Çayır Ebru, Burke Michael P, Spencer Mindi, Schure Mark B, Goins R Turner
Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene St., Columbia, SC, 29208, USA.
Food and Nutrition Service, U.S. Department of Agriculture, 3101 Park Center Dr., Alexandria, VA, 22302, USA.
Community Ment Health J. 2018 Aug;54(6):740-747. doi: 10.1007/s10597-017-0179-7. Epub 2017 Nov 20.
We examined the association between lifetime traumatic events with or without trauma response symptoms and depressive symptomatology in American Indians aged ≥ 55 years from a tribe in the Southeastern US (N = 362). Twenty-three percent of the sample experienced a traumatic event without trauma-response symptoms, whereas 14% experienced a traumatic event with at least one trauma-response symptom. After adjustment for sociodemographic characteristics and social support, participants who experienced a traumatic event with one or more trauma-response symptoms had higher odds of clinically relevant depressive symptomatology compared to (1) those who never experienced a traumatic event [odds ratio (OR) 3.2, p < 0.05], (2) and those who experienced a traumatic event without further symptoms (OR 3.7, p < 0.05). Our results suggest that mental health providers who serve older American Indians should consider the experience of traumatic events followed with response symptoms as a potential risk factor for further disruptions in psychological functioning.
我们在美国东南部一个部落中，对年龄≥55岁的362名美国印第安人进行了研究，探讨了有或没有创伤反应症状的终身创伤事件与抑郁症状之间的关联。23%的样本经历过无创伤反应症状的创伤事件，而14%的样本经历过至少有一种创伤反应症状的创伤事件。在对社会人口学特征和社会支持进行调整后，与（1）从未经历过创伤事件的人相比[优势比（OR）为3.2，p<0.05]，以及（2）经历过无进一步症状的创伤事件的人相比（OR为3.7，p<0.05），经历过有一个或多个创伤反应症状的创伤事件的参与者出现临床相关抑郁症状的几率更高。我们的研究结果表明，为年长的美国印第安人提供服务的心理健康服务提供者应将伴有反应症状的创伤事件经历视为心理功能进一步紊乱的潜在风险因素。
