The relative impact of socioeconomic status and childhood trauma on Black-White differences in paranoid personality disorder symptoms.

The relative impact of socioeconomic status and childhood trauma on Black-White differences in paranoid personality disorder symptoms.
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DOI:
10.1037/a0035258
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发表时间:
2014-02
影响因子:
4.6
通讯作者:
Oltmanns TF
Oltmanns TF
中科院分区:
心理学1区
文献类型:
--
作者:
Iacovino JM;Jackson JJ;Oltmanns TF

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本研究以密苏里州圣路易斯市的为样本,研究了偏执型人格障碍(PPD)症状的种族差异机制。社会经济地位(SES)和童年创伤作为种族和产后抑郁症状之间关联的中介变量,使用结构方程模型进行检验。PPD症状被建模为一个潜在变量,由PPD量表中的条目组成,这些条目来自人格病理自评量表和告密者报告,以及第四版精神障碍诊断和统计手册(DSM-IV)人格的结构化访谈。童年创伤使用创伤生活事件问卷进行测量,SES由父母教育、参与者教育和家庭年收入组成。黑人在三项人格测试中表现出更高的PPD症状水平,报告的SES显著较低,并报告了更大的童年创伤。所提出的模型与数据吻合较好,种族对PPD症状的影响主要通过SES发挥作用。SES对男性的间接影响更强。研究结果表明,PPD症状的种族差异在一定程度上是由黑人个人更常见的问题解释的。
The current study examines mechanisms of racial differences in symptoms of paranoid personality disorder (PPD) in a sample of adults ages 55–64 from the St. Louis, MO area. Socioeconomic status (SES) and childhood trauma were tested as intervening variables in the association between race and PPD symptoms using structural equation modeling. PPD symptoms were modeled as a latent variable composed of items from the PPD scales of the Multi-Source Assessment of Personality Pathology self and informant reports and the Structured Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM–IV) Personality. Childhood trauma was measured using the Traumatic Life Events Questionnaire, and SES was a composite of parent education, participant education, and annual household income. Blacks exhibited higher levels of PPD symptoms across the 3 personality measures, reported significantly lower SES, and reported greater childhood trauma. The proposed model was a good fit to the data, and the effect of race on PPD symptoms operated mainly through SES. The indirect effect through SES was stronger for males. Findings suggest that racial differences in PPD symptoms are partly explained by problems more commonly experienced by Black individuals.
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