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年轻女性抑郁症状的种族/民族差异:亲密伴侣暴力、创伤和创伤后应激障碍的作用。

Racial/ethnic differences in depressive symptoms among young women: the role of intimate partner violence, trauma, and posttraumatic stress disorder.

机构信息

Center for Interdisciplinary Research in Women's Health, Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555, USA.

出版信息

J Womens Health (Larchmt). 2012 Sep;21(9):966-74. doi: 10.1089/jwh.2011.3366. Epub 2012 Jun 25.


DOI:10.1089/jwh.2011.3366
PMID:22731737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3430475/
Abstract

PURPOSE: It is unclear why rates of depression differ by race/ethnicity among young women. This study examines whether racial/ethnic differences in depressive symptoms are reduced by intimate partner violence (IPV), traumatic events, and posttraumatic stress disorder (PTSD) symptoms among a clinical sample of low-income women. METHODS: A cross-sectional sample of 2414 young African American, Hispanic, and white women completed a survey that included questions about depression, PTSD symptoms, IPV, and trauma. Binary logistic regression and Poisson regression determined whether reports of PTSD symptoms, IPV, and trauma among white, African American, and Hispanic women affected the differences in depression found in these groups. RESULTS: Twenty-four percent reported a level of depressive symptoms that warranted further evaluation for major depressive disorders. White women had elevated levels of depressive symptoms and were more likely to report ≥4 symptoms. White women also reported higher rates of PTSD symptoms, IPV, and traumatic events than African American or Hispanic women. Differences in the likelihood of reporting ≥4 depressive symptoms by race/ethnicity were reduced after controlling for PTSD symptoms and trauma. PTSD symptoms attenuated the differences in the count of depressive symptoms between white and African American women. After controlling for PTSD symptoms, trauma attenuated the difference in the count of depressive symptoms between Hispanic and white women. CONCLUSIONS: Elevated levels of trauma and PTSD symptoms among white women compared to African American or Hispanic women may play a role in observed racial/ethnic differences in depressive symptoms.

摘要

目的:目前尚不清楚为何年轻女性的抑郁率存在种族/民族差异。本研究旨在探讨在低收入女性的临床样本中,亲密伴侣暴力(IPV)、创伤事件和创伤后应激障碍(PTSD)症状是否会减少抑郁症状的种族/民族差异。

方法:一个由 2414 名年轻非裔美国女性、西班牙裔和白人女性组成的横断面样本完成了一项调查,其中包括关于抑郁、PTSD 症状、IPV 和创伤的问题。二元逻辑回归和泊松回归确定了 PTSD 症状、IPV 和创伤报告是否会影响这些群体中抑郁的差异。

结果:24%的女性报告了需要进一步评估是否患有重度抑郁症的抑郁症状水平。白人女性的抑郁症状水平较高,更有可能报告≥4 项症状。与非裔美国或西班牙裔女性相比,白人女性还报告了更高的 PTSD 症状、IPV 和创伤事件发生率。在控制 PTSD 症状和创伤后,种族/民族差异报告≥4 项抑郁症状的可能性有所降低。PTSD 症状减弱了白人女性和非裔美国女性之间报告的抑郁症状数量差异。在控制 PTSD 症状后,创伤减弱了西班牙裔和白人女性之间报告的抑郁症状数量差异。

结论:与非裔美国或西班牙裔女性相比,白人女性创伤和 PTSD 症状水平较高,这可能是观察到的抑郁症状种族/民族差异的原因之一。

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[3]
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本文引用的文献

[1]
Mental illness surveillance among adults in the United States.

MMWR Suppl. 2011-9-2

[2]
Intimate partner violence/abuse and depressive symptoms among female health care workers: longitudinal findings.

Womens Health Issues. 2011-8-25

[3]
Prevalence and risk of psychiatric disorders as a function of variant rape histories: results from a national survey of women.

Soc Psychiatry Psychiatr Epidemiol. 2011-5-21

[4]
Detecting depression in medically ill patients: Comparative accuracy of four screening questionnaires and physicians' diagnoses in Spanish population.

J Psychosom Res. 2010-8-10

[5]
The epidemiology of major depression and ethnicity in the United States.

J Psychiatr Res. 2010-5-27

[6]
Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States.

Psychol Med. 2010-3-29

[7]
Traumatic events and mental health in civilian primary care: implications for training and practice.

Fam Med. 2010-3

[8]
Structure and Stress: Trajectories of Depressive Symptoms across Adolescence and Young Adulthood.

Soc Forces. 2009

[9]
Major and minor depression in female adolescents: onset, course, symptom presentation, and demographic associations.

J Clin Psychol. 2009-12

[10]
Medical and psychosocial diagnoses in women with a history of intimate partner violence.

Arch Intern Med. 2009-10-12

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