Racial matching and adolescent self-disclosure of substance use and mental health symptoms

Daniel J. Ureche, Douglas C. Smith, Jordan P. Davis, Karen M. Tabb

Research output: Contribution to journalReview articlepeer-review


Obtaining accurate assessment data from adolescents in treatment aids clinical decision making and facilitates more accurate outcome evaluations. However, findings could be biased due to underreported substance use and mental health symptoms. This article compares self-reports of youth in non-White matched client–assessor dyads and those in nonmatched dyads. There were no differences on self-reported substance use, but matched youth reported significantly fewer attention deficit/hyperactivity disorder symptoms versus the comparison group. One possible reason for these findings is the effect of in-group stereotype threat. Future studies should examine the potential effect that in-group stereotyping and perceived racism have on the therapeutic relationship.

Original languageEnglish (US)
Pages (from-to)176-188
Number of pages13
JournalJournal of Ethnicity in Substance Abuse
Issue number2
StatePublished - Apr 2 2016


  • Psychological assessment
  • ethnic minorities
  • racial matching
  • stereotype threat
  • substance use disorder

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)


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