Major Depressive Disorder and Dysthymia at the Intersection of Nativity and Racial-Ethnic Origins.
Major Depressive Disorder and Dysthymia at the Intersection of Nativity and Racial-Ethnic Origins.
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DOI：
10.1007/s10903-015-0293-y
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发表时间：
2016-08
影响因子：
1.9
通讯作者：
Somoza E
中科院分区：
文献类型：
--
作者：
Szaflarski M;Cubbins LA;Bauldry S;Meganathan K;Klepinger DH;Somoza E
移民的抑郁症发病率通常低于美国本土人，但对多个种族群体的纵向评估有限。本研究通过出生地和种族-民族血统，同时考虑文化适应、压力和社会联系水平，检查了流行性、获得性和持续性重性抑郁症和心境恶劣的发病率。来自全国酒精及相关疾病流行病学调查的数据被用于使用逻辑回归模型的患病率和3年的发病率/持续性的抑郁症和恶劣心境（DSM-IV诊断）。采用标准化措施评估了实质性因素。大多数移民的抑郁症发病率较低，但种族-民族和结果存在差异。此外，移民有较高的患病率，但没有发病率的恶劣心境。实质性因素与结果之间的关系好坏参半。这项研究描述并开始解释移民轨迹的抑郁症和心境恶劣超过3年的时间。持续的研究挑战和未来的方向进行了讨论。
Immigrants often have lower rates of depression than US-natives, but longitudinal assessments across multiple racial–ethnic groups are limited. This study examined the rates of prevalent, acquired, and persisting major depression and dysthymia by nativity and racial–ethnic origin while considering levels of acculturation, stress, and social ties. Data from the National Epidemiologic Survey on Alcohol and Related Conditions were used to model prevalence and 3-year incidence/persistence of major depression and dysthymia (DSM-IV diagnoses) using logistic regression. Substantive factors were assessed using standardized measures. The rates of major depression were lower for most immigrants, but differences were noted by race–ethnicity and outcome. Furthermore, immigrants had higher prevalence but not incidence of dysthymia. The associations between substantive factors and outcomes were mixed. This study describes and begins to explain immigrant trajectories of major depression and dysthymia over a 3-year period. The continuing research challenges and future directions are discussed.