多发性硬化症少数群体的压力指标
Evelyn A Hunter1, J M Meyer1, G M Brown1
1Special Education, Rehabilitation, and Counseling, Auburn University, Auburn, United States.
Multiple sclerosis and related disorders
|July 27, 2023
概括
患有多发性硬化症 (MS) 的美国黑人经历了更糟糕的症状和更高的痛苦. 歧视与MS的黑人个体的焦虑和睡眠障碍增加有关,影响他们的健康.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 健康差异 在健康上的差异
背景情况:
- 患有多发性硬化症 (MS) 的黑人美国人比白人美国人面临更大的残疾.
- 抑郁症和焦虑症等并发症在患有多发性硬化症的黑人中普遍存在并未得到充分治疗,影响生活质量.
- 歧视导致压力,加剧精神健康问题,如抑郁症.
研究的目的:
- 为了比较黑人和白人美国人之间的MS症状严重程度.
- 调查歧视与黑人美国人的MS症状恶化之间的关联.
- 探索与种族有关的压力对患有多发性硬化症的黑人美国人的身体和精神健康的影响.
主要方法:
- 在多发性硬化症少数群体压力指标 (SiMMS) 研究中,分析了143名患有多发性硬化症 (plwMS) 的数据.
- 利用曼-惠特尼U测试来比较黑人和白人参与者之间的症状测量.
- 雇佣相关性分析,以检查歧视与黑人参与者的特定健康结果之间的关系.
主要成果:
- 在黑人和白人参与者之间,在NIH情绪困扰 - 焦虑 (p=0.045) 和NIH睡眠障碍 (p=0.044) 中观察到显著的差异.
- 在患有MS的黑人个体中,歧视与焦虑 (r=0.677,p<0.001) 和睡眠障碍 (r=0.446,p=0.007) 有着显著的正相关性.
- 几个生理和心理测量与焦虑和睡眠障碍相关联.
结论:
- 黑人美国人的MS症状恶化与越来越多的歧视经历有关.
- 歧视和与种族有关的压力会对患有多发性硬化症的黑人美国人的身心健康产生负面影响.
- 强调需要解决在患有慢性疾病的少数群体中的歧视及其健康后果.
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