Ortega Alexander N, Canino Glorisa, Alegria Margarita
Department of Health Services, School of Public Health, University of California Los Angeles, Los Angeles, CA 90095-1772, USA.
Am J Orthopsychiatry. 2008 Jan;78(1):133-9. doi: 10.1037/0002-9432.78.1.133.
This study examined the occurrence, correlates, and psychiatric co-morbidities of lifetime and 12-month intermittent explosive disorder (IED) and whether impairment due to IED differed across Latino groups. We used data on 2,554 Latino adults (75.5% response rate) from the National Latino and Asian American Study (NLAAS). Lifetime and 12-month prevalence of IED among Latinos were 5.8% and 4.1%, respectively. Unemployment was a common risk factor for both lifetime and 12-month IED. Protective factors for both lifetime and 12-month IED were having poor/fair English proficiency and being born outside the U.S. mainland. Cubans, Mexicans and other Latinos had lower odds of both lifetime and 12-month IED relative to Puerto Ricans, while Puerto Ricans with IED did not demonstrate worse impairment compared with the other groups with IED. Lifetime and 12-month IED were associated with several depressive, anxiety, and substance use disorders. Given its significant association with a wide-range of mental disorders, future research should consider the validity of IED as a unique disorder or whether it is merely a constellation of symptoms that accompanies a variety of mental diseases.
本研究调查了终生及12个月间歇性爆发障碍(IED)的发生率、相关因素和精神共病情况,以及IED导致的损害在不同拉丁裔群体中是否存在差异。我们使用了来自全国拉丁裔和亚裔美国人研究(NLAAS)的2554名拉丁裔成年人的数据(应答率为75.5%)。拉丁裔中IED的终生患病率和12个月患病率分别为5.8%和4.1%。失业是终生及12个月IED的常见风险因素。终生及12个月IED的保护因素是英语水平差/一般以及出生在美国本土以外。与波多黎各人相比,古巴人、墨西哥人和其他拉丁裔出现终生及12个月IED的几率较低,而患有IED的波多黎各人与其他患有IED的群体相比,并未表现出更严重的损害。终生及12个月IED与多种抑郁、焦虑和物质使用障碍有关。鉴于其与多种精神障碍存在显著关联,未来研究应考虑IED作为一种独特障碍的有效性,或者它是否仅仅是伴随多种精神疾病的一系列症状。