Trauma exposure and stress-related disorders in a large, urban, predominantly African-American, female sample.
Trauma exposure and stress-related disorders in a large, urban, predominantly African-American, female sample.
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DOI：
10.1007/s00737-021-01141-4
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发表时间：
2021-12
影响因子：
4.5
通讯作者：
Gillespie, Charles F.
中科院分区：
文献类型：
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作者：
Gluck, Rachel L.;Hartzell, Georgina E.;Dixon, Hayley D.;Michopoulos, Vasiliki;Powers, Abigail;Stevens, Jennifer S.;Fani, Negar;Carter, Sierra;Schwartz, Ann C.;Jovanovic, Tanja;Ressler, Kerry J.;Bradley, Bekh;Gillespie, Charles F.
当前的研究调查了以低社会经济地位（SES）的非裔美国女性为主的样本中创伤暴露与精神病理学之间的关系。女性（N= 7430）从2005年至2017年在佐治亚州亚特兰大的两家大型公立医院的医疗诊所招募。采用自我报告和结构化临床访谈评估，对女性进行社会人口统计学、生命过程创伤负担、创伤后应激障碍（PTSD）和重度抑郁症（MDD）评估。研究创伤暴露对当前和终生PTSD和MDD的影响。91%的妇女报告了创伤暴露，83%的妇女报告了每月家庭收入低于2000美元，41%的妇女报告了逮捕史。关于精神病诊断，30.8%符合可能的MDD标准，32.3%符合可能的PTSD标准。童年虐待史和终生创伤显著增加了创伤后应激障碍和抑郁症状，并伴随额外的创伤暴露。创伤后应激障碍和抑郁症状评分（95%CI）从无创伤组的5.5（5.0-6.1）和8.4（7.9-9.0）分别增加到暴露于四种或四种以上类型创伤的患者的20.8（20.1-21.5）和20.4（19.7-21.2）。这些结果表明，成人和儿童创伤暴露，创伤后应激障碍，抑郁症的发生率很高，并在低SES的非洲裔美国妇女的样本中，终身创伤暴露对创伤后应激障碍和抑郁症的发展具有累加效应。这些发现揭示了这一人群的高精神症状负担，并呼吁增加干预措施的可用性以解决症状以及旨在减少整个生命周期创伤暴露的政策。
The current study investigated the relationship between trauma exposure and psychopathology in a sample of predominately African-American women of low socioeconomic status (SES). Women (N= 7430) were recruited from medical clinics at two large public hospitals in Atlanta, GA, from 2005 to 2017. Women were assessed for sociodemographics, life-course trauma burden, posttraumatic stress disorder (PTSD), and major depressive disorder (MDD) utilizing self-report and structured clinical interview assessments. The effects of trauma exposure on current and lifetime PTSD and MDD were examined. Ninety-one percent of women reported trauma exposure, 83% reported a monthly household income of less than $2000, and 41% reported a history of arrest. Regarding psychiatric diagnoses, 30.8% met the criteria for probable MDD, and 32.3% met the criteria for probable PTSD. History of childhood abuse and total lifetime trauma significantly increased PTSD and depressive symptoms with additional incremental trauma exposure. PTSD and depressive symptom scores (95% CI) increased from 5.5 (5.0–6.1) and 8.4 (7.9–9.0) in the no trauma group to 20.8 (20.1–21.5) and 20.4 (19.7–21.2), respectively, in those exposed to four or more types of trauma. These results show high rates of adult and childhood trauma exposure, PTSD, MDD, and an additive effect of lifetime trauma exposure on the development of PTSD and MDD in a sample of low SES African-American women. These findings bring light to the high psychiatric symptom burden in this population and call for increased availability of interventions to address symptoms as well as policies aimed at reducing trauma exposure across the lifespan.
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影响因子：
7.4
作者：
Karam, Elie G.;Friedman, Matthew J.;Hill, Eric D.;Kessler, Ronald C.;McLaughlin, Katie A.;Petukhova, Maria;Sampson, Laura;Shahly, Victoria;Angermeyer, Matthias C.;Bromet, Evelyn J.;de Girolamo, Giovanni;de Graaf, Ron;Demyttenaere, Koen;Ferry, Finola;Florescu, Silvia E.;Haro, Josep Maria;He, Yanling;Karam, Aimee N.;Kawakami, Norito;Kovess-Masfety, Viviane;Medina-Mora, Maria Elena;Browne, Mark A. Oakley;Posada-Villa, Jose A.;Shalev, Arieh Y.;Stein, Dan J.;Viana, Maria Carmen;Zarkov, Zahari;Koenen, Karestan C.
通讯作者：
Koenen, Karestan C.
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
3.3
作者：
Hudson, CG
通讯作者：
Hudson, CG
影响因子：
3.9
作者：
Hien, DA;Nunes, E;Fraser, D
通讯作者：
Fraser, D
影响因子：
3
作者：
Kartha, Anand;Brower, Victoria;Liebschutz, Jane
通讯作者：
Liebschutz, Jane