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拉丁裔人群中的终生及12个月间歇性爆发性障碍

Lifetime and 12-month intermittent explosive disorder in Latinos.

作者信息

Ortega Alexander N, Canino Glorisa, Alegria Margarita

机构信息

Department of Health Services, School of Public Health, University of California Los Angeles, Los Angeles, CA 90095-1772, USA.

出版信息

Am J Orthopsychiatry. 2008 Jan;78(1):133-9. doi: 10.1037/0002-9432.78.1.133.

Abstract

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.

摘要

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。

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