., Striegel-Moore, R. H., Bean, J., Barton, B. A., Biro, F., Kraemer, H. C., et al. (2005). Self-reported symptoms of depression in late adolescence to early adulthood: A comparison of African-American and Caucasian females. Journal of Adolescent Health, 37, 526–529.
Franko, D. L., Streigel-Moore, R., Brown, K. M., Barton, B. A., McMahon, R. P., Schreiber, G. B., et al. (2004). Expanding our understanding of the relationship between negative life events and depressive symptoms in black and white adolescent girls. Psychological Medicine, 34, 1319–1330.
French, D. C., Jansen, E. A., & Pidada, S. (2002). United States and Indonesian children’s and adolescents’ reports of relational aggression by disliked peers. Child Development, 73, 1143–1150.
Garner, P. W., Jones, D. C., & Miner, J. L. (1994). Social competence among low-income preschoolers: Emotion socialization practices and social cognitive correlates. Child Development, 65, 622–637.
Garner, D., Olmsted, M. P., Bohr, Y., & Garfinkel, P. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.
Garner, P. W., Robinson, S., & Smith, G. (1997). Preschool children’s emotional expressions with peers: The roles of gender and emotion socialization. Sex Roles, 36, 675–691.
Garrison, C. Z., Jackson, K. L., Marsteller, F., McKeown, R., & Addy, C. (1990). A longitudinal study of depressive symptomatology in young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 581–585.
Gil, M. R., & Vazquez, C. I. (1997). The Maria Paradox: How Latinas merge old world traditions with new world self-esteem. New York: Putnam.
Ginsburg, G. S., & Silverman, W. K. (1996). Phobia and anxiety disorders in Hispanic and Caucasian youth. Journal of Anxiety Disorders, 10, 517–528.
Grunbaum, J. A., Kann, L., Kinchen, S. A., Williams, B., Ross, J. G., Lowry, R., et al. (2002). Youth Risk Behavior Surveillance—United States 2001. Morbidity and Mortality Weekly Reports Surveillance Summaries, 51, 1–64, (28 June).
Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.
Harris, S. M., & Majors, R. (1993). Cultural value differences: Implications for the experiences of African-American men. The Journal of Men’s Studies, 1, 227–238.
Hishinuma, E. S., Johnson, R. C., Carlton, B. S., Andrade, N. N., Nishimura, S. T., Goebert, D. A., et al. (2004). Demographic and social variables associated with psychiatric and school-related indicators for Asian/Pacific-islander adolescents. International Journal of Social Psychiatry, 50, 301–318.
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2006). Prevalence, severity, and comorbidity of DSM-IV disorders in the National Comorbidity Survey-Replication. Archives of General Psychiatry, 62, 617–627.
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.
Kistner, J. A., David, C. F., & White, B. A. (2003). Ethnic and sex differences in children’s depressive symptoms: Mediating effects of perceived and actual competence. Journal of Clinical Child and Adolescent Psychology, 32, 341–350.
Kovacs, M. (1992). Children’s Depression Inventory manual. North Tonawanda, NY: Multi-Health Systems.
Laird, R. D., Pettit, G. S., Dodge, K. A., & Bates, J. E. (2005). Peer relationship antecedents of delinquent behavior in late adolescence: Is there evidence of demographic group differences in developmental progress? Development and Psychopathology, 17, 127–144.
Lansford, J. E., Malone, P. S., Stevens, K. I., Dodge, K. A., Bates, J. E., & Pettit, G. S. (2006). Developmental trajectories of extrernalizing and internalizing behaviors: Factors underlying resilience in physically abused children. Development and Psychopathology, 18, 35–55.
Last, C. G., & Perrin, S. (1992). Anxiety disorders in African-American and White children. Journal of Abnormal Child Psychology, 21, 153–164.
Last, C. G., Perrin, S., Hersen, M., & Kazdin, A. E. (1992). DSM-III-R anxiety disorders in children: Sociodemographic and clinical characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1070–1076.
Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.
Lewinsohn, P. M., Striegel-Moore, R. H., & Seeley, J. R. (2000). Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1284–1292.
Lugo Steidel, A., & Contreras, J. M. (2003). A new familism scale for use with Latino populations. Hispanic Journal of Behavioral Sciences, 25, 312–330.
