Trauma, Depression, and Comorbid PTSD/Depression in a Community Sample of Latina Immigrants.

Trauma, Depression, and Comorbid PTSD/Depression in a Community Sample of Latina Immigrants.
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DOI:
10.1037/a0018952
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发表时间:
2010-03-01
影响因子:
6.3
通讯作者:
Miranda, Jeanne
Miranda, Jeanne
中科院分区:
心理学2区
文献类型:
--
作者:
Kaltman, Stacey;Green, Bonnie L.;Mete, Mihriye;Shara, Nawar;Miranda, Jeanne

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在对拉丁美洲人的研究中,创伤暴露作为精神病发病率的一个危险因素经常被忽视。本研究旨在探讨拉丁裔移民的创伤史、移民相关因素与心理健康状况之间的关系。目前的研究使用了一项随机临床试验的基线数据,用于治疗64名患有PTSD和抑郁症的女性,69名仅患有抑郁症,61名无轴I精神障碍。64%的样本来自中美洲,75%的样本报告了创伤暴露。多项logit分析表明,在美国生活的时间越少,心理健康状况越差。未婚的婚姻状况也与更差的心理健康有关。报告四种或四种以上类型的创伤事件与合并症的概率增加有关。这些发现对未来的研究和临床实践具有重要意义。
Trauma exposure is frequently overlooked as a risk factor for psychiatric morbidity among studies with Latinos. The purpose of this study was to examine the relationships among trauma history, immigration-related factors, and mental health status among Latina immigrants. The current study used baseline data from a randomized clinical trial for the treatment of depression of 64 women with comorbid PTSD and depression, 69 with depression-only, and 61 with no Axis I mental disorder. Sixty-four percent of the sample was Central American and 75% percent reported trauma exposure. Multinomial logit analysis suggested fewer years in the US was associated with worse mental health status. Having a non-married marital status was also associated with worse mental health. Reporting four or more types of traumatic events was associated with an increase in the probability of comorbidity. These findings have important implications for future research and clinical practice.
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