Police Brutality, Heightened Vigilance, and the Mental Health of Black Adults
Police Brutality, Heightened Vigilance, and the Mental Health of Black Adults
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DOI：
10.1037/vio0000418
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发表时间：
2022-07-01
影响因子：
2.8
通讯作者：
Adkins-Jackson, Paris B.
中科院分区：
文献类型：
--
作者：
Alang, Sirry;VanHook, Cortney;Adkins-Jackson, Paris B.
目的：研究提高警惕是否部分解释了黑人成年人中警察暴力、抑郁情绪和广泛性焦虑之间的关联。方法：我们使用的数据来自美国城市居民健康横断面调查（SHUR）（N = 623）。控制社会人口学和健康特征，我们回归抑郁情绪和广泛性焦虑的警察暴行。为了评估提高警惕是否会介导警察暴力与心理健康之间的关系，我们计算了警察暴力对抑郁和焦虑的直接影响和间接影响（通过提高警惕）。结果：超过一半的样本报告说经历过警察暴力。警察暴力和提高警惕都与抑郁情绪和广泛性焦虑有关。提高警惕解释了警察暴力对抑郁情绪总影响的11%和警察暴力对广泛性焦虑总影响的21%。结论：警察暴力与黑人的负面心理健康结果有关。由于临床医生致力于提供评估，诊断和治疗服务，他们应该意识到，由于提高警惕和警察暴行，黑人患者可能面临抑郁和焦虑的风险增加。解决如何管理这些压力源是很重要的，因为是建立一个社会，过度警惕是不必要的黑人的生存。倡导广泛的政策行动，重新设想警务是重要的黑人成年人的心理健康。
Objectives: To examine whether heightened vigilance partially explains associations between police brutality, depressed mood, and generalized anxiety among Black adults. Method: We used data from the cross-sectional Survey of the Health of Urban Residents (SHUR) in the United States (N = 623). Controlling for sociodemographic and health characteristics, we regressed depressed mood and generalized anxiety on police brutality. To assess whether heightened vigilance mediates the relationship between police brutality and mental health, we computed the direct effects of police brutality and indirect effects (through heightened vigilance) on depression and anxiety. Results: Over half of the sample reported experiencing police brutality. Both police brutality and heightened vigilance were associated with depressed mood and generalized anxiety. Heightened vigilance explained 11% of the total effect of police brutality on depressed mood and 21% of the total effect of police brutality on generalized anxiety. Conclusions: Police brutality is associated with negative mental health outcomes among Black people. As clinicians work to provide assessment, diagnosis, and treatment services, they should be aware that Black patients might face increased risk for depression and anxiety because of heightened vigilance and police brutality. Addressing how to manage these kinds of stressors is important, as is building a society where hypervigilance is unnecessary for the survival of Black people. Advocating for broad policy actions to reimagine policing is important for the mental health of Black adults.