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Social Class and Race as Mediator Variables in Neurotic Symptomatology
Leonard R. Derogatis, PhD;
Lino Covi, MD;
Ronald S. Lipman, PhD;
David M. Davis, BA;
Karl Rickels, MD
Arch Gen Psychiatry. 1971;25(1):31-40.
Abstract
An investigation was carried out on 1,071 anxious neurotic outpatients to examine the potential mediating effects of social class and race on distress levels of neurotic symptomatology. Five symptom dimensions, derived through factor analysis, were employed as criteria measures. Results indicated statistically significant effects for social class on both somatization and depression dimensions, with lower-status patients manifesting substantially higher distress levels than patients in the upper classes. This relationship was approximately equivalent for both Negro and white patients. On a dimension of irascibility there was a significant main effect for race, with white patients showing significantly higher levels than Negro patients. In general, as status levels dropped, symptom levels tended to rise.
Author Affiliations
Baltimore; Bethesda, Md; Baltimore; Philadelphia
From the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore (Drs. Derogatis, Covi, and Mr. Davis); Clinical Studies Section, Psychopharmacology Research Branch, National Institute of Mental Health, Bethesda, Md (Dr. Lipman); and Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia (Dr. Rickels).
Footnotes
Accepted for publication June 2, 1970.
The opinions expressed in this paper are those of the authors and do not necessarily represent any official position of the National Institute of Mental Health.
Reprint requests to Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 725 N Wolfe, Baltimore 21205 (Dr. Derogatis).
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