不良童年经历与年轻成年西班牙裔移民的抑郁症状：文化适应压力不同方面的调节和中介作用。
Adverse Childhood Experiences and Depressive Symptoms among Young Adult Hispanic Immigrants: Moderating and Mediating Effects of Distinct Facets of Acculturation Stress.
机构信息
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
出版信息
Issues Ment Health Nurs. 2022 Mar;43(3):209-219. doi: 10.1080/01612840.2021.1972190. Epub 2021 Sep 15.
Abstract
Hispanic immigrants experience more adverse childhood experiences (ACEs) and depressive symptom chronicity/severity than non-Hispanic peers. Acculturation stress relates to both depressive symptoms and ACEs, but the mechanism is not well-understood. We conducted a secondary data analysis of baseline data, from an ongoing longitudinal study to test theoretically-based mediating and moderating effects of acculturation stress on the relationship between ACEs and depression in a sample of young adult Hispanic immigrants ( = 391). Results indicated ACEs predicted depressive symptoms. Mediation and moderation effects were significant for cumulative and distinct facets of acculturation stress. Implications for mental health nurses are discussed.
摘要
西班牙裔移民比非西班牙裔同龄人经历更多的不良童年经历 (ACEs) 和抑郁症状的持续性/严重程度。文化适应压力与抑郁症状和 ACEs 都有关，但机制尚不清楚。我们对一项正在进行的纵向研究的基线数据进行了二次数据分析，以测试文化适应压力在 ACEs 与年轻西班牙裔移民群体 ( = 391) 抑郁症状之间的关系中的理论中介和调节作用。结果表明 ACEs 预测了抑郁症状。文化适应压力的累积和不同方面具有显著的中介和调节效应。讨论了对心理健康护士的影响。
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