The Intergenerational Impact of Structural Racism and Cumulative Trauma on Depression.

The Intergenerational Impact of Structural Racism and Cumulative Trauma on Depression.
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DOI:
10.1176/appi.ajp.21101000
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发表时间:
2022-06
影响因子:
17.7
通讯作者:
Shim, Ruth
Shim, Ruth
中科院分区:
医学1区
文献类型:
--
作者:
Hankerson, Sidney H.;Moise, Nathalie;Wilson, Diane;Waller, Bernadine Y.;Arnold, Kimberly T.;Duarte, Cristiane;Lugo-Candelas, Claudia;Weissman, Myrna M.;Wainberg, Milton;Yehuda, Rachel;Shim, Ruth

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在美国,在种族和民族上处于少数地位的人的抑郁症与非西班牙裔白色美国人的抑郁症有很大的不同。例如,患有抑郁症的非洲裔美国成年人认为他们的症状更严重,病程更长,并且经历更多与抑郁症相关的残疾。这篇评论的目的是概念化结构性种族主义和累积性创伤如何成为抑郁症代际传递的根本驱动力。作者提出,理解抑郁症的风险因素,特别是其代际影响,需要考虑结构性种族主义。鉴于经历抑郁症的非裔美国人的经历截然不同(即,疾病的病程更长,残疾程度更严重),因此,必须审查对其中一些差异的新解释是否是由于结构性种族主义造成的这种疾病的代际传递。
Depression among individuals who have been racially and ethnically minoritized in the United States can be vastly different from that of non-Hispanic White Americans. For example, African American adults who have depression rate their symptoms as more severe, have a longer course of illness, and experience more depression-associated disability. The purpose of this review was to conceptualize how structural racism and cumulative trauma can be fundamental drivers of the intergenerational transmission of depression. The authors propose that understanding risk factors for depression, particularly its intergenerational reach, requires accounting for structural racism. In light of the profoundly different experiences of African Americans who experience depression (i.e., a more persistent course of illness and greater disability), it is critical to examine whether an emerging explanation for some of these differences is the intergenerational transmission of this disorder due to structural racism.
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