Depressive Symptoms and Their Association With Adverse Environmental Factors and Substance Use in Runaway and Homeless Youths
Depressive Symptoms and Their Association With Adverse Environmental Factors and Substance Use in Runaway and Homeless Youths
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DOI：
10.1111/jora.12200
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发表时间：
2016-09-01
影响因子：
3.6
通讯作者：
Rhoades, Harmony
中科院分区：
文献类型：
--
作者：
Lim, Caroline;Rice, Eric;Rhoades, Harmony
我们使用素质压力和压力敏感化模型来确定家庭虐待、街头相关创伤事件、压力性生活事件和物质使用是否与洛杉矶离家出走和无家可归青年（RHY）的抑郁症状相关。更严重的抑郁症状显着相关的家庭虐待，暴露于更多的创伤性压力源在无家可归，目前的物质使用相比，没有物质使用。家庭虐待也被发现缓和创伤压力源和抑郁症状之间的关系。重要的是，累积暴露于不同水平的研究风险因素与更严重的抑郁症状相关。使用创伤知情的方法来筛选有抑郁风险的RHY可能为RHY中重度抑郁症的二级预防铺平道路。
We used diathesis-stress and stress-sensitization models to determine whether family maltreatment, street-related traumatic events, stressful life events, and substance use were associated with depressive symptoms in runaway and homeless youths (RHY) in Los Angeles. Greater severity of depressive symptoms was significantly related to family maltreatment, being exposed to more traumatic stressors during homelessness, and current substance use compared to no substance use. Family maltreatment was also found to moderate the relationship between traumatic stressors and depressive symptoms. Importantly, cumulative exposure to the investigated risk factors at varying levels was associated with more severe depressive symptoms. Using a trauma-informed approach to screen for RHY at risk of depression may pave the way for secondary prevention of major depression in RHY.