历史损失是否会影响美国印第安人和阿拉斯加原住民成年人的ACE和PTSD症状之间的关系?
Katherina Arteaga1, Cassidy Armstrong1, Kendall Carter1
1Department of Psychology, Oklahoma State University, Stillwater, Oklahoma, USA.
American journal of community psychology
|February 26, 2026
概括
历史损失和不良童年经历 (ACE) 在美国印第安人/阿拉斯加土著 (AI/AN) 成年人中显著增加创伤后应激障碍 (PTSD) 症状. 双灵,非二元和跨性别AI/AN个体报告了ACE,历史损失和PTSD症状的更高率.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 美国印第安人/阿拉斯加原住民 (AI/AN) 人口面临着高比例的不良童年经历 (ACE) 和创伤后应激障碍 (PTSD).
- 在AI/AN成年人中,历史损失对加剧ACE和PTSD的影响仍未得到充分研究.
- 了解这些复杂的关系对于文化相关的干预至关重要.
研究的目的:
- 检查历史损失和相关症状如何缓和AI/AN成年人ACE和PTSD症状之间的关系.
- 调查潜在的性别差异,包括那些认为自己是双灵,非二元或跨性别的人,在ACE,历史损失和PTSD症状方面.
主要方法:
- 适度分析被用来评估历史损失,ACE和PTSD之间的相互作用.
- 进行了单向ANOVA,以探索研究变量的性别相关差异.
- 这项研究包括266名AI/AN成年人 (173名女性,83名男性,9名双灵/非二元/跨性别个人).
主要成果:
- 历史损失,历史损失相关症状和ACE都独立地与增加的PTSD症状有关.
- 具有高水平历史损失相关症状和ACE的AI/AN成年人报告了最严重的PTSD症状.
- 双灵,非二元和跨性别AI/AN成年人报告了最高水平的ACE,历史损失相关症状和PTSD症状.
结论:
- 历史损失显著加剧了ACEs对AI/AN成年人PTSD发展的影响.
- 干预措施必须针对AI/AN人群的个人创伤 (ACE) 和集体历史创伤 (历史损失).
- 公共卫生倡议应专注于预防ACE和减轻社会政治伤害,特别关注双灵,非二元和跨性别AI/AN个人的独特需求.
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