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种族认同与创伤后应激障碍:创伤暴露的社区个体中情绪回避的作用。

Ethnic-racial identity and posttraumatic stress disorder: The role of emotional avoidance among trauma-exposed community individuals.

机构信息

Department of Psychology.

出版信息

Psychol Trauma. 2021 Jan;13(1):35-43. doi: 10.1037/tra0000974. Epub 2020 Oct 8.

DOI:10.1037/tra0000974
PMID:33030936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8443085/
Abstract

OBJECTIVE

There are ethnic-racial differences in the prevalence of posttraumatic stress disorder (PTSD). However, the factors underlying these differences are not well studied or understood. The goal of this study was to explore the relation of strength of ethnic-racial identity to PTSD. Specifically, we examined whether strength of ethnic-racial identity was indirectly related to PTSD symptom severity through positive and negative emotional avoidance.

METHOD

Participants were 401 trauma-exposed community individuals ( = 43.86 years; 70.1% female; 23.4% Asian, 23.7% Black, 25.1% Hispanic, 25.4% White).

RESULTS

Within the overall sample of ethnic-racial minorities, the indirect effect of strength of ethnic-racial identity on PTSD symptom severity through the pathways of both positive and negative emotional avoidance was significant. However, these findings were not replicated within each of the specific racial-ethnic subsamples. Specifically, while strength of ethnic-racial identity was indirectly associated with PTSD symptom severity through both positive and negative emotional avoidance in the Black subsample, this indirect effect was only significant through the pathway of positive emotional avoidance in the Hispanic subsample, and was nonsignificant in the Asian and White subsamples.

CONCLUSIONS

Results underscore ethnic-racial differences in the way in which strength of ethnic-racial identity impacts PTSD. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

目的

创伤后应激障碍(PTSD)的患病率存在种族差异。然而,这些差异背后的因素还没有得到很好的研究或理解。本研究的目的是探讨种族认同的强度与 PTSD 之间的关系。具体来说,我们研究了种族认同的强度是否通过积极和消极的情绪回避,间接地与 PTSD 症状的严重程度相关。

方法

参与者为 401 名经历过创伤的社区个体(平均年龄为 43.86 岁;70.1%为女性;23.4%为亚洲人,23.7%为黑人,25.1%为西班牙裔,25.4%为白人)。

结果

在少数族裔的总体样本中,种族认同的强度通过积极和消极情绪回避这两条途径对 PTSD 症状严重程度的间接影响是显著的。然而,这些发现并不能在每个特定的种族群体中得到复制。具体来说,在黑人样本中,种族认同的强度与 PTSD 症状严重程度通过积极和消极情绪回避呈间接相关,但在西班牙裔样本中,这种间接影响仅通过积极情绪回避的途径显著,而在亚洲人和白人样本中则不显著。

结论

研究结果强调了种族认同的强度对 PTSD 影响的方式存在种族差异。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/8443085/4f9da1f6379a/nihms-1738402-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/8443085/f6d0b8d8ea1c/nihms-1738402-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/8443085/4f9da1f6379a/nihms-1738402-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/8443085/f6d0b8d8ea1c/nihms-1738402-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a286/8443085/4f9da1f6379a/nihms-1738402-f0002.jpg

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