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Related Experiment Video

Updated: Jun 24, 2025

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

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Published on: March 14, 2018

Racial Implicit Associations in Child Psychiatry.

Katie A Malison¹, Victor J Avila-Quintero¹, Cheryl S Al-Mateen²

¹Yale University School of Medicine, New Haven, Connecticut.

Journal of the American Academy of Child and Adolescent Psychiatry

|June 1, 2024

Summary

Psychiatrists and trainees showed implicit bias associating Black children with negative words and externalizing behaviors. Identifying as female, Black, or an attending physician predicted weaker biases, suggesting potential targets for interventions.

Keywords:

equity health disparities pediatric race implicit bias racial discrimination

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Portable Intermodal Preferential Looking IPL: Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism

Portable Intermodal Preferential Looking IPL: Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism

Published on: December 14, 2012

Area of Science:

Child and Adolescent Psychiatry
Psychology
Health Disparities

Background:

Racial disparities in child psychiatric diagnoses and treatments are well-documented.
Limited research has explored the underlying mechanisms driving these disparities, particularly provider implicit biases.
Implicit associations may contribute to differential diagnosis rates of internalizing versus externalizing disorders in Black and White children.

Purpose of the Study:

To examine implicit racial associations among psychiatric clinicians and medical students.
To investigate the relationship between implicit bias and the perception of child behavioral problems.
To identify demographic predictors of implicit racial associations in mental health professionals.

Main Methods:

235 psychiatrists and trainees completed an online survey.
Two race Implicit Association Tests (IATs) were administered, pairing child faces with valenced words or behavioral problem types (internalizing/externalizing).
Demographic data were collected to identify predictors of implicit associations.

Main Results:

Psychiatrists and trainees demonstrated a moderate-to-strong association between Black child faces and negative words (44.3%) compared to positive words (6.4%).
A similar bias was observed between Black child faces and externalizing words (41.7%) versus internalizing words (7.2%).
Being female, Black, or an attending physician predicted decreased association between Black child faces and negative valence/externalizing words.

Conclusions:

Psychiatric clinicians and trainees exhibit implicit biases associating Black children with negative attributes and externalizing behaviors.
These findings highlight the need to address implicit bias in child psychiatry to reduce racial inequities.
Future research should focus on generalizable samples, the link between IATs and clinical behavior, and interventions to mitigate bias.