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初级保健中心西班牙裔成年人的感知歧视、经验回避与心理健康。

Perceived Discrimination, Experiential Avoidance, and Mental Health among Hispanic Adults in Primary Care.

机构信息

Department of Psychology, 14743University of Houston, Houston, TX, USA.

Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Transcult Psychiatry. 2022 Jun;59(3):337-348. doi: 10.1177/13634615211038159. Epub 2022 Jan 12.

Abstract

The Hispanic population is the largest minority group in the United States and frequently experiences racial discrimination and mental health difficulties. Prior work suggests that perceived racial discrimination is a significant risk factor for poorer mental health among Hispanic in the United States. However, little work has investigated how perceived racial discrimination relates to anxiety and depression among Hispanic adults. Thus, the current study evaluated the explanatory role of experiential avoidance in the relation between perceived racial discrimination and anxiety/depressive symptoms and disorders among Hispanic adults in primary care. Participants included 202 Spanish-speaking adults ( = 38.99,  = 12.43, 86.1% female) attending a community-based Federally Qualified Health Center. Results were consistent with the hypothesis that perceived racial discrimination had a significant indirect effect on depression, social anxiety, and anxious arousal symptoms as well as the number of mood and anxiety disorders through experiential avoidance. These findings suggest future work should continue to explore experiential avoidance in the association between perceived racial discrimination and other psychiatric and medical problems among the Hispanic population.

摘要

西班牙裔人口是美国最大的少数族裔群体,经常经历种族歧视和心理健康问题。先前的研究表明,感知到的种族歧视是美国西班牙裔心理健康状况较差的一个重要风险因素。然而,很少有研究调查感知到的种族歧视与西班牙裔成年人的焦虑和抑郁之间的关系。因此,本研究评估了经验回避在西班牙裔成年人在初级保健中感知到的种族歧视与焦虑/抑郁症状和障碍之间的关系中的解释作用。参与者包括 202 名讲西班牙语的成年人( = 38.99, = 12.43,86.1%女性),他们参加了一个基于社区的联邦合格的健康中心。结果与假设一致,即经验回避通过感知到的种族歧视对抑郁、社交焦虑和焦虑唤醒症状以及情绪和焦虑障碍的数量具有显著的间接影响。这些发现表明,未来的工作应该继续探索在西班牙裔人群中,感知到的种族歧视与其他精神和医学问题之间的经验回避的关系。

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