Discrimination Experiences and Depressive Symptoms among African Americans with Osteoarthritis Enrolled in a Pain Coping Skills Training Randomized Controlled Trial.
Discrimination Experiences and Depressive Symptoms among African Americans with Osteoarthritis Enrolled in a Pain Coping Skills Training Randomized Controlled Trial.
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DOI：
10.1353/hpu.2021.0014
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发表时间：
2021
影响因子：
1.4
通讯作者：
Allen, Kelli D.
中科院分区：
文献类型：
--
作者：
Griesemer, Ida;Hausmann, Leslie R. M.;Arbeeva, Liubov;Campbell, Lisa C.;Cene, Crystal W.;Coffman, Cynthia J.;Keefe, Francis J.;Oddone, Eugene Z.;Somers, Tamara J.;Allen, Kelli D.
非裔美国人比其他种族群体的成员更有可能报告在医疗保健环境中的歧视，歧视与抑郁症有关。使用数据从一个随机对照试验的疼痛应对技能训练（PCST）的非洲裔美国人骨关节炎（N=164），我们评估了歧视的经验和实验条件（PCST或对照组）之间的相互作用，在线性回归模型预测抑郁症状。个人歧视和实验条件对抑郁症状有显著的交互作用（交互作用项系数：B=−3.2，95% CI [−6.4，−.02]，p=.05）。在对照组中，歧视与抑郁症状有关，但在接受PCST的人中则无关。参与PCST干预可能减少了该样本中参与者之间的歧视经历和抑郁症状之间的关联。未来的研究应探讨旨在教授应对技能的干预措施是否能有效改善感知歧视对心理健康的有害影响。
African Americans are more likely than members of other racial groups to report perceived discrimination in health care settings, and discrimination is linked to depression. Using data from a randomized controlled trial of pain coping skills training (PCST) for African Americans with osteoarthritis (N=164), we evaluated the interaction between discrimination experiences and experimental condition (PCST or control group) in linear regression models predicting depressive symptoms. There was a significant interaction between personal discrimination and experimental condition on depressive symptoms (interaction term coefficient: b=−3.2, 95% CI [−6.4, −.02], p=.05). Discrimination was associated with depressive symptoms among those in the control group but not among those who received PCST. Participation in a PCST intervention may have reduced the association between discrimination experiences and depressive symptoms among participants in this sample. Future research should explore whether interventions aimed at teaching coping skills may be effective in ameliorating the harmful mental health effects of perceived discrimination.
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