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主观社会地位与沉思在初级保健中经济处于不利地位的拉丁裔人群中的焦虑和抑郁症状及精神病理学中的关系。

Subjective social status and rumination in relation to anxiety and depressive symptoms and psychopathology among economically disadvantaged Latinos in primary care.

机构信息

Department of Psychology, University of Houston.

Legacy Community Health Services.

出版信息

Am J Orthopsychiatry. 2018;88(2):169-179. doi: 10.1037/ort0000223. Epub 2017 Mar 9.

Abstract

The present investigation examined the interactive effects of subjective social status and rumination in relation to anxiety/depressive symptoms and psychopathology among 276 Latinos (82% female; M = 39.2, SD = 11.1; 97.0% reported Spanish as first language) who attended a community-based primary health care clinic. Results indicated that the interaction between rumination and subjective social status was significantly associated with depression (B = -.04, t = -3.52, p < .001, 95% CI [-.06, -.02]), social anxiety (B = -.01, t = -3.84, p < .001, 95% CI [-.02, -.01]), and the number of mood and anxiety disorders (B = -.004, t = -2.80, p = .005, 95% CI [-.006, -.001]), after controlling for main effects of rumination and subjective social status. The form of the interactions suggested that the associations of rumination and the outcome variables were stronger for those with lower compared to higher subjective social status. For anxious arousal symptoms, however, there was not a statistically significant interaction. These findings underscore the potential importance of examining the interplay between rumination and subjective social status in regard to better understanding, and intervening to reduce, various forms of anxiety/depressive symptoms and disorders among Latinos in primary care settings. (PsycINFO Database Record

摘要

本研究考察了主观社会地位和反刍思维在 276 名拉丁裔(82%为女性;M=39.2,SD=11.1;97.0%的人报告说第一语言是西班牙语)中的焦虑/抑郁症状和精神病理学中的交互作用,这些人在社区基础的初级保健诊所就诊。结果表明,反刍思维和主观社会地位之间的交互作用与抑郁(B=-.04,t=-3.52,p<.001,95%置信区间[-.06,-.02])、社交焦虑(B=-.01,t=-3.84,p<.001,95%置信区间[-.02,-.01])和情绪障碍和焦虑障碍的数量(B=-.004,t=-2.80,p=.005,95%置信区间[-.006,-.001])显著相关,在控制了反刍思维和主观社会地位的主要影响后。交互作用的形式表明,与主观社会地位较高的人相比,反刍思维与结果变量的相关性在主观社会地位较低的人中更强。然而,对于焦虑唤醒症状,交互作用没有统计学意义。这些发现强调了在初级保健环境中,检查反刍思维和主观社会地位之间相互作用的重要性,以更好地理解并干预各种形式的焦虑/抑郁症状和障碍。(PsycINFO 数据库记录)

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