在ABCD研究数据中,环境风险因素和累积压力的证据将种族/民族身份和精神病类似经历联系起来
Emily Petti1, Jason Schiffman1, Hans Oh2
1University of California, Irvine, California.
概括
环境风险和压力有助于青少年的精神病类似体验 (PLEs). 系统因素解释了边缘化种族/民族群体中较高的PLEs,这表明针对减轻压力的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 边缘化的种族和民族群体报告了更高的精神病类经历 (PLEs) 率.
- 社会决定因素框架将边缘化地位与增加对社会环境风险因素和压力因素的暴露联系起来.
- 了解环境因素和压力的作用对于解释PLEs的种族/民族差异至关重要.
研究的目的:
- 检查环境风险因素和压力在多大程度上影响了种族/族群和PLE之间的关联.
- 调查压力在环境风险和令人痛苦的PLE之间关系中的调解作用.
- 评估环境风险和压力是否连续介导PLE的种族/民族差异.
主要方法:
- 从青少年大脑认知发展 (ABCD) 研究中对11,876名年轻青少年 (9-10岁) 的纵向分析.
- 主要组成部分和调解模型,以评估环境风险和压力的PLE间接影响.
- 连续调解模型,以检查连接环境风险,压力和种族/民族群体差异的途径.
主要成果:
- 环境风险因素 (例如,贫困,犯罪暴露) 与压力介导的痛苦的PLEs有关.
- 在黑人和西班牙裔青少年中,对令人痛苦的PLEs的更高认可被环境风险和压力的增加串行介导.
- 环境风险和压力共同解释了PLEs的种族/民族差异.
结论:
- 边缘化种族/民族身份与PLE之间的关联部分反映了系统性的社会环境因素.
- 针对环境风险因素的干预措施可以减少累积压力并缓冲PLE发展.
- 调查结果强调了解决系统不平等问题的重要性,以减轻心理健康差异.
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