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考察美国多族裔成年人中潜在创伤性经历 (PTE) 和歧视事件对创伤后应激障碍 (PTSD) 和自杀念头和行为的独特影响。

Examining the unique impacts of Potentially Traumatic Experiences (PTE) and discrimination events on Post-Traumatic Stress Disorder (PTSD) and suicidal thoughts and behaviors among Multiracial/ethnic adults in the United States.

机构信息

Johns Hopkins Bloomberg School of Public Health, United States of America.

Johns Hopkins Bloomberg School of Public Health, United States of America.

出版信息

J Affect Disord. 2024 Feb 15;347:51-56. doi: 10.1016/j.jad.2023.11.035. Epub 2023 Nov 14.

Abstract

BACKGROUND

Suicide and PTSD are pressing public health issues in the US, with discrimination and potentially traumatic experiences (PTEs) influencing mental health. However, the unique effects of these factors on Multiracial/ethnic adults' PTSD and suicidal thoughts/behaviors (STB) are not thoroughly researched.

METHODS

Using a cross-sectional design, an online survey was conducted (N = 1012) from October to December 2022. Multivariable logistic regression models analyzed relationships between PTEs, discriminatory events, and mental health outcomes, accounting for sociodemographics.

RESULTS

After adjusting for demographics, exposure to PTEs and discrimination correlated with heightened odds of PTSD and STB. Individual lifetime discrimination experiences and specific PTEs demonstrated varying associations with STB and PTSD. The study underscores discrimination's relevance as a risk factor.

LIMITATIONS

The study's cross-sectional nature restricts causality or temporality interpretations. Moreover, the convenience sample of English-speaking online participants might not be reflective of all Multiracial/ethnic US adults.

CONCLUSIONS

Findings underscore PTEs and discrimination's interconnectedness in Multiracial/ethnic mental health outcomes. Discrimination might pose similar risks to PTEs. Acknowledging discrimination as potential precursors for PTSD and STB aids accurate diagnosis and effective treatment planning. Incorporating racial/ethnic discrimination and traumatic experiences into PTSD conceptualization and assessment is pivotal. This knowledge informs tailored interventions and mental health education for this population.

摘要

背景

自杀和创伤后应激障碍(PTSD)是美国当前紧迫的公共卫生问题,歧视和潜在创伤经历(PTEs)会影响心理健康。然而,这些因素对多种族/族裔成年人 PTSD 和自杀念头/行为(STB)的独特影响尚未得到充分研究。

方法

本研究采用横断面设计,于 2022 年 10 月至 12 月进行了一项在线调查(N=1012)。多变量逻辑回归模型分析了 PTEs、歧视事件与心理健康结果之间的关系,同时考虑了社会人口统计学因素。

结果

在调整了人口统计学因素后,暴露于 PTEs 和歧视与 PTSD 和 STB 的发生风险增加相关。个体一生中经历的歧视事件和特定的 PTEs 与 STB 和 PTSD 存在不同的关联。该研究强调了歧视作为风险因素的重要性。

局限性

研究的横断面性质限制了因果关系或时间性解释。此外,英语在线参与者的便利样本可能无法反映所有多种族/族裔的美国成年人。

结论

研究结果强调了 PTEs 和歧视在多种族/族裔心理健康结果中的相互关联。歧视可能与 PTEs 具有相似的风险。认识到歧视是 PTSD 和 STB 的潜在前兆有助于进行准确的诊断和有效的治疗计划。将种族/族裔歧视和创伤经历纳入 PTSD 的概念化和评估中至关重要。这些知识为该人群提供了有针对性的干预措施和心理健康教育。

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