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文化相关的压力、绝望感,以及易患抑郁症状和自杀意念的脆弱性在成年初期。

Culturally related stress, hopelessness, and vulnerability to depressive symptoms and suicidal ideation in emerging adulthood.

机构信息

Hunter College, City University of New York, USA.

出版信息

Behav Ther. 2013 Mar;44(1):75-87. doi: 10.1016/j.beth.2012.07.002. Epub 2012 Jul 23.

Abstract

Culturally related experiences are seldom considered in assessing risk for suicidal behavior among emerging adults, despite racial/ethnic differences in suicide attempts. The present study examined the impact of culturally related stressors on hopelessness, symptoms of depression, and suicidal ideation-well-known predictors of suicidal behavior-among emerging adults over time, and whether hopelessness would mediate the relation between culturally related stressors and both depression and ideation. An ethnically diverse sample of 143 emerging adults, ages 18 to 25, completed self-report measures of acculturative stress, perceived discrimination, and depressive symptoms at 1 time point, and self-report measures of ethnic identity, hopelessness, depressive symptoms, and suicidal ideation 2 to 3years later. Higher baseline acculturative stress and perceived discrimination predicted hopelessness, but not symptoms of depression, when entered simultaneously into a regression analysis. However, there was an indirect relation between these culturally related stressors and depressive symptoms through hopelessness. There was also a direct relation between acculturative stress at baseline and suicidal ideation at follow-up, and hopelessness mediated this relation. However, the indirect relations between culturally related stressors and depression and suicidal ideation through hopelessness were only present at low levels of ethnic identity, but not at average or high levels of ethnic identity. Acculturative stress and perceived discrimination may thus increase vulnerability to depression and suicidal ideation to the extent that they increase hopelessness, but a strong ethnic identity may buffer against this relation. This study highlights the need for incorporating culturally related experiences in assessing risk for suicidal ideation and behavior, particularly among emerging adults from diverse backgrounds.

摘要

在评估新兴成年人自杀行为的风险时,很少考虑与文化相关的经历,尽管在自杀未遂方面存在种族/民族差异。本研究考察了与文化相关的压力源对绝望、抑郁症状和自杀意念的影响——这些都是自杀行为的已知预测因素——随着时间的推移,在新兴成年人中,以及绝望是否会在与文化相关的压力源与抑郁和意念之间的关系中起中介作用。一个由 143 名年龄在 18 至 25 岁之间的不同种族的新兴成年人组成的样本,在一个时间点完成了关于文化适应压力、感知歧视和抑郁症状的自我报告测量,2 到 3 年后完成了关于种族认同、绝望、抑郁症状和自杀意念的自我报告测量。更高的基线文化适应压力和感知歧视预测了绝望,但不能预测抑郁症状,当同时进入回归分析时。然而,在这些与文化相关的压力源和抑郁症状之间存在一种通过绝望的间接关系。在基线时的文化适应压力与随访时的自杀意念之间也存在直接关系,而绝望则介导了这种关系。然而,只有在低水平的种族认同时,与文化相关的压力源和抑郁以及自杀意念之间通过绝望的间接关系才存在,而在平均或高水平的种族认同时则不存在。因此,文化适应压力和感知歧视可能会增加绝望感,从而增加患抑郁和自杀意念的脆弱性,但强烈的种族认同可能会缓冲这种关系。这项研究强调了在评估自杀意念和行为的风险时需要纳入与文化相关的经历,特别是在背景多样化的新兴成年人中。

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