Childhood sexual abuse severity and disclosure as predictors of depression among adult African-American and Latina women.
Childhood sexual abuse severity and disclosure as predictors of depression among adult African-American and Latina women.
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童年性虐待的严重程度和披露是成年非洲裔美国和拉丁裔女性抑郁症的预测因素。
DOI：
10.1097/nmd.0b013e31822142ac
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Wyatt,GailE
中科院分区：
文献类型：
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作者：
Sciolla,Andres;Glover,DorothyA;Loeb,TamraB;Zhang,Muyu;Myers,HectorF;Wyatt,GailE
儿童期性虐待(CSA)史与成年抑郁症有关，但关于虐待严重程度和披露的数据很少，特别是在低收入少数族裔中。CSA经常与其他逆境同时发生，这也增加了患抑郁症的风险。这项研究考察了94名有CSA病史的低收入非裔美国人和拉丁裔妇女的创伤后虐待严重程度变量和创伤后披露和自责变量作为当前抑郁症状的预测因素。在控制了非性童年逆境和成人负担(即慢性压力)后，严重的CSA总体上与较高的抑郁评分有关，特别是在披露其虐待行为的拉丁裔人中。在非裔美国女性中，抑郁症状最严重的是那些在事件发生时披露并报告了高度自责的人。少数族裔女性抑郁与特定的环孢素A前后因素之间的联系可能有助于指导未来的干预。
A history of childhood sexual abuse (CSA) has been associated with adult depression, but data on abuse severity and disclosure are scant, particularly among low-income ethnic minorities. CSA often co-occurs with other adversities, which also increase the risk of depression. This study examined the peritrauma variable of abuse severity and the posttrauma variables of disclosure and self-blame as predictors of current depression symptoms in 94 low-income African-American and Latina women with histories of CSA. After controlling for nonsexual childhood adversity and adult burden (ie, chronic stress), severe CSA overall was associated with higher depression scores, especially among Latinas who disclosed their abuse. Depression symptoms among African-American women were highest in those who disclosed and reported high levels of self-blame at the time of the incident. The link between depression and specific peri-and post-CSA factors in minority women may help guide future interventions.