Department of Psychology, Baruch College, The City University of New York.
Department of Psychology, University of Iceland.
Am Psychol. 2019 Jan;74(1):101-116. doi: 10.1037/amp0000339.
Research has suggested that African American and Latinx adults may develop posttraumatic stress disorder (PTSD) at higher rates than White adults, and that the clinical course of PTSD in these minority groups is poor. Factors that may contribute to higher prevalence and poorer outcome in these groups are sociocultural factors and racial stressors, such as experiences with discrimination. To date, however, no research has explored the relationship between experiences with discrimination and risk for PTSD, and very little research has examined the course of illness for PTSD in African American and Latinx samples. The present study examined these variables in the only longitudinal clinical sample of 139 Latinx and 152 African American adults with anxiety disorders, the Harvard/Brown Anxiety Research Project-Phase II. Over 5 years of follow-up, remission rates for African Americans and Latinx adults with PTSD in this sample were 0.35 and 0.15, respectively, and reported frequency of experiences with discrimination significantly predicted PTSD diagnostic status in this sample, but did not predict any other anxiety or mood disorder. These findings demonstrate the chronic course of PTSD in African American and Latinx adults, and highlight the important role that racial and ethnic discrimination may play in the development of PTSD among these populations. Implications for an increased focus on these sociocultural stressors in the assessment and treatment of PTSD in African American and Latinx individuals are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
研究表明，非裔美国人和拉丁裔成年人患创伤后应激障碍（PTSD）的比率可能高于白人成年人，而且这些少数族裔群体的 PTSD 临床病程较差。导致这些群体中患病率较高和预后较差的因素可能是社会文化因素和种族压力源，例如经历歧视。然而，迄今为止，尚无研究探讨歧视经历与 PTSD 风险之间的关系，也很少有研究检查 PTSD 在非裔美国人和拉丁裔样本中的疾病病程。本研究在哈佛/布朗焦虑研究项目二期的 139 名拉丁裔和 152 名非裔美国焦虑症成年患者这一唯一的纵向临床样本中检验了这些变量。在 5 年的随访期间，该样本中患有 PTSD 的非裔美国人和拉丁裔成年人的缓解率分别为 0.35 和 0.15，报告的歧视经历频率显著预测了该样本中的 PTSD 诊断状况，但并未预测任何其他焦虑或情绪障碍。这些发现表明 PTSD 在非裔美国人和拉丁裔成年人中具有慢性病程，并强调了种族和族裔歧视可能在这些人群中 PTSD 发展中所起的重要作用。讨论了在评估和治疗非裔美国人和拉丁裔个体的 PTSD 时更加关注这些社会文化压力源的意义。（APA，所有权利保留）。
