Paranoid personality disorder in the United States: the role of race, illicit drug use, and income

J Ethn Subst Abuse. 2014;13(3):247-57. doi: 10.1080/15332640.2013.850463.


Differential rates of schizophrenia and paranoia symptoms have been found for Black and White individuals. Paranoid personality disorder shares symptoms with schizophrenia, yet has received minimal attention with regard to potential racial differences. In a sample consisting of 180 substance use disorder treatment-seeking individuals, the association between the diagnosis of paranoid personality disorder and the variables of race, cannabis use disorder, and income were examined. Results extended previous findings to paranoid personality disorder, supporting the hypothesis that Black individuals would be diagnosed with higher rates of paranoid personality disorder. Cannabis use disorder status and income did not predict paranoid personality disorder diagnoses.

Keywords: DSM; SCID; diagnostic discrepancy; race.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Black or African American / statistics & numerical data*
  • Female
  • Humans
  • Income / statistics & numerical data
  • Male
  • Marijuana Abuse / epidemiology*
  • Marijuana Abuse / ethnology
  • Marijuana Abuse / rehabilitation
  • Middle Aged
  • Paranoid Personality Disorder / epidemiology*
  • Paranoid Personality Disorder / ethnology
  • Substance-Related Disorders / rehabilitation
  • United States / epidemiology
  • White People / statistics & numerical data*
  • Young Adult