Cumulative burden of lifetime adversities: Trauma and mental health in low-SES African Americans and Latino/as.
Cumulative burden of lifetime adversities: Trauma and mental health in low-SES African Americans and Latino/as.
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DOI：
10.1037/a0039077
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发表时间：
2015-05
影响因子：
6.3
通讯作者：
Liu, Honghu
中科院分区：
文献类型：
--
作者：
Myers, Hector F.;Wyatt, Gail E.;Ullman, Jodie B.;Loeb, Tamra B.;Chin, Dorothy;Prause, Nicole;Zhang, Muyu;Williams, John K.;Slavich, George M.;Liu, Honghu
本研究探讨了终身累积逆境和创伤模型在预测抑郁、焦虑和创伤后应激障碍的心理健康症状严重程度方面的效用。我们还测试了种族和性别是否缓和这种压力暴露结构对心理健康的影响，使用多组结构方程模型。招募了500名具有逆境和创伤史的低社会经济地位的非洲裔美国人和拉丁美洲男性和女性的样本，并采用标准的压力和心理健康自我报告措施进行评估。多组结构方程模型表明总体模型拟合良好。正如假设的那样，歧视，童年家庭逆境，童年性虐待，其他童年创伤和慢性压力的经历都加载在逆境和创伤结构（CBAT）的潜在累积负担。CBAT压力暴露指数反过来预测心理健康状况的潜变量。尽管存在几个显著的单变量种族和性别差异，并且在几条路径上观察到种族和性别差异，但在数据的最终模型拟合中没有显著的种族差异。这些研究结果强调了累积压力和创伤对心理健康的有害后果，并强调需要评估这些结构，以选择适当的临床干预措施，减少心理健康的差距，改善人类健康。
This study examined the utility of a lifetime cumulative adversities and trauma model in predicting the severity of mental health symptoms of depression, anxiety, and posttraumatic stress disorder. We also tested whether ethnicity and gender moderate the effects of this stress exposure construct on mental health using multigroup structural equation modeling. A sample of 500 low-socioeconomic status African American and Latino men and women with histories of adversities and trauma were recruited and assessed with a standard battery of self-report measures of stress and mental health. Multiple-group structural equation models indicated good overall model fit. As hypothesized, experiences of discrimination, childhood family adversities, childhood sexual abuse, other childhood trauma, and chronic stresses all loaded on the latent cumulative burden of adversities and trauma construct (CBAT). The CBAT stress exposure index in turn predicted the mental health status latent variable. Although there were several significant univariate ethnic and gender differences, and ethnic and gender differences were observed on several paths, there were no significant ethnic differences in the final model fit of the data. These findings highlight the deleterious consequences of cumulative stress and trauma for mental health and underscore a need to assess these constructs in selecting appropriate clinical interventions for reducing mental health disparities and improving human health.
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影响因子：
3.1
作者：
Glover DA;Williams JK;Kisler KA
通讯作者：
Kisler KA
影响因子：
12.7
作者：
Jackson JS;Knight KM;Rafferty JA
通讯作者：
Rafferty JA
影响因子：
1.7
作者：
Gurung, RAR;Taylor, SE;Myers, H
通讯作者：
Myers, H
影响因子：
--
作者：
Green, Jennifer Greif;McLaughlin, Katie A.;Berglund, Patricia A.;Gruber, Michael J.;Sampson, Nancy A.;Zaslavsky, Alan M.;Kessler, Ronald C.
通讯作者：
Kessler, Ronald C.
影响因子：
4.8
作者：
Gold, SN;Lucenko, BA;Sellers, AH
通讯作者：
Sellers, AH