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种族歧视对黑人青年抑郁症状的纵向影响:个体间和个体内效应。

Longitudinal Effects of Racial Discrimination on Depressive Symptoms Among Black Youth: Between- and Within-Person Effects.

机构信息

University of Georgia, Athens.

University of Georgia, Athens.

出版信息

J Am Acad Child Adolesc Psychiatry. 2022 Jan;61(1):56-65. doi: 10.1016/j.jaac.2021.04.020. Epub 2021 May 18.

Abstract

OBJECTIVE

Black youth experience racial discrimination at high rates. This study sought to further understand the longitudinal effects of racial discrimination on the mental health of Black youth by examining cross-lagged associations between perceived racial discrimination and depressive symptoms at the between-person (interindividual) level and the within-person (intraindividual) level.

METHOD

A group of 346 Black youths (mean age 10.9 years) from the rural southern United States reported racial discrimination and depressive symptoms 4 times over 24.5 months. A cross-lagged panel model was used to examine between-person concurrent and lagged effects, and a random intercept cross-lagged panel model was used to examine within-person concurrent and lagged effects.

RESULTS

There were significant concurrent associations at all waves in both models. Additionally, there were significant lagged effects from perceived racial discrimination to depressive symptoms, but not from depressive symptoms to perceived racial discrimination, in both models.

CONCLUSION

Youth experiencing higher levels of racial discrimination subsequently develop more depressive symptoms than youth experiencing less discrimination (between-person effects), and youth experiencing higher levels of discrimination relative to their own average subsequently report increases in depressive symptoms (within-person effects). These findings provide a rigorous test of conceptual models outlining the harmful effects of racial discrimination on mental health, add to a growing body of work documenting these effects on Black youth, and underscore the need for systemic changes to reduce the amount of discrimination Black youth experience and for interventions to promote resilience among Black youth in the face of cultural marginalization.

摘要

目的

黑人群体经历种族歧视的比例很高。本研究旨在通过考察个体间(个体间)和个体内(个体内)感知种族歧视与抑郁症状之间的交叉滞后关联,进一步了解种族歧视对黑人群体心理健康的纵向影响。

方法

来自美国南部农村的 346 名黑人青少年(平均年龄 10.9 岁)在 24.5 个月内报告了 4 次种族歧视和抑郁症状。使用交叉滞后面板模型来检验个体间的同期和滞后效应,使用随机截距交叉滞后面板模型来检验个体内的同期和滞后效应。

结果

两个模型在所有波次均存在显著的同期关联。此外,两个模型均存在从感知种族歧视到抑郁症状的显著滞后效应,但从抑郁症状到感知种族歧视的滞后效应并不显著。

结论

经历较高水平种族歧视的青少年随后会比经历较少歧视的青少年发展出更多的抑郁症状(个体间效应),与自身平均水平相比经历较高水平歧视的青少年随后会报告抑郁症状的增加(个体内效应)。这些发现为种族歧视对心理健康的有害影响的概念模型提供了严格的检验,增加了越来越多的关于这些影响对黑人青少年的研究,并强调需要进行系统性变革,以减少黑人青少年经历的歧视数量,并干预以促进黑人青少年在面临文化边缘化时的韧性。

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