Examination of race-based traumatic stress symptom networks in Black adults in the United States: A network analysis.
Examination of race-based traumatic stress symptom networks in Black adults in the United States: A network analysis.
复制标题
美国黑人成年人基于种族的创伤应激症状网络的检查：网络分析。
DOI：
10.1002/jts.23003
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发表时间：
2023
影响因子：
3.3
通讯作者：
Doom,JenaleeR
中科院分区：
文献类型：
--
作者：
Dieujuste,Nathalie;Mekawi,Yara;Doom,JenaleeR
在美国，种族主义被理论化为通过触发被称为“基于种族的创伤性应激”（RBTS）的反应对黑人个体的心理健康产生负面影响，这是一种多维结构，包括暴露于基于种族的创伤性事件后可能发生的七组症状（例如，种族歧视，种族主义事件）：抑郁，侵入，愤怒，过度警惕，身体症状，（低）自尊和回避。然而，很少有人知道哪些症状和集群是最强的，最有影响力的RBTS的维护。网络分析是理解创伤性应激的病因学的有力工具，但它尚未被应用于这一结构的检查。本研究的目的是确定最核心的RBTS症状，并检查症状和症状群之间的关联。参与者（N= 1，037）被确定为黑人，居住在美国（法师= 45.12岁，范围：18-82岁），并完成了基于种族的创伤应激症状量表简表（RBTSS-SF）。使用R/RStudio估计正则化偏相关网络。聚类和项目级网络表现出足够的中心稳定性，CS= 0.44。抑郁和躯体症状聚类是聚类网络中最中心的节点。无意义的感觉，经历事件的心理图像和身体颤抖是项目级网络中最核心的项目。这些发现为评估和治疗美国黑人成年人的RBTS症状提供了见解和影响，这些黑人成年人暴露于基于种族的创伤事件。
In the United States, racism is theorized to exert its negative effects on Black individuals’ mental health by triggering a response known as “race‐based traumatic stress” (RBTS), a multidimensional construct comprising seven clusters of symptoms that can occur following exposure to race‐based traumatic events (e.g., racial discrimination, racist incidents): depression, intrusion, anger, hypervigilance, physical symptoms, (low) self‐esteem, and avoidance. However, little is known about which symptoms and clusters are strongest and most influential in the maintenance of RBTS. Network analysis is a powerful tool for understanding the etiology of traumatic stress, but it has not yet been applied to the examination of this construct. The present study aimed to identify the symptoms most central to RBTS and examine associations between symptoms and symptom clusters. Participants (N= 1,037) identified as Black, and lived in the United States (Mage= 45.12 years, range: 18–82 years) and completed the Race‐Based Traumatic Stress Symptom Scale–Short Form (RBTSSS‐SF). Regularized partial correlation networks were estimated using R/RStudio. The cluster‐ and item‐level networks demonstrated adequate centrality stability,CS= .44. The depression and physical symptoms clusters were the most central nodes in the cluster network. Feelings of meaninglessness, experiencing mental images of the event, and physical trembling were the most central items within the item‐level network. These findings offer insights and implications for assessing and treating symptoms of RBTS in Black adults in the United States who are exposed to race‐based traumatic events.