Racial Stress and Trauma and the Development of Adolescent Depression: A Review of the Role of Vigilance Evoked by Racism-Related Threat.
Racial Stress and Trauma and the Development of Adolescent Depression: A Review of the Role of Vigilance Evoked by Racism-Related Threat.
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DOI：
10.1177/24705470221118574
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Price, Rebecca B
中科院分区：
文献类型：
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作者：
Woody, Mary L;Bell, Elizabeth C;Cruz, Nicolas A;Wears, Anna;Anderson, Riana E;Price, Rebecca B
已知非洲人、拉丁美洲人/a、亚洲人和美洲土著人（ALANA）诊断为抑郁症的患者在疾病负担和获得/护理质量方面存在差异，这可能是由于健康不平等造成的。种族压力和创伤，或因遭受种族主义而可能造成的严重恐惧和痛苦，就是与抑郁症发展有关的不平等现象之一。目前的审查总结了过去的研究，研究种族主义，种族歧视和抑郁症之间的关联，以及途径，其中种族歧视成为生物嵌入ALANA个人。我们描述了多模态研究，支持警觉性作为一个潜在的中介机构之间的关联性和抑郁症，并考虑细致入微的作用，警惕性与种族主义的经验发挥。最后，我们描述了方法学的进步，在评估引起的警觉性和临床意义，可能会产生未来的改进。在这些领域的每一个领域，我们都举例说明了如何利用正在进行的和未来的研究为社会心理项目提供支持，这些项目促进自主社区康复和复原力，增加对公共政策变革的呼吁，并支持减轻种族主义负担的临床干预措施ALANA社区。
There are known disparities in the burden of illness and access/quality of care for African, Latino/a, Asian, and Native American (ALANA) patients diagnosed with depressive disorders, which may occur because of health inequities. Racial stress and trauma (RST), or the significant fear and distress that can be imparted from exposure to racism, is one such inequity linked to the development of depression. The current review summarizes past research examining the association between racism, RST, and depression, as well as avenues in which RST becomes biologically embedded in ALANA individuals. We describe multimodal research that supports vigilance as a potential mediator of the association between RST and depression and consider the nuanced role that vigilance plays during experiences with racism. Finally, we describe methodological advances in the assessment of vigilance evoked by RST and the clinical implications that may be generated by future improvements. In each of these areas, we present examples of how ongoing and future research can be leveraged to provide support for psychosocial programs that facilitate autonomous community healing and resilience, increase calls for public policy changes, and support clinical interventions that lessen the burden of racism on ALANA communities.