Depression Among Black Bisexual Men With Early and Later Life Adversities
Depression Among Black Bisexual Men With Early and Later Life Adversities
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DOI：
10.1037/a0034128
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发表时间：
2014-01-01
影响因子：
3.3
通讯作者：
Williams, John K.
中科院分区：
文献类型：
--
作者：
Allen, Vincent C., Jr.;Myers, Hector F.;Williams, John K.
这项研究考察了117名HIV阳性黑人男性和女性性行为(MSMW)并有儿童期性虐待史(CSA)的成年逆境在童年逆境与抑郁之间的关系中所起的作用。男性参加了6次健康干预活动--《男性强化性健康干预》，并在基线上报告了他们经历的CSA、童年逆境、感觉到的歧视、慢性压力、社会支持和抑郁症状。儿童时期的逆境，包括CSA，与抑郁症之间的关系是通过种族歧视和艾滋病毒歧视的经历来调节的，R-2=.25，F(3,112)=12.67，p<；.001，以及慢性压力，R-2=.17，F(3,112)=7.41，p<；.001。社会支持缓和了种族歧视和艾滋病毒歧视的中介效应，b=-.154，t(111)=-2.82，p<；.01，以及慢性压力，b=-.019，t(111)=-3.759，p<；.01。男性早期的不良经历预示着成年后的抑郁；然而，这种关系在很大程度上受到成年经历的影响，特别是歧视、高慢性压力和低社会支持。这些发现说明了黑人MSMW早期抑郁的脆弱性因他们成年后的经历而加剧或减弱的途径。
This study examined the role of adulthood adversities in the relationship between childhood adversities and depression in 117 HIV-positive Black men who have sex with men and women (MSMW) and who have histories of childhood sexual abuse (CSA). Men were participants in the Enhanced Sexual Health Intervention for Men, a 6-session health intervention, and, at baseline, reported their experiences of CSA, childhood adversities, perceived discrimination, chronic stress, social support, and depressive symptoms. The relationship between childhood adversities, including CSA, and depression was mediated by experiences with racial and HIV discrimination, R-2 = .25, F(3, 112) = 12.67, p < .001, and chronic stress, R-2 = .17, F(3, 112) = 7.41, p < .001. Social support moderated the mediated effects of both racial and HIV discrimination, b = -.154, t(111) = -2.82, p < .01, and chronic stress, b = -.019, t(111) = -3.759, p < .01. Men's early adverse experiences were predictive of depression in adulthood; however, this relationship was largely affected by adulthood experiences, specifically discrimination, high chronic stress, and low social support. These findings illustrate pathways by which Black MSMW's early vulnerability for depression is either exacerbated or attenuated by their experiences as adults.