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压力下的坚韧:美国黑人男性抑郁症状的社会结构性压力源和心理社会缓冲因素。

Strengths despite stress: Social-structural stressors and psychosocial buffers of depressive symptoms among U.S. Black men.

机构信息

Department of Psychological and Brain Sciences.

Department of Public Health.

出版信息

Am J Orthopsychiatry. 2022;92(2):133-143. doi: 10.1037/ort0000595. Epub 2021 Dec 20.

Abstract

We examined the association between social-structural stressors-racial discrimination, incarceration, and unemployment-and depressive symptoms among 578 predominantly low-income urban Black men, ages 18-45. We also examined the extent to which two protective factors-social support and problem-solving coping-moderated the relationship between social-structural stressors and depressive symptoms. Results showed that more everyday racial discrimination and incarceration, but not unemployment, significantly predicted more depressive symptoms. The links between discrimination, incarceration, and depressive symptoms were stronger for men who reported lower levels of problem-solving coping and social support than those with higher levels. Our study suggests that interventions emphasizing protective factors may help Black men cope with some of the deleterious effects of racial discrimination and incarceration. It also underscores a need for structural interventions that reduce racial discrimination and incarceration. Depression among Black men is not simply a biomedical or psychological condition, but also a critical health equity issue. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

我们研究了社会结构压力因素(种族歧视、监禁和失业)与 578 名主要来自城市的低收入黑人男性(年龄在 18 岁至 45 岁之间)抑郁症状之间的关系。我们还研究了两种保护因素(社会支持和解决问题的应对方式)在多大程度上调节了社会结构压力源与抑郁症状之间的关系。结果表明,更多的日常种族歧视和监禁,但不是失业,显著预测了更多的抑郁症状。对于那些报告解决问题的应对能力和社会支持水平较低的男性来说,歧视、监禁与抑郁症状之间的联系比那些报告解决问题的应对能力和社会支持水平较高的男性更强。我们的研究表明,强调保护因素的干预措施可能有助于黑人男性应对种族歧视和监禁的一些有害影响。这也突显了减少种族歧视和监禁的结构性干预措施的必要性。黑人男性的抑郁不仅仅是一种生物医学或心理状况,也是一个关键的健康公平问题。

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Race, criminalization and urban mental health in the United States.美国的种族、刑事定罪与城市心理健康
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