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将日常歧视经历与成人精神病理学及危险健康行为相联系的认知情感因素。

Cognitive-Affective Factors Linking Experiences of Daily Discrimination with Adult Psychopathology and Risky Health Behaviors.

作者信息

Sadeh Naomi, Stumps Anna, Huerta Wendy

机构信息

University of Delaware, Department of Psychological and Brain Sciences.

出版信息

J Affect Disord. 2025 Mar 15;373:80-87. doi: 10.1016/j.jad.2024.12.085. Epub 2024 Dec 25.

Abstract

Although a growing literature describes an association between experiences of discrimination and health behaviors, the factors that help maintain this relationship remain incompletely characterized. The current study investigated how interpersonal discrimination relates cross-sectionally to cognitive-affective processes and health behaviors in a diverse sample of 250 community adults aged 18-54 ( = 30.47/9.67). A path analysis revealed that, as the frequency of discrimination increased, so did disruptions in emotional processes, current symptoms of psychopathology, and risky health behaviors. Moreover, relatively greater emotion dysregulation, higher perceived stress, and poorer impulse control during negative and positive emotional states partially accounted for the associations between discrimination, current psychopathology symptoms, and recent risky behavior. Associations between discrimination and these health behaviors remained after accounting for history of trauma exposure. These findings implicate discrimination as a key correlate of health behaviors and provide new insights into cognitive-affective constructs that partially account for the apparent increase in psychopathology symptoms and risky behavior that occurs with greater exposure to discrimination. Together, results underscore the importance of further clarifying how discrimination impacts health behaviors.

摘要

尽管越来越多的文献描述了歧视经历与健康行为之间的关联,但有助于维持这种关系的因素仍未得到充分描述。本研究调查了人际歧视在横断面研究中如何与250名年龄在18 - 54岁(平均年龄 = 30.47/9.67)的社区成年人样本中的认知 - 情感过程及健康行为相关。路径分析显示,随着歧视频率的增加,情绪过程的干扰、当前精神病理学症状以及危险健康行为也随之增加。此外,在消极和积极情绪状态下相对更严重的情绪失调、更高的感知压力以及更差的冲动控制,部分解释了歧视、当前精神病理学症状和近期危险行为之间的关联。在考虑创伤暴露史后,歧视与这些健康行为之间的关联依然存在。这些发现表明歧视是健康行为的关键相关因素,并为认知 - 情感结构提供了新的见解,这些结构部分解释了随着更多地暴露于歧视而出现的精神病理学症状和危险行为的明显增加。总之,研究结果强调了进一步阐明歧视如何影响健康行为的重要性。

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