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威胁与剥夺作为第一代和第二代拉丁裔青少年创伤后应激和抑郁症状的不同预测因素

Threat and Deprivation as Distinct Predictors of Posttraumatic Stress and Depression Symptoms in First and Second Generation Latinx Youth.

作者信息

Berger Cardoso Jodi, Brabeck Kalina M, Chen Tzuan A, Bjugstad Arlene, Mytelka Caitlyn, Capps Randy, Crea Thomas M

机构信息

Graduate College of Social Work, University of Houston, 3511 Cullen Blvd., Houston, TX, U.S.A. 77004.

HEALTH Research Institute, University of Houston, 4349 Martin Luther Blvd., Houston, TX, U.S.A. 77204.

出版信息

Appl Dev Sci. 2024;28(4):511-524. doi: 10.1080/10888691.2023.2251383. Epub 2023 Sep 21.

Abstract

Recent adverse childhood experiences (ACEs) scholarship emphasizes that differing ACEs affect the onset and course of psychopathology, and that sociopolitical context contributes to ACEs experienced by marginalized youth. Guided by the Immigration-Related Adverse Childhood Experiences Model, we explored the associations between different ACEs-immigration enforcement fear and perceived economic hardship-on posttraumatic stress disorder (PTSD) and depression among first and second-generation Latinx youth in immigrant families. Participants (n=306) included students from 11 high schools in two states (58% female; 25% aged 17 or older). Fifty-three percent were first generation students and 80% were born in, or had a parent from, Mexico or Central America. We found that immigration enforcement fear predicted greater PTSD symptoms after accounting for other key covariates. Perceived economic hardship was associated with depression across all subscales. Findings highlight the need for a multidimensional approach to assess and understand how ACEs, including immigration enforcement fear, influence mental health for youth in Latinx immigrant families.

摘要

近期关于童年不良经历(ACEs)的学术研究强调,不同的童年不良经历会影响精神病理学的发病和病程,并且社会政治背景会导致边缘化青少年经历童年不良经历。在与移民相关的童年不良经历模型的指导下,我们探讨了不同的童年不良经历(对移民执法的恐惧和感知到的经济困难)与移民家庭中第一代和第二代拉丁裔青少年创伤后应激障碍(PTSD)和抑郁症之间的关联。参与者(n = 306)包括来自两个州11所高中的学生(58%为女性;25%年龄在17岁及以上)。53%是第一代学生,80%出生在墨西哥或中美洲,或父母来自墨西哥或中美洲。我们发现,在考虑了其他关键协变量后,对移民执法的恐惧预示着更严重的创伤后应激障碍症状。在所有子量表中,感知到的经济困难都与抑郁症相关。研究结果凸显了需要采用多维方法来评估和理解包括对移民执法的恐惧在内的童年不良经历如何影响拉丁裔移民家庭青少年的心理健康。

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Adverse Childhood Experiences and Mental Health Conditions Among Adolescents.不良童年经历与青少年心理健康状况。
J Adolesc Health. 2020 Dec;67(6):868-870. doi: 10.1016/j.jadohealth.2020.04.013. Epub 2020 Jun 20.

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