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人际关系歧视与抑郁症状:在一个种族/民族多样化的成年样本中,考察几种与人格相关的特征作为潜在的混杂因素。

Interpersonal discrimination and depressive symptomatology: examination of several personality-related characteristics as potential confounders in a racial/ethnic heterogeneous adult sample.

机构信息

School of Public Health, Social & Behavioral Sciences, Robert C, Byrd Health Sciences Center, West Virginia University, PO Box 9190, Morgantown, WV 26506-9190, USA.

出版信息

BMC Public Health. 2013 Nov 20;13:1084. doi: 10.1186/1471-2458-13-1084.

Abstract

BACKGROUND

Research suggests that reports of interpersonal discrimination result in poor mental health. Because personality characteristics may either confound or mediate the link between these reports and mental health, there is a need to disentangle its role in order to better understand the nature of discrimination-mental health association. We examined whether hostility, anger repression and expression, pessimism, optimism, and self-esteem served as confounders in the association between perceived interpersonal discrimination and CESD-based depressive symptoms in a race/ethnic heterogeneous probability-based sample of community-dwelling adults.

METHODS

We employed a series of ordinary least squares regression analyses to examine the potential confounding effect of hostility, anger repression and expression, pessimism, optimism, and self-esteem between interpersonal discrimination and depressive symptoms.

RESULTS

Hostility, anger repression, pessimism and self-esteem were significant as possible confounders of the relationship between interpersonal discrimination and depressive symptoms, together accounting for approximately 38% of the total association (beta: 0.1892, p < 0.001). However, interpersonal discrimination remained a positive predictor of depressive symptoms (beta: 0.1176, p < 0.001).

CONCLUSION

As one of the first empirical attempts to examine the potential confounding role of personality characteristics in the association between reports of interpersonal discrimination and mental health, our results suggest that personality-related characteristics may serve as potential confounders. Nevertheless, our results also suggest that, net of these characteristics, reports of interpersonal discrimination are associated with poor mental health.

摘要

背景

研究表明,人际歧视的报告会导致心理健康状况不佳。由于人格特征可能会混淆或调解这些报告与心理健康之间的联系,因此需要厘清其角色,以便更好地理解歧视与心理健康关联的本质。我们研究了在种族/族裔异质的基于概率的社区居住成年人样本中,敌意、愤怒压抑和表达、悲观主义、乐观主义和自尊是否作为感知人际歧视与基于 CESD 的抑郁症状之间关联的混杂因素。

方法

我们采用一系列普通最小二乘回归分析来检验敌意、愤怒压抑和表达、悲观主义、乐观主义和自尊在人际歧视和抑郁症状之间的潜在混杂效应。

结果

敌意、愤怒压抑、悲观主义和自尊是人际歧视和抑郁症状之间关系的重要混杂因素,共同解释了约 38%的总关联(β:0.1892,p < 0.001)。然而,人际歧视仍然是抑郁症状的正向预测因子(β:0.1176,p < 0.001)。

结论

作为首次尝试检验人格特征在人际歧视报告与心理健康之间关联中的潜在混杂作用的实证研究之一,我们的结果表明,与人格相关的特征可能是潜在的混杂因素。然而,我们的结果还表明,在这些特征之外,人际歧视的报告与不良的心理健康状况相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f63/3845526/06d4c442eb5d/1471-2458-13-1084-1.jpg

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