Department of Sociology and Criminal Justice.
Department of Sociology, University of Missouri.
Am J Orthopsychiatry. 2018;88(2):189-198. doi: 10.1037/ort0000288. Epub 2017 Aug 17.
This study examined risks and resources to assess depressive symptom variation among a sample of Marshallese adolescents attending a Northwest Arkansas high school. A self-administered questionnaire was completed by 10th-12th-grade students (N = 1,493). With a general response rate in excess of 78%, the subsample (n = 208) represented 75% of all Marshallese students attending the high school and approximately 9% of the total K-12 Marshallese population. Average depressive symptom (CES-D) scores for Marshallese adolescents were 17.3; high enough to exceed the clinical caseness cut-off (16+) typically used as an evaluative criteria. Regression results found females and students who self-identified in lower social class categories reported more depressive symptoms than males and self-identified higher-class students. Marshallese students with poorer grades, higher exposure to school risks, and higher exposure to gangs reported more depressive symptoms; social (friends) and psychological (self-esteem) resources were both significant and negative in their association with depressive symptoms. These results represented the first comprehensive examination of depressive symptomatology among Marshallese adolescents living anywhere in the continental United States. Findings were discussed in the context of significance for clinical interventions at school and community levels. (PsycINFO Database Record
本研究通过考察风险因素和资源，评估了在阿肯色州西北部一所高中就读的一批马绍尔群岛青少年的抑郁症状变化情况。10 至 12 年级的学生（N=1493）完成了一份自我管理问卷。由于回复率超过 78%，因此该抽样（n=208）代表了该高中所有马绍尔群岛学生的 75%，以及整个 K-12 马绍尔群岛人口的 9%左右。马绍尔群岛青少年的平均抑郁症状（CES-D）评分为 17.3，高于通常用作评估标准的临床病例截止值（16+）。回归结果发现，女性和社会阶层较低的学生报告的抑郁症状比男性和社会阶层较高的学生多。成绩较差、更多地接触学校风险和帮派的马绍尔群岛学生报告的抑郁症状更多；社会（朋友）和心理（自尊）资源与其抑郁症状呈显著负相关。这些结果代表了对生活在美国大陆各地的马绍尔群岛青少年抑郁症状的首次全面研究。研究结果在学校和社区层面的临床干预意义方面进行了讨论。
