Adverse childhood experiences exacerbate the association between day-to-day discrimination and mental health symptomatology in undergraduate students.
Adverse childhood experiences exacerbate the association between day-to-day discrimination and mental health symptomatology in undergraduate students.
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DOI：
10.1016/j.jad.2021.10.058
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发表时间：
2022-01-15
影响因子：
6.6
通讯作者：
Felver, Joshua C.
中科院分区：
文献类型：
--
作者：
Helminen, Emily C.;Scheer, Jillian R.;Edwards, Katie M.;Felver, Joshua C.
关键词：
不良的童年经历（ACE）和日常歧视（以下简称“歧视”）都有助于在年轻的成年心理健康诊断学，但这些结构如何相互作用，以及它们是否与心理健康仍不清楚。本研究评估了青年期歧视与精神健康行为学之间的关系是否随ACE暴露而变化。本科生（n = 251）完成了与ACE、歧视和心理健康诊断学（即，抑郁、焦虑、躯体化和心理困扰）。线性和逻辑回归模型，以测试潜在的恶化影响ACE歧视和心理健康之间的关系。与歧视暴露较少、ACE很少或没有ACE的受试者相比，歧视暴露和ACE较大的受试者报告的抑郁、焦虑和躯体症状明显更多，沿着更多的心理困扰。数据为横断面数据，因此无法推断因果关系。ACE和歧视措施分别检查ACE计数和一般歧视，这不允许检查特定ACE之间可能的差异（例如，儿童期性虐待与忽视）或特定类型的歧视（例如，性取向歧视与种族歧视）。这些结果是第一批告知ACE的概念化和青年人心理健康病因模型的歧视。ACE和歧视，而不是只暴露于这些压力源之一，可能与年轻人的心理健康密切相关。临床医生可以通过评估ACE和歧视暴露来解决压力敏感的心理健康问题。
Adverse childhood experiences (ACEs) and day-to-day discrimination (hereafter, “discrimination”) both contribute to mental health symptomatology in young adulthood, but how these constructs interact and whether they are associated with mental health remains unclear. This study evaluated whether the relation between discrimination in young adulthood and mental health symptomatology varied as a function of ACEs exposure. Undergraduates (n = 251) completed self-report measures related to ACEs, discrimination, and mental health symptomatology (i.e., depression, anxiety, somatization, and psychological distress). Linear and logistic regression models were implemented to test for potential exacerbation effects of ACEs on the relation between discrimination and mental health symptomatology. Participants with greater discrimination exposure and ACEs reported significantly more depression, anxiety, and somatic symptoms, along with more psychological distress, relative to those with less discrimination exposure and few or no ACEs. Data were cross-sectional, thus, causality cannot be inferred. ACEs and discrimination measures examined ACE counts and general discrimination, respectively, which did not allow for examination of possible differences across specific ACEs (e.g., childhood sexual abuse vs. neglect) or specific types of discrimination (e.g., sexual-orientation-based discrimination vs. race-based discrimination). These results are among the first to inform the conceptualization of ACEs and discrimination in etiological models of young adults’ mental health. Both ACEs and discrimination, rather than exposure to only one of these stressors, may be synergistically associated with young adults’ mental health symptomatology. Clinicians could address stress-sensitive mental health issues by assessing for both ACEs and discrimination exposure.
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