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创伤后应激障碍及与创伤相关的主观痛苦:重度精神疾病的西班牙裔、非裔美国人和白人之间的比较

Post-traumatic Stress and Trauma-Related Subjective Distress: Comparisons Among Hispanics, African-Americans, and Whites with Severe Mental Illness.

作者信息

O'Hare Thomas, Shen Ce, Sherrer Margaret V

机构信息

Graduate School of Social Work, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.

Department of Psychology and Human Services, Lyndon State College, 1001 College Rd., Lyndonville, VT, 05851, USA.

出版信息

Community Ment Health J. 2017 Oct;53(7):778-781. doi: 10.1007/s10597-017-0097-8. Epub 2017 Feb 6.

DOI:10.1007/s10597-017-0097-8
PMID:28168433
Abstract

We tested the hypothesis with a sample of community mental health clients (N = 132) that Hispanic clients would report significantly greater post-traumatic stress symptoms than African-American or white clients when controlling for gender, psychiatric symptoms of SMI, and subjective distress from six of the most commonly reported trauma in the SMI literature. Results supported our main hypothesis: being self-identified as Hispanic was significantly associated with greater post-traumatic stress symptoms. Subjective distress from having been sexually abused along with being "Hispanic" were the only two significant variables left in the equation. Limitations of this study include its modest sample size.

摘要

我们以社区心理健康服务对象样本(N = 132)检验了这一假设:在控制性别、严重精神疾病的精神症状以及严重精神疾病文献中最常报告的六种创伤所带来的主观痛苦的情况下,西班牙裔服务对象报告的创伤后应激症状会显著多于非裔美国或白人服务对象。结果支持了我们的主要假设:自我认定为西班牙裔与更严重的创伤后应激症状显著相关。遭受性虐待以及身为“西班牙裔”所带来的主观痛苦是该等式中仅存的两个显著变量。本研究的局限性包括样本量较小。

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本文引用的文献

1
Lifetime abuse and self-harm in people with severe mental illness: A structural equation model.一生中的滥用和自伤在严重精神疾病患者中的表现:一个结构方程模型。
Psychol Trauma. 2015 Jul;7(4):348-55. doi: 10.1037/tra0000016. Epub 2015 Apr 13.
2
Public mental health clients with severe mental illness and probable posttraumatic stress disorder: trauma exposure and correlates of symptom severity.患有严重精神疾病和可能患有创伤后应激障碍的公共心理健康服务对象:创伤暴露及其与症状严重程度的关系。
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3
Conditional risk for PTSD among Latinos: a systematic review of racial/ethnic differences and sociocultural explanations.
西班牙语裔人群 PTSD 的条件风险:种族/民族差异与社会文化解释的系统综述。
Clin Psychol Rev. 2013 Feb;33(1):107-19. doi: 10.1016/j.cpr.2012.10.005. Epub 2012 Oct 22.
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Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: a critical review.创伤暴露和成年严重精神疾病患者的创伤后应激障碍:批判性综述。
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Subjective distress associated with sudden loss in clients with severe mental illness.与严重精神疾病患者丧失有关的主观困扰。
Community Ment Health J. 2011 Dec;47(6):646-53. doi: 10.1007/s10597-011-9382-0. Epub 2011 Jan 19.
6
Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients.创伤相关障碍和分离与拉丁裔精神科门诊患者四种痛苦成语的关联。
Cult Med Psychiatry. 2010 Jun;34(2):219-43. doi: 10.1007/s11013-010-9177-8.
7
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.在美国,种族/民族差异与创伤事件的暴露、创伤后应激障碍的发展以及创伤后应激障碍的治疗寻求有关。
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8
Ethnic differences in posttraumatic distress: Hispanics' symptoms differ in kind and degree.创伤后应激障碍的种族差异:西班牙裔的症状在种类和程度上有所不同。
J Consult Clin Psychol. 2009 Dec;77(6):1169-78. doi: 10.1037/a0017721.
9
Subjective distress from stressful events and high-risk behaviors as predictors of PTSD symptom severity in clients with severe mental illness.压力事件导致的主观痛苦和高风险行为作为重度精神疾病患者创伤后应激障碍症状严重程度的预测因素。
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