Hinton W L, Tiet Q, Tran C G, Chesney M
Department of Social Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Nerv Ment Dis. 1997 Jan;185(1):39-45. doi: 10.1097/00005053-199701000-00007.
The present study examined the impact of prearrival traumatic experiences and sociodemographic characteristics on future depression among Vietnamese and Chinese refugees from Vietnam. This is a longitudinal study of newly arrived refugees from Vietnam undergoing a mandatory health screening. A stratified consecutive sample of ethnic Chinese and ethnic Vietnamese refugees was drawn. The depression subscale of the Indochinese Hopkins symptoms checklist was administered to 114 refugees within the first 6 months after arrival in the United States and 12 to 18 months later. Ethnic Vietnamese reported more prearrival trauma compared with ethnic Chinese. Age was strongly correlated with time 2 depression among ethnic Vietnamese but not among ethnic Chinese. Multivariate linear regression analysis revealed that being a veteran, older, unattached, less proficient in English, ethnic Vietnamese, and more depressed at baseline predicted higher depression at follow-up. Although prearrival trauma predicted future depression, other sociodemographic characteristics assumed more importance with time.
本研究调查了越南华裔和来自越南的华裔难民抵达前的创伤经历及社会人口学特征对其未来抑郁的影响。这是一项对新抵达越南的难民进行强制健康筛查的纵向研究。抽取了华裔和越南裔难民的分层连续样本。在抵达美国后的头6个月内，对114名难民进行了印支霍普金斯症状清单抑郁分量表的测试，并在12至18个月后再次测试。与华裔相比，越南裔报告的抵达前创伤更多。年龄与越南裔随访时的抑郁程度密切相关，但与华裔无关。多元线性回归分析显示，曾是退伍军人、年龄较大、单身、英语水平较低、越南裔以及基线时抑郁程度较高，这些因素预示着随访时抑郁程度会更高。尽管抵达前的创伤预示着未来会出现抑郁，但随着时间推移，其他社会人口学特征变得更为重要。
