Vanderbilt University, Nashville, TN, US.
Soc Psychiatry Psychiatr Epidemiol. 2021 Dec;56(12):2227-2238. doi: 10.1007/s00127-021-02096-8. Epub 2021 Apr 18.
This study examines whether stress exposures experienced within and across various life domains (e.g., interpersonal, financial) are predictors of depression among Afro-Caribbean women, an understudied ethnic group within the US Black female population.
A sample of Afro-Caribbean women (N = 878) was drawn from the National Survey of American Life (NSAL), the first nationally representative psychiatric epidemiology survey focused on the mental health of the US Afro-Caribbean and African American populations. Negative binomial regression analysis was conducted for depressive symptoms, and binary logistic regression results are presented for past-year and lifetime major depressive episode. Analyses examined the relative effect of five stress exposures on depression: major discrimination, everyday discrimination, past-month chronic stress, financial strain, and negative interactions with family.
Of the five stress exposures, chronic stress and financial strain were associated with increased risk for both recent (e.g., past week) and more distal (i.e., past-year and lifetime) experiences of depression. Though experiences with discrimination were associated with depression, its effects were attenuated when other stressors were taken into account.
Mental health prevention and intervention programs must address stress concerns that are chronic in nature and stressors that reflect financial instability for Afro-Caribbean women.
本研究旨在探讨跨领域（例如人际、经济）和各生活领域内压力源是否会导致美籍非裔加勒比裔女性（美国非裔女性人群中研究较少的一个族群）抑郁。
本研究从全美生活调查（NSAL）中抽取了美籍非裔加勒比裔女性样本（N=878），该调查是首个针对美籍非裔加勒比裔和非裔美国人心理健康的全国性精神病流行病学调查。采用负二项回归分析抑郁症状，并用二元逻辑回归分析呈现过去一年和终生重性抑郁发作的结果。分析评估了五种压力源（主要歧视、日常歧视、过去一个月慢性压力、经济压力和与家庭的负面互动）对抑郁的相对影响。
五种压力源中，慢性压力和经济压力与近期（如过去一周）和更久远（即过去一年和终生）抑郁经历的风险增加相关。尽管歧视经历与抑郁相关，但当考虑到其他压力源时，其影响会减弱。
心理健康预防和干预计划必须解决非裔加勒比裔女性的慢性压力问题和反映经济不稳定的压力源。
