Woerner Jacqueline, Overstreet Cassie, Amstadter Ananda B, Sartor Carolyn E
Yale University School of Medicine, USA.
Virginia Commonwealth University, USA.
J Health Psychol. 2020 Oct;25(12):1882-1893. doi: 10.1177/1359105318780504. Epub 2018 Jun 18.
Adverse psychosocial experiences operate simultaneously to affect mental health and behavior. The current study used mixture modeling to identify subgroups of young adults based on experiences of four types of psychosocial adversity and characterize their associations with depression, anxiety, world assumptions, substance use, and sexual risk behavior. Sexual assault, physical assault, and discrimination (interpersonal adversity) showed similar patterns within each group but diverged from neighborhood disadvantage in two groups. Groups characterized by higher interpersonal adversity reported the most negative health outcomes. Findings highlight variations in the co-occurrence of adverse experiences and differential links to risky health behaviors and mental health.
不良的社会心理经历会同时影响心理健康和行为。本研究使用混合模型，根据四种类型的社会心理逆境经历来识别年轻成年人的亚组，并描述这些亚组与抑郁、焦虑、世界观、物质使用和性风险行为之间的关联。性侵犯、身体攻击和歧视（人际逆境）在每组中表现出相似的模式，但在两组中与邻里劣势有所不同。人际逆境较高的组报告的负面健康结果最多。研究结果突出了不良经历共现的差异以及与危险健康行为和心理健康的不同联系。