Maloney, M., McGuire, J., & Daniels, S. (1988). Reliability testing of a children’s version of the Eating Attitudes Test. Journal of the American Academy of Child and Adolescent Psychiatry, 5, 541–543.
March, J. S., Parker, J. D. A., Sullivan, K., Stallings, P., & Conners, C. K. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554–565.
March, J. S., Sullivan, K., & Parker, J. D. A. (1999). Test–retest reliability of the multidimensional anxiety scale for children. Journal of Anxiety Disorders, 13, 349–358.
McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P. A., & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611–619.
McVey, G. L., Davis, R., Tweed, S., & Shaw, B. F. (2004). Evaluation of a school-based program designed to improve body image satisfaction, global self-esteem, and eating Attitudes and behaviors: A replication study. International Journal of Eating Disorders, 36, 1–11.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–495.
Muris, P., Merckelbach, H., Ollendick, T., King, N., & Bogie, N. (2002). Three traditional and three new childhood anxiety questionnaires: Their reliability and validity in a normal adolescent sample. Behaviour Research and Therapy, 40, 753–772.
Mussell, M. P., Mitchell, J. E., Weller, C. L., Raymond, N. C., Crow, S. J., & Crosby, R. D. (1995). Onset of binge eating, dieting, obesity, and mood disorders among subjects seeking treatment for binge eating disorder. International Journal of Eating Disorders, 17, 395–401.
Neumark-Sztainer, D., Croll, J., Story, M., Hannan, P. J., French, S. A., & Perry, C. (2002). Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys: Findings from Project EAT. Journal of Psychosomatic Research, 53, 963–974.
Ollendick, T. H., Yang, B., King, N. J., Dong, Q., & Akande, A. (1996). Fears in American, Australian, Chinese, and Nigerian children and adolescents: A cross-cultural study. Journal of Child Psychology and Psychiatry, 37, 213–220.
Pina, A. A., & Silverman, W. K. (2004). Clinical phenomenology, somatic symptoms, and distress in Hispanic/Latino and European-American youths with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33, 227–236.
Prinstein, M. J., Boergers, J., & Vernberg, E. M. (2001). Overt and relational aggression in adolescents: Social-psychological adjustment of aggressors and victims. Journal of Clinical Child Psychology, 30, 479–491.
Reynolds, W. M. (1994). Assessment of depression in children and adolescents by self-report questionnaires. In W. M. Reynolds, & H. F. Johnston (Eds.), Handbook of depression in children and adolescents, (pp 209–234). New York: Plenum Press.
Roberts, R. E., & Chen, Y.-W. (1995). Depressive symptoms and suicidal ideation among Mexican-origin and Anglo adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 81–90.
Roberts, R. E., Roberts, C. R., & Chen, Y. R. (1997). Ethnocultural differences in prevalence of adolescent depression. American Journal of Community Psychology, 25, 95–110.
Roberts, R. E., & Sobhan, M. (1992). Symptoms of depression in adolescence: A comparison of Anglo, African, and Hispanic Americans. Journal of Youth and Adolescence, 21, 639–651.
Robinson, N. S., Garber, J., & Hilsman, R. (1995). Cognitions and stress: Direct and moderating effects on depressive versus externalizing symptoms during the junior high school transition. Journal of Abnormal Psychology, 104, 453–463.
Sabogal, F., Marín, G., Otero-Sabogal, R., Marín, B. V., & Perez-Stable, E. J. (1987). Hispanic familism and acculaturation: What changes and what doesn’t? Hispanic Journal of Behavioral Sciences, 9, 397–412.
Schraedly, P. K., Gotlib, I. H., & Hayward, C. (1999). Gender differences in correlates of depressive symptoms in adolescents. Journal of Adolescent Health, 25, 98–108.
Seidman, E., Allen, L., Aber, J. L., Mitchell, C., & Feiman, J. (1994). The impact of school transitions in early adolescence on the self-system and perceived social context of poor urban youth. Child Development, 65, 507–522.
Shore, G. H., & Rappaport, M. D. (1998). The Fear Survey Schedule for Children-Revised (FSSC-HI): Ethnocultural variations in children’s fearfulness. Journal of Anxiety Disorders, 12, 437–461.
Siegel, J. M., Yancey, A. K., Aneshensel, C. s., & Schuler, R. (1999). Body image, perceived pubertal timing, and adolescent mental health. Journal of Adolescent Health, 25, 155–165.
Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents’ emotion regulation in daily life: Links to depressive symptoms and problem behaviors. Child Development, 74, 1869–1880.
Smolak, L., & Levine, M. P. (1994). Psychometric properties of the Children’s Eating Attitudes Test. International Journal of Eating Disorders, 16, 275–282.
Stice, E., Killen, J. D., Hayward, C., & Taylor, C. B. (1998). Age of onset for binge eating and purging during late adolescence: A 4-year survival analysis. Journal of Abnormal Psychology, 107, 671–675.
Storch, E., Masia-Warner, C., Dent, H. C., Roberti, J. W., & Paige, P. H. (2004). Psychometric evaluation of the Social Anxiety Scale for Adolescents and the Social Phobia and Anxiety Scale for Children: Construct validity and normative data. Journal of Anxiety Disorders, 18, 665–679.
Striegel-Moore, R. H., Dohm, F. A., Kraemer, H. C., Taylor, C. B., Daniels, S., Crawford, P. B., et al. (2003). Eating disorders in white and black women. American Journal of Psychiatry, 160, 1326–1331.
Striegel-Moore, R. H., & Smolak, L. (2002). Gender, ethnicity, and eating disorders. In C. G. Fairburn, & K. D. Brownell (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, NY: Guilford.
Striegel-Moore, R. H., Wifley, D. E., Pike, K. M., Dohm, F.-A., & Fairburn, C. G. (2000). Recurrent binge eating in Black American women. Archives of Family Medicine, 9, 83–87.
Suveg, C., & Zeman, J. (2004). Emotion regulation in children with anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 33, 750–759.
Suveg, C., Zeman, J., Flannery-Schroeder, E., & Cassano, M. (2005). Emotion socialization in families of children with an anxiety disorder. Journal of Abnormal Child Psychology, 33, 145–155.
Timbremont, B., Braet, C., & Dreessen, L. (2004). Assessing depression in youth: Relation between the Children’s Depression Inventory and a structured interview. Journal of Clinical Child and Adolescent Psychology, 33, 149–157.
Treadwell, K. R. H., Flannery-Schroeder, E. C., & Kendall, P. C. (1995). Ethnicity and gender in relation to adaptive functioning, diagnostic status, and treatment outcome in children from an anxiety clinic. Journal of Anxiety Disorders, 9, 373–384.
Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort differences on the Children’s Depression Inventory: A meta-analysis. Journal of Abnormal Psychology, 111, 578–588.
U.S. Census Bureau. (2002). The Hispanic population in the United States (Current Population Reports, P20-545). Washington, DC: U.S. Census Bureau.
Varela, E. R., Vernberg, E. M., Sanchez-Sosa, J. J., Riveros, A., Mitchell, M., & Mashunkashey, J. (2004). Anxiety reporting and culturally associated interpretation biases and cognitive schemas: A comparison of Mexican, Mexican-American, and European American Families. Journal of Clinical Child and Adolescent Psychology, 33, 237–247.
Vernberg, E. M., Fonagy, P., & Twemlow, S. (2000). Preliminary report of the Topeka Peaceful Schools Project. Topeka, KS: Menninger Clinic.
Vernberg, E. M., Jacobs, A. K., & Hershberger, S. L. (1999). Peer victimization and attitudes about violence during early adolescence. Journal of Clinical Child Psychology, 28, 386–395.
Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: Child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31, 335–342.
Woodside, D. B., & Garfinkle, P. E. (1992). Age of onset in eating disorders. International Journal of Eating Disorders, 12, 31–36.
Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and sadness regulation: Predictions to internalizing and externalizing symptoms in children. Journal of Clinical Child & Adolescent Psychology, 31, 393–398.
Acknowledgement
The writing of this article was supported in part by a grant from the Yale Institute for Social and Policy Studies awarded to Susan Nolen-Hoeksema. We would like to thank Sean Bland, Elizabeth Chereji, Erica Newland, and Margaret Scotti for their invaluable help on this project.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
McLaughlin, K.A., Hilt, L.M. & Nolen-Hoeksema, S. Racial/Ethnic Differences in Internalizing and Externalizing Symptoms in Adolescents. J Abnorm Child Psychol 35, 801–816 (2007). https://doi.org/10.1007/s10802-007-9128-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10802-007-9128-1