Department of Psychiatry (Hankerson, Yehuda) and Department of Population Health Sciences and Policy (Hankerson), Icahn School of Medicine at Mount Sinai, New York; Department of Medicine (Moise, Wilson) and Department of Psychiatry (Waller, Duarte, Lugo-Candelas, Wainberg), Columbia University Irving Medical Center, New York; City University of New York (Wilson); New York State Psychiatric Institute, New York (Waller, Duarte, Lugo-Candelas, Wainberg, Weissman); Department of Family Medicine and Community Health, Perelman School of Medicine and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Arnold); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York (Weissman); James J. Peters VA Medical Center, Bronx, N.Y. (Yehuda); Department of Psychiatry, University of California, Davis (Shim).
Am J Psychiatry. 2022 Jun;179(6):434-440. doi: 10.1176/appi.ajp.21101000.
Depression among individuals who have been racially and ethnically minoritized in the United States can be vastly different from that of non-Hispanic White Americans. For example, African American adults who have depression rate their symptoms as more severe, have a longer course of illness, and experience more depression-associated disability. The purpose of this review was to conceptualize how structural racism and cumulative trauma can be fundamental drivers of the intergenerational transmission of depression. The authors propose that understanding risk factors for depression, particularly its intergenerational reach, requires accounting for structural racism. In light of the profoundly different experiences of African Americans who experience depression (i.e., a more persistent course of illness and greater disability), it is critical to examine whether an emerging explanation for some of these differences is the intergenerational transmission of this disorder due to structural racism.
在美国受到种族和民族歧视的个体的抑郁情况可能与非西班牙裔白种人有很大的不同。例如，患有抑郁症的非裔美国成年人认为自己的症状更严重，病程更长，且与抑郁相关的残疾更多。本综述的目的是从概念上理解结构性种族主义和累积性创伤如何成为抑郁代际传递的根本驱动因素。作者提出，要理解抑郁症的风险因素，特别是其代际影响，就需要考虑结构性种族主义。鉴于患有抑郁症的非裔美国人的经历（即疾病持续时间更长，残疾程度更大）大相径庭，因此至关重要的是，要检查结构性种族主义是否是由于这种障碍的代际传递，从而导致了这些差异中的一些。
