种族/民族和不良童年经历之间的交叉点及其与抑郁症的关联
Karthik V Rangavajhula1, Ahalya Muraleedharan1, Ngozi Adaralegbe2
1Department of Chemistry and Biochemistry, College of Arts and Science, University of South Carolina, Columbia, SC, USA.
Social psychiatry and psychiatric epidemiology
|November 1, 2025
概括
经历多次不良童年经历 (ACE) 显著增加了所有种族/民族群体的成人抑郁风险. 早期识别和监测ACE对于心理健康干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 不利的童年经历 (ACE) 与许多负面的健康结果有关.
- 抑郁症是一种普遍存在的心理健康状况,具有重大公共健康影响.
- 了解ACE,种族/种族和抑郁症之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 检查ACE数量与成人抑郁症之间的关联.
- 探索这种关联在不同种族和种族群体中如何变化.
主要方法:
- 利用了2020年行为风险因素监测系统 (BRFSS) 的127,577名成年受访者的数据.
- 将ACE分类为零,一,二,三和四个或更多.
- 雇佣加权多变量逻辑回归,分层按种族/种族,调整为共变量.
主要成果:
- 在ACE,种族/种族和抑郁症 (p=0.0003) 之间观察到显著的相互作用.
- 具有四个或更多ACE的个人在非西班牙裔白人,非西班牙裔黑人和西班牙裔中显示出抑郁症的几率增加.
- 那些有2到3个ACE的人也有更高的抑郁症几率,种族/种族有显著差异.
结论:
- 两个或两个以上的ACE与更高的抑郁症诊断可能性有关,无论种族/种族.
- 强调在临床环境中对ACE进行查的重要性.
- 强调需要主动监测具有ACE病史的个人对抑郁症状的情况.
相关概念视频
Depressive Disorders: Etiology
428
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
428
Ethnic Identity within a Larger Culture
219
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
219
Stereotypes, Prejudice, and Discrimination
94.9K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
94.9K
Stress and Mental Health
625
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
625
Psychological and Sociocultural Causes of Schizophrenia
464
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
464
Attention-Deficit/Hyperactivity Disorder
733
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
733


