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感知歧视、压力和应对方式对年轻非裔美国母亲抑郁症状的累积影响。

The Cumulative Influence of Perceived Discrimination, Stress, and Coping Responses on Symptoms of Depression Among Young African American Mothers.

机构信息

Eugenia Millender, PhD, MS, RN, PMHNP-BC, CDE, FAAN, Center of Population Sciences for Health Equity, Florida State University, Tallahassee, FL, USA.

Rachel M. Harris, MSW, Florida State University, Tallahassee, FL, USA.

出版信息

J Am Psychiatr Nurses Assoc. 2024 Apr;30(2):322-332. doi: 10.1177/10783903221105281. Epub 2022 Jul 14.

Abstract

BACKGROUND

African American women have an elevated risk for experiencing depressive symptoms, and discrimination, stress, and coping contribute to symptoms of depression.

AIMS

We aimed to examine the associations between discrimination, stress, and coping on symptoms of depression among young African American mothers.

METHODS

In this retrospective study, we utilized a hierarchical linear regression to explore the effects of perceived racial discrimination, stress, and general and discrimination-related coping responses on depressive symptoms in a sample of African American mothers ( = 250). The data were drawn from the study (InterGEN), a study conducted between 2014 and 2019 and based in Connecticut.

RESULTS

After accounting for maternal age, level of education, and income, greater perceived racial discrimination ( = .03), higher levels of stress ( < .001), greater engagement in avoidance coping ( < .001), and use of passive coping responses to discrimination ( = .04) were uniquely associated with increased depressive symptoms. Other forms of coping, specifically, problem-solving and support seeking, did not appear to influence depressive symptoms in this sample.

CONCLUSION

The findings highlight the negative impact of discrimination, heightened stress, and maladaptive coping on the emotional health of young African American mothers.

摘要

背景

非裔美国女性经历抑郁症状的风险较高,而歧视、压力和应对方式则与抑郁症状有关。

目的

本研究旨在探讨非裔美国年轻母亲中歧视、压力和应对方式与抑郁症状之间的关系。

方法

在这项回顾性研究中,我们采用分层线性回归分析方法,探讨了感知到的种族歧视、压力以及一般应对和与歧视相关的应对方式对 250 名非裔美国母亲抑郁症状的影响。这些数据来自于 2014 年至 2019 年在康涅狄格州进行的 InterGEN 研究。

结果

在考虑了母亲的年龄、教育程度和收入等因素后,感知到的种族歧视程度越高( =.03)、压力水平越高( <.001)、采用回避应对方式的程度越高( <.001)以及采用被动应对歧视的方式越多( =.04),与抑郁症状的增加呈显著相关。在这个样本中,其他形式的应对方式,如问题解决和寻求支持,似乎并没有影响抑郁症状。

结论

这些发现强调了歧视、压力增加和适应不良的应对方式对年轻非裔美国母亲情绪健康的负面影响。

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