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焦虑敏感与文化适应压力:对初级保健中讲西班牙语的拉丁裔心理健康的并发关系。

Anxiety sensitivity and acculturative stress: Concurrent relations to mental health among Spanish-speaking Latinx in primary care.

机构信息

University of Houston.

The University of Texas MD Anderson Cancer Center.

出版信息

Transcult Psychiatry. 2021 Dec;58(6):817-827. doi: 10.1177/1363461520946557. Epub 2020 Sep 15.

Abstract

The Latinx population suffers from mental health inequalities. Although past work has implicated acculturative stress and anxiety sensitivity as important individual difference factors for anxiety and depression in this group, it is presently unclear how they work together to influence more severe anxiety and depressive symptom expression among Latinx. To help address this gap in the existing literature, the current study evaluated the role of concurrent anxiety sensitivity and acculturative stress, in terms of anxiety and depressive symptoms and disorders, in a Latinx population in a primary care setting. Participants included 142 Latinx individuals (86.7% female;  = 39.66,  = 11.34). After accounting for shared variance, the results indicated that both anxiety sensitivity and acculturative stress were significantly associated with anxious arousal symptoms, social anxiety, and depressive symptoms. However, anxiety sensitivity, but not acculturative stress, was significantly related to a number of mood and anxiety disorders. These findings suggest the importance of assessing both anxiety sensitivity and acculturative stress in routine mental health screening, as both factors may be related to poorer psychological health among this group.

摘要

拉丁裔人群存在心理健康不平等问题。尽管过去的研究表明,在这个群体中,文化适应压力和焦虑敏感性是焦虑和抑郁的重要个体差异因素,但目前尚不清楚它们如何共同作用,从而影响拉丁裔人群更严重的焦虑和抑郁症状表现。为了帮助填补现有文献中的这一空白,本研究评估了在初级保健环境中,同时存在的焦虑敏感性和文化适应压力对拉丁裔人群的焦虑和抑郁症状及障碍的影响。参与者包括 142 名拉丁裔个体(女性占 86.7%;=39.66,=11.34)。在考虑了共同方差后,结果表明,焦虑敏感性和文化适应压力都与焦虑唤醒症状、社交焦虑和抑郁症状显著相关。然而,焦虑敏感性,而不是文化适应压力,与多种情绪和焦虑障碍显著相关。这些发现表明,在常规心理健康筛查中评估焦虑敏感性和文化适应压力非常重要,因为这两个因素都可能与该群体较差的心理健康有关。

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